January 15, 2024

The Long-term Results of Open Septorhinoplasty

Are you considering an open septorhinoplasty? Read this article to learn more about it.

Have you ever heard of open septorhinoplasty? It's a surgery that doctors do to fix and shape your nose. This kind of surgery is important because it not only makes people feel better about how they look but also helps them breathe easier.

People get this surgery for many reasons, and the results can last a long time.

The way your nose looks and works after this surgery is interesting. On average, patients who have had open septorhinoplasty are 73.25% happier with their noses later on. After the operation, it takes about 3 to 6 months for the nose tissues to settle down, but changes might happen even after 10 or 20 years! 

Some studies show that people felt much better five years after they first got their noses fixed — However, there are some risks like bleeding problems which affect between 15-20% of patients.

And sometimes things don't go as planned; in fact, only a few need another surgery because their problem wasn’t fixed the first time.

Swelling can stick around for up to a year afterward too Bad things happen rarely though—like infections or trouble with cartilage—but when they do, it can be serious.

Get ready; we're going to tell you everything about fixing your nose — from picking the right doctor to healing nicely so you’re happy with your new nosey 


  • Open septorhinoplasty is a surgery for making the nose look better and help with breathing. It can fix the inner wall of your nose and change its shape on the outside.
  • Self-care after the surgery is important for healing and keeping good results. This means protecting your nose from the sun, following doctor's advice, and going to check-ups.
  • Most people who have open septorhinoplasty feel happy about their choice years later because they breathe better and like how their noses look.
  • There may be risks like swelling or infection after surgery, but doctors can usually handle these problems if they come up.
  • Some folks might need another operation called revision septorhinoplasty to sort out any issues or make further improvements to their nose.

Understanding Septorhinoplasty

Septorhinoplasty, a surgical procedure designed to enhance both the function and form of the nose, involves precise alterations that can have significant long-term implications. By delving into its scope and evolving methods, we establish a foundation for comprehending its lasting impact on patients' lives.

Definition and aim of the surgery

Open septorhinoplasty is a type of nose surgery. It fixes both the inside and outside parts of your nose. If you have trouble breathing or don't like how your nose looks, this surgery might help.

Doctors cut the skin on your nose to see better. They can fix a bent part inside called the deviated septum. At the same time, they can make your nose look different on the outside.

This surgery has two big goals. First, it makes breathing easier by fixing the inside structure of your nose. Second, it changes the shape of your nose for a look you want.

Types of rhinoplasty procedures

Rhinoplasty is much more than just nose reshaping for a better look. It also helps people breathe easier by fixing structural problems.

  • Cosmetic Nose Surgery: This surgery changes the nose's shape to make it look better or more balanced with your face. People choose this to fix bumps, lumps, or a nose they think is too big or small.
  • Functional Rhinoplasty: Sometimes parts inside your nose don't work right and make it hard to breathe. This surgery fixes those parts so air can move through your nose easily. It's not about looks; it’s about health.
  • Septorhinoplasty: This combines two things – changing the outside of your nose and fixing the inside to help you breathe. It corrects septal deviation, which is a bent nasal septum that blocks airflow.
  • Open Rhinoplasty: Surgeons cut under your nose so they can see and change the bone and cartilage without any block in view. They use this way when they need to make big changes or complex fixes.
  • Closed Rhinoplasty: All cuts are made inside the nostrils here, so there are no clear scars. Surgeons pick this way for smaller changes because it leaves less swelling afterwards.

Changes to laws and regulations

Governments make rules to keep patients safe. These rules also change how doctors do surgeries like septorhinoplasty. Some new rules might involve better checks on the doctor's skills and make sure they tell you all about your surgery before it happens.

They make sure that any changes needed for nasal breathing or fixing a nasal obstruction are done right. Also, if something goes wrong after a septorhinoplasty, there are laws to help patients.

Doctors always need to stay updated with these laws. This helps them give the best care and follow the newest standards for functional rhinoplasty and cosmetic rhinoplasty. Now let’s see what experts say about getting this kind of nose surgery done.

Expert Advice on Septorhinoplasty

 Surgeons who are experts in nose reshaping surgery say it's important to have realistic hopes. A good surgeon will tell you how your nose might look and work better after the surgery.

They know that each person is different, so they plan the best way to fix their nose. It's not just about looking better but also about breathing right.

