Rhino (latin for nose) and plasty (Greek for moulding or forming) is a medical procedure that reshapes the nose for cosmetic or reconstructive purposes referred to as a “nose job”. Rhinoplasty can reduce that size of nose or alter the shape of the tip for a more pleasing result. After surgery there is mild swelling which takes about 2-3 weeks to settle down, though it can take sometimes few weeks to subside.
Nose is the central part of the face and any nasal manipulation should be done with utmost care. Nasal surgery addresses the facial proportions and correction should be done accordingly. Cosmetic nose job or rhinoplasty or nasal reshaping or contouring as it is known by several names is reshaping of the nose in such a way to achieve an ideal nasal contour with deformity corrections and aesthetic proportions. Rhinoplasty is a complex surgery and even the best of surgeons all over the world have reported a relapse or complication rate or redo surgery up to the tune of 15-20%. This is because this is a small area and sometimes unpredictable cartilage behaviour can alter the results. Rhinoplasty surgery is a day care procedure with quick recovery and patient is discharged same day with nasal strapping and packing.
Nose is a complex tissue and various types of manipulation are possible in this limited space. This can include nasal augmentation, nasal hump or bridge reduction, nasal tip or bulbous tip reduction, dorsal or columellar grafts or alar grafts as required. If someone has curved septum leading to breathing problem he needs septal correction or septo-rhinoplasty procedure. So multiple procedures can be combined in a single session to give the desired shape and result. Obviously everyone has different nasal shapes and nasal bones can be of different width and size and reduction can be done up to certain extent only.
Nose job can take anywhere from 1 hour to 3 hours or more depending on the type of nasal work that needs to be done. As discussed above, various types of jobs may be required like septo-rhinoplasty, augmentation, reduction, etc. which may add to the time taken for rhinoplasty. This is a complex surgery and every step needs to be done very carefully to give the best possible result.
Nose job comprises of lot of steps and procedures to be incorporated in a single session. Now all these procedures are not required for all patients and the surgeon on examining the patient decides what all procedures a patient requires and accordingly duration of surgery and cost can be estimated or decided.>
Rhinoplasty in general is a safe surgery which does not involve major risks and the recovery is soon too. The only drawback of this complex surgery it’s that the relapse rate or redo rate is quite high due to sometimes unknown cartilage behaviour and complex deformities which may not be 100 percent correctable.
Rhinoplasty always changes a bit of facial appearance and contour as nose is the central portion of the face. Is the deformity is complex it can lead to drastic changes in the entire face and it looks proportionate with the face. Facial proportions should always be kept in mind while performing rhinoplasty surgery.
Rhinoplasty always requires general anaesthesia as lot of surgical nose work is not possible without total relaxation and also nose surgery involves lot of oozing which can trickle back into the throat or airway so airway has to be taken care perfectly. Along with general anaesthesia, oral throat packing is always done before surgery.
Rhinoplasty recovery is mainly about facial swelling. This depends on what all procedures need to be done to correct the nasal structure and contour. Especially when nasal bony work is involved, swelling is definitely much longer. It can last for 4-6 weeks and sometimes up to 3 months depending on the amount of work done on nose.
Non-surgical nose job or fillers can be used for variety of nasal problems. It can be for dorsal augmentation, nasal base thinning and few tip problems. Nose fillers contain hyaluronic acid and last for 12-15 months. It is a very quick procedure, can be easily done using cannula with hardly any downtime. Patient can be back to work almost immediately. The costing depends on how much ml is being used and what all indications are being addressed.
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