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Home > Aesthetic Surgery > Nose Shaping (Rhinoplasty)

Rhinoplasty Overview

Apart from the aging changes, the nose may be inflicted with problems of asymmetry and disharmony. Unlike the soft tissue of face the nose has a relatively greater amount of non moving structures which are firm and retain shape sternly. The nose is a different player altogether.

The nose, as we see it on the face, is made partly of bone and partly of cartilage. Above it, the skin is tightly applied. This skin drape also varies in its thickness and quality from one part of the nose to the other. Unlike a block of clay we can not shape a nose according to our whims and wishes. A small change in a particular region can cause a much larger effect at some other part of the nose. A lot of fine adjustments can be done to enhance the over all look, but of-course there are limitations.

Without going into any technical details lets discuss some of the common afflictions of the nose and their possible solutions.

Depressed nose

A partially or fully depressed nose which does not rise high enough or starts very low below the medial canthus ( inside corner of the eye ) can be conveniently treated with nasal implant augmentation surgery (Augmentation Rhinoplasty) or cartilage graft augmentation Rhinoplasty.

Crooked nose

Also called as broken nose, as in the figure, looks asymmetrical. It can be corrected with Rhinoplasty but there is a catch. What we see above on the face might just be the tip of the iceberg. It may represent a distortion of the internal anatomy as well. We very well know that the role of the nose is not only to sit on the face and make it look proud but to assist in respiration as well. If such is the case then a Septo-rhinoplasty surgery may be required along with an E.N.T. surgeon to correct the internal distortion.

Broad Nose

Nose may be 'broad' because of a lot of factors. The bones in the upper part of the nose may be far apart or the middle bridge region is broad or the tip of the nose may be big and bulbous. different problems have a different method of correction and depend completely on the individual.

Hump Nose

A very common deformity is the 'hump nose' in which the bridge of the nose is raised like a mountain.

Have a look at the various diagrams showing hump, crooked nose, depressed tip, small nose, broad nose. These are some examples of problems which can be corrected by various types of Rhinoplasty surgeries.

What are the benefits of Rhinoplasty surgery ?

  • Rhinoplasty surgery corrects the shape of the nose to make the face look prettier and boost confidence.
  • It is done to correct broken nose after trauma.
  • Rhinoplasty is done not only for aesthetic makeover of the face. it is a functional surgery as well. Rhinoplasty corrects the internal anatomy to help with breathing problems, snoring, treatment of sinusitis etc.
  • Anatomical correction helps sleep better.

Who are the best candidates for Rhinoplasty surgery ?

All individuals with asymetrical nose are candidates for rhinoplasty surgery. There is no age limit. It is preferable the patient be in good physical health with out any preexisting eye problems like dry eyes or infections and most importantly must have realistic expectation.

How is the Rhinoplasty surgery performed ?

A complete evaluation is required before the surgery which may also require an appointment with an "ENT Surgeon". The surgeon will discuss all the pros and cons of the procedure and enumerate any limitations.

You are asked to come to the surgical suit at least 2 hours before the time slot alloted for surgery. It essential to come empty stomach. Please carefully read and follow all the pre-operative instructions given to you at the time of appointment.

You will be given time immediately before the surgery to discuss any last minute doubts with the surgeon. Once you are ready, you will be taken to the operation theater. You will remain unconscious through out the surgery

Rhinoplasty surgery is carried out under general anesthesia. You will be unconscious throughout the procedure. All the surgical incisions are placed inside the nose so that they are not visible after the surgery.

There may be some discomfort in the first 48 hours after surgery. Any pain is treated with pain medications. A small dressing is placed over the nose for a week and Nasal  packs are placed inside the nose for 24 hours. You may go back home on the same day or stay back a day for observation.

Nose Shapes

When will I see the results ?

A small dressing covering the nose may be required for a period of 1 -2 weeks. You may appreciate the result immediately after removal of dressing. It takes 6 months for complete tissue remodeling and appearance of final results.

What are the risks and safety considerations ?

Like all surgical procedures there are risks related to the surgery, anesthesia and sutures. Please read the Rhinoplasty Informed Consent document thoroughly and completely to understand the risks involved.

What are the After-Surgery instructions and precautions ?

A small dressing is placed over the nose for a week and nasal packs are placed inside the nose for 24 hours. You will be required to visit the clinic for nasal pack removal the next day. Only a few precautions are required afterwards. Initially there is swelling in the nose, most of the swelling disappears by 3 weeks but it takes around 2 months for the entire swelling to subside and the final result is appreciable only then.

Please read and follow the post-procedure instructions carefully and completely.