By Dr. Jaray Krainam, MD
Rhinoplasty Reduction, also known as Nose Reduction, is a highly specialized cosmetic procedure designed for patients with prominent or oversized noses, wide nasal bridges, or downward/depressed nasal tips. The goal of this surgery is to create a smaller, more proportionate, and better-balanced nose that harmonizes naturally with the rest of the facial structure.
Performed by Dr. Jaray Krainam, MD, one of Thailand’s most experienced and trusted rhinoplasty surgeons with over 20 years of expertise, this procedure focuses on refining nasal shape while preserving—and often improving—function.
During reduction rhinoplasty, the dorsal hump may be reduced, the bridge narrowed, and the nasal tip refined to improve projection and definition. Incisions are typically made along the alar rim or inside the nostrils, allowing the surgeon to access and reshape bone and cartilage before re-draping the skin for a smooth, natural outcome.
Patients with deviated septum may also have functional correction performed simultaneously.
📌 Operation Time
The procedure generally takes 1–2 hours, depending on the complexity.
📌 Care After Surgery
After surgery:
- A plaster cast or lightweight splint is applied to maintain nasal structure.
- Mild discomfort or pressure may occur for a few days and can be managed with prescribed medication.
📌 Recovery Period
- Most patients return to school or work within 2 days.
- Full recovery and disappearance of swelling typically occur within 1–2 weeks.
📌 Results
Dr. Jaray is committed to delivering safe, natural, and harmonious results.
In rare cases where a surgical correction is necessary, the clinic provides revision rhinoplasty at no charge.
📌 Risks and Complications
While nose reduction performed by a highly qualified surgeon is generally safe, potential risks may include:
- Infection
- Nosebleeds
- Reaction to anesthesia
- Red blood vessel spots (usually minor)
- Minor scarring (usually hidden and not visible)
- Rare need for secondary correction
Internal incisions result in no visible scarring, and when external incisions are required (e.g., alar reduction), scars are typically discreet and fade with time.
📌 Anesthesia
Performed under local anesthesia with mild sedation, ensuring patient comfort throughout the procedure.
📌 Hospital Admission
Reduction rhinoplasty may be performed:
- As an outpatient procedure
- In a hospital
- In an accredited surgical suite
This depends on the surgeon’s assessment and the patient’s preference.
📌 Preparation Prior to Surgery
✔ Medical Evaluation
A full assessment—including allergies, medical conditions, medications, physical exam, and laboratory tests—will be completed.
✔ Stop Smoking
Avoid smoking for 3–4 weeks preoperatively to improve blood circulation and healing.
✔ Avoid Alcohol
Discontinue alcohol consumption one week before surgery and throughout recovery.
✔ Avoid Certain Medications
For 4–6 weeks before surgery, avoid:
- Hormones
- Anticoagulants
- Anabolic steroids
- Supplements
Also avoid aspirin, anti-inflammatory drugs, and herbal supplements that can increase bleeding risk.
📌 Why Choose Dr. Jaray Krainam, MD?
- Over 20 years’ experience in primary and revision rhinoplasty
- Specialist in Asian and Western nasal anatomy
- Expertise in both augmentation & reduction techniques
- Natural, balanced, and long-lasting results
- Trusted by international patients from around the world
