Primary Rhinoplasty

Primary rhinoplasty reshapes the nose using open or closed approaches. Modern practice is structural and preservation-oriented: dorsal lines are refined, the tip is supported with grafts or sutures, and the airway is respected throughout.

• Dorsal height and profile line
• Tip projection, rotation, and definition
• Nostril shape and alar width
• Bony vault width
• Internal airway dimensions

• General physical health suitable for the anaesthetic required
• Realistic, clearly articulated aesthetic or functional goals
• Stable anatomy appropriate for the technique proposed
• Non-smoking or willingness to stop for the surgeon's required window

1. 01Open approach via a columellar incision, or fully endonasal
2. 02Dorsal reduction or preservation, osteotomies for width
3. 03Cartilage grafting from septum, ear, or rib for structural support

1. Day 1

   Splint in place, congestion, minimal pain for most people.

2. Week 1

   Splint removed around day 6–8. Bruising around the eyes peaks then fades.

3. Week 2

   Presentable for most social settings; nose still swollen, especially the tip.

4. Week 4

   Roughly 60–70% of swelling resolved; light exercise typically permitted.

5. Month 3

   Dorsum looks settled; tip remains the slowest area.

6. Month 6

   Definition emerges as tip swelling resolves.

7. Month 12+

   Final result — thick-skinned noses may take 18–24 months.