What to Know Before Rhinoplasty: Process, Recovery and Realistic Expectations

Rhinoplasty is one of the most frequently performed and most planning-intensive operations in aesthetic surgery, because the nose sits at the centre of the face and millimetre differences change the profile. Good preparation is half of the result. Below we gather the points most often asked before, during and after surgery.

Decision and planning

At the first meeting the surgeon examines skin thickness, cartilage structure, septal deviation and facial proportions. 3D simulation shows the likely result, but it is a direction, not a promise. It is used to discuss how the nose fits the face and what the patient expects. Unrealistic expectations are the most common cause of dissatisfaction.

The day of surgery

• The operation lasts two to three hours under general anaesthesia.
• In the open technique a small incision is made on the columella; the scar fades with time.
• If needed, rib or ear cartilage or cartilage from the septum is used as graft.
• At the end of surgery a splint is placed on the nose and a pack or silicone support inside.

Recovery timeline

• First 3 days: the most noticeable swelling and bruising around the eyes; sleep with the head raised and apply cold compresses.
• Day 7: the splint is removed; the nose looks large from swelling, which is normal.
• Weeks 2–4: bruising passes, most swelling subsides; return to social life.
• Months 3–6: swelling at the tip lessens and breathing is fully comfortable.
• Month 12: the final shape emerges.

Things to watch

For the first six weeks contact sports, wearing glasses and blowing the nose hard are forbidden. Sun protection prevents blotching of the nose skin in summer. Smoking delays healing and should stop four weeks before surgery. Aspirin and some herbal supplements that raise bleeding risk should be stopped two weeks beforehand.

How to choose a good surgeon

• Specialist certification in plastic, reconstructive and aesthetic surgery or ENT
• A portfolio showing real patient results with standard light and angles
• Explaining risks openly; not offering 'guarantees'
• Surgery in a licensed hospital

Frequently asked questions

• Will I be able to breathe after surgery? The nose is blocked in the first week; breathing opens when the splint and pack are removed. If the septum has been corrected, long-term breathing is more comfortable than before surgery.
• Can I wear glasses? For the first four to six weeks avoid glasses that press on the nasal bridge; contact lenses or frames supported from the forehead are advised.
• Is revision rhinoplasty harder? Yes; cartilage is reduced and scar tissue has formed, so patient selection and planning are more meticulous and extra grafts may be needed.

Before deciding it is entirely normal to send your photos for a written opinion from our surgeon and to get opinions from other surgeons at the same time. A good surgeon supports this.

This article is for general information and is not medical advice; make your decision after a surgeon's examination.