A nose that suits your face
and still breathes well
Rhinoplasty by an ENT surgeon specialized in facial plastic surgery. We assess both shape and breathing before planning. Semi-open rhinoplasty is done at the clinic under local anesthesia and you go home the same day; open rhinoplasty, using ear or rib cartilage, is done in hospital.
* Open includes anesthesia and hospital fees; room charges not included
Why have rhinoplasty
with an ENT surgeon
Your nose shapes your facial proportions and is also your airway. A surgeon who looks at both helps you get a result that looks good and works well for years.
Outside and inside
Every case includes endoscopy of the septum, nasal lining and nasal valve before surgery is planned.
Breathing is part of the plan
If a deviated septum or swollen lining is found, the doctor plans treatment alongside, or refers you when surgery under general anesthesia is needed.
Designed for your proportions
We assess bridge height, the nose–lip angle and balance with your forehead and chin for a natural result.
Who it suits
- A low or flat bridge, wanting more facial definition
- An undefined tip, or wanting to refine the tip
- Wanting your nose to balance with your chin and lips
- Previous rhinoplasty you would like revised (assessed individually)
Wait, or tell your doctor
- Still young, with facial growth not yet complete
- A current cold, sinusitis or nasal infection
- Smoking, and unable to stop for at least 4 weeks before and after surgery
- A bleeding disorder or anticoagulant use
Semi-open or open: how they compare
We offer two approaches. The doctor chooses based on your nasal structure, skin thickness and what you want to change — no single approach is best for everyone.
| Semi-open | Open | |
|---|---|---|
| Where | At the clinic · local anesthesia · home the same day | In hospital · general anesthesia |
| Incisions | Inside the nostrils, with partial exposure of the tip | A small incision across the columella plus incisions inside the nostrils |
| Materials | Silicone bridge + ear cartilage or ADM over the tip | Ear cartilage or rib cartilage |
| Best for | Bridge plus simple tip refinement | Short noses, tips needing support, complex structural work and revision |
| View of the structure | Moderate | Clearest view |
| Swelling afterwards | Moderate | More and longer, especially at the tip |
| Starting price | ฿25,000 | ฿130,000 · includes anesthesia and hospital fees, excludes room charges |
Materials we use
Medical-grade silicone
Used for the bridge in semi-open rhinoplasty and carved to fit your nasal structure. The product is Thai FDA-registered and verifiable.
Ear cartilage
Taken from behind the ear, with the scar hidden in the crease. Used to cover or shape the tip and reduce pressure on the tip skin. Used in both semi-open and open rhinoplasty.
Rib cartilage
Used in open rhinoplasty in hospital for strong structural support — suited to short noses, tips needing support and revision of previous surgery.
ADM graft
A processed tissue sheet with the cells removed, used over the bridge or tip to add soft-tissue thickness and reduce the chance of an implant edge showing in thin skin.
From consultation to follow-up
- 01
Send photos
Send front and side photos on LINE for an initial assessment before your visit
- 02
Clinic consultation
External exam and nasal endoscopy, choosing semi-open or open, shape planning together and consent
- 03
Surgery day
Semi-open at the clinic takes about 2–3 hours and you go home the same day · Open is scheduled in hospital
- 04
Stitch removal
2 weeks after surgery, with a wound check
- 05
Follow-up
Reviews at 1, 3 and 6 months, then every year
Recovery timeline
- 48–72 hoursCold compresses around the eyes and cheeks; sleep with your head raised 30–45°
- 5–7 daysSplint removed (if any)
- 2 weeksStitches removed, with a wound check
- 2–4 weeksMost swelling and bruising gone
- 3–4 weeksStrenuous exercise allowed again
- 6–12 monthsThe nose settles into its final shape, especially the tip
Before surgery
- Stop smoking for at least 4 weeks before and after surgery
- Unless prescribed, stop aspirin, NSAID painkillers and supplements for 1–2 weeks
- Tell us about medical conditions and drug allergies
- Arrange for someone to take you home
After surgery
- Don’t blow your nose hard; sneeze with your mouth open
- No glasses resting on the bridge; avoid contact sports
- Clean the wound as instructed
- Attend every stitch-removal and follow-up appointment
Risks to know before you decide
All surgery carries risk. The doctor explains each one and how it would be managed before you sign the consent form.
- Infection
- Implant shifting or thinning of the overlying skin
- Capsular contracture
- Asymmetry, or a result different from what you expected
Contact the doctor right away if
- A nosebleed won’t stop after 15 minutes of pressure
- Fever, or increasing pain, swelling, redness, heat or pus
- Skin over the nose turns pale, dark, or thin enough to see the implant
Dr. Chayoooth Thanapornsangsuth
- Board Certificate in Otolaryngology
- Fellowship in Facial Plastic and Reconstructive Surgery — Faculty of Medicine Ramathibodi Hospital, Mahidol University
Rhinoplasty cases
Photos of real patients who consented to publication, unretouched. Results vary between individuals.
Want to see a case similar to yours?
The doctor can share consented example cases with a similar nasal structure on LINE, or show them during your consultation.
Frequently asked questions
How are semi-open and open rhinoplasty different?
What is the follow-up schedule?
Does rhinoplasty under local anesthesia hurt?
When can I go back to work?
I already have a blocked nose. Can I still have rhinoplasty?
When will I see the final result?
What if I’m not happy with the result?
I had rhinoplasty elsewhere. Can it be corrected?
Results and recovery vary between individuals. This page is general information; please consult a doctor for a personal assessment.
Send your details for an initial assessment
A few details is all we need. Our staff will contact you between 8:00 and 18:00 to arrange photos or a visit.
Almost done — tap “Send” in LINE
LINE has opened with your details. Send the message, then attach front and side photos in the same chat. Replies 8:00–18:00.
Ready to talk about your nose?
Send front and side photos on LINE and a doctor will give an initial assessment before your visit · LINE replies 8:00–18:00