Rhinoplasty (Nose Reshaping)

Rhinoplasty (Nose Reshaping)

            

                  Before                                                       After

Nose reshaping (Rhinoplasty) is done commonly to alter the shape of nose to a more pleasing appearance. Plastic surgeons usually recommend that patients wait until they are at least 12 or 15, before undergoing rhinoplasty. This is because the nose may not be fully developed at a younger age. Assuming you are in good health, there is no upper age limit for having your nose reshaped. Rhinoplasty is sometimes performed in conjunction with a facelift or other rejuvenate surgery to correct aging changes of the nose such as a drooping tip. Sometimes certain breathing problems related to the internal nasal structures can be corrected at the same time as nose reshaping is performed.

INITIAL CONSULTATION

During the initial consultation, you may be asked to look in a mirror or on a photo point out exactly what you would like to see improved. This will help us to understand your expectations and determine whether they can realistically be achieved.

Am I a good candidate for rhinoplasty?

Some of the indications that you may be a good candidate for rhinoplasty are:

  • your nose appears too large for your face
  • there is a bump on the nasal bridge when viewed in profile
  • your nose seems too wide when viewed from the front
  • the nasal tip droops or plunges
  • the tip is thickened or enlarged
  • your nostrils are excessively flared
  • your nose is off-center or crooked
  • previous injury has made your nose asymmetrical

It is important that you have a clear idea of how you would like your nose to look and, at the same time, realize that there are limitations to the procedure.

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have, medical treatments you have received, previous surgeries including repair of nasal injuries, and medications that you currently take. Your plastic surgeon may also ask whether you have difficulty breathing through your nose, suffer from allergies that may cause nasal stuffiness, or are a chronic user of nasal spray. It is important for you to provide complete information.

In evaluating you for rhinoplasty, your plastic surgeon will conduct a routine and painless examination of your internal nasal structures. Your skin quality as well as the size and shape of your nose and its relationship to your other facial features will be carefully studied. In some instances, your plastic surgeon may recommend surgery of your chin, making it either more or less prominent, to improve facial balance. This procedure can be done at the same time as your rhinoplasty.

When will I learn about the cost of surgery?

It is understandable that you would like to have information about the cost of surgery as soon as possible. Your plastic surgeon must first complete a thorough evaluation before your individualized surgical plan can be developed. Following this, the fees required for your surgery will be discussed with you. While most insurance plans will not pay for aesthetic nose reshaping, they frequently will cover surgery performed on the internal structures of the nose to improve breathing problems. Your plastic surgeon can discuss this with you at the same time of consultation.

How Rhinoplasty is Performed

Because of individual factors, not everyone will achieve the same results from rhinoplasty. Your surgeon’s goal is to obtain the best possible results for you.

Where are the rhinoplasty incisions placed?

Alterations may be made to increase or decrease the nasal bridge, reduce the size or width of the nose, narrow the nostrils, change the angle between the nose and upper lip, or reshape the tip.

Rhinoplasty Incision

Small wedges of skin, as shown, are removed to narrow the base of the nose or reduce the width of the nostrils.

The surgical techniques employed will depend primarily on the goals established by you and your plastic surgeon. In many instances, all of the incisions will be placed inside your nose, where they will not be visible. If the base of the nose is narrowed or the nostrils reduced, small wedges of skin at the base of the nostrils will be removed. Incisions are hidden in the natural crease where the nostril joins the cheek.

Sometimes a very short incision is made across the vertical strip of tissue that separates the nostrils, called the columella. This technique is called an “open rhinoplasty.” Whatever incisions are used to reshape your nose, they will ultimately be very inconspicuous.

Understanding Risks

Fortunately, significant complications from rhinoplasty are infrequent. Every year, many thousands of people have their noses reshaped, experience no major problems and are pleased with the results. Anyone considering surgery, however, should be aware of both the benefits and risks.

How is my plastic surgeon able to reshape my nose?

Rhinoplasty Incision

Incisions are placed inside the nose to provide access to the cartilage (blue shaded area) and brown (light brown shaded area) that form the nasal framework.

Through the small incisions described previously, work is done on the cartilage and bone that form the framework of your nose.

Sometimes, the position of certain bones may need to be altered slightly in order to make your nose look narrower and straighter. If your nose needs to be built up in some areas, this can be done using nasal cartilage, or perhaps bone or cartilage from another site. The skin and soft tissues then redrape themselves over this new “scaffolding.”

Rhinoplasty Incision

Depending on the surgical technique used, a splint may be placed on the bridge of the nose for the purpose of holding the tissues in place until they have stabilized.

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and your surgeon, or with a staff member in your surgeon’s office.

Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Numbness of the skin following rhinoplasty may occur but is usually temporary. Occasionally, if the surgical outcome needs further improvement, additional surgery may be necessary.

Results of Your Rhinoplasty

The goal of rhinoplasty is a nose that looks natural and blends harmoniously with your other facial features.

Since the healing process is gradual, you should expect to wait for a few weeks to see the final results of your rhinoplasty. You are likely, however, to begin enjoying your new look within days of your surgery.

When can I resume my normal activities?

Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you may be able to return to work within a few days after surgery. Most normal activities including exercise can usually be resumed within three weeks.

How long will the results last?

In most instances, the results of rhinoplasty are permanent, except for possible changes associated with the normal aging process..

For Rhinoplasty Consultation call Dr Sreekar Harinatha at 9902223733

www.conturacosmetic.com

Courtesy- ASAPS

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