Nose Reshaping Surgery – Rhinoplasty
In very simple terms, rhinoplasty or nose job is the surgery by which the shape of the nose can be changed. The surgery could be conducted for cosmetic or medical purposes, such as better breathing. The procedure can be used to improve the bone, the cartilage, the skin or the nose, or even all three of them. The rhinoplasty surgery cost in India depends on many factors – extent of the job, technique used, kind of problem like saddle nose or crooked nose, the surgeon and location.
Though the costs are very affordable specially at our clinic in Delhi and Ludhiana – the broad range is around INR 75000 or USD 1300 for moderate work. Rhinoplasty Surgery can achieve the following changes:
- Nose width or position of nostrils
- Size in proportion to the face
- Significantly improving crooked or saddle nose
- Any asymmetry of the nose
- Any visible humps or depressions of the nose
Why Rhinoplasty?
A rhinoplasty or a nose is a cosmetic plastic surgery procedure to reshape or resize your nose. Are you a candidate? want to be the one? find few reasons why you should go for it.
Resized
You had Rhinoplasty before and not satisfied with the result and want it resized
Reconstructed
An injury has distorted your nose and you want to get it reconstructed
Corrected
You have breathing issue and was it corrected
Resized or Reshaped
An injury has distorted your nose and you want to get it resized or reshaped
Types Of Rhinoplasty
A small incision is made on the columella, which is the exterior part of the septum. This incision is made in addition to the normal incisions that would be made for such a procedure.
Non-surgical rhinoplasty is yet another medical procedure, in which fillers are used, which can be injected into the nose. These fillers can either change or simply shape the nose, without any incisions or sutures. If there are any depressed areas of the nose, these fillers are injected to create a rise. This means that this procedure can be used only to increase the size of the nose, but not reduce it. At times, the procedure is used to ease out breathing difficulties.
The entire procedure is performed inside the nose and there are no cuts or incisions on the columella.It is the mainly the columellar incision that differentiates the open and closed versions of the rhinoplasty, however, there are a few other differences in the closed version, such as:
- Lesser incisions, which means lesser sutures
- More possibilities for technical variations
- Lesser edema post-surgery
- Lesser chances of causing unwanted damage to the nasal area
- Lesser time in the operating room and faster recovery
- Lesser scarring
- Primary: The very first time a rhinoplasty is conducted for either better functioning, reconstruction or correction.
- Secondary: When a second rhinoplasty has to be conducted, because the primary surgery did not have the desired results. This is also known as revision rhinoplasty. Normally, secondary rhinoplasty procedures are much more complicated, because for the first one, the actual structure of the nose would have been altered. So, in order to have the desired results, the surgeon will have to recreate the support systems from scratch. The cartilage for the grafts might have to be harvested from the rib cage or the ears.
- Nasal Reconstruction: As the name suggests, this type of surgery is about reconstructing what might have gotten damaged. The damage could include displaced or broken bones in the nose, displaced cartilage, collapsed nasal bridges, defects that have been present since birth, autoimmune disorders, trauma or accident as well as failure in the primary surgery.
Before, During & After The Rhinoplasty Surgery
Before
Before your surgeon can get you started on your procedure, you will be asked several questions about your health in general. Your medical history will be looked into, in detail, and if you have or have had any serious medical condition, you will need to mention the same.
You will have to undergo a thorough medical examination to ensure that you are physically fit for the procedure. These tests will include blood tests, heart functions and sugar levels. You blood will be checked and your medications will also have to be monitored.
If you are a smoker, you will be asked to refrain from doing so, a few weeks prior to the surgery. You might also be asked to avoid medications such as aspirin, as these could lead to increased bleeding.
During
- Anaesthesia – The patient will be administered either general anaesthesia or sedation to ensure complete comfort during the procedure.
- Incision – Irrespective of whether the surgeon is performing an open or closed rhinoplasty, there will be incisions. The only difference is where the incisions will be placed. Once the incisions have been made, the surgeon will be able to raise the nasal bones and cartilage.
- Reshaping – If the nose is too large, some of the bone or cartilage will be removed. Alternately, if the nose is too small, grafts will have to be taken from other parts of the body. Grafts can be taken from the septum, rib cage or ears.
- Correcting a deviated septum – If it is the septum that has suffered damage, then the same is straightened out.
- Closing the incision – Inside or outside, the incisions are then closed up. The nose will have been sculpted to the desired shape, and the skin will be pulled up before closure.
After
Most surgeons will place a splint or some sort of bandaging inside your nose, immediately after the surgery, to ensure that the repaired portion has sufficient support. These supports will be left inside till the time the healing is complete. Although the initial swelling will reduce in a matter of days, the actual reshaping will take time to settle in. Over a period of time, the shaping will start to become more obvious.
There are specific things that need to be kept in mind while recovering from rhinoplasty and these include:
- You will be told how to clean and care for the site, immediately after surgery
- You will need to make sure that you take all your medications on time, including the oral and topical ones
- Your doctor will advise you on how to keep a look out for potential infection or trouble
- You will also be advised about when to meet the doctor for regular follow-ups
- It is just as important that you ask your doctor about how and when you can return to your normal routines, including exercise
Possible Risks
As is the case with any surgery, there are a few risks with rhinoplasty too, and some of them include:
Bleeding and recurring nosebleeds
Infection or allergy to medical material used including anaesthesia
Pain or swelling that does not go down
Loss of sensation in or around the nose
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AK Clinics, Delhi
M, 20, Hansraj Gupta Rd, near M Block Market, Greater Kailash-1, M Block, New Delhi, Delhi 110048
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Questions Asked By The Patients
Will I Have A Perfect Nose, Post-Surgery?
What Happens If I Am Not Happy With The Rhinoplasty?
Could I Have Trouble Breathing?
Will I Need To Reveal My Medical History To My Surgeon?
When Will I Be Able To Return To A Normal Routine?
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