Nasal Tip Plasty is a plastic surgery procedure performed on the nose tip. This surgery is a subtype of Rhinoplasty (commonly known as a nose job) which specifically refers to surgically altering or enhancing the tip of the nose. Depending on the requirements, Tip Plasty can be used to widen, narrow, address an asymmetrical nose tip, or to improve breathing.
Nasal Tip Plasty, like other rhinoplasty procedures, can be either open or closed. In open rhinoplasty, the surgeon makes a small incision at the base of the tissue between the nostrils, which exposes the nose cartilage visibly for the surgeon to operate on. In simpler operations, closed rhinoplasty may be preferred as all incisions are performed within the nostrils so no external scars are visible. Nasal Tip Plasty seldom adopt the closed procedure as it is difficult to make accurate and precise adjustments without clear visualisation of the cartilage structures near the tip of the nose.
After making the necessary incisions, the surgeon will separate the skin and soft tissues of your nose from the nasal cartilage, which are then shaped and corrected as required. A package, stent or both is then applied, and the incisions sutured to immobilise the altered nose and ensure proper recovery. Anesthesia will be administered for the operation.
As with all surgical procedures, there are some risks involved. Depending on the success of the surgery, the following complications may occur:
- The nerves around the surgical area may be disturbed, and patients may experience some numbness, disruption in breathing, smell and taste after the procedure. This is usually temporary, but can be permanent in severe cases.
- Infection and inflammation can occur at the incision wounds. The doctor may prescribe some antibiotics or other medication to lower these risks
If the nose does not heal well post-surgery, or severe complications arise, a follow-up session may be required to mitigate the issue and prevent long-term damage.
Before the surgery, the doctor/surgeon will usually request for the patient’s medical history or conduct a simple health check. He/she will also discuss in detail what are the possible complications depending on the patient’s condition. A mutual understanding between doctor and patient regarding the risks involved is important in maximising the success of the procedure.
How long does the procedure take?
Like most other rhinoplasty procedures, Nasal Tip plasty can take 1 to 3 hours depending on the complexity of the operation.
Is the procedure painful?
Local or general anesthesia will be administered so the procedures should be relatively painless. The incision wounds are expected to swell slightly post-surgery for up to 6 months depending on individual condition. However, this is usually barely noticeable. There might also be some bruising, but this will usually subside in a few days.
What should I take note of before the procedure?
Before Nasal Tip Plasty, you should ensure that you are in generally good health.
In addition, please inform the doctor of the following:
- Your medical history
- Any drug allergies, especially to any anesthesia
- If you are on any medication, especially aspirin or other anti-inflammatory drugs.
- Your smoking habits. If you are a smoker, please refrain from doing so starting 2 weeks before the surgery.
What should I take note of after the procedure?
Nasal Tip Plasty is usually an outpatient procedure so you can be discharged soon after the operation on the same day. However, a nasal splint may be required to maintain the shape of the nose while it heals, which can take up to 14 days depending on individual conditions.
There will be some bloody discharge from the nose for a few days after the procedure. This is perfectly normal.
Avoid smoking and tobacco for at least 2 weeks after the procedure.
Daily activities can resume typically 2 weeks after the procedure
Do not put any excessive force/weight on your nose for at least 4 weeks after the procedure. This includes:
- Blowing your nose
- Try to open your mouth while doing so to redirect the air away from the nose
- Wearing glasses/shades. Glasses should be substituted for contact lenses, or suspended from your forehead using a specialised tape.
Strenuous activities should also be avoided for about 6 weeks following the procedure to prevent complications.
The doctor will discuss further details on how to aid recovery with you during your consultation sessions.