Choosing a skilled surgeon for nasal reconstruction is key. These doctors study for many years to learn how to do surgeries like septorhinoplasty well. They will check your health, talk with you about what you want, and explain the risks before they operate on your nose.

This helps make sure you get a safe and good result from your surgery.

After nasal airway surgery, taking care of yourself helps you heal fast and well. The expert advice includes resting lots, keeping your head up, and avoiding hard exercise for 4-6 weeks.

Follow all the care tips your doctor gives you to help your new nose shape settle in nicely over time.

Considerations Before Undergoing Septorhinoplasty

Before committing to septorhinoplasty, patients must thoroughly evaluate key factors such as the surgeon's expertise and their health status to ensure a safe and successful outcome.

Continue reading to explore these critical considerations in detail.

Qualifications of the medical practitioner

Choosing the right doctor for nasal surgery is very important. Look for a surgeon who knows a lot about noses and how to change them safely. This person should have done lots of these surgeries before and should be good at both making noses work better and look the way you want.

Make sure your surgeon has studied facial plastic surgery or ear, nose, and throat (ENT) specialties. They need to have a certificate that shows they can do cosmetic surgery or facial reconstructive surgery well.

You can ask them how many rhinoplasty surgeries they've done and see pictures of their past work.

Talk with more than one surgeon before you decide who will do your operation. A good surgeon will help you understand what they can do for your nose, what risks there might be, and how it all happens during surgery.

Getting advice from another qualified health practitioner is also wise. It will give you confidence in your decision to go ahead with septorhinoplasty if that's what you choose.

Current medical status

Before you think about getting septorhinoplasty, look at your health right now. Your doctor will want to know if you have any problems that could make the surgery hard or unsafe. For example, if you're dealing with a deviated septum, breathing troubles or nasal obstruction, these issues might affect how your surgery goes and what kind of healing plan is needed after.

If you have issues with the function of your nose like snoring or stuffiness, surgery might help. But it's key to talk with your doctor first. They can check out all the options with you.

This includes medical therapy choices that don't involve surgery. If other treatments haven't worked for you in the past, then septorhinoplasty may be a good step to improve how well you breathe and how your nose looks.

Just remember that every person heals differently and there could be risks like bleeding complications during recovery.

Potential complications

Rhinoplasty can sometimes lead to problems. After your nose surgery, you might notice swelling or get a bump filled with blood called a hematoma. An infection could happen where you had the operation, and in rare cases, the skin around your nose might die (skin necrosis).

These issues are serious and need care right away.

Some people who have this surgery face other troubles like heavy bleeding or bad scars. Your nose might not work as well after surgery, which is a functional issue. You also may not be happy with how it looks (aesthetic concern).

Plus, there's always a chance of blood clots with operations like this. It's important to know about these risks before deciding on getting rhinoplasty.

Alternatives to rhinoplasty

Nose surgery can change how you breathe and look. But there are other ways to fix nasal issues without rhinoplasty.

  • Septoplasty is one choice if you have a deviated septum causing trouble breathing. This surgery straightens the wall inside your nose.
  • If your nose feels blocked, using a nasal steroid and saline spray might help. These sprays reduce swelling and clear up congestion.
  • Sometimes just fixing the outer part of your nose won't help with breathing. A doctor may suggest changing the inside with septoplasty alone.
  • Some people find relief with breathing strips worn at night. These strips open up nasal passages for better airflow.
  • Allergy treatment can also improve nasal obstruction from swollen tissues in your nose due to allergic reactions.
  • For minor issues, doctors could recommend lifestyle changes like using a humidifier or quitting smoking to improve nasal airway conditions.

What to Expect During and After Surgery

Delve into the journey of septorhinoplasty, from the intricacies of the operating theatre to navigating the post-operative care, as we reveal how this transformative procedure unfolds and its enduring impact on form and function.

