Rhinoplasty, is also known as plastic surgery of the nose or a ‘nose
job’. This surgery is intended at making changes in the bony and
cartilaginous framework of ones nose to change its appearance in consideration
with the rest of the facial structures. Achieving overall balanced and
symmetric facial features is the goal of this operation.
Who are good candidates for rhinoplasty?
If you are 18 or above, are in good health, and are mentally and emotionally
stable, with a dislike for your nose, have realistic expectations from
the surgery, you are a good candidate for rhinoplasty or nose reshaping
surgery or nose job.
Also is you have either of these problems:
Deviated septum and nostril collapse are the main reasons for difficulty
Snoring is mainly caused by deviated septum. It can be congenital or due
People often complain that they have a nose bridge that is either too big
or too small or, broad or narrow nostril or, short philtrum etc. These
can be re-contoured with a rhinoplasty.
The size of the nose is another complaint most people have to make. A proportionate
nose can make a great difference for a beautiful face which can be achieved
It is a proven fact that facial symmetry is one of the surest signs of
a perfect beauty in all cultures. Since nose occupies the centre of the
face there can be substantial disruption in overall symmetry with a crocked
or off-centre nose.
Types of Rhinoplasty:
The commonest type of rhinoplasty to reduce the size of the nose in correlation
to rest of the facial features by correcting the bridge, tip and nostrils.
Serious conditions like skin cancer, accidents or other serious diseases
can lead to severe deformity and loss of nasal tissue structure. The nose
is reconstructed with grafts and other advanced technology. This kind
of reconstruction can take more than one surgery, and an extremely skilled surgeon.
Bone or tissue grafts are used to build the tip and/or bridge. Graft can
also be cartilage from nasal septum. Both with augmentation and reduction
rhinoplasty 2D and 3D models are created for perfect results.
Injury can cause serious functional and aesthetic damage. This can be dealt
with by correcting the nasal septum which is often broken in trauma cases
of nose. This can be done within 10 to 15 days of injury but occasionally
takes months to get the surgery done if trauma is extensive.
It follows same method as others but done for African American, Caribbean,
Hispanic, Asian and Middle Eastern as they have softer nasal contours
and need extra care to conserve these unique features.
Rhinoplasty is usually not done till the growth phase is finished. However
in exceptional cases of breathing difficulties or trauma it can be done
Ageing can cause constriction and drooping of nasal tissues. These problems
can be alleviated by rhinoplasty.
Outcome of Rhinoplasty:
A rhinoplasty surgery done by skilled surgeons will improve the overall
appearance of a person’s face.
The shape,size,symmetry and other imperfections are smoothened out
Breathing ability is improved and certain birth defects are corrected
The quality of life of the person gets better leading to a fulfilling life
with feelings of anxiety disappearing which were there because of poor
shape of the nose.
Rhinoplasty has 2 primary techniques:
Closed Rhinoplasty: In this all incisions are hidden inside the nose. So the scars cannot
be seen and functional or cosmetic purpose is achieved.
Open Rhinoplasty: Here the skin is lifted off the tip to the cartilage between nostrils
and the cartilage of the nose is re-contoured precisely. There is a very
minor scar below the nose. So the access and precision is better with
Advanced Techniques such as:
Bone alterations with high power tools
Use of patient’s own blood as adhesive to seal the incisions
These have further improved the rhinoplasty techniques.
The surgery is done under general anaesthesia and starts with incisions
on the inside of nostrils to lift a flap and gain access to underlying
bone and cartilage. The required addition by grafts or reductions by removing
tissues gives the desired result. The flap is then closed and sutured.
Recovery from Rhinoplasty:
Nasal packing (if used), stays in the nostrils for one to seven days. The
outside stitches, if any, are taken off with the next five to seven days.
The inner stitches are however dissolve by themselves. To reduce swelling
and to keep the nasal bones in place, the nasal splint is kept in place
for seven days. Light activity like returning to work or school can be
resumed in the next ten days. It takes about 6 – 8 weeks to resume
When will you see the results?
You can expect great results if you have realistic expectations from Rhinoplasty.
Final results of nose reshaping cosmetic surgery may not be apparent until
6 months to a year after the surgery.