Rhinoplasty Treatment

What is Rhinoplasty?

Rhinoplasty (nose job) is a plastic surgical procedure done for the purpose of correcting and reconstructing the nose. There are two types of plastic surgery used; one is reconstructive surgery that restores the form and functions of the nose and cosmetic surgery that improves the appearance of the nose. Reconstructive surgery aims to resolve the nasal injuries that are caused as a result of various traumas which includes blunt and penetrating trauma and trauma caused due to blast injury. Reconstructive surgery is helpful in treating breathing problems failed primary rhinoplasties and birth defects. Most patients ask for the removal of a bump, narrowing the nostril width, birth defects, changing the angle between the nose and the mouth, as well as for correcting injuries, or other problems that affect breathing, such as sinus condition or a deviated nasal septum.

Reasons for undergoing Rhinoplasty:

• Nose size link to the facial balance
• Nose width at the bridge or in the position and size of the nostrils
• The nasal tip that is enlarged or bulbous, drooping, upturned or hooked
• Nostrils that are large, wide or upturned
• Nasal asymmetry

If the patients desire a more symmetrical nose, they must keep in mind that everyone's face is asymmetric to some extent. Results may not be perfectly symmetric, although the aim is to create correct proportion and facial balance.

The procedure of the Rhinoplasty:

During the surgery

Rhinoplasty needs local anesthesia with sedation or general anesthesia, depending on how complex the surgery is and what the surgeon prefers. The patients must discuss with their doctor before surgery which type of anesthesia is most appropriate for them.

Local anesthesia with sedation: This type of anesthesia is generally required in an outpatient setting. It is restricted to a specific site of the body. The doctor injects a pain-numbing medication into the patient’s nasal tissues and sedates them with the help of medication, which is injected through an intravenous (IV) line. This makes the patients groggy but not fully asleep.

General anesthesia: The patients receive the anesthetic by inhaling it or with the help of a small tube (IV line) placed in a vein in the neck, chest, or hand. General anesthesia affects the entire body and causes the patients to become unconscious during surgery. General anesthesia needs a breathing tube. Rhinoplasty may be performed inside the patient’s nose or through a small external incision at the base of the nose, between the nostrils. The surgeon will likely to readjust the bone and cartilage underneath the patient’s skin. The surgeon can change the shape of the patient’s nasal bones or cartilage in various ways, it depends on how much it is required to be removed or to be added, the nose's structure, and availability of the materials. For the small alteration, the surgeon may require cartilage that may be taken from deep inside the nose or from the ear. For larger alteration, the surgeon can require cartilage from the patient’s rib, implants or bone from other parts of the body. After these alterations are being made, the surgeon places the nose's skin and tissue back on and stitches the cuts in the patient’s nose.

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After the surgery

After the surgery has been performed the patients need to rest in their bed with their head raised higher than their chest, for the purpose of reducing swelling and bleeding. The patient’s nose may be crowded due to swelling or from the splints placed inside the nose during the surgery. In most of the cases, the internal dressings remain in the place seven days after surgery has been performed. The doctor also tapes a splint to the patient’s nose for support and protection. It's generally in place for about one week. Slight bleeding and drainage of old blood and mucus are very general for a few days after the surgery has been performed or after the removal of the dressing. The doctor may place a drip pad, a small piece of gauze held in its place with tape under the patient’s nose for absorbing the drainage.

To further lower the chances of swelling and bleeding, the doctor may ask the patients to follow precautions for several weeks after the surgery has been performed. The doctor may ask:

• The patients must avoid strenuous activities such as jogging and aerobics.
• The patients may take baths instead of showers while the patients have bandages applied on their nose.
• The patients must not blow their nose.
• The patients must eat high-fiber foods, such as fruits and vegetables, for the purpose of avoiding constipation. Constipation can cause the patients to strain, putting pressure on the surgery area.
• The patients must avoid extreme facial expressions, such as laughing or smiling.
• The patient must brush their teeth gently for restricting the movement of their upper lip.
• The patients must wear clothes that fasten in the front.

Recovery after the Rhinoplasty:

After a nose job, people generally wear a nasal splint for the first week after the surgery. The patients can expect some bruising and swelling around the eyes after the surgery that will begin to improve after the third day of the surgery. It can, though, even last up to two weeks. Expect the patient’s nose to have a little swelling, which probably is noticed by the patients and their surgeon. This will gradually go away over the next six months. The final shape of the nose will be apparent after it has completely healed. The patients should avoid strenuous activity for at least three weeks after the surgery. The patients may return to their daily activities within three weeks without any recognizable signs that the patient had surgery done.

What are the risks involved?

As with other major surgery, rhinoplasty also carries risks such as:

• Bleeding
• Infection
• An adverse reaction to the anesthesia

Other possible risks specific to rhinoplasty include but are not limited to the following:

• Difficulty breathing through your nose
• Permanent numbness in and around your nose
• The possibility of an uneven-looking nose
• Pain, discoloration or swelling that may persist
• Scarring
• A hole in the septum (septal perforation)
• A need for additional surgery

Rhinoplasty Surgery, also known as nose surgery is widely performed in India with the purpose of nose by correcting nasal contour or function. It can correct problems such as Rhinoplasty asymmetry, bumps, and difficult breathing. Endoscopic nose surgery has also become a leading option because of developments in surgical procedures. Health care is affordable and the country's best medical facilities are one major reason why many visitors flock to India as medical tourists.

