The surgery is done under the effect of anaesthesia. Small incisions were made to assess the tissues, cartilage, and bones, inside and surrounding the nose. After carefully assessing the bones and cartilage, the surgeon removes or adds tissues, to achieve the desired surgical results.
Tissues can be added from one part of the body to the nose, otherwise, fillers can also be used. After the surgeon has successfully placed the tissues in shape and arranged them, some tissues will be draped over the nose to give it final shape.
The new shape or structure is then supported by a splint (a device used to immobilise and protect the part of a body) until the nose heals.
Rhinoplasty is now third most common cosmetic procedure performed in the United States, though the numbers of surgeries performed are high, plastic surgeons consistently describes rhinoplasty among the most challenging procedures to perform. In fact, many plastic surgeons don’t want to perform rhinoplasty. Therefore, unlike to other procedures, a smaller number of surgeons perform a large proportion of rhinoplasties.
- Nose size in relation to facial balance
- Nose width at the bridge or in the size and positions of the nostril
- Nose profile having visible humps or depressions on the bridge
- Nasal tip which is enlarged or bulbous, drooping, upturned or hooked
- Nostrils that are very large, wide or upturned
- If Nasal asymmetry is there
If you like to have a more symmetrical nose, keep in mind that everyone's face is asymmetric to some degree. Results may not be completely symmetric, although the goal is to make facial balance and correct proportion.
The very common causes are a deviated septum, enlarged turbinates, and middle vault narrowing. These factors may occur naturally, or as a consequence of trauma or prior rhinoplasty. They may occur alone or in combination, and can explain most nasal obstructive problems.
Deviated septumThe septum is a cartilaginous sheet that separates the right and left sides of the nostrils. The septum is very rarely perfect straight for anyone. The “deviation” is a bend of the septum. When the septum bends significantly to one side or the other, it will block the air passage on one or both sides, making it difficult to breathe.
TurbinatesThe turbinates are the humidifiers of the nose. They are made mostly with nasal mucosa, so they periodically swell in response to the environment (i.e., allergies) or to position. To illustrate: if you lie on one side, you may notice that it will become more difficult to breathe through the nostril on the “down” side. This is the effect of normal turbinate swelling. Sometimes, chronic enlargement of the turbinates may obstruct one or both sides. This condition can be treatable medically, but may require surgery for relief.
Middle vault narrowing or collapseCollapse means weak nasal sidewalls of the nose, making them to fall inward with deep inhalation. You would be familiar with adhesive strips worn on the nose by athletes to hold the nasal passages open. These devices will help prevent collapse of the nasal sidewalls with inhalation.
- Are you specialized in this field of plastic surgery?
- How many years of plastic surgery experience you have?
- Do you have tie ups with any hospital to perform this procedure? If so, at which hospitals?
- Am I a right candidate for this procedure?
- What shouldI expectto get the best results?
- Where and how you’ll perform my procedure?
- What surgical technique is recommended for me?
- What is the recovery period can I expect, and what kind of help will I need during my recovery?
- What are the risks and complications in this procedure?
- How are complications handled?
- How can I visualise my nose to look over time?
- What are my options if I am dissatisfied with the cosmetic surgery of my nose surgery?
- Can I have before-and-after photos I can look at for this procedure and what results are reasonable for me?
- Anesthesia fees
- Hospital or surgical facility costs
- Medical tests
- Post-surgery garments
- Prescriptions for medication
- Surgeon's fee