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Aesthetic Rhinoplasty involves altering the shape and size of the nose in proportion to suit the face. Computer imaging is performed at consultation to communicate the possible desired outcome. Most rhinoplasties performed by Dr Randle are done through an open approach where a small incision is made in the skin between the lip and tip of the nose which is then extended internally. Through this manoeuvre the cartilages and nasal bones are exposed and altered according to the desired shape and size. Cartilage may also be harvested from the septum, ear or rib if required and can be sutured to the nasal skeleton under direct vision. Nostril flaring can also be reduced through direct excision. Rhinoplasty requires precision in achieving the desired outcome. Dr Randle combines the procedure with an ENT surgeon occasionally to improve breathing.

The operation is performed as day surgery or overnight stay depending on the degree of complexity. The nose is splinted postoperatively to maintain shape and healing to occur in the desired position. Some degree of discomfort and stuffiness is experienced post operatively and swelling usually takes around 2-3 weeks to settle. In some cases, the final shape may not be fully evident until 6-12 months after surgery.

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