Rhinoplasty Surgery in India

Introduction:-

Rhinoplasty surgery or nose job or nasal reshaping surgery or Nose Correction Surgery is the reconstructive plastic surgery done for nasal refinement or nose reshaping. Many nasal problems caused due to trauma, diseases or genetics can be corrected by Rhinoplasty. Rhinoplasty can make the nose more aesthetically correct and harmonious with other facial features. Rhinoplasty is cosmetic or reconstructive surgery of the nose. It is also known as nasal refinement and is often called a nose job. A rhinoplasty can correct many problems of the nose stemming from genetics, trauma, or disease and can fix many aesthetic problems as well. A nasal hump may be removed to give a more pleasing, symmetrical look. The cartilages of the nose can be molded and trimmed to create a more compact or pleasing shape. Rhinoplasty can refine the nose and bring balance and harmony to the face. Rhinoplasty, can be combined with nose straightening (straightening the nasal septum, post a broken nose due to trauma or a bone abnormality from birth) and is called septorhinoplasty.

Rhinoplasty is one of the most popular cosmetic procedures and can change one’s personality and can greatly boost up one’s confidence and performance. However, it should be avoided before the nose or face has developed fully and completely (around the age of 13 to 15 years). The rhinoplasty procedure is most commonly performed to carry out dorsal hump removal from the nose, to bring about crooked nose treatment or to undertake complex nose reconstruction in the case of severe facial trauma.

  1. Dorsal hump removal – If you perceive that you have an extended dorsal hump, or a bump on the bridge of your nose that you would like to correct, dorsal hump removal is the right procedure for you. The dorsal hump removal may necessitate removal of extra cartilage or extra bone from your nasal bridge. Dorsal hump removal is a specialised procedure which should be carried out by a skilled surgeon.
  2. Crooked nose treatment – Crooked nose treatment may often be essential, and not only elective since a crooked nose can also cause breathing problems. Crooked nose treatment requires the surgeon to elucidate the cause of the crookedness, and systematically correct the nasal structures involved in causing the lack of shape or symmetry.
  3. Complex nose reconstruction – Complex nose reconstruction involves replacement of nasal tissues such as skin or cartilage with other substitute tissues such as grafts or skin flaps. Complex nose reconstruction is a challenging procedure for cosmetic surgeons and must be carried out only by a skilled plastic surgeon.

Cosmetic Rhinoplasty can be performed in India at reasonable costs, approximately 1/10th that of the costs (prices) of rhinoplasty in the Western World (USA, UKSingapore, etc).

Alternative nomenclature:-

  • Reconstructive Nose Procedures
  • Cosmetic Nose Surgery
  • Nose Job

Types:-

The type of the Rhinoplasty has to do with the type of the nose. Different parts of the nose demand different treatment.

  • Tip Rhinoplasty– This intervention leaves the total of the nose intact and changes only the cartilage that is seated in the tip of the nose.
  • Bridge Rhinoplasty– This procedure alters the size and shape of the central bone of the nose (removes the dorsal nasal hump) that is called the bridge. It has a very visible effect and is used to help people with breathing as well as cosmetic problems.
  • Hump Rhinoplasty– This is the rhinoplasty procedure utilised to carry out dorsal hump removal. It changes the bony-cartilaginous part of the nose that is extended between the tip and the forehead breaking it and reshapes it to the patient’s desires.
  • Cartilage/Nostrils Rhinoplasty– Complex nose reconstruction may need more reshaping than a simple reshaping of the bride or the tip of the nose. In cases of major nose jobs the cartilage/nostrils may also need alteration so as to fit the new nose.
  • Angle Rhinoplasty– This is the type of rhinoplasty technique that is employed in crooked nose treatment. In case your nose is not symmetrical a number of techniques may be used so as to straighten it up without changing anything else.

Why Rhinoplasty is done?

Rhinoplasty can be done for the following Cosmetic Purposes

  • To correct the deformities due of the nose due to heredity, accident, birth defects or aging
  • To increase or reduce the size of the nose
  • To narrow the opening of the nostrils
  • To change the angulation between the upper lip and the nose
  • To reshape the tip of the nose and/or nasal bridge
  • To elevate a depressed nose by adding cartilage, bone silicone implant
  • To carry out crooked nose treatment
  • To bring about dorsal hump removal
  • To undertake complex nose reconstruction

Medical Purposes

  • Breathing problems

Investigations:-

Pre-operative analysis of Photographs of the patient helps the surgeon to know patient facial anatomy and to device a surgical plan.

  • Complete blood count
  • Hormonal Profile
  • X Ray of paranasal sinuses

Treatment Options:-

Open or closed nose procedure

Things to avoid before Rhinoplasty

  • Stop smoking: Smoking can slow the process to healing, so it is advisable to stop smoking before Rhinoplasty.
  • Certain Medication: Certain medication should be put on hold like aspirin and ibuprofen. These can potentially increase bleeding.

