How it works
Everything starts with a consultation. Your surgeon studies the shape your nose has now — whether the bridge is high or low, the tip refined or wide, the skin thick or thin, and whether the nose is short, upturned, humped, or crooked — and assesses how much septal and ear cartilage might be available. You explain clearly what you want to change, and your surgeon explains which approach suits your nasal structure. This is also the time for you to ask questions and to share your medical history, allergies, and the medicines you take.
The type of anaesthesia depends on how much work is involved, and your surgeon will discuss it with you in detail before surgery; many procedures in this group are carried out under general anaesthesia or local anaesthesia with sedation. Your surgeon often makes a small incision across the column between your nostrils that joins inside both nostrils (an open approach) to see the tip structure clearly, or places a hidden incision inside the nostrils for more straightforward cases.
Your surgeon takes cartilage from your septum or from your ear, then shapes this piece into a graft to build and support the tip, and to lengthen or strengthen the column between your nostrils. The bridge may be raised with your own cartilage or with an artificial implant depending on the case; the guiding principle is to use your own cartilage at the tip so the shape stays soft and natural.
Once the shape is set, your surgeon closes the incisions and usually places a splint to hold the bridge steady for a period. The site where cartilage was taken, in the ear or inside the nose, is also closed and cared for. The total length of surgery and whether you need to stay for monitoring depends on the case.