A Complete Guide to Nose Reshaping Surgery
Rhinoplasty, commonly known as a nose job or nose surgery, is one of the most intricate and transformative procedures in cosmetic surgery.
Understanding how does rhinoplasty work involves appreciating the complex interplay of nasal bones, cartilage, and soft tissue that define the nose’s shape and function.
Because the nose sits at the center of the face, even a modest refinement can significantly enhance overall facial balance and harmony. For many patients, rhinoplasty surgery is not about looking different but achieving a more balanced profile that complements their unique facial anatomy.
Rhinoplasty procedures serve both aesthetic and functional purposes. Some individuals seek cosmetic surgery to refine the nose’s shape, such as reducing a dorsal hump, narrowing wide nasal passages, or correcting a droopy nasal tip. Others require functional rhinoplasty to address breathing problems caused by a deviated nasal septum or other nasal structure abnormalities. Often, both goals are addressed simultaneously in a single rhinoplasty procedure performed by a qualified and experienced surgeon.
Read on to learn more!
What Rhinoplasty involves
Rhinoplasty surgery involves precise adjustments to the nasal bones, bone and cartilage, and soft tissues to create a natural-looking nose that enhances facial features.
Techniques vary depending on the patient’s needs and may include nose reduction, reshaping the nasal tip, straightening the nasal bridge, or correcting asymmetry caused by previous surgeries or trauma.
Before rhinoplasty surgery, your experienced surgeon will conduct a detailed assessment of the nasal structure, skin covering, nasal airways, and overall facial anatomy. This evaluation helps develop a personalised surgical plan that balances aesthetic goals and nasal function.
How the surgery works
Rhinoplasty procedures are typically performed under general anesthesia or local anesthesia with intravenous sedation. There are two primary surgical approaches: open rhinoplasty procedure and closed rhinoplasty.
Closed rhinoplasty involves incisions placed entirely within the nasal passages, leaving no visible scarring. This technique is often chosen for minor nose reshaping and less complex corrections, resulting in a shorter recovery period with minimal bruising.
Open rhinoplasty involves an external incision across the columella, the skin covering the nasal bone between the nostrils. This approach provides greater visibility and access to the nasal structures, making it ideal for major nose reshaping or complex cases involving excess bone removal, bone grafting, or reconstruction of the nasal septum.
While open rhinoplasty carries risks such as visible scars and longer recovery, these are typically minimal when performed by skilled plastic surgeons like Elena Prousskaia.

See more amazing before and after rhinoplasty results from Elena’s Rhinoplasty surgery today
What happens during recovery
Recovery after rhinoplasty is a gradual process, and most patients can expect an initial recovery period of around four to six weeks. While swelling and minor bruising are common during the first week, these effects steadily improve as the nose begins to heal. A nasal splint is typically worn for the first week to support the new structure.
Most patients stay in hospital for one day and can resume light daily activities within the first couple of weeks. Strenuous exercise should be avoided until your surgeon confirms it is safe to return to full activity. Although you will see early improvements within weeks, the final result continues to refine over three to six months as residual swelling settles.
Follow-up appointments usually take place at one week, four weeks, twelve weeks and again at one year to ensure the nose is healing as expected and to monitor your long-term outcome.
Choose Elena Prousskaia, a top rated cosmetic surgeon

Rhinoplasty requires an experienced surgeon with expertise in facial plastic surgery and a deep understanding of nasal anatomy. Elena Prousskaia MD, FRCS (Plast), FEBOPRAS brings over twenty years of experience in both reconstructive and aesthetic rhinoplasty surgery. Her meticulous approach and artistic judgement ensure outcomes that enhance both nasal function and facial appearance while maintaining natural facial balance.
Is Rhinoplasty right for you?
Ideal candidates for rhinoplasty have realistic expectations and understand the potential risks and benefits. Whether seeking cosmetic enhancement or functional improvement, consulting with a qualified and experienced nose surgeon is essential to determine the most suitable rhinoplasty procedure for your individual needs.
Book your consultation today
Understanding “how does rhinoplasty work?” empowers patients to make informed decisions about their nose surgery.
Rhinoplasty is a complex but rewarding procedure that can improve nasal function, enhance facial harmony, and boost self-confidence. With the guidance of an experienced surgeon like Elena and access to advanced surgical techniques, patients can achieve natural, lasting results.
If you are considering rhinoplasty surgery, schedule a specialist consultation today to explore your options and begin your journey toward a balanced and beautiful nasal profile.
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