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Also known as a Nose Job, a Rhinoplasty is the medical term for reshaping of the nose or corrective surgery of the nose. It is one of the most common facial plastic surgeries (Face lift) procedures performed. Nose surgery can be performed to change the consequence of genetics, birth defect or nasal injury. It can be performed to enhance appearance and/or to improve nasal breathing.
Surgery can be performed to correct nasal humps, curvature of nose-bridge, nose tip irregularities and asymmetry in the nostrils. The nasal appearance can be altered in various ways using intra-nasal chisels. Nose surgery procedures generally fall under three types: open rhinoplasty, closed rhinoplasty and tip rhinoplasty. A rhinoplasty is normally performed under general anesthesia and will not leave any visible scars on the nose.
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The patient is made to lay in a supine position. Local or general anesthesia is given so that he may not suffer from pain during the procedure. After that, incisions are given depending upon the type of surgery. In case of opened surgery, your columella, which is the outer, fleshy end of the nasal septum is given a cut. While other incisions are given inside the nose. While for closed Rhinoplasty, all the incisions are given endonasally except for the columellar incision specific for an open nose job. The surgeon reshapes your nose by cutting bone and cartilage. In case, your nose needs to be augmented, additional cartilage is taken from the patient’s own nasal septum or ear if small changes are intended. For larger changes, your ribs are the source of cartilage. After this, the surgeon places the skin back at its place and the incision is stitched. Nasal splints are placed inside your nose and it is bandaged.
Closed surgery leaves no scar at all as no incision is given outside the nose. While open Rhinoplasty has this advantage that everything becomes clearly visible during the surgery. Its scar also fades away after some time.
This is an outpatient procedure needing 1.5 to 3 hours in the operation theatre. After being moved to a recovery room, your health condition is monitored, if everything is fine you are discharged on the same day. Sometimes, an overnight stay is advised. You are given painkillers to avoid post-surgery pain. You should stay in London for at least 10-14 days after the surgery for regular check-ups. In case you went through an open Rhinoplasty, your stitches need to be removed after some days. You can leave for your home when your doctor asks you to do so.
This is a variable entity depending upon the type of surgery. Closed surgery needs less recovery time while for open surgery, the pace of recovery is slow. You are to wear a nasal splint for one week after the surgery. There is swelling around your eyes which would subside in 3 to 14 days. However, nasal swelling can take even 6 months to go away. But this is visible to only you and your physician. Avoid strenuous activity in the first 3 to 6 weeks. You can return to your routine activities 2 to 3 weeks after the nose job. There would be no sign of surgery and stitches in a small period of time.
Rhinoplasty is widely regarded as one of the most complicated cosmetic surgeries. A nose job has a high success rate, reported to be between 85% to 90%. Only 10 to 15% of the surgeries need revision. The success rate can be even higher if the procedure is performed by the certified plastic surgeon. For a failed primary Rhinoplasty, secondary surgery is performed for which cartilage is taken from your costal cartilage. The nose is reshaped and the incision is stitched. Healing process continues for a while. This revision surgery is almost always successful.
Following are the points that should be kept in mind for taking care of yourself after surgery:
Some people cannot go for surgery due to various reasons. Another method is used to give them a perfect nose, for example, fillers such as Botox, Juvederm, Restylane, etc. can be injected into the skin of your nose to change its shape. Location is decided according to the changes that are to be made. It is a very short procedure requiring a very short visit to your doctor. It takes only 15 minutes to go through. People go for this method as it is not painful, no incision and stitches are involved.
Before Rhinoplasty, you might not be satisfied by the shape or size of your nose. You might have respiratory problems and deviated nasal septum. Your nose might look bigger or smaller in proportion to your face. A Rhinoplasty is performed to resolve all of these problems. It reshapes your nose according to your will. The size of your nose can either be decreased or it can be augmented. The deviated nasal septum is corrected and respiratory issues are solved.
Patient reviews: The vast majority of patients are extremely happy with not only the results of the procedure but with the entire process leading up to and following the surgery.
For an in-depth analysis of the closed rhinoplasty procedure with before and after images, watch this short video.
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