About Rhinoplasty Surgery

Nose surgery or nose reshaping or technically Rhinoplasty involves surgical treatment meant to correct and enhance the form and function of a nose. This surgery is among the top five most popular procedures done to enhance the appearance all over the world and India included where professionals with modern techniques and solutions to cosmetic and reconstructive procedures abound.

• Rhinoplasty operation can change the shape of the nose such as bone, cartilage, and skin and correct the structural defects such as breathing issues.

• Rhinoseptoplasty surgery includes the surgical reconstruction of the external form of the nose and the internal structure of the nasal septum.

• For several years, the advance in endoscopic nose surgery has ensured vast improvements in the overall success for patients due to customization, decreased recovery time, and minimal invasiveness.

• Rhinoplasty surgery is very flexible, able to perform major nose operations or minor surgery for people who just need small changes.

Need for Rhinoplasty Surgery

Cosmetic necessity and medical imperatives lead to the necessity of the rhinoplasty operation. Here are the key reasons individuals may opt for this procedure:

• Nose Reshaping

• Correcting Birth Defects or Trauma

• Improving Breathing Difficulties

• Post-Traumatic Repair

• Health Conditions and Obstructive Nasal Problems

Symptoms of Rhinoplasty Surgery

The signs of rhinoplasty surgery generally correspond to the outcomes that arise in patients after the operation. They are normal after effects of the surgery and the recovery time may differ with the type of surgery that is done on the nose. Here are common symptoms to expect after a rhinoplasty operation:

• Swelling and Bruising

• Pain and Discomfort

• Nasal Congestion

• Numbness or Sensitivity

• Nosebleeds

• Stiffness and Restricted Nasal Movements

• External Splints and Stitches

• Temporary Changes in Smell and Taste

Risk Factors of Rhinoplasty Surgery

Rhinoplasty is an established procedure and despite rare complications is considered relatively safe when the surgery is conducted by a proficient surgeon. Here are the key risk factors associated with a rhinoplasty operation or nose reshaping procedure:

• Infection

• Bleeding

• Breathing Difficulties

• Scarring

• Asymmetry or Unsatisfactory Results

• Numbness or Altered Sensation

• Septal Perforation

• Skin Discoloration or Swelling

• Necrosis of Nasal Tissue

• Damage to Nasal Structure

Causes of Rhinoplasty Surgery

The indications for rhinoplasty speak of the reasons patients decide on or require the surgery. These causes are typically categorised into two main areas: cosmetic and functional. Below are the primary causes for considering rhinoplasty surgery, also known as nose surgery or nose reshaping:

• Cosmetic Causes: Aesthetic Enhancement, Nasal Asymmetry, Nasal Tip Refinement

• Functional Causes: Deviated Septum, Obstructed Airway, Chronic Nasal Congestion

• Post-Traumatic Causes: Nasal Injury, Post-Traumatic Deformities

• Birth Defects or Congenital Abnormalities

• Aging-Related Changes

• Medical Conditions

• Self-Esteem and Confidence

Facilities and Services offered for International Patients for Rhinoplasty Surgery

India offers allied services for the international patients coming for rhinoplasty surgery such as medical tourism services, travel service, language service, accommodation services, hospitality services, preoperative and postoperative care, medical technology services, and services take into consideration cultural and dietary differences of the patient, after care services, tour and travel services and recreational services. Basic services include visa arrangements, airport shuttles, insurance advisory, financial planning, interpreter services, and use of state – of – the art health equipment and facilities.

Process

Pre-Treatment of Rhinoplasty Surgery

Preoperative preparations of rhinoplasty surgery include a number of procedures to determine whether the patient is fit for the surgery and more importantly to determine whether or not the patient can achieve the intended outcome. It includes, therefore, all medical check-ups, consultations, and planning. Below is an outline of the pre treatment steps for a rhinoplasty operation:

• Initial Consultation: Medical History Review, Examination of Nose

• Imaging and Facial Analysis: Photographs and 3D Imaging, Facial Symmetry Analysis

• Medical Test: Blood Tests

• Pre-Surgical Instructions

• Psychological Preparation

• Allergy and Sensitivity Testing

• Anaesthesia Planning

• Dietary Restrictions

• Pre-Surgery Counseling and Logistics

• Pre-Surgery Fitness and Wellness

• Consent and Documentation

Diagnostic Test for Rhinoplasty Surgery

A few preoperative investigations are done before planning the surgery to determine the patient’s fitness and suitability for the surgery. These tests come more in handy to the surgeon and assist him or her to determine the beauty of the nose and how it functions. Below are the common diagnostic tests performed as part of the pre-surgical evaluation:

• Blood Tests

• Imaging Tests: X-Ray, CT Scan, MRI

• Electrocardiogram

• Sleep Study

• Preoperative Photographs

• Skin Examination

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Treatment Process of Rhinoplasty Surgery

Rhinoplasty can be a one-step or two step procedure based on the preparation, surgery and post-operative care, depending on the patients’ objectives, either aesthetic or reconstructive and the extent of surgery required.

