How to Get Your Rhinoplasty Surgery Safe And Smooth?

Author
Celebrity Cosmetic Surgeon Dr. Milan Doshi
Indian Board Certified Plastic Surgeon
M.CH, MS
MUHS -faculty aesthetic surgery
ISAPS Mentor
11000+ Cosmetic Surgery
1250+ Rhinoplasty Surgery

What is Nose Job?

Synonyms: Nose Job, Nose Shaping Surgery, Nose Reshaping Surgery, Septorhinoplasty

Definition: Rhinoplasty surgery is a plastic surgery procedure for altering and reconstructing the nose. There are two types of plastic surgery (1) reconstructive surgery that restores the form and functions of the nose and (2) cosmetic surgery that changes the appearance of the nose.

  • Are you happy with your nose shape?
  • Do you feel your nose is not in proportion to face?
  • Are you suffering from breathing difficulties?
  • your self-confidence has gone down due to nose shape?
  • You are longing for a sharp and attractive nose.
  • Cosmetic rhinoplasty surgery can give you a natural looking nose and boosts your confidence.
  • Rhinoplasty surgeon must have
    • An artistic eye to make a tailor maid plan, as nose in harmony with face increases facial attractiveness manifold.
    • Experience and execute each step meticulously to get the intended nasal shape+
    • Rhinoplasty 995,149 procedures in 2021 (+16.7% increase compared to 2020)
    • Rhinoplsaty surgical procedures for men 256,406 in 2021
    • 40,632 Rhinoplsaty surgeries have been performed in India (11.0% increase  compared to 2020)

Other Links: Face Lift Surgery | Brow Lift Surgery | Eyelid Surgery

Rhinoplasty Surgery Before and After Results in MumbaiConcern: Broad Nose, Flat Nose, Bulbous tip
Surgery: Rhinoplasty Surgery in Andheri, Mumbai

Open Rhinoplasty in Mumbai, India

Concern: Twisted and Long Nose, Long Droopy Tip, Bulbous tip
Surgery: Open Rhinoplasty in Andheri, Mumbai

Crooked Nose Open Rhinoplasty in Mumbai, India

Concern: Crooked Nose
Surgery: Open Rhinoplasty in Andheri, Mumbai

Male Open Rhinoplasty in Andheri, Mumbai, India

Concern: Malehump Nose
Surgery: Male Open Rhinoplasty in Andheri, Mumbai

100+ Rhinoplasty Surgery Images

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Dr Milan Doshi is describing the Rhinoplasty Surgery in detail with benefits, techniques, recovery, result, risk and complecations

Rhinoplasty Quick Facts

Time Required 1-3 Hours
Anesthesia General Anesthesia
Pain Level Person feel like common cold
Hospital Stay 1-2 Days
Flyback 5-7 Days
Success Rate 97 to 98%
Result Major Difference Visible Immediately Final Result 8 -12 Months
Diet No Restriction
Complication Rate Less than 2-3%
Rhinoplasty Cost INR 80,000 to 2,00,000 Approx.

Benefit of The Rhinoplasty or nose surgery is:

  1. It improves your nasal shape.
  2. It improves any nasal deformity
  3. Make your face more attractive and bring balance in the facial feature.
  4. Improve your breathing.
  5. Improve your self confidence
  6. Improve your social acceptance
  7. Give boost in your career

The Surgical Nose as Six Aesthetic Nasal Segments

  1. The tip segmentsix aesthetic nasal segments
  2. The columellar segment
  3. The soft-tissue triangle segment
  4. The alar segments
  5. The dorsal nasal segment
  6. The lateral nasal-wall segments

Rhinoplasty surgeon will determine the topographic location of the defect Based on the segments of the nose. , the plastic surgeon plans, maps, and executes a rhinoplasty procedure. The unitary division of the nasal topography permits minimal, but precise, cutting, and maximal corrective-tissue coverage, to produce a functional nose of proportionate size, contour, and appearance for the patient.

There is much type of nasal deformities.  Here is an exhaustive but not the complete list.

For better understanding each deformity is described in isolation while in practice, each individual has separate combination of nasal deformities.

