Rhinoplasty

A rhinoplasty, is a surgical procedure that changes the shape, size, or function of the nose. It can be performed for cosmetic reasons, medical reasons, or both.
Rhinoplasty

Harmonise your facial features by reshaping your nose

Improve facial balance by correcting features such as a prominent hump, broad or crooked nose, drooping or bulbous tip, wide nostrils, or asymmetry and improve nasal function.

What is a Rhinoplasty?

Rhinoplasty is a sophisticated procedure designed to enhance facial harmony by changing the proportions of the nose. It can be performed for aesthetic reasons, such as reducing a dorsal hump, refining a bulbous tip, or straightening a deviation, as well as for functional reasons like correcting a deviated septum or removing an obstruction, to restore optimal nasal breathing.

Dr. Gus Hoogendyk approaches rhinoplasty with an architectural mindset, favouring modern structural and preservation rhinoplasty techniques. This ensures that the delicate nasal cartilage and bone are reshaped with precision without compromising the structural integrity of the airway. His objective is to create a nose that appears perfectly balanced with your unique facial features.

“A beautiful nose does not draw attention to itself, but rather elevates the eyes and overall harmony of the face.”

Why Patients Choose Rhinoplasty

Balanced Proportions

Brings the size and width of the nose into aesthetically pleasing alignment with other facial features.

Profile Refinement

Smooths out visible dorsal humps or depressions on the bridge for a sleeker side profile.

Improved Function

Corrects internal deviations and structural abnormalities to significantly enhance breathing airway flow.

Precision Tip Contouring

Refines and elevates droopy, bulbous, or asymmetrical nasal tips to create elegant definition.

Structural Integrity

Modern grafting techniques ensure the newly shaped nose remains structurally sound for a lifetime.

Harmonious Integration

Results are highly customised so that the nose fits your specific face, ethnicity, and gender beautifully.

Step By Step

What to expect during your Rhinoplasty (Step by step)

Each stage is designed around your comfort, safety, and outcome. Dr. Gus walks every patient through this process in detail during your fully private consultation.

Personal Consultation

A meticulous analysis of your facial proportions, internal airway, and a review of digital imaging.
All relevant information is exchanged between you and dr Gus, optimizing all verables that may have an impact on your surgery.
  1. The procedure is performed under general anesthesia to ensure your comfort and assist in optimizing surgical conditions.
  2. An open or closed approach based on the required exposure and planned correction.
  3. Septum & graft harvest: Assess and correct septal deviation while maintaining structural support. Harvest septal cartilage if graft material is required.
  4. Dorsal modification: Correct dorsal height, contour and symmetry using preservation or reduction techniques as appropriate.
  5. Osteotomies: Perform controlled osteotomies when required to narrow, straighten or reposition the bony nasal vault.
  6. Middle vault: Preserve or reconstruct the middle vault and internal nasal valve, using spreader grafts/flaps when indicated.
  7. Tip refinement: Modify the lower lateral cartilages with conservative resection, suturing and/or grafting to optimize tip definition, projection, rotation and symmetry.
  8. Structural grafting: Use appropriate cartilage grafts to provide support, correct deficiencies and maintain long-term nasal shape and airway function.
  9. Alar base: Reduce or reshape the alar base selectively when indicated, maintaining nostril symmetry.

Recovery after a Rhinoplasty

Rhinoplasty recovery is generally not painful, though patients will experience congestion and visible swelling.

Periorbital bruising and swelling are usually most prominent during the first 2–3 days and then gradually improve. The nose feels blocked because of internal swelling, crusting and/or splints. Mild bloody discharge is common initially. Pain is usually mild–moderate and improves rapidly. Sutures are generally removed around day 7.

Most bruising has resolved. Considerable nasal swelling persists, particularly at the tip. Most patients are socially presentable by 10–14 days and can return to office-type work. Nasal breathing gradually improves. Strenuous exercise and any risk of trauma to the nose should still be avoided. Sleep elevated and avoid nose blowing, bending, straining and exercise.

Most obvious signs of surgery have disappeared. The bridge becomes more defined, although the tip remains swollen, firm and sometimes slightly upturned. Numbness of the tip and upper lip can persist. Light exercise can usually be introduced depending on healing and the surgeon’s protocol.

A significant proportion of the initial swelling has resolved. The bridge usually looks relatively refined, while the tip remains noticeably thicker than the eventual result. Breathing continues to improve. Exercise can generally be increased gradually, but contact sports and activities carrying a risk of nasal injury remain restricted.
Changes are now occurring more slowly. The tip and supratip are usually the areas where swelling persists longest. Patients with thick skin may have considerably more residual oedema.
Most visible bruising has resolved and the nose is beginning to look more refined. Residual swelling, firmness or numbness may remain, particularly around the tip and supratip, and can fluctuate during the day. More strenuous exercise may usually be resumed once cleared by the surgeon, although contact sports and activities that could injure the nose should still be avoided.

Who Is an Ideal Candidate?

The best candidates are physically healthy individuals looking for aesthetic or functional improvement of their nose.

You may be a candidate if you:

Dr Gus Hoogendyk

Patient Outcomes

Evidence Of Excellence

Patient Inquiries

How long does the rhinoplasty procedure take?

A primary rhinoplasty typically takes 4 – 5 hours, whereas complex cases may take more time.

Performed under general anaesthesia to ensure the airway is protected and the patient is perfectly still.

Incisions are internal or involve a tiny incision across the columella that heals virtually imperceptible

Desk work resumes after one week. Strenuous exercise and sport must be avoided for 6 weeks.

12–18+ months: tip refinement may continue, particularly with thick skin or extensive tip work.

Ready to begin your journey?

A private, no-obligation consultation with Dr. Gus is the first step. Come with questions, leave with clarity. We keep availability limited to ensure every patient receives undivided attention.