• Nasal Reshaping (Aesthetic Rhinoplasty): A patient might need the surgeon to either make the nose shorter or longer, to remove a hump on the upper parts of the nose bridge, reshape the nasal tip or enable narrowing of the nostrils.

• Cartilage Grafting: At times, the surgeon may aspirate cartilage from another part of the body like the septum, ear, or ribs and use it to fill areas of the nose which lack structure.

• Septoplasty (Functional Rhinoplasty): In case of abnormal breathing the patient undergoes a rhinoseptoplasty surgery in order to correct the deviated septum together with any obstructions. This may mean taking out some of the cartilage or moving its parts and other parts of the nasal structure including the bone.

• Endoscopic Nose Surgery: For patients with functional complaints such as sinus conditions or breathing problems, endoscopic nasal surgery may be carried out, often with the aid of a small camera in the surgeon’s hands which helps the surgeon repair internal nasal problems.

• Bone Reshaping: In rare cases where nasal bones have been detected to be misaligned, the surgeon will perform surgery that involves breaking of the nasal bones and re-establishing their normal alignment.

• Internal and External Stitches: If necessary corrective movements can be made and the incisions are then closed using sutures. With closed approach, sutures are buried within the nasal tissue, whereas with open approach some sutures may be external but are usually very subtle beneath the tip of the nose.

• Splinting and Packing: A nasal splint is put externally to the nose to keep maintaining shape after surgery. Soft nasal packing or internal splints can be applied inside the nose in order to help stabilise the septum and control any bleeding.

Post-Treatment of Rhinoplasty Surgery

The post-treatment results of the surgery, which is rhinoplasty, should be followed properly to facilitate healing to the desired outcome. The treatment includes follow-up care in managing symptoms and making radical changes for better body treatment. Below is a detailed outline of the post-treatment process after a rhinoplasty operation:

• Immediate Post-Operative Care

• Pain Management

• Nasal Care

• Follow-up Appointments

• Activities and Lifestyle Adjustments

• Dietary Considerations

• Skin Care

• Monitoring for Complications

• Long-Term Care and Results

Success Rate of Rhinoplasty Surgery

The result of the rhinoplasty surgery is usually very good, promising about 85% to 90% of the required successful outcome. It is true that the vast majority of patients get the desired cosmetic and functional improvements; 70 to 90 percent of patients are satisfied with the aesthetic outcomes a year after the surgery. These are the surgeon, a patient, technique used, and preoperative preparation. Functional success is also high, which ranges from 80% to 90% improvement of nasal airflow and relief from obstructive symptoms. According to patients' self-completed questionnaires, more than 80% were satisfied, mainly those who underwent cosmetology procedures.

India’s Best Hospitals for Rhinoplasty Surgery:

• Indraprastha Apollo Hospital, Delhi

• Nanavati Super Speciality Hospital, Mumbai

• S L Raheja Fortis Hospital, Mumbai

• Max Super Speciality Hospital, Saket, Delhi

• SIMS Hospital, Chennai

India’s Best Doctors for Rhinoplasty Surgery:

• Dr. Kuldeep Singh

• Dr. Devayani Barve

• Dr. Parag Telang

• Dr. Sunil Choudhary

• Dr. K Shyamnath Krishna Pandian

Why Choose Get Well Go for Rhinoplasty Surgery?

The selection of the right service provider for the surgery is one of the most important determinants of the outcome of the process as well as minimization of risks involved. Here’s why Get Well Go can be an excellent choice for rhinoplasty surgery:

• Expert Surgeons

• Comprehensive pre-Surgical Assessment

• Advanced Medical Technology

• Holistic Patient Care

• International Patient Services

• Affordability and Transparency

• Positive Patient Testimonials

Conclusion

Rhinoplasty surgery is a medical operation which aims to augment the structural and aesthetic quality of the nose whereby issues of size or shape or structure may be corrected. Depending on the nature of the operation it can be cosmetic, functional and Rhinoseptoplasty surgery, and endoscopic Nasal surgery. Though the cost may vary depending on the nasal surgery in India it still lies between ₹ 40,000/- to ₹2, 50,000/- or more which are much cheaper in comparison to western countries. The skills of professional and experienced surgeons, efficiency and relatively low cost of the operation make it possible for patients with deformities of the external nasal septum to receive treatment.

FAQs

1. What to expect when recovering?

• Pain, redness, inflammation, increased sensitivity to light, and stinging are shared experiences after surgical procedures. 

2. How many days, weeks or months am I likely to be out of work?

• It also stated that most working patients undergoing the procedure should be able to go back to work within a week as long as they do not overexert themselves. 

3. What should one avoid after surgery?

• No physical activities, rough contact sports, or applying pressure to your nose for the next two months. 

4. Are there things that I can do to cut down the possibility of gaining an infection or exacerbating my condition?

• Selecting a qualified board certified surgeon who has a good track record on surgeries will minimise such risks that are associated with the surgery.

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