Rhinoplasty treatment Overview: Treatment, Ideal candidates, Benefits, Types, Cost, Complications, and Aftercare

Many people often notice that their nose is not in proportion with their face, either it is too large or too wide or misshapen. Rhinoplasty or nose job is a popular face cosmetic surgery that helps to change the structure of the nose by modifying the skin, bone, and cartilage.

This surgery corrects and reshapes the shape, size, and symmetry of a nose.  It improves the nose function by rectifying breathing defects or problems caused by trauma, birth defects, or injury.

The nose occupies the central part of the face and is the most prominent component in the face. Hence, it has an overbearing influence on the balance and beauty of a face. A nose that is out of proportion can seriously affect facial beauty.

‘The art and science of altering the appearance of the nose to enhance facial aesthetics are called rhinoplasty. The surface appearance of the nose is the result of certain lines, proportions, and ‘light play’ (shadows & reflections resulting due to incident light). This appearance is linked to underlying anatomic structures i.e., the bone and cartilages that form the framework of the nose. Altering this framework changes the surface appearance of the nose.

What happens during a Rhinoplasty surgery consultation?

Planning a rhinoplasty starts with a detailed assessment of surface aesthetics and functional assessment of the nose. The surgeon, during the initial consultation, examines your medical history and current medications. Based on the physical tests, looking closely at the skin both inside and outside the nose, the surgeon decides the changes to be made. An effort is made to understand the aesthetic goals of the patient. Then blood and other medical imaging tests are performed to determine one’s candidacy for the surgery. Finally, aesthetic goals are set, and changes to be made during rhinoplasty are listed. The patient is generally assessed clinically and by laboratory investigations for fitness for surgery.

Many times, the surgeon also recommends chin augmentation with surgery to get a better overall face profile. Before the surgery, the patient must stop the consumption of certain blood-thinning medications and supplements. One should stop smoking before the surgery as smoking slows down the recovery process. Quitting smoking before and after surgery helps the healing process.

Ideal candidates for Rhinoplasty surgery

  • People who face difficulty inhaling and exhaling through the nose.
  • People who want to change the size and shape of the nose.
  • People who want to improve the overall symmetry as well as the proportion of their nose.
  • People who have realistic expectations from the treatment.
  • Must be above 18 years of age (but in case of injury or trauma, the surgery can be performed for younger patients also).
  • Want to correct the deviated septum.
  • Looking for secondary rhinoplasty (not satisfied with previous rhinoplasty results).
  • People who want to correct a congenital disability or correct breathing problems or repair their nose after an injury.
  • People who are unhappy with their nose appearance.

Benefits of Rhinoplasty surgery

  • Enhances the appearance, balance, and harmony of the face.
  • Corrects problems associated with a deviated septum.
  • Corrects nasal tip and reduces the bridge.
  • Provides nostrils with a new shape.
  • Provides improved breathing as it corrects deviated septum.
  • Makes the nose look straighter.
  • Helps remove the bump from the bridge of the nose.
  • Corrects sinus problems by correcting nasal septum. 
  • Provides improved and better quality sleep.
  • Corrects snoring problems.

Defects that can be corrected with Rhinoplasty surgery

A large majority of the procedures are performed under general anesthesia, i.e., the patient is unconscious and unaware of the procedure being done. Once the anesthetic is administered, the surgeon starts by exposing the nasal framework and making the required changes.

Each patient presents with a different set of complaints, requiring different manipulations of their nasal framework. For example:

Dorsal Hump- Treated by bony reduction and component reduction of the upper lateral cartilages. It may also require lateral osteotomies that help to refine the nasal bony pyramid.

Saddle Nose- The dorsum of the nose is shallow and concave. These patients have a depressed bony vault and cartilaginous vault along with a deficient septum. They may or may not be suffering from airway obstruction. Such a problem can occur by birth (Binder syndrome) or may be acquired due to injury, septal surgeries, etc. Corrections of these deformities involve reconstructing the septum with cartilage grafts and augmentation of the dorsum with cartilage grafts. These grafts are sourced from the patient's ear (conchal cartilage) or the ribs (costal cartilage grafts). These cartilages are surgically shaped to suit the requirements and are secured in place.

Crooked Nose- These noses are deviated or curved and present visible asymmetries. This problem may be congenital or acquired due to injuries.

Underlying structural deformities like- Curved or ‘s’ shaped septum, asymmetrical attachments of cartilages, asymmetrical sizes, and strength of lower lateral cartilages are usually found. The treatment is aimed at the correction of deformities and restoration of symmetry.

Broad Nose & Bulbous tip- This is a common feature of Indian noses. The problems seen are overtly thick skin at the tip resulting in the amorphous tip, broad and bulky lower lateral cartilages, poorly supported tip, broad bony vault, etc. The corrections are aimed at narrowing the nose and giving a more defined tip. The changes include debulking the nasal skin, trimming of lower lateral cartilages, columellar support, tip grafts, lateral osteotomies, etc.

