Rhinoplasty (Nose Surgery)
Rhinoplasty is the medical terminology for Surgery of the Nose. Surgery of the Nose is performed for mainly two reasons. One, to reconstruct the nose after nasal injury by accidents or damage by burns etc., then it is known as Reconstructive Rhinoplasty.
Aesthetic/Cosmetic Rhinoplasty is nose surgery done to change the shape of the nose as desired by the patient, which is realistically possible surgically such that the patient has a pleasant nose which is balanced to the rest of the face.
Rhinoplasty is one of the most challenging procedures for any Plastic Surgeon, so as to achieve the desired results. Planning of the surgery and optimization of the surgical goals is very important in Rhinoplasty surgery and we have an in-depth discussion with the patient prior to surgery and clearly outline the planned surgical goals and expected outcomes from the surgery.
Techniques of Rhinoplasty
Breast Augmentation is one of the most popular surgical procedures in cosmetic surgery in women. Breast Augmentation is a surgical procedure to increase the size of the breast by use of either Implants or Fat grafting.
Open Rhinoplasty is a technique where a small cut (Incision) is made on the columella (front portion of the nose between two nasal openings) and on the under surface of the nasal nostrils. The skin over the nose is lifted/retracted to access the underlying structures of the nose (sub cutaneous fat/cartilage/septum/bone) and the surgery is performed. Small 2-3mm scar mark on the columella is the only visible scar mark which heals and camouflages with time. All other scar marks are on the under surface of the nose and is not visible.
In this technique, no/minimal incision is made and surgery is performed as a ‘closed’ technique and is centered around making changes to the skin +/- skeletal changes by a small limited incisions. It is not however a blind procedure and involves the same planning and surgical analysis as in Open rhinoplasty.
Revision Rhinoplasty is surgery on the nose for the second time after having had a Rhinoplasty earlier. It usually is performed when there are secondary deformities or when patient is dissatisfied with his/her first surgery.
Use of fillers to enhance once looks of the nose. Usually possible in cases where the patient needs correction of the dorsum (top) of the nose, any defects or deformities is corrected by infusing fillers.
Post surgery recovery period
Post surgery, patients usually have a nose packing to prevent post surgery bleeding. The pack is removed in 12-24 hours and patients are usually discharged from the hospital after removal of the nose packing. Suture removal is done 5-7 days after the surgery and patients usually have a small dressing on the nose until then.
Mild swelling on the nose is common after the surgery and takes about 2-6 weeks to settle down, time when 80% of the total outcome of the surgery can be expected. Patients can resume their work after 5-7 days of surgery. They are advised to avoid any strenuous activity (eg. Gym) and overexertion during this time.
The final result of Rhinoplasty is seen at 1 year from the date of surgery.