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What Is Rhinoplasty Surgery?

TYPE TIPPLASTY ALAR REDUCTION NOSE IMPLANT HUMP REDUCTION
AVG. RECOVERY 1 MONTH 1 TO 2 WEEKS 1 TO 2 WEEKS 1 TO 2 WEEKS
PERMANENCE YES YES YES YES
SURGICAL YES YES YES YES
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Rhinoplasty is a nose job procedure to enhance the shape of the nose so that it harmoniously balances with the facial features. In some cases, this procedure also improves function and breathing.

Well executed rhinoplasties are aesthetically pleasing and give improvement in one’s appearance. The surgeon performs highly refined work involving the sculpting of cartilage, skin and bone to expertly achieve the patients desired look.

What techniques are used for Rhinoplasty?

The technique used depends largely on your desired results. In general, nose cosmetic surgery is performed to address the following concerns:

  • Increase or decrease of the nasal bridge
  • Reduction of the size or width of the nose
  • Slim or reduce nostril flares
  • Reshaping of the nose tip
  • Enhancing the angle between the nose and the upper lip
  • Smoothening of nose humps
  • Straightening crooked appearance
Nose types

Closed Rhinoplasty

Rhinoplasty is surgery of the nose. A closed technique keeps all incisions inside the nostril, with no external scars. This technique is suitable for patients who desire an augmentation or reduction of the nose bridge, with minimal change to the length of the nose and the appearance of the nasal tip.

  • Implant-based: The closed rhinoplasty is performed with a silicon I- or L-shaped implant that is carefully carved to the patient’s specific requirements.
  • Autologous: The patient’s own tissue is used for augmentation of the nose bridge.

The advantage of closed rhinoplasty is a much more rapid recovery and the absence of any visible scars.

Open and Closed Rhinoplasty

Open Rhinoplasty

An open rhinoplasty is performed when the patient requires significant nasal tip surgery, the rhinoplasty is a revision procedure or if it is performed for functional reasons (for example, to alleviate nasal obstruction) This involves a small 5mm scar across the columella, with the other incisions hidden within the nostril.

  • Autologous: The open rhinoplasty is performed using only the patient’s own tissue, usually cartilage harvested from the ear or rarely, the ribs. A combination of umbrella cartilage grafts and derotation cartilage grafts is used as described by Dr Moo Hyun Baek.
  • Hybrid: The rhinoplasty is performed using a combination of a silicone implant for the nose bridge and the patient’s own cartilage for the nasal tip and mid-vault.

The choice between an autologous or a hybrid technique is dependent on the requirements of each individual patient.

Tip Surgery

Tip Surgery

The typical Asian nose is wide and rounded, with a relative excess of nasal tip tissue. The ideal shape of the nose tip should be sharp and well-defined, with a width and projection that is proportionate to the rest of the nose.

This can be achieved using a combination of lower cartilage sutures, placement of autologous cartilage grafts and careful trimming of excess nasal tip tissue.

Tip surgery may be performed alone, but is commonly done in conjunction with nasal bridge augmentation and narrowing of the nasal width, in order to achieve perfect nasal harmony and a beautiful, long-lasting result.

Alar reduction

Alar reduction

Alar reduction is performed for overly wide nasal bases, and is often done as part of a complete rhinoplasty. It may be performed using either of the techniques below:

  • Suture technique: A permanent cinching suture is placed using small 1mm incisions to the sides of the alar bases and tightened accordingly. The nasal width can be easily adjusted by changing the suture tension, with minimal downtime.
  • Excision technique: Crescent-shaped wedges of the alar are removed and the alar base anchored down to the new narrower position.

Short nose correction

Short nose correction

A short nose may be due to a variety of reasons:

  • Previous nasal surgery with over-resection or an unstable cartilage construct
  • Severe nasal infection
  • Congenital
  • Features involve an upturned tip that exposes an excessive amount of the nostrils.

Correction of the short nose depends on the underlying cause, and may include:

  • Cartilage grafting to create a stable, longer cartilage framework
  • Scar release from previous surgery or infection
  • Radix grafting for an excessively low radix

Hooked nose correction/hump reduction

Hooked nose correction/hump reduction

A hooked nose or an excessive nasal dorsal hump are unattractive qualities, particularly in women. In order to correct a hooked nose, a combination of cartilage resection and cartilage support grafts are used to achieve an attractive nose. Similarly, hump reduction can be performed, with or without cartilage spreader grafts to obtain an aesthetically-pleasing outcome.

Revision Rhinoplasty

A revision rhinoplasty may be required when the previous rhinoplasty has failed to achieve the desired appearance, when there is recurrence of the previous problem, or if there was infection to the underlying prosthesis.

This is performed through an open rhinoplasty approach and often requires the use of cartilage from the patient’s ears or ribs, extensive scar release and structural grafts that maintain or restore good airflow in the nose in addition to a beautiful appearance.

What is the recovery time to expect?

A rhinoplasty is a safe and straightforward procedure carried out on an outpatient basis, meaning that there is no need for an overnight stay. Patients are given general anaesthesia and will be asleep through the procedure.

Patients experience minor swelling and bruising which will diminish in a few days. There are usually no visible scars.

Who performs the surgery?

The Rhinoplasty procedure is a signature procedure performed by Dr Samuel Ho. Trained in Korea, Dr Ho has extensive experience in performing delicate and intricate nose work.

To start, Dr Samuel Ho will conduct a detailed consultation to evaluate your face and bone structure, facial anatomy and discuss with you the changes you desire.

Patients are welcomed and encouraged to address any of their concerns or questions so that they can make a confident decision about undergoing rhinoplasty surgery.

What to Expect:

Rhinoplasty or a nose job is a procedure to enhance the shape of the nose so that it harmoniously balances with the facial features. In some cases, this procedure is done to improve function and breathing.

The surgeon performs highly refined work involving the sculpting of cartilage, skin and bone to expertly achieve the patients desired look. This could mean a variety of things from changing the size of the nasal bridge to reshaping the nose tip. 

BEFORE THE PROCEDURE

Dr Samuel Ho will conduct a detailed consultation to better understand your needs and concerns, and to examine the structure of your nose and how it can better complement other features of your face.

AFTER THE PROCEDURE:

A rhinoplasty is a safe and straightforward procedure carried out on an outpatient basis, meaning that there is no need for an overnight stay. 

Patients experience minor bruising which will diminish in a few days. Swelling is variable depending on the type of rhinoplasty performed. The majority of the swelling goes away after 2 to 3 weeks. There are no visible scars in a closed rhinoplasty and a small 4-5mm non-visible scar on the underside of the nose in an open rhinoplasty.

About Dr Samuel Ho

Dr Samuel Ho is the Consultant Plastic Surgeon and Medical Director of Allure Plastic Surgery. He specialises in Mummy makeovers, Tummy tucks, Eyelid surgery, delicate Rhinoplasty work and Breast surgery.

He is the first and only plastic surgeon in Singapore to be awarded a Health Manpower Development Programme aesthetic surgery fellowship by the Ministry of Health. He trained under top plastic surgery centres in South Korea, such as Hanyang University Hospital, 101 Plastic Surgery Clinic and BIO Plastic Surgery Clinic. Through his training, he adopted various novel surgery techniques, including the “under-through” levator aponeurosis plication technique for upper eyelid ptosis surgery.
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