Rhinoplasty in Egypt — Dr. Mohamed El-Assal
Dr. Mohamed El Assal's Rhinoplasty Philosophy
Why Do Rhinoplasty Results Differ Between Surgeons?
Rhinoplasty is not a standardised procedure — every patient has a different anatomy and different goals. This is why Dr. Mohamed El Assal always begins by understanding the nose's anatomy, its function, and the patient's expectations before selecting the appropriate technique.
The goal is never limited to improving the shape of the nose; it also encompasses preserving breathing function and achieving a natural result that is harmonious with the patient's facial features — free from generic templates or exaggerated change.
The goal is never limited to improving the shape of the nose; it also encompasses preserving breathing function and achieving a natural result that is harmonious with the patient's facial features — free from generic templates or exaggerated change.
What is Rhinoplasty?
Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. It can be performed to improve one’s appearance, but also for reconstructive purposes, which includes correcting birth defects or breathing problems. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip, remove a hump on the bridge, straighten the nose, improve breathing, narrow the span of the nostrils or change the angle between the nose and upper lip. Much can be done to improve your nasal appearance.
A nose job can improve your appearance, and possibly boost your self-esteem, even with the slightest alteration.
A nose job can improve your appearance, and possibly boost your self-esteem, even with the slightest alteration.
The goal of Rhinoplasty is to improve functionality and/or shape of the nose while bringing symmetry and balance to the face
Reasons To Get a Rhinoplasty Procedure
People may want to get nasal surgery for a number of reasons, but these concerns typically fall under two categories: functional concerns or cosmetic desires. In some cases, people experience both functional and cosmetic nasal issues in which case both can be improved with one surgery.
A very common functional nasal problems is difficulty breathing. This can be caused by enlarged turbinates, deviated septum, or issues deep in the nasal airway. The aforementioned conditions can be present from birth or from conditions that appear later in life, such as injury or cancer or the nasal skin. Previous nasal surgeries that were botched could also cause disrupted breathing. Trimming an excessive amount of cartilage can “pinch” the nose.
There are a number of factors which cause irregular breathing, but your surgeon will take extra special care while performing an examination during your consultation in order to determine the best personalized functional Rhinoplasty procedure. Not only will it leave you with a beautiful nose, but one that you can breathe with ease from.
Cosmetic deformities of the nose can hinder your lifestyle as sometimes they can be embarrassing. These misshapings can appear as a wide base of the nose, drooping tip, a dorsal bump, as well as varying post traumatic deformities. Cartilage or bone can be shaved from a large nose to give it even in slope. In opposition, if you feel that your nose is too small, cartilage can be harvested from a donor location (ear or rib graft) and used to add stature of your liking to your nose. Prior nasal surgeries can leave you with less than desirable results, in which case one of our Rhinoplasty specialists will listen to your every last nasal concern during your consultation to ensure that this time you receive your aesthetic wishes.
Types of Rhinoplasty
Primary Rhinoplasty is a term used for surgery that is performed on a nose for the very first time; no prior surgeries. The main objective of Primary Rhinoplasty is to amend all functional and cosmetic dislikes with just one procedure. Open or closed method can be used for Primary Rhinoplasty; your surgeon will be able to determine the optimal technique for you during your consultation.
Secondary Rhinoplasty is a term used for surgery that is performed on the nose of a patient who has already had one or several prior nasal surgeries. Sometimes referred to as Revision Rhinoplasty, this surgery is meant to further alter the shape of the nose for cosmetics, functionality, or both since the patient was displeased with their initial results.
When Is It a Primary Surgery? And When Is It a Revision?
A surgery is classified as "primary" when it is the first surgical intervention on the nose, while it is classified as "revision rhinoplasty" when the patient has had previous surgery and wishes to correct or improve the result. Revision surgeries vary in complexity, as the remaining septal cartilage may be limited or insufficient for reconstruction, sometimes requiring additional cartilage sources such as the ear or rib.
Have you had a previous rhinoplasty without achieving your desired result?
Learn more about revision rhinoplasty surgery and selecting the most suitable cartilage source for your case.
Consultation
When considering Rhinoplasty, there are some things that your doctor will want to go over with you. This will include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, and your age. Although a lot of teenagers may request information about nose surgery, most plastic surgeons prefer to wait until their growth spurt has ended.
