Initial concern
A dorsal hump and a slightly bulbous tip Mohamed had been conscious of since adolescence. He travelled for work and had begun to dislike photographs taken in profile.
Consultation
The first consultation took an hour. Computer morphing was performed; we discussed three projected outcomes — conservative, moderate, and the one Mohamed eventually chose. Internal nasal endoscopy showed a left-sided septal deviation that was probably contributing to his snoring.
The decision
Two consultations, six weeks apart. The combined plan — closed rhinoplasty with septoplasty — was agreed. Surgery scheduled for a quiet month at work.
Day of surgery
The hours that mattered.
07:00
Arrival
Bloods reviewed; pre-operative photographs taken.
08:30
Anaesthesia
General anaesthesia administered by consultant anaesthetist.
09:00
Surgery begins
Endonasal access; dorsal hump reduction; septoplasty; tip refinement with structural sutures.
11:30
Closure and cast
Absorbable sutures; thermoplastic cast applied; light internal silicone splints (24 hours only).
12:00
Recovery
Discharged home the same evening with his sister.
Recovery
Week by week.
Day 0 – 6
Bruising and rest
Bruising peaked at day three; manageable with paracetamol. Slept on two pillows. Worked from home.
Day 7
Cast off
Cast and splints removed in clinic. The new bridge visible — but still puffy. Steri-strips for three further nights.
Week 2
Back to office
Returned to the office on day twelve. Some residual periorbital shadow, easily camouflaged.
Month 3
Bridge settled
60% of swelling resolved. Tip still slightly fuller than its final form.
Month 12
Final shape
Tip refinement complete. The nose now matches the agreed surgical plan. The snoring resolved at week three.
A year on
“Mohamed described the change as smaller than he expected and more important. 'It is not that I look like a different person — it is that I look like the person I see in my head.'”
Total cost
EGP 78k
Published
January 2025