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Surgical vs. Non-Surgical R...

Surgical vs. Non-Surgical Rhinoplasty (Nose Job) Which option is most suitable for you?

By Mr Ahmed El Gawad, Consultant Plastic Surgeon,

What is the first thing people see when they look at your face? For some people it’s their smile, for others it’s their eyes, for most – it’s their nose! But what if there was a bump on it, or maybe your nose is small or big according to your face symmetry? It is suggested that your nose is the most common reason for face-related self-confidence issues, with your ears being a close second. Many people would prefer if their nose was smoothened or had an enhanced profile. There are many reasons that people are unhappy with their nose due to genetically inherited features, accidents leading to a broken nose and numerous other reasons.

Two of the solutions for altering the appearance and structure of the nose include a surgical Rhinoplasty and a non-surgical rhinoplasty (commonly referred to as a “15-minute nose job”).

Surgical Rhinoplasty

What is a surgical Rhinoplasty and what are the benefits?

A surgical Rhinoplasty is either performed by an Ear, Nose and Throat (ENT) specialist, Facial Cosmetic Surgeon or a Plastic Surgeon. It is often performed as a day case surgery under general anaesthetic but may require an overnight stay in the hospital.

The purpose of the procedure is to form a well-balanced nose that is in proportion to the face by targeting a number of key areas such as size, shape, and angle, to improve the overall appearance of the nose.

Non-Surgical Rhinoplasty

Whilst the surgical option has many benefits, for some people the thought of surgery has been a deterrent in making that desired change to their nose. This is where a non-surgical rhinoplasty is useful.

Now you can achieve your desired result, such as getting rid of a bump in your nose or correcting a crooked nose shape, without the need to go through a surgery.

The non-surgical nose job or rhinoplasty allows you to reshape, rebalance, resize or re-contour the nose. It is also known as a “15-minute nose job”, and uses, non-permanent dermal fillers to soften any unevenness in the nose. A non-surgical rhinoplasty does not affect normal nasal breathing as it is performed by injecting the filler into the outer layers of the nose’s skin.

*** for how long do results last for e.g. 12-18 months *** and also mention that this is a far cheaper option too!!!

Surgical or Non-surgical?

Let’s understand whether the surgical or the non-surgical rhinoplasty is ideal for you.

Pros of non- surgical rhinoplasty:

  • Instant procedure – The non- surgical ‘15 minute Nose Job’ is painless procedure (once the anaesthetic cream is applied!) taking, as the name suggests, 15 minutes.
  •  Instant result – Since the procedure usually causes little-to-no bruising or swelling, you are able to walk out of the clinic with the desired outcome!
  • Control on the outcome - You can monitor the procedure, along with its progress, in the mirror and offer suggestion and feedback based on your need.
  • Reversible – The dermal fillers are reversible, meaning it can be dissolved any time if ever you wish to do so.
  • No follow-ups – The procedure, owing to its simplicity, needs no post-op visits at all.
  • Pocket –friendly – Of course, starting from £475, the cost of this almost instantaneous procedure is a fraction of a surgical process
  • Minimal complications- There are hardly any complications or risks with this procedure

Cons of non-invasive rhinoplasty:

  • Temporary solution – The non-surgical rhinoplasty is a temporary procedure and may need to be repeated when the filler breaks down or wears off
  • Medical conditions not addressed – It is purely a cosmetic procedure, hence, any nose or respiratory issues cannot be resolved at the same time.
  • Possibility of reaction – The dermal fillers may cause some reaction to some people, though it is highly uncommon.
  • Structural change not done – The dermal fillers injections cannot reduce the length or width of the nose and can neither address any medical issues. Therefore, this option is not suitable for every patient – depending on individual needs. The fillers can only increase volume or remove the appearance of bumps or kinks

 

Pros of Surgical Rhinoplasty

  • Scope for structural changes – It is a versatile procedure that can help alter the structural change, grafts, fix-up deformity; allowing a definitive outcome with facial balance too.
  • Permanent, one-time procedure- Surgical rhinoplasty is a procedure whose results are permanent excluding the effects of ageing. Hence, it costs more, but, not to forget, a one-time job
  • Medical issues resolved - Surgical rhinoplasty can improve or resolve a wide range of common breathing problems including polyps. It can also ensure better breathing, improved quality of life, ease of sleep apnea, etc

Cons of Surgical Rhinoplasty

  • Time-consuming procedure- The procedure often takes anywhere between 2-6 hours
  • Highly specialist procedure- whilst it is a relatively common procedure, many surgeons will have only performed the surgery a handful of times in their careers. It is a complex procedure and requires more skill. With the right surgeon, you do not need to worry. A highly skilled surgeon can deliver fantastic results. The wrong surgeon may deliver more harm than good. Do your research: look at previous patient reviews, speak to the surgeon, check their qualifications.
  • Anaesthesia – with all surgery, cosmetic or medical, there are risks associated with anaesthesia. The surgeon will discuss this with you in full during your consultation
  • Long recovery time – The surgical procedure requires a prolonged recovery time for up to two weeks. Since there will be bruises and swelling post-surgery, you may not be able to see any changes after at least two weeks.
  • Cost – Starting from £5,995, the surgical rhinoplasty is a permanent procedure and is, as you would expect, expensive in comparison to the non-surgical alternative. (However, you should consider that the non-surgical equivalent may need to be repeated multiple times over a lifetime)
    • This is the same for all non-surgical equivalents: for example, anti-wrinkle treatment vs a surgical brow lift.
  • Time to see results – whilst results are visible immediately, it can take over 9 months to achieve the final look.

What would we recommend?

While non-surgical alternatives are often attractive due to lower costs and shorter recovery times, they may not always be the better option in the long run.

In some cases, in order to change the shape of the nose without surgery, it requires a great deal of dermal filler to build up the bridge of the nose and reshape the nostrils. Additionally, while the price of a non-surgical rhinoplasty will cost less, to begin with, patients will need to periodically return to their surgeon when the effects of the injections begin to wear off. Thus, over time, the price of a non-surgical rhinoplasty may far outweigh the cost of a traditional rhinoplasty—not to mention the inconvenience of continuous follow-up appointments to maintain your results.

Finally, depending upon the shape of your nose and your cosmetic goals, the non-surgical rhinoplasty may not be able to meet your needs and expectations. For example, if you want to change the shape of a dorsal bump or minimize the appearance of a large nose, injectables will not be able to achieve results that are comparable to a surgical reshaping procedure.

No single treatment is suitable for everyone. Hence, you should weigh the pros and cons of each treatment you are considering before you decide to move forward.

Many patients who have used Pall Mall Medical, will opt for a non-surgical rhinoplasty first. Then a year later they proceed with a surgical rhinoplasty. This is a great option for those who are “on the fence”. You should speak to a specialist if this is an option you are considering.

Whichever option you are considering, or if you are still not sure which option you prefer – you are entitled to a free of charge consultation with a Facial Cosmetic Surgeon or Plastic Surgeon at Pall Mall Medical.

 

To book a free of charge, no-obligation consultation – email cosmetics@pallmallmedical.co.uk or call 01744 62 44 64.