Size

  • Small nose, Big Nose

Length

  • Shor nose, Long nose

Tip

  • Sharpen the bulbous tip, boxy tip, or correct pinch tip
  • Increase or decrease tip projection
  • rotation of the tip: piggy nose, droopy tip

Dorsum

  • Dorsal hump
  • Flat or saddle nose

Collumella

  • Hanging columella or retruding columella

Alar

  • Hanging ala

Broad Nose

  • width of the nose, broad, broad-mid, and broad base of the nose

Complex Deformity

  • To improve a complex deformity like crooked, deviated, or twisted nose
  • Corrects some nasal birth deformities
  • Corrects nasal deformities due to sports injuries or other trauma.
  • Corrects breathing difficulties by repairing a deviated septum

You will benefit from nose shaping surgery if:

  • girl should be above 16years and boy should be above 18 years
  • You are physically fit.
  • You are mentally ready for surgery and recovery.
  • When you have realistic expectations from the rhinoplasty.
  • When the size and shape of your nose is not proportionate to your overall facial features and you expect a more balanced look.
  • If you are feeling that your nose has any of the above mentioned deformities.
  • When you suffer from breathing problems due to some birth defects, i.e., deviated septum
  • You might have snoring problems that can be improved with Rhinoplasty

Limitations of the Rhinoplasty Are

  • It’s a complex surgery. So. One must choose the Cosmetic surgeon with  well experience and should have artistic eye .
  • Tissue molding have its own limitation and so achievable result. One can expect improvement not the perfection. Please discuss with your surgeon before going for the surgery.
  • Nasal reshaping surgery should be not done at the cost of function. It limits narrowing or reduction of nasal shape.
  • Cartilage has its internal memory and sometimes internal healing is unpredictable. Inspite of surgeon best effort, 1 to 5 percent patient require revision rhinoplasty.

Today you get all general information internet. During personalized consultation you get specific information about your nose reshaping surgery. The consultation is an opportunity to ask questions regarding your concerns directly to your operating surgeon.

It is good to make a list of important questions before proceeding for the consultation step. So you won’t miss addressing any of your concerns. The patient care coordinator is always there to help you.

You come to know about: –

  • Is rhinoplasty surgery for you or not?
  • Is it safe for you?
  • What is there specifically for you in terms of surgical technique, duration of the surgery, and the rhinoplasty actual cost?
  • and the realistic goal and achievable outcomes of the surgery
  • Rhinoplasty surgery risk & recovery
  • The required measures needed to be followed before & after the rhinoplasty surgery.
  • What is your comfort level with the rhinoplasty surgeon?

You should have a brief of the following things with your cosmetic surgeon:

  1. Your area of concern
  2. What result you expect? You can take representative photographs
  3. Your lifestyle including physical activity
  4. History of any allergy, trauma, previous Any medical conditions & medical treatments
  5. Any supplements such as vitamins, fat burner, herbal treatments or nutritional supplements
  6. Alcohol, smoking, tobacco, and drug uses,
  7. Drug allergies
  8. Previous surgeries, particularly nasal or facial surgery, any dental treatment
  9. Your surgical goals, you can take your end goal photographs for reference.

Your rhinoplasty surgeon will evaluate the following:

  • Your nasal shape and concerned nasal  deformity
  • Whether nose shape is in  harmony with the face.
  • Nasal harmony in reference to age, sex, ethnicity.
  • Skin quality
  • Cartilage and boney frame work
  • Underlying breathing concern, if any
  • Your general health status and any pre-existing health conditions or risk factors.


Rhinoplasty surgeon will discuss:

  • Tailor made plan for your nasal reshaping surgery
  • Achievable rhinoplasty result and recovery
  • Will show rhinoplsty surgery “before and after” photographs of his operated patients.
  • May take your photographs and show edited photos, help you to visualize achievable Rhinoplasty results.
  • Rhinoplasty surgery risks and complications.
  • Your rhinoplasty surgery cost.
  • Preoperative planning like fitness test, nasal CT scan and preoperative preparation.

Real Time Online video consultation Consultation at Allure Medspa, Mumbai, India:

. There is no need to travel just for consultation. Now you can have consultation from comfort of your home. This saves lot of time and provides comfort Take your photographs as advised and mail to us. It gives you realistic idea, what look can be achieved by the rhinoplasty surgery.

According to the Technique of Rhinoplasty Surgery:

In closed rhinoplasty, the surgeon performs every procedural incision endonasally (exclusively within the nose), and does not cut the columella. In open rhinoplasty, the surgeon makes an additional small, irregular incision to the columella.