One of our board certified surgeons will perform a thorough examination of your nose, and with your concerns in mind, determine the best personalized procedure plan to give you optimal results. You will be shown before and after photos of patients with similar cases to give you a general idea of possible results; it is important to remember results do vary. Bringing a picture of your desired results is very helpful.
You will be asked about medical history and any past surgeries you have undergone. Your surgeon may ask you to adjust or discontinue routine medications. Any remaining questions, including pricing inquiries can be addressed at this time.
At M-E CLINIC, we understand that choosing to undergo cosmetic surgery is not an easy decision; therefore, we try to make the process as easy as possible. Dr. Mohamed ElAssal will assist you through the entire procedure, from the pre-operative consultation to the recovery process.
What Happens During the Consultation?
A rhinoplasty consultation with Dr. Mohamed El Assal follows clear steps:
✔ Medical photography: Photographs of the nose are taken from multiple angles for anatomical analysis.
✔ Clinical examination: Direct assessment of nasal shape, skin, and cartilage.
✔ Breathing function assessment: To confirm there are no underlying airway issues requiring treatment.
✔ Septum examination: To determine whether deviation requires functional correction.
✔ Discussing expectations: An open conversation about what the patient wishes to achieve and what is anatomically realistic.
✔ Technique selection: Determining the most suitable surgical approach based on all the above.
✔ Explaining the benefits, risks, and alternatives before any surgical decision is made.
One of our board certified surgeons will perform a thorough examination of your nose, and with your concerns in mind, determine the best personalized procedure plan to give you optimal results. You will be shown before and after photos of patients with similar cases to give you a general idea of possible results; it is important to remember results do vary. Bringing a picture of your desired results is very helpful.
You will be asked about medical history and any past surgeries you have undergone. Your surgeon may ask you to adjust or discontinue routine medications. Any remaining questions, including pricing inquiries can be addressed at this time.
At M-E CLINIC, we understand that choosing to undergo cosmetic surgery is not an easy decision; therefore, we try to make the process as easy as possible. Dr. Mohamed ElAssal will assist you through the entire procedure, from the pre-operative consultation to the recovery process.
What Happens During the Consultation?
A rhinoplasty consultation with Dr. Mohamed El Assal follows clear steps:
✔ Medical photography: Photographs of the nose are taken from multiple angles for anatomical analysis.
✔ Clinical examination: Direct assessment of nasal shape, skin, and cartilage.
✔ Breathing function assessment: To confirm there are no underlying airway issues requiring treatment.
✔ Septum examination: To determine whether deviation requires functional correction.
✔ Discussing expectations: An open conversation about what the patient wishes to achieve and what is anatomically realistic.
✔ Technique selection: Determining the most suitable surgical approach based on all the above.
✔ Explaining the benefits, risks, and alternatives before any surgical decision is made.
Why We Don't Rely on Photos Alone?
Photographs offer a useful initial impression, but they are not sufficient on their own to determine the surgical plan, since the decision depends on clinical examination, nasal anatomy, skin quality, breathing function, and the patient's goals.
Dr. Mohamed El Assal's Expertise in Advanced Nasal Surgery
Dr. Mohamed El Assal has developed his rhinoplasty expertise through specialised training with leading international nasal surgeons, each contributing a distinct area of expertise:
✔ Prof. Yves Saban — One of the world's foremost pioneers of Preservation Rhinoplasty.
✔ Dr. Teo — Advanced expertise in rhinoplasty surgery and nasal framework reconstruction techniques.
✔ Dr. Hossam Fouda — Extensive experience in Revision Rhinoplasty and the use of ear cartilage in reconstruction.
✔ Dr. Alpaslan Yildirim — Specialist in Ethnic Rhinoplasty and preservation of anatomical identity.
✔ Dr. Surayya Seneldir — Expertise in managing thick skin and rhinoplasty across diverse ethnic backgrounds.
This diverse, multi-faceted experience is reflected in Dr. Mohamed El Assal's ability to select the most appropriate technique for each individual case, rather than relying on a single approach for every patient.
✔ Prof. Yves Saban — One of the world's foremost pioneers of Preservation Rhinoplasty.