Other encountered defects in the nose include the short and overly rotated nose, drooping nasal tip, retracted alae, retracted columella, etc. These deformities are suitably dealt with during rhinoplasty. Besides aesthetic concerns, rhinoplasty on occasion deals with airway issues resulting from narrow internal or external valves of the nose, deviated septum, etc.

Septoplasty is a common component of a rhinoplasty, especially when dealing with crooked or deviated noses. This can benefit a patient suffering from concomitant airway obstruction.

Patients suffering from saddle nose and airway obstruction benefit from reconstructing the septum that is done as a part of their rhinoplasty.

Patients suffering from a collapse of internal value benefit from spreader grafts.

Types of Rhinoplasty surgery

Rhinoplasty can be performed through an external approach (open tip) or an endonasal approach (closed tip). There are also numerous incisions such as Inter cartilaginous, Trans cartilaginous, Trans columellar, etc. Each of these has been designed as an approach to a particular area of the nasal anatomy. These incisions may be used by the surgeon in combination or alone to achieve the optimum results. The incisions for rhinoplasty do not leave conspicuous scars.

Revision Rhinoplasty- Sometimes, optimum results may not be achieved by the rhinoplasty surgery, and the patient may express a desire to undergo a second procedure to make the corrections. This is technically feasible, but it is advisable to observe certain precautions. The most important is to give an adequate time of recovery i.e., a year at least from the time of the first surgery. It should also be noted that every surgery results in fibrosis in the tissue planes, making the second procedure technically challenging.

Right Age for Rhinoplasty Surgery

The preferred minimum age is at about 18 years or whenever the growth of the midface is complete. It is not advisable to perform aesthetic rhinoplasty at a growing age or while the facial proportions are continuously changing. Moreover, the patient's mental maturity should be considered and assessed for their ability to make proper decisions. The results of Rhinoplasty are observable as soon as the dressings are removed. However, patients are advised to wait for the final results to be apparent in about 9 months to 1 year's time. This is because different anatomical regions of the nose take different amounts of time to settle down from the effects of surgery.

For example–

  • The swelling in an osteotomy plane takes about 3-4 weeks to completely subside.
  • The tip takes about 9 months to completely settle down after an open tip rhinoplasty.
  • Once settled, the results may remain for a long time but are subject to the natural process of aging, similar to a nose that has not been operated upon.

Cost of Rhinoplasty Surgery in Hyderabad

Inform Clinics provide individualized treatment, as every individual’s expectations are different. Therefore, rhinoplasty treatment cost in Hyderabad varies for each case. 

The cost of rhinoplasty surgery depends on the following factors:

  • Qualification and expertise of the surgeon.
  • The changes required by the patient.
  • Type of procedure that the patient has requested.
  • The complexity of the procedure.
  • Anesthetist’s fees.
  • Medical tests.
  • Operation Theatre charges.
  • Target areas.
  • Cost of medicines.
  • Location of the clinic.

Dr. Dushyanth Kalva, an expert plastic, and cosmetic surgeon performs the best rhinoplasty surgery in Hyderabad at Inform Clinics and helps women and men achieve the desired results. The anatomy of the nose is very complicated, and Dr. Dushyanth Kalva has deep knowledge of the facial anatomy and plans the rhinoplasty surgery according to the structure of the nose and according to the patient’s outcome desires.

Limitations and risk associated with Rhinoplasty surgery

Every surgery is associated with some type of risk or complications. Some risk associated with the treatment include 

  • Infection
  • Bleeding
  • Scarring
  • Numb nose
  • Allergic reactions
  • Change in skin sensation
  • Damage to the underlying muscles 
  • Unsatisfactory nasal appearance
  • Difficulty breathing
  •  Adverse reaction to anesthesia

Hence, one must always undergo the treatment from an expert surgeon so that there is minimal risk of getting any complications from the surgery.

 Aftercare Rhinoplasty Surgery

  • Try to sneeze through your mouth and do not blow your nose for the first 2 to 3 weeks after surgery.
  • Protect your nose from hitting or any type of trauma.
  • Sleep straight and keep the head elevated with the help of pillows for a week after surgery.
  • Do not put pressure on the nasal splint.
  • Do not wear spectacles for a few weeks after surgery.
  • Wear comfortable and loose clothing that opens in the front.
  • During the first few weeks of surgery, avoid activities that can raise blood pressure.
  • After 5-6 weeks, one can start the cardiovascular activities and brisk walking.
  • Avoid heavy lifting, contact sports, and jogging for up to 5-6 weeks.
  • Do not subject excessive force or abrasion at the incision site.
  • Do not scratch the treated area.
  • Take oral medication as prescribed.
  •  Do not perform vigorous tooth brushing.

To avail, the benefits of rhinoplasty or nose job or septoplasty surgery in Hyderabad, consult today with an expert Dr. Dushyanth Kalva, at Inform Clinics.

Know more about these services from an expert!

Real Results

Rhinoplasty Before and After PhotosRhinoplasty Before and After PhotosRhinoplasty

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