Special characteristics of Nose

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 beautiful 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 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.

Rhinoplasty

Before The Surgery

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.

Surgery

Rhinoplasty surgery is carried out under general anesthesia. You will be asleep throughout the procedure. All the surgical incisions are placed inside the nose so that they are never visible on the outside.

After the Surgery

A small dressing covering the nose may be required for a period of 1 -2 weeks. 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.