Nose job (Rhinoplasty)

Nose job (Rhinoplasty)
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Overview

Rhinoplasty also called a ‘nose job’ corrects the proportions of the nose and can thus improve the facial symmetry and looks. It can also be used to correct breathing problems such as due to a deviated nasal septum.

It can correct size of the nose (to create facial balance), nose width, any humps or depressions on the bridge of the nose. It can also correct nose tip if it is droopy, bulbous or hooked and large nostrils. 

Who is a good candidate for surgery?

Rhinoplasty is an individual outcome –remember you cannot compare and actors nose to yours!

An ideal candidate is and adult (ie facial growth is complete), physically healthy, with positive outlook and realistic goals in your mind for the surgical outcomes

How to prepare for the surgery

Dr Aditya shall discuss your past medical history in detail to determine your candidacy for the procedure. The procedure shall be explained to you in detail.

Doctor shall discuss the following:

  • Rhinoplasty surgery options.
  • Course of treatment.
  • Likely outcomes and the potential risks involved.
  • Take pictures of the nose in various angles.

Before Surgery:

  • Evaluation of general health status.
  • Medical examination including tests.
  • Physical examination:
  • Avoid anti-inflammatory drugs such as Ibuprofen, Aspirin that may interfere with the healing process.
  • Stop smoking and alcohol at least 4 weeks before the surgery.

After Surgery:

  • Arrange for help to be driven home from the hospital.
  • Plan to stay home and limit activities for a few days after surgery.

How is the Surgery done?

Anesthesia:

  • The procedure is usually done under local anesthesia, but may require general anesthesia in some cases.

Steps of the Procedure:

Dr Aditya performs a Rhinoplasty usually with a closed procedure where the incisions /cuts are made and hidden inside the nose. Rarely may he use an open procedure where cut is made across the columella of the nose .Through these cuts he will operate on the bone, cartilage or skin as is appropriate for your repair. The cuts are then closed within skin creases to minimize them being seen. Splint and gauze packs may be used for a few hours-days post operatively to support the healing and repair

Time to Operate:

  • This depends on the surgeon and individual candidate. However, the average time taken to operate is about 1-2 hours.

Possible Complications and Risks:

Anesthesia risks

Some temporary skin discoloration swelling, difficulty in breathing

Change in skin sensation (numbness)

Poor wound healing infection or scarring are rare

Care after the Procedure

In the recovery period you may need to wear a splint or packing may be placed inside the nose to support healing. Swelling will decrease in the next few days and within weeks you will notice the changes .It may take from a few months to almost a year for the final contours to be visible

 

Dr. Aditya Aggarwal is a renowned Senior Aesthetic Surgeon who has trained at premier national and international institutions. He is the President of the Indian Association of Aesthetic Plastic Surgeons (2023-24).