Functional and cosmetic rhinoplasty: What are the key differences?

Rhinoplasty, also known as a nose job, is a surgical procedure that changes both the appearance and function of your nose.

Mr Ali Qureishi, renowned consultant ENT and rhinoplasty surgeon, provides an expert insight into functional and cosmetic rhinoplasty, exploring the essential aspects of each procedure, the different surgical techniques involved, and the expected outcomes.

What is the main difference between functional and cosmetic rhinoplasty?

The main difference between functional and cosmetic rhinoplasty lies in the underlying goals of each procedure.

Functional rhinoplasty aims to improve your nasal function, often addressing structural issues that can cause breathing difficulties. These include conditions such as a deviated septum, nasal obstructions, and chronic sinusitis.

Cosmetic rhinoplasty focuses on altering the appearance of your nose to achieve a more aesthetic look. You may seek this procedure to correct issues such as a crooked nose, a bump on your bridge, or a bulbous tip. This can also help improve your self-esteem and confidence.

How are these procedures performed, and how long does the surgery take?

Functional and cosmetic rhinoplasty can be performed using similar surgical techniques. The two main techniques are open rhinoplasty and closed rhinoplasty.

Open rhinoplasty involves making a small incision along your columella, which is the skin located between your nostrils. This technique provides enhanced visibility and access to your nasal structures, making it suitable for more complex cases. This surgery takes between two to three hours to complete.

Closed rhinoplasty involves making incisions solely inside your nostrils, leaving no visible scars. This technique is often used for less complicated procedures where less manipulation of the nasal structures is required. This surgery also takes between two to three hours to complete.

I will also reshape your nasal bones and cartilage as necessary during both procedures. In functional cases, additional corrections such as a septoplasty may be performed to improve airflow.

What can I expect during the recovery period after?

Generally, you can expect to experience swelling and bruising around your eyes and nose for several days to weeks post-surgery. Most patients will be advised to take one to two weeks off work to allow for adequate recovery.

Post-operative care is crucial to ensure optimal healing. I will typically recommend that you keep your head elevated for the first few days, apply ice packs to reduce swelling, and take any prescribed pain medicines. Additionally, it’s also important to avoid blowing your nose and participating in strenuous physical exercise to prevent complications.

You will have your follow-up appointment about a week after your procedure to monitor healing and remove any external splints or stitches.

When will I see the final results?

Initial changes are often visible within a few weeks, as swelling begins to subside. However, it can take up to a year for your nose to fully heal and for all swelling to dissipate. The shape of your nose will continue to refine over this period, with subtle changes occurring as the tissues adjust.

It’s important to have realistic expectations. While significant improvements are evident, achieving your desired outcome will require patience as the final contours and appearance settle in. Regular follow-up appointments will help address any concerns during the healing progress.

If you would like to book an appointment with Mr Ali Qureishi, head on over to his Top Doctors profile today.