Surgical care

  • Anaesthesia: Anaesthesia can be local or general for Rhinoplasty.
  • Operative Timing: It may take from 20 minutes to one and a half hour.
  • Observation: Overnight observation in the hospital is recommended
  • Procedure: Repair of the nose post trauma may require inserting slender instruments into each nostril to push back the bones to proper places in alignment. A small cut (incision) may be taken to see that the bones are arranged properly.
  • Open Technique: In this way the nasal bones are accessed by making incisions inside the nostril through the skin that separates the nostrils (columella)
  • Closed Technique: In this procedure the incision is taken inside the mucosal lining of the nostrils and the nasal bones are accessed.
  • Stiches: Dissolving stitches are taken to close the incisions.
  • Packing: Nasal packing is given

Complications of Treatment:-

  • Complications of medical management– High sensitivity to surgery related drugs and post surgery medications.
  • Complications of surgical care– Damage to the skin, scars at bottom of the nose, prolonged time of recovery, post surgical pain, difficulties in breathing.

Sometimes a second revision or secondary Rhinoplasty is needed to fix the deformities.

Precautions after Rhinoplasty:-

  • Avoid swimming
  • Avoid strenuous activities and contact sports wherein there can be possibility of you getting knocked off
  • Avoid blowing nose
  • Keep nose clean
  • Don’t put pressure on the nose for some weeks after surgery by resting your eyewear on the nose

Prognosis:-

  • The prognosis post rhinoplasty surgery is excellent if the procedure is done by a skilled surgeon.
  • Some swelling, pain and headache are common after the procedure.
  • Full recovery takes time as healing is a slow process.
  • Age and health condition of the patient affect the recovery period.

Video on Rhinoplasty: 

https://www.youtube.com/watch?v=W0RcsvllF78

https://www.youtube.com/watch?v=RTkG8ozICms

References:-

http://debrajshome.wordpress.com/2010/10/07/best-rhinoplasty-surgeon-in-india/

Should you get nose surgery in Mumbai? Here are reasons why you should.

Your nose may not be perfect, but the comforting fact is that most people are in the same boat as you. That is right. Even the top Bollywood and Hollywood actors may look gorgeous, but very few of them have perfect noses. The thing about noses is that they can make or break a face because they are very noticeable, considering they are right there on your face! Apart from the eyes, the nose is the first thing people notice about you and as such, if you feel you need to have a nose of a particular size or shape, then getting Rhinoplasty surgery in Mumbai India done by a top cosmetic surgeon like Dr. Debraj Shome at The Esthetic Clinics, can be a great idea. If you are wondering whether or not nose surgery in Mumbai by a cosmetic surgeon can be the right option for you, then here are reasons why surgery may just be.

  1. You want surgery in India done because of cosmetic reasons

More and more people are choosing a Rhinoplasty surgeon in India because they don’t find their noses attractive. Previously it was a surgery phenomenon that was common in the western world but today, getting Rhinoplasty surgery in Mumbai India by a cosmetic surgeon is not a big deal anymore. Make sure that you know that the right surgery is something that is going to complement your face and not deviate from it. Also, did you know that having a nose surgery in Mumbai India done by a surgeon can actually raise a person’s self-esteem and self-confidence? That’s right. So if you are feeling down and have found the right Rhinoplasty surgeon in India, then go ahead and get it done.

  1. You have been in an accident where your nose got damaged

Whether it is your exercise routine or a trekking incident that made you suffer from an accident which ruined the shape of your nose, getting a rhinoplasty surgery done in Mumbai can be a great reason. People with broken noses do not have to go through life with them. They can get it repaired with surgery in India that will make them look closer to what they looked before the accident happened. If you have been in an accident that has changed the shape of your nose, don’t wait till it takes away your self confidence and instead get nose surgery in India done.

  1. You need Rhinoplasty in Mumbai for medical reasons

You may be looking for Rhinoplasty surgeon in India for medical reasons. The rhinoplasty surgeon in Mumbai you choose should know exactly why you need to get the surgery done. For example, you may suffer from a deviated septum which means that you have trouble breathing through the nose. Choosing Rhinoplasty surgery in India really makes sense because then you will not only be able to breathe properly, you will also not snore if you did that before. A deviated septum that may make you go for nose surgery in Mumbai can be something you have been born with or it may have developed due to a trauma or accident. Whatever it is, you can very well get better sleep at night after the right rhinoplasty surgery in Mumbai.


About Dr. Debraj Shome

Debraj Shome-2
Debraj Shome, MD, DO, DNB, FRCS (Glasgow), FICO (USA), MNAMS, MBA (Healthcare Management, Vanderbilt University, USA), is Consultant Facial Plastic Surgeon, Oculoplastic Surgeon & Cosmetic Surgeon at Nova Specialty Surgery, Mumbai, India..Read more

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