A Rhinoplasty, is also known as 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.
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.
If you are younger than 18 you must have parental consent.
Also if you have either
of these problems:
Breathing DifficultiesDeviated septum and nostril collapse are the main reasons for difficulty in breathing.
SnoringSnoring is mainly caused by deviated septum. It can be congenital or due to trauma.
Shape ChangePeople 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.
Size ChangeThe 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 with rhinoplasty.
Gaining SymmetryIt is a proven fact that facial symmetry is one of the surest signs of a perfect beauty in all cultures. Since nose occupies the center of the face there can be a substantial disruption in overall symmetry with a crooked or off-center nose.
Types of Rhinoplasty Plasic Surgery
Reduction RhinoplastyThe 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.
Reconstructive RhinoplastySerious 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.
Augmentation RhinoplastyBone or tissue grafts are used to build the tip and/or bridge. A graft can also be cartilage from the nasal septum. Both with augmentation and reduction rhinoplasty 2D and 3D models are created for perfect results.
Aging can cause constriction and drooping of nasal tissues. These problems can be alleviated by rhinoplasty.
Post-traumatic RhinoplastyInjury 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.
Ethnic RhinoplastyIt 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.
Adolescent RhinoplastyRhinoplasty is usually not done till the growth phase is finished. However in exceptional cases of breathing difficulties or trauma it can be done in teenagers.
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 two primary techniques:
In this all incisions are hidden inside the nose. So the scars cannot be seen and functional or cosmetic purpose is achieved.
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 are better with this method.
The surgery is done under general anesthesia 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.
These have further improved the rhinoplasty techniques.
Bone alterations with high power tools
Use of patient’s own blood as adhesive to seal the incisions
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 dissolved 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 rigorous activities.
WHEN WILL I see the results?
You can expect great results if you have realistic expectations from Rhinoplasty. Final results of nose reshaping cosmetic plastic surgery may not be apparent until 6 months to a year after the surgery.
*Individual results are not guaranteed and may vary from person to person