Rhinoplasty

Rhinoplasty also known as nose job or nose reshaping is a surgical procedure of the nose wherein it is reconstructed(changes in shape and size) for functional or cosmetic improvements. Usually involves making the nose smaller, or larger or changing its shape by breaking the bone and rearranging the cartilage, changing the angle.

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Types of Rhinoplasty

There are two types ofRhinoplasty

• Open Rhinoplasty- in this the columella(i.e skin and cartilage bridge in between the nostrils)is also incised, useful in putting the grafts and also helps to visualize nasal cartilage accurately.

• Closed Rhinoplasty- the surgeon performs the procedure within the nose and does not cut the bridge in between the nostril.

• Obstructed airway-the procedure helps restoring breathing by correcting nasal blockages.
• Cosmetic appearance- Nose being a prominent feature of face can have a big impact on self confidence, so uses of Rhinoplasty is increasingly done for cosmetic purposes like in case removal of dorsal hump, wide nose with rounded tip, nasal asymmetry etc.
• Congenital nose defects and deformities– correction ofvascular malformationand cleft lip and cleft palate
• Trauma-burns and nasal fractures
• Nasal Pathologies

• During initial visit the physician analyses the functional and cosmetic nasal problem of the patient, External and internal nasal examination is done , photographs of the nose from different angles are taken .
• The physician discusses about your expectations explains about the possibilities thatRhinoplasty can do to help.
• Then complete medical and surgical evaluation is done to declare fit before surgery, you are required to avoid certain medications and also stop smoking before surgery.

During surgery

• Usually general anaesthesia is given
• In open rhinoplasty incision made inside nostril and below the nose
• Skin lifted and nasal structures exposed
• Cartilage and bone removed and restructured
• The bones are pushed in to narrow the nose
• Occasionally graft is placed for support
• Fine Stitches are used to close the incisions
• Splint placed for protection and support and is removed after a few days
• Scars are usually hidden and fade away.

After surgery

• Patient is prescribed antibiotics, pain killers, steroids to have an infection free early healing of the cartilage and bone tissues
• Dressing are put in each nostril and splint taped over nose
• Rest is recommended with head raised to reduce swelling and bleeding, nose may feel congested
• There may be slight drainage of mucus and bleeding after surgery
• The cast and sutures removed 5-7 days
• The stents are removed by about 14 days
• The swelling and blackish bluish discoloration around eyes lasts for about 2 weeks

Helpful:Surgical procedure of Rhinoplasty

It’s a safe surgery yet complications can arise

• Infection leading to absess formation
• Recurring nose bleeds
• Scars that cause airway obstruction and may again require secondary Rhinoplasty
• If too much cartilage is removed change in shape of nasal skin leading to deformity, if cartilage at nasal tip is cut it may cause pinched tip .
• There may be septal perforation, or if nasal septum is unsupported there may be deformity.
• There may be numbness in and around the nose

Clickhereto know why is Rhinoplasty done

Following are the factors which will affect the cost:

• The hospital patient is opting for.
• Room– Standard single room, deluxe room, super deluxe room for the number of nights specified (including nursing fee, meals, room rate, and room service).
• Operating room, ICU
• Fee for the team of doctors (Surgeons, Anesthetist, Dietician )
• Medicine
• Standard test and diagnostic procedures
• Follow up

FAQs

Q: What are the precautions immediately after surgery?
A: Soon after surgery dressing is put in each nostril and splint taped over nose. Rest is recommended with head raised to reduce swelling and bleeding, nose may feel congested, avoid blowing the nose, avoid getting your nose wet, avoid heavy activity or exercises, brush teeth gently, don’t rest eyeglasses on nose.

Q: What are the advantages of Rhinoplasty?
A: Rhinoplasty can change the size, shape and angle of nose making it more cosmetically appealing, also helps in correcting structural problems that cause breathing difficulty as also congenital problems.

Q: What is the duration of Rhinoplasty surgery?
A: Depends on the procedure can take anywhere between 1-3 hrs.

Q: How are the results determined?
A: Results will be dependent on your expectations (clear realistic idea of what the surgery can achieve for you) and surgeons expertise occasionally when these are not met you may like to go in forsecondary Rhinoplasty.

Q: How long does it take to recover after Rhinoplasty?
A: Normally:

• Recovery period different for every patient but mostlyin 5-7 days sutures and splints (internal and external )are removed
• In about2-3 weeks you can resume work go out in public
• Afterabout 3-4 weeks of surgery results will be noticeable as swelling will be settling, bruisingalso depends on the type of procedure chosen by surgeon (if open rhinoplasty more bruising)

Q: Who is a Candidate for Rhinoplasty?
A:One can be a candidate for rhinoplasty if:

• The facial growth is complete
• Patient is physically healthy
• Patient is psychologicallyprepared also has a positive outlook and realistic goals in mind for the improvement of their appearance

Q: Does a patient require any post-procedure touch-ups?
A: Rhinoplasty is a complicated procedure and the nose swells during the operation. Hence there are chances that a patient may need to have some post-surgery touch- ups. About 15 percent of Rhinoplasty operations require touch-up procedures.

Q: What are the limitations of Rhinoplasty?
A: The biggest limitation with rhinoplasty is thick skin, because this is difficult to shrink and conform to the underlying framework of the procedure. A surgeon can only do so much with a large nose if the skin won’t contract.

Q: What is primary and secondary Rhinoplasty?
A: They are:

• Primary Rhinoplasty –first time corrective procedure.
• Secondary Rhinoplasty-also known as revision Rhinoplasty, its second attempt at failed Rhinoplasty.

Q: What is non surgical Rhinoplasty?
A: It is a non invasive procedure in which injectible fillers are utilized to alter the shape of nose, used to smoothen the bumps, lifting the angle of tip etc.

Q: What are the side effects of Rhinoplasty usually seen?
A: Side effects can be:

• Usually there may be blocked nose for 1 week
• Stiffness and numbness of nose
• Soreness swelling and bruising around eyes which last for around 3 weeks
• Light nosebleeds for few days after surgery