✔ Dr. Teo — Advanced expertise in rhinoplasty surgery and nasal framework reconstruction techniques.
✔ Dr. Hossam Fouda — Extensive experience in Revision Rhinoplasty and the use of ear cartilage in reconstruction.
✔ Dr. Alpaslan Yildirim — Specialist in Ethnic Rhinoplasty and preservation of anatomical identity.
✔ Dr. Surayya Seneldir — Expertise in managing thick skin and rhinoplasty across diverse ethnic backgrounds.
This diverse, multi-faceted experience is reflected in Dr. Mohamed El Assal's ability to select the most appropriate technique for each individual case, rather than relying on a single approach for every patient.
How is Rhinoplasty Performed?
Rhinoplasty procedures are performed under general anesthesia on an outpatient basis.
There are two incision options; the one used will be decided during your consultation. Each have their merits, so your surgeon will choose the method he believes will work best to achieve your specific desired results.
There are two incision options; the one used will be decided during your consultation. Each have their merits, so your surgeon will choose the method he believes will work best to achieve your specific desired results.
The incision for the open procedure is made in between the nostrils through the tissue. Nasal cartilage can be accessed with ease since this incision allows skin and soft tissue to be lifted. Cartilage can then be appropriately trimmed into the desired contour. If additional cartilage or structure is needed it can be harvested from an ear or rib graft. Skin and soft tissue are then redraped and the incisions are sutured closed. Any resulting scarring is extremely small and will diminish overtime.
The incision for the closed procedure is made inside the nose as opposed to externally. The same steps are followed as the open procedure except skin is not lifted. Scars are not visible, there is less swelling, no damage to the tip of the nose, and the procedure length is shorter.
Why No Single Technique Fits Every Patient?
Rhinoplasty has evolved to include several surgical approaches, each with different applications and advantages depending on the nature of the case:
✔ Open Rhinoplasty: Provides direct, complete visualisation of the nasal structure, suited to complex cases requiring precise reconstruction.
✔ Closed Rhinoplasty: Incisions are made entirely inside the nose with no visible external scarring, suited to relatively simpler cases.
✔ Preservation Rhinoplasty: Preserves as much of the nose's natural anatomical structure as possible when the case allows, rather than fully reconstructing it, and is suitable for selected cases after clinical evaluation.
✔ Structural Rhinoplasty: Relies on rebuilding or reinforcing the nasal structural framework using cartilage grafts when needed, useful in cases requiring additional structural support.
Technique selection depends on examination, not on the name of the technique. No single technique is universally "best" — rather, each case has a most suitable technique based on its anatomy and surgical goal.
✔ Open Rhinoplasty: Provides direct, complete visualisation of the nasal structure, suited to complex cases requiring precise reconstruction.
✔ Closed Rhinoplasty: Incisions are made entirely inside the nose with no visible external scarring, suited to relatively simpler cases.
✔ Preservation Rhinoplasty: Preserves as much of the nose's natural anatomical structure as possible when the case allows, rather than fully reconstructing it, and is suitable for selected cases after clinical evaluation.
✔ Structural Rhinoplasty: Relies on rebuilding or reinforcing the nasal structural framework using cartilage grafts when needed, useful in cases requiring additional structural support.
Technique selection depends on examination, not on the name of the technique. No single technique is universally "best" — rather, each case has a most suitable technique based on its anatomy and surgical goal.
Do I Need Preservation Rhinoplasty?
Preservation Rhinoplasty is particularly suited to cases with limited structural concerns, where as much natural tissue as possible is preserved rather than fully reconstructed. In some selected cases, this may be associated with a smoother recovery — it is a suitable option for selected cases after clinical evaluation, not the optimal choice for every patient.
Want a natural result while preserving your original nasal structure?
Discover what Preservation Rhinoplasty is and who is a suitable candidate for it.
Am I a Candidate for Ethnic Rhinoplasty?
Patients with anatomical characteristics associated with certain ethnic backgrounds — such as thick skin or less rigid cartilage — may benefit from a different surgical approach that preserves natural aesthetic identity rather than imposing a uniform shape that does not suit their facial features.
Wondering about the best surgical approach for your skin type and cartilage?
