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Rhinoplasty / Nose surgery

Updated: Nov 9, 2023

Who is Rhinoplasty for?

Rhinoplasty (commonly known as nose job or nose surgery), is a plastic surgery procedure for correcting and reconstructing the nose, improving the functions of the nose and aesthetically enhancing the nose. There are various common problems of the nose that are correctable. Humped nose, saddle nose, depressed nose, flat nose, wide nose, wide tip, boxy tip, deviated, crooked nose, short nose or long nose, are various traits that one may have and would want to have it corrected. Anyone who has this kind of nose and wants to have it improved should consider Cosmetic Rhinoplasty. In general, adults with the above problems, of any age, who are in good health, and moderately fit are good candidates for nasal reshaping surgery. They should not have any life-threatening illnesses or medical conditions. Patients who smoke can have an increased risk of complications.

2.Could you benefit from Aesthetic Rhinoplasty?

If you have a hump or a large nose, the hump can be removed, a saddle or a depressed nose can be built up or augmented, and a wide nose or a boxy nasal tip can be narrowed. Nasal tips can be refined. Deviated noses can be straightened. An aesthetic rhinoplasty can be combined with chin augmentation if you have a small chin or a cheek augmentation if your cheeks need to be built up for balance. A short nose can be made longer, a long nose can be made shorter. If you feel you have one of these noses, you would benefit by getting it improved by Cosmetic Rhinoplasty.

3.What is the procedure for Rhinoplasty?

The technique for Rhinoplasty would depend on what has to be achieved. The approach to Rhinoplasty could be through a traditional closed approach or the newer, open technique. In the closed technique, all incisions are taken inside the nostrils, hence nothing is visible outside. In the open technique, along with the incisions inside the nostril, a small incision is taken on the underside of the nose. This heals very well and is not visible in the long run, but it gives better exposure and enables a precise correction under vision. The subsequent steps of the surgery would depend on what is being done:

Augmentation :

A depressed nose can be built up and made prominent with either artificial material called implants or autografts. Autografts could be cartilage from the septum of your nose, ears, or ribs. It could also be bone grafts from the skull or hips. Common implants used in Rhinoplasty are silicone or medpore. There are pros and cons to the use of every type of material and your aesthetic surgeon would be able to explain those.

Hump Removal:

A hump on the nose is partly due to the prominence of the bone and partly due to the prominence of the septum/ cartilage part of the nose. This has to be shaved off. Once it is removed, the roof of the nose is open and has to be closed with infracture of the nasal bones.

Boxy nasal tip:

If the tip of your nose is bulbous or like a button, this can be refined. The cartilages which form the part of the tip of the nose have to be stitched tightly and reshaped to give a more proportionate and sleek tip.

Broad nose:

This is a common problem and can be corrected by moving the nasal bones inwards by infrastructure. Often the nasal tip has to be narrowed as well. if the nasal base is flared or broad, this can be corrected as well.

Deviated nose:

Often the nose becomes deviated during development or becomes crooked due to injury. This can be straightened by removing the deviated part of the septum or putting straightening stitches and cartilage supports.


© 2024 by Dr Raghuram Menon. 

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