Rhinoplasty and Nose Job Surgery in Johannesburg | Dr Deon Weyers
A nose job changes the shape of the nose so that it sits in better balance with the rest of the face. Dr Deon Weyers performs rhinoplasty at Life Fourways Hospital in northern Johannesburg.
Rhinoplasty is surgery on the bone and cartilage framework of the nose. Depending on the plan, it can lower a bump on the bridge, refine or support the tip, narrow the nostrils or straighten a nose that has shifted off centre, often in the same operation.
The practice is based in Fourways, so patients from across Johannesburg are seen locally for consultation, surgery and every follow-up visit. Dr Deon Weyers personally sees each patient at every stage; care is not passed to a junior associate.
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Nose Job Johannesburg: Surgery Close to Home
Many people searching for a nose job in South Africa live within reach of the Fourways practice. For Johannesburg patients, the practical advantage is simple: the consultation, the operation and the splint removal all happen a short drive from home.
Every rhinoplasty starts with a question about what should change and what should stay. Some patients want one specific feature addressed, such as a dorsal hump seen in profile. Others want several small changes that together make the nose look more balanced. The general overview on our rhinoplasty page explains the procedure; this page focuses on how it is planned for Johannesburg patients and what a first and a second nose operation have in common and where they differ.
- Dorsal hump reduction
- Tip refinement
- Nostril narrowing
- Primary or revision
- Hospital theatre
Because the practice sits inside Life Fourways Hospital, the operation takes place in a hospital theatre with an anaesthetist present, and post-operative reviews take place in the same building. For Johannesburg patients that usually means no overnight travel and short trips for the early checks after surgery.
Recovery follows a predictable outline. A splint supports the nose for roughly 7 to 12 days, most bruising around the nose and eyes fades over 2 to 3 weeks, and the shape continues to settle for 6 to 12 months as residual swelling resolves, particularly at the tip.
Common Reshaping Goals
A bump on the bridge is reduced by carefully lowering bone and cartilage. A wide, drooping or bulbous tip is reshaped and supported with sutures and, where needed, cartilage grafts. Flared nostrils can be narrowed with small incisions placed where the nostril meets the cheek.
A crooked nose is often a combination of these problems with an internal deviation as well, so straightening it may involve work on the septum. The goal in every case is a nose that suits the face it belongs to, not a copy of someone else’s.
A good rhinoplasty plan is specific. Before surgery you should know which features are being changed, how, and what the realistic limits are for your skin type and anatomy.
Primary Rhinoplasty vs Revision Rhinoplasty
Primary Rhinoplasty
A first operation on a nose that has not been operated on before. The surgeon works with natural, undisturbed tissue planes and the patient’s own cartilage framework.
Planning focuses on the features the patient wants changed and on preserving the support structures that keep the nose stable and the airway open over time.
Revision Rhinoplasty
A further operation to correct or improve the result of previous nasal surgery, whether the concern is the appearance, the breathing or both.
Scar tissue and previously removed cartilage make revision work more involved. Extra cartilage may need to be borrowed from elsewhere, and timing matters: the nose generally needs to have settled fully from the first operation before revision is considered.
| Aspect | Primary Rhinoplasty | Revision Rhinoplasty |
|---|---|---|
| Starting point | Untreated nose with natural tissue planes | Previously operated nose with scar tissue |
| Cartilage available | Usually sufficient from the septum | May need grafts from the ear or another site |
| Timing | Once facial growth is complete | Usually only after the first result has fully settled |
| Planning | Focused on the features to change | Focused on what went wrong and what can be restored |
| Operating time | Shorter in most cases | Often longer and more complex |
| Recovery | Splint for about 7 to 12 days | Similar outline; swelling can take longer to settle |
How a Rhinoplasty is Planned and Performed
The operation is carried out at Life Fourways Hospital. Dr Deon Weyers performs the surgery himself and sees you at each review afterwards.
Consultation in Fourways
Your concerns, breathing, medical history and any previous nasal surgery or injury are discussed, and the nose is examined inside and out. Photographs are taken to help explain what can realistically change.
Agreeing the plan
The specific changes are agreed and written down: which features are being addressed, whether an open or closed approach is likely, and whether any cartilage grafting may be needed.
Surgery in hospital
The operation takes place in a hospital theatre with an anaesthetist. The bone and cartilage framework is reshaped according to the plan and the skin is redraped over the new structure.
Splint and dressings
A splint and light dressings support the nose for roughly 7 to 12 days. The splint is removed at the practice, close to home for Johannesburg patients.
Review as the shape settles
Follow-up visits continue over the following months. Most swelling subsides within about 2 weeks, while fine definition, especially at the tip, keeps improving for 6 to 12 months.
Is a Nose Job Right for You?
Rhinoplasty tends to suit adults in good health whose facial growth is complete and who can describe clearly what bothers them about their nose.