Learn about the characteristics of ethnic and African rhinoplasty, and the specialised techniques used to preserve your aesthetic identity.
How Does Dr. Mohamed El Assal Choose the Right Technique?
The surgical decision is based on a comprehensive assessment of several combined factors, not a single isolated one:
✔ Current nasal shape and the desired outcome.
✔ Skin quality and elasticity.
✔ Skin thickness, which directly affects the final result and the time needed for it to manifest.
✔ Width and structure of the nasal bones.
✔ Strength and availability of cartilage.
✔ Condition of the nasal septum and its breathing function.
✔ Overall airway function.
✔ Whether the surgery is primary or a revision.
✔ Ethnic background and its associated anatomical characteristics.
This integrated assessment is what determines the most suitable technique — not a predetermined preference for any particular surgical style.
✔ Current nasal shape and the desired outcome.
✔ Skin quality and elasticity.
✔ Skin thickness, which directly affects the final result and the time needed for it to manifest.
✔ Width and structure of the nasal bones.
✔ Strength and availability of cartilage.
✔ Condition of the nasal septum and its breathing function.
✔ Overall airway function.
✔ Whether the surgery is primary or a revision.
✔ Ethnic background and its associated anatomical characteristics.
This integrated assessment is what determines the most suitable technique — not a predetermined preference for any particular surgical style.
Recovery
This procedure usually takes one to two hours, depending on the amount of the surgery being performed. After your procedure is over, your surgeon will apply a nasal splint which will stay on for roughly a week. It is best to take a bath as opposed to showering while you wear the splint to avoid water getting on it. Any discomfort can easily be controlled with prescribed pain medication.
Refrain from making over-the-top facial expressions during your recovery period. Do not blow your nose until your surgeon tells you otherwise; this can mess up your results and you can potentially hurt yourself. Contacts are recommended over glasses during this time, but if you must wear glasses you might consider taping them to your forehead so you avoid resting them on your nose.
You are usually able to return to work or school after 5-7 days. Bruising and swelling underneath the eyes can last up to 10 days, but this is normal and will subside on its own or with the help of gentle ice application. Steer clear of strenuous activities for about a month. You are able to see nasal improvement once the splint comes off, but best results can be seen in 6 months. Improved breathing can be noticed almost immediately.
Refrain from making over-the-top facial expressions during your recovery period. Do not blow your nose until your surgeon tells you otherwise; this can mess up your results and you can potentially hurt yourself. Contacts are recommended over glasses during this time, but if you must wear glasses you might consider taping them to your forehead so you avoid resting them on your nose.
You are usually able to return to work or school after 5-7 days. Bruising and swelling underneath the eyes can last up to 10 days, but this is normal and will subside on its own or with the help of gentle ice application. Steer clear of strenuous activities for about a month. You are able to see nasal improvement once the splint comes off, but best results can be seen in 6 months. Improved breathing can be noticed almost immediately.
Why Do Rhinoplasty Results Differ Between Patients?
There is no uniform result for all patients — each case is influenced by multiple individual factors:
✔ Individual tissue healing biology and the body's natural healing response.
✔ Thick skin: Slows the appearance of the final result and may require a longer time for full contraction.
✔ Strength and availability of cartilage, which determines the extent of possible reshaping.
✔ The underlying bony structure of the nose.
✔ Individual degree of swelling, which varies between patients and is influenced by skin type.
✔ Adherence to post-operative instructions, and its direct impact on healing quality.
✔ Previous nasal surgeries, which alter the plan for the current procedure.
For this reason, expected outcomes cannot be judged by comparison with another person's result, but rather through a precise individual assessment of each case.
✔ Individual tissue healing biology and the body's natural healing response.
✔ Thick skin: Slows the appearance of the final result and may require a longer time for full contraction.
✔ Strength and availability of cartilage, which determines the extent of possible reshaping.
✔ The underlying bony structure of the nose.
✔ Individual degree of swelling, which varies between patients and is influenced by skin type.
✔ Adherence to post-operative instructions, and its direct impact on healing quality.
✔ Previous nasal surgeries, which alter the plan for the current procedure.
For this reason, expected outcomes cannot be judged by comparison with another person's result, but rather through a precise individual assessment of each case.
Frequently Asked Questions
Do I need open or closed rhinoplasty?