The rhinoplasty procedure

Having a nose job, or rhinoplasty is a big step. It can change how your nose looks and help you breathe better. Here's what happens during and after this surgery:

  • Doctors plan the surgery carefully. They look at your nose and decide what needs to change.
  • You go to sleep with medicine so you won't feel pain during the operation.
  • The surgeon cuts the skin of your nose or inside it.
  • They shape the bone and cartilage under your skin to make your nose look different.
  • If needed, the doctor fixes the wall inside your nose that separates the two airways. This is called septum surgery.
  • After shaping everything, they close up the cuts with stitches.
  • You rest in a recovery room until you wake up from the sleeping medicine.
  • Nurses check on you to make sure you're okay.
  • Your nose might have a cast or bandages to keep its new shape while it heals.
  • For several weeks, your nose feels stuffy and swollen inside and out.
  • You must be gentle when washing your face and avoid bumping your nose.
  • You go back to see the doctor for them to remove any outside stitches and check on healing.
  • Swelling goes down slowly, and you start seeing the real shape of your new nose.
  • Breathing often gets easier if changes are made to it.
  • The shape of your new nose should last for many years.
  • Sometimes, people need another surgery if they want changes later on or if something doesn't heal right.

Immediate recovery and potential complications

Right after your nasal surgery, you might feel some pain and see redness or swelling. Your nose and the area under your eyes could look bruised. This is all part of the healing process.

To handle the pain, doctors will give you medicine.

Sometimes, things don't go as planned. You could have more swelling than usual, blood collecting where it shouldn't (hematomas), skin dying (skin necrosis), or an infection at the site.

If you bleed from your nose a lot (epistaxis), find a hole in your septum (septal perforation), notice too much puffiness (edema), or get lots of bruises that spread out (ecchymosis) these are short-term problems that can happen after rhinoplasty.

If any of this happens to you, tell your doctor right away so they can help fix it.

Long-term outcomes and potential changes

After your septorhinoplasty, you'll need to be patient because the final results take time. For the first year or so, your nose might swell up now and then. This is normal and part of healing.

The swelling goes down slowly and your nose shape gets better over many months.

Your nose keeps on changing even after it seems healed from surgery. Cartilage and skin may shift a bit as they settle into place. It can be more than a year before everything stops moving and you see the true long-term look of your new nose.

Taking care of yourself after surgery helps get the best results in how your nose works and looks. Moving on to self-care will guide you through what steps to take for lasting great results with your new nose shape.

Self-care and Long-term Results

Adhering to post-operative self-care instructions is crucial for ensuring the enduring success of an open septorhinoplasty, as it influences both the functional and aesthetic longevity of the results.

Importance of self-care after surgery

Taking good care of yourself after nose surgery is key for healing well. Right actions and habits help your nose look and work its best in the long run. Staying out of the sun is important because too much sunlight can hurt the skin on your new nose and can result in slow healing.

You need to go back to see your doctor so they can check on how you're doing.

Good self-care also means less chance you'll need more surgery later. It's about keeping track of changes, being safe, and getting better without trouble. Trust that looking after yourself will make a big difference in how you feel and look as time goes by.

Long-term functional and aesthetic results

Caring for yourself after surgery helps you heal and keeps your nose looking good for a long time. The shape of your nose may get better over weeks or months. Your breathing might get easier too.

Some people see these changes right away, but it can take up to a year for others.

Doctors have found that most people are happier with their noses after this kind of surgery. They feel better about how they look and breathe more easily. Still, some might need another small surgery to make things just right.

It's important to go back to your doctor for check-ups, so they can see how you're doing.

You should know, that studies show that years later, people who had their noses fixed usually still like the results and feel good about their choice. This is great news if you're thinking about getting this surgery done!

Possible need for revision surgery

Sometimes the first nose surgery may not work out as planned. You might need another operation to fix problems or improve how your nose looks. This second surgery is called revision rhinoplasty.

It doesn't happen a lot, but some things could make you more likely to need it.

Things like infection or your body not accepting an implant can lead to needing this extra surgery. The main reason someone might get it is if their septum, which divides the two sides of the nose, wasn't straightened properly the first time around.

Good self-care after your first surgery can help lower these risks.

If you had sinus problems and got them treated with endoscopic sinus surgery (ESS), you might be in luck; these folks often don't need any more nose jobs.

Now let's talk about taking care of yourself for good long-term results after getting your nose fixed.


In the end, open septorhinoplasty can make breathing easier and improve how your nose looks for many years. You must care for your nose after surgery to help with healing. If problems happen, doctors can often fix them.

For more detailed guidance tailored to your specific circumstances, read our expert advice on septorhinoplasty from Sydney's leading specialists.

If you’re interested in an open septorhinoplasty, please contact our clinic to schedule a consultation.