4 Things You Need To Know About Nose Reduction Plastic Surgery (Reduction Rhinoplasty)

Not all people on Earth are blessed with a perfectly sized nose. Among all shapes of nose, a big one seems to be the ugliest. It always draws unwanted attention because it seems to dominate all the face.

If you can’t stand a big ‘zucchini’ nose that dominates your other facial features, a reduction rhinoplasty will help make your nose more proportionate to the rest of your face.

What is reduction rhinoplasty?

A reduction rhinoplasty is an aesthetic surgery which involves reducing the size of the nose. There are two types of reduction rhinoplasty: 1) The surgeon will reduce the overall size of your nose ; 2) The surgery only concentrates on the size of specific areas such as the nasal tip or a bump on the bridge of the nose.

What does the reduction rhinoplasty procedure involve?

The procedure is quite simple and will be done in 30-45 minutes. It always starts with an incision, using a closed approach or an open approach.

A closed (or endonasal) rhinoplasty involves the incisions inside the nostrils, so it won’t leave behind any visible scars or bruises. In this way, the surgeon will make cuts to get access to the underlying cartilage and nose bone structure that make up the nose and then resize them.

An open rhinoplasty involves a small incision on the columella of the nose (the soft tissue between the nostrils). This approach will leave a small scar, but the location makes it nearly impossible to detect and the scar fades over time. It will help the surgeon access the tip of your nose and make it easier to change or remove the cartilage and bone structure. An open approach is often favored as it gives the plastic surgeon a better view of your nasal structures and anatomy, thereby allowing for greater precision.

Regardless of where the incisions are placed, the procedure will always involve removing some cartilage and the bone to make your nose look smaller. The bridge of the nose is often gently cut away and then filed down or “rasped” to remove any irregularities or bumps. The bones that join the nose onto the cheeks will also often be repositioned to make the nose narrower. The nostrils themselves can also be made smaller. After the surgery, the skin on the nose will shrink and cover perfectly your ‘new’ smaller underlying structure.

How long does it take to fully recover from a reduction rhinoplasty? Is there any side effect or risk?

A reduction rhinoplasty requires the same recovery timeframe as other types of rhinoplasty. The amount of time needed for recovery varies greatly among individuals.

The first 2 weeks: After the surgery, you may experience moderate pain for couple of days. Appropriate medication will be prescripted to combat it. There will also be noticeable swelling and bruising around the eyes and the nose. Manage the swelling and bruising by applying ice packs or cool compresses on the area. After the first 2 weeks, most of the noticeable swelling and bruising tends to disappear.

After the first 2 weeks: The healing will continue and the swelling will gradually continue to subside further. You should avoid all the strenuous activities for at least three weeks after the surgery such as playing sports or going to the gym. After that, you can go back to your normal life. The final shape of your nose will be apparent after it has completely healed and 80-90% of the swelling has subsided after around 6 months. However, some residual swelling will last for up to a year or even longer in the case of revision rhinoplasty.

The side effects of reduction rhinoplasty may be serious in some cases (such as breathing trouble due to a reduction in the nasal cavity) so you need to consult your plastic surgeon every two or three months to assure no such serious complications are emerging.

How much does reduction rhinoplasty typically cost?

A rhinoplasty surgery can cost between $1500 and $7000 depending on the plastic surgeon’s reputation, the complexity of your surgery (the more complex your case is, the more it will cost), the geographic location of your surgeon’s practice and many other factors. Please note that the cost should only be considered as a factor to know whether you can afford the operation or not, it should not dictate what surgeon you choose.

If the rhinoplasty is just a reduction procedure, it may cost less than a full-fledged nasal reshaping procedure. This type of “pure” reduction rhinoplasty can range from $1000 to $3000 in popular plastic surgery destinations such as South Korea or Thailand.

Looking for a smaller nose? Click here to explore reduction rhinoplasty options at leading facial plastic surgery clinics and hospitals around Asia.