This depends on the complexity of your case; simpler cases may be addressed with closed rhinoplasty, while complex or revision cases generally require the open approach.
Is Preservation Rhinoplasty right for me?
It suits cases with limited structural concerns, determined only after direct clinical examination.
Can only the tip be reduced without changing other features?
Yes, a focused approach on a specific area such as the tip or bridge can be taken based on the patient's wishes and the surgeon's assessment.
Will the surgery affect my breathing?
Careful planning preserves or improves breathing function — a priority in modern rhinoplasty.
Will I need additional cartilage?
This depends on the amount of cartilage available in the septum; some cases require no external source.
When does swelling disappear?
Most swelling subsides within the first few weeks, while the final result — particularly at the nasal tip or in thick-skinned patients — may take 12 to 18 months to fully manifest.
Does thick skin change the result?
Yes, thick skin takes longer to reveal the final result and may require a stronger cartilage framework.
Can rhinoplasty be repeated?
Yes, a revision procedure can be performed once tissues have fully healed.
Is the procedure painful?
It is performed under general anaesthesia, and any post-operative discomfort can be managed with prescribed medication.
Can ear cartilage be used?
Yes, it is used in selected cases to support the nasal tip or in certain reconstructive procedures, depending on the needs of the case.
Will I need rib cartilage?
This is typically used in cases requiring major structural reconstruction, such as some advanced revision cases, and is not needed for most primary rhinoplasty procedures.
Can septum correction be combined with cosmetic surgery?
Yes, septoplasty can be performed within the same procedure if a deviation affecting breathing is present.
At what age can rhinoplasty be performed?
After facial bone growth is complete, generally after age 16-17 for females and 17-18 for males.
How long does the surgery take?
Generally between 3 to 4 hours, depending on case complexity and any accompanying procedures, and may take longer in complex revision surgeries.
When will I see the final result?
Initial improvements appear gradually over the first few months, but the complete final result — particularly at the nasal tip, in thick-skinned patients, or in revision cases — may take 12 to 18 months to fully manifest.
Will I need to stay in hospital?
The procedure is usually performed under general anaesthesia, and same-day or next-day discharge is often possible based on the surgeon's assessment.
When can I return to work or study?
Most patients return within about a week if their work is desk-based, while avoiding strenuous activity for about a month.
Will there be visible scars?
No visible scarring occurs with the closed technique; with the open technique, the scar is very small and fades over time.
Can I wear glasses after surgery?
It is advisable to avoid resting them directly on the nasal bridge for a period; they can be temporarily positioned on the forehead until healing is complete.
How do I know the right technique for my case?
This can only be determined through direct clinical examination with the surgeon, not through photos or remote consultations.
Also read
Why Do Patients Choose Dr. Mohamed El Assal?
✔ Comprehensive anatomical assessment for every case.
✔ Preserving breathing function as a surgical priority.
✔ Natural results harmonious with facial features.
✔ Specialised international training with leading global rhinoplasty surgeons.
✔ Experience in both primary and revision procedures.
✔ Specialised expertise in managing thick skin and diverse ethnic characteristics.
✔ Meticulous pre- and post-operative follow-up.
✔ Preserving breathing function as a surgical priority.
✔ Natural results harmonious with facial features.
✔ Specialised international training with leading global rhinoplasty surgeons.
✔ Experience in both primary and revision procedures.
✔ Specialised expertise in managing thick skin and diverse ethnic characteristics.
✔ Meticulous pre- and post-operative follow-up.
Why We Don't Promise a Specific Result
No surgeon can guarantee an identical result for every patient, as the outcome depends on anatomy, individual healing biology, skin type, and adherence to post-operative instructions. For this reason, Dr. Mohamed El Assal is committed to discussing realistic expectations with every patient before any surgical decision is made. Achieving a safe, natural, and balanced result matters far more than chasing unrealistic promises.
Dr. Mohamed El Assal's Rhinoplasty Philosophy
"There is no single technique that is best for every patient... there is only the technique that is most suitable for this patient." — Dr. Mohamed El Assal
Book Consultation
Disclaimer
The information on this page is intended for general educational purposes and does not replace direct medical consultation. Results and expectations vary between patients based on individual clinical assessment.