Rhinoplasty (Recountouring Or Reshaping Of Nose)

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Rhinoplasty is one of the most common operations performed by cosmetic surgeons today. This operation is designed to improve general appearance of the nose by doing any one or more of the following procedures

  • Reducing the forward projection of the nose.
  • Removal of the hump.
  • Correction of depressed nose.
  • Correction of deviation of the nose.
  • Narrowing of upper nose.
  • Narrowing of the tip of the nose.
  • Narrowing of lower nose.
  • Reducing the nostril size.
  • Lifting the tip higher.

It may also correct a birth defect or injury, or help relieve some breathing problems.

Many patients fear that after Rhinoplasty the nasal change will be so great that it will become a subject of discussion amongst their family and friends. In reality, neither the patient nor the patient's relatives or friends really remember the original shape of the nose, few weeks after the surgery.

The Best Candidates for Rhinoplasty :

It is better not to operate on teenagers until after they've completed their growth spurt -- around 14 or 15 for girls, a bit later for boys.

What will Happen in First Consultation?

In the initial consultation, the patient is asked to describe what kind of nose is desired. The surgeon then will examine the nose in particular and the face in general and discuss the possibilities with the patient.

Surgical Procedure :

The operation is done under local or general anesthesia and sedation is given prior to the surgery to help relax the patient. Rhinoplasty is performed in the hospital as daycare Surgery or may require admission for one day.

The incisions for reshaping of the nose are usually made inside the nose. The nasal skin is lifted away from the cartilage and bone and reducing or adding of tissues is done. In reduction of the nose, the bone, the cartilage, and the excess of the soft tissue are removed. The nasal bones are usually narrowed. The excessive skin left by the reduction of the underlying framework usually readapts itself to the new framework.

For depressed nose, after lifting the skin, enlargement or augmentation is done using cartilage from ear or ribs or bone from the hips or silicone rubber. To reduce the width of the lower part of the nose or to reduce the nostril size, skin is removed from the nose close to the cheek attachments. Surgery takes 2-4 hours depending upon the kind of procedure done.

Getting back to normal :

Immediately after the surgery, a restricting splint and/or dressing is placed on the nose and will remain in position for approximately 5-7 days.

The operative procedure and the postoperative period are not exceedingly painful. Since there is packing in the nose for couple of days following surgery, the patient will breathe through the mouth. This will give a feeling of having the mirror cold and may cause drying of membranes of the mouth. The nose may feel congested for several days following surgery due to internal swelling.

Uncertainty and Risk :

After the nose surgery, there is moderate to marked swelling of the nose, eyelids, cheeks, upper lip and the forehead. In most patients the swelling will increase gradually and reach to a maximum at the end of 48 hours after the surgery. The swelling and discoloration of skin will start to decrease from the third day and most of the swelling would have subsided by the end of 10-14 days. However, it takes 3-6 months for all the swelling to disappear. Occasionally whites of the eye may become blood shot and upper lip will feel stiff and unnatural for a period of time. Some numbness over the tip of the nose would persist for 2-3 months.

Complications :

When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. However, there is always a possibility of complications, including infection, nosebleed, or a reaction to the anesthesia.

Occasionally a secondary ‘touch up' procedure is required

Your New Look :

Day by day, the nose will begin to look better. Still, healing is a slow and gradual process. Some subtle swelling may be present for months, especially in the tip. Small changes continue to occur over a period of 4-8 months after surgery

Will it work for me?

If you have realistic i expectations then you will be satisfied with the results.