- A bump on the bridge – A dorsal hump that is most visible in profile
- A wide or drooping tip – A tip that looks bulbous, lacks definition or droops when smiling
- Wide or flared nostrils – Nostrils that look out of proportion with the rest of the face
- A crooked nose – A nose that sits off centre, sometimes after an old injury
- An earlier result you are unhappy with – Concerns after previous nasal surgery that may suit a revision
- Realistic expectations – Understanding that the aim is improvement and balance, not a set outcome
Whether you are a good candidate is decided at the consultation, after examination, and not on the strength of a web page.
Preparing for Your Rhinoplasty Consultation
A little preparation makes the first appointment more useful, especially if you are weighing up a first operation against a revision.
- Describe the change you want.Be specific about the features that bother you. Photographs of your own nose from different angles are more helpful than pictures of other people.
- Mention breathing problems.Blockage, snoring or a history of a broken nose can change the plan and may need to be addressed at the same time.
- Bring previous surgical records.If you have had nasal surgery before, any operation notes or reports help with planning a revision.
- Plan time away from work.Allow for the splint period and visible bruising when choosing a date, particularly if your work involves meeting people.
What a Rhinoplasty Costs in Johannesburg
The practice’s published range for rhinoplasty in Johannesburg is R80,000 to R100,000, as listed on the rhinoplasty prices in Johannesburg page. Your own fee depends on the complexity of the work, the operating time and whether grafting or revision surgery is involved, and is confirmed in writing only after consultation.
Cost estimates from the practice are itemised to show the surgeon’s fee, the anaesthetic charges and the theatre costs, together with any additional items such as garments. Estimates remain valid for six months from the date they are issued.
Medical aid does not usually pay for a nose job done for appearance alone. Where there is a documented breathing problem or injury, part of the surgery may qualify for cover after motivation to your scheme; the practice can advise on the documentation once the indication is established.
What People Often Get Wrong About Rhinoplasty
A few misunderstandings come up regularly in consultations. Clearing them early leads to better decisions.
Risks and Possible Complications
Recognised Risks of Rhinoplasty
General surgical risks: bleeding, nosebleeds, infection, poor wound healing and anaesthetic reactions.
Shape-related risks: asymmetry, bridge irregularities, under- or over-correction and the possible need for revision.
Function-related risks: changes in nasal breathing, temporary or lasting numbness and prolonged swelling.
Graft-related risks where cartilage is borrowed from another site: discomfort, scarring or contour change at the donor area.
What Reduces Risk
- Stop smoking – well before and after surgery to support healing.
- Follow medication advice – including pausing products that increase bleeding, as instructed.
- Protect the nose – avoid glasses resting on the bridge and contact sport until cleared.
- Attend every review – so problems can be picked up early.
Contact the practice urgently if you notice heavy bleeding that does not settle with gentle pressure, rising pain, fever, spreading redness or sudden difficulty breathing through the nose after the early swelling has passed.
Medical disclaimer. This page is general information and does not replace a face-to-face consultation. Surgical decisions require an in-person assessment, a full consent discussion and the individual medical advice of your surgeon and anaesthetist.
Rhinoplasty Johannesburg: Frequently Asked Questions
Where is the surgery done?
At Life Fourways Hospital in northern Johannesburg, where the practice is based. Consultations, the operation and follow-up visits all take place there.
How long will I need off work after a nose job?
Many people plan for around two weeks, which covers the splint period and most of the visible bruising. Work that involves physical effort or contact may need longer.
Can a previous nose job be corrected?
Often, yes, but revision rhinoplasty is more involved than a first operation and is usually only considered once the original result has fully settled. A consultation is needed to assess what can be improved.
Will I have visible scars?
With a closed approach the incisions are inside the nose. An open approach adds a small incision across the strip of skin between the nostrils, which usually fades well. Nostril narrowing leaves fine scars where the nostril meets the cheek.
Is a nose job worth travelling within South Africa for?
Patients from other provinces do come to Fourways for rhinoplasty. If you live outside Johannesburg, plan to stay nearby until the splint is removed. Pretoria patients can read about this on our rhinoplasty in Pretoria page.
Can I see examples of previous results?
The rhinoplasty before and after gallery shows individual patients’ outcomes. Every nose is different, so these illustrate the range of changes rather than a result you should expect.
At what age can a rhinoplasty be done?
Cosmetic rhinoplasty is generally done once the face has finished growing. The right timing for a younger patient is discussed at consultation.
What happens at the first appointment?
Dr Deon Weyers discusses your goals, examines the nose inside and out, reviews your medical history and explains what can realistically change. A written plan and quote follow if you decide to go ahead.
Speak to Dr Deon Weyers About Rhinoplasty in Johannesburg
Dr Deon Weyers is a board-certified plastic and reconstructive surgeon, registered with the Health Professions Council of South Africa and a member of APRASSA. He performs rhinoplasty at Life Fourways Hospital in Johannesburg.
Call 011 875 1694
Office hours: Monday to Thursday 08:00 – 17:00, Friday 08:00 – 14:00 · send a message
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