The open approach continues to gain in popularity over the end nasal approach or closed approach for both primary and secondary rhinoplasty. There are advantages and disadvantages of both the techniques, but the correct approach determined by the patient’s anatomic deformity and the surgeon’s experience. Clearly, what is performed to alter the underlying anatomy is far more important than the type of incision used.

1. Open Rhinoplasty Surgery

Distinct Advantages are as follows:

  • Binocular visualization
  • Evaluation of complete deformity without distortion
  • Precise diagnosis and correction of deformities
  • Allows use of both hands
  • More options with original tissues and cartilage grafts
  • Direct control of bleeding with electrocautery
  • Suture stabilization of grafts (invisible and visible).

Potential Disadvantages are as follows:

  • External nasal incision (transcolumellar scar)
  • Prolonged operative time
  • Protracted nasal tip edema
  • Columellar incision separation
  • Delayed wound healing.


2. Closed Rhinoplasty Surgery

The Advantages of Endo nasal Approach Are as Follows:

  • no external scar
  • Limited dissection process
  • Permits the creation of precise pocket so graft material fits exactly without need for fixation
  • Allows percutaneous fixation when large pockets are made
  • faster healing by maintaining the vascular bridge
  • Encourages accurate preoperative diagnosis and planning
  • Produces minimal post-surgical swelling
  • Reduces operating time
  • Results in faster recovery
  • Creates intact tip graft pocket.

Disadvantages:

  • Requires experience and great reliance on accurate preoperative diagnosis
  • Prohibits simultaneous visualization of the surgical field by a teaching surgeon and students
  • Does not allow direct visualization of nasal anatomy



Makes dissection of Ala

3. Preservation Rhinoplasty Surgery

Preservation rhinoplasty is popularised in recent years. Where nasal support tissue dissection is minimum to give natural looking result and faster recovery

Preservation rhinoplasty is composed of following 3 principles

  1. Elevation of the skin sleeve in subperochondrial-sub periosteal plane
  2. Preserving osseocartilagenous dorsum
  3. Maintaining alar cartilage with minimal excision while achieving desired shape with sutures

4.    Structural Rhinoplasty Surgery.

Nasal frame work is created or supported by strong cartilage support to maintain the shape after rhinoplasty

5.  Piezo Tome: The Precision Rhinoplasty surgery

Synonymes

ultrasonic rhinoplasty. Ultrasonic Rhino sculpture, Diamond rhinoplasty

How does Piezo rhinoplasty work?

A piezo tome is a specialized instrument which generate ultrasonic energy  and apply to the bone without spreading to surrounding soft tissue.

Piezoelectric inserts (PEI) act selectively on bones and/or hard cartilage, without injuring soft tissues: skin, mucosa and flimsy cartilages such as the upper lateral cartilages and lower lateral cartilages. More so, the fracture lines created by PEIs are very accurate and eliminate the risk of radiating fracture lines encountered with traditional rhinoplasty instruments.

The piezo tome device comes with various attachments of sculpting tools which are used to reshape the bone precisely.

As there is no collateral damage to soft tissue. Reduced swelling and bruising  and pain. Rresult in speedy recovery, less internal scaring and more precise nasal shape. Which reduces revision rhinoplasty need

There is faster recovery and less scar formation and increase patient satisfaction

Video link:  https://www.youtube.com/watch?v=xHBamrlr2x4

 What are the Benefit of Piezo Rhinoplasty

  • Greater precision for bone shaping
  • No splinting or inadvertent fracture of bone.
  • Minimal bleeding
  • Less swelling and bruising.
  • Speedy recovery
  • It also allows for sculpting of the bone.
  • It is essential tool for preservation rhinoplasty
  • In some cases, breaking of the nasal bones can even be avoided
  • Can be used for preservation of the nasal bridge.

Reference link:     Piezotome Rhinoplasty

Am I suitable for a Piezo rhinoplasty?

The instrumentation is designed for nasal bone sculpting. Therefore practically all patient of rhinoplasty benefit from piezo tome. More benefit to the  patient with bony hump , bony deviations or bone irregularities and wide bony mid vault.

a piezo rhinoplasty needs to be performed using an open approach. However, the advantages of using the piezo tome for the rhinoplasty outweigh the presence of a minimal scar which is imperceptible.

Why are not all surