Why Does Open Rhinoplasty Cost More for Complex Cases?

Have you ever wondered why the rhinoplasty price you first see looks attractive, but when you message the clinic for a consultation, the price for your case is not the same as for other people?

First, it helps to understand that bone and facial structure differ from person to person. If your facial structure puts you in the complex case group, the surgeon needs to work in more detail and use other techniques as well, to lower the chance of possible complications and to aim for the shape discussed at your first consultation.

Which Reshaping Cases Count as Complex?

• people who had an infection after previous rhinoplasty
• people with a dent in the nasal tip
• people with a wide nasal base
• people with uneven nostrils
• people who have had their nose reshaped more than 2 times
• people with a cleft lip and palate
• people whose nasal structure was damaged in an accident

The Consultation Process

• The doctor asks about any medical conditions, drug or food allergies, and medicines you take regularly.
• The doctor asks how many times you have had rhinoplasty and which techniques were used.
• The doctor also asks to see X-ray films and health check results, to choose a suitable technique more accurately.
• The doctor also explains what will need to be done during surgery and which techniques are suitable if other areas need correcting, for example:
  • nasal osteotomy (reshaping the nasal bones)
  • rasping of a dorsal hump
  • opening the structure to use ear cartilage or rib cartilage
• This lets you prepare and decide before surgery, because additional techniques have an extra charge.

With open rhinoplasty, the nose can be shaped into different styles, such as a teardrop tip, a sloping nose with a lifted tip, a soft shape and other shapes. The surgeons at S45 Clinic can take on complex cases, whether you have had rhinoplasty elsewhere that did not go as planned or have a complex case because of an anatomical difference.

Open rhinoplasty reshapes the structure and uses septal extension to lengthen the nose, together with ear cartilage or rib cartilage to extend the nasal tip. The tip therefore contains no silicone, which reduces friction, and because it uses your own tissue it lowers the chance of implant extrusion and makes the nasal tip stronger.

This is why reshaping or complex cases cost more than standard cases. As well as the surgeon’s experience in planning suitable care, problems from previous surgery also need to be corrected, for example:

• If filler injections were used for rhinoplasty before, the surgeon must first remove them completely and also separate scar tissue that has attached to the tissue over a long time.
• The new structure is planned, and if you have had a thread lift before, the surgeon must remove all the threads.
• The inside of the nose is cleaned so no foreign material is left, for people who have had an infection or several revisions that left the nose misshapen or damaged its internal structure.
• The surgeon then schedules revision rhinoplasty, or even rebuilds the structure.

This is why complex or revision cases involve more steps and need more detailed work than standard rhinoplasty.

Reviews of Complex Cases at S45 Clinic

Consult an S45 Clinic surgeon for a nasal structure assessment before rhinoplasty

Note: Repeat nose surgery, which many people know as “nose reshaping”, is surgery for people who have had nose surgery before and need a further assessment by the doctor. The approach depends on the original problem, the nasal structure and the doctor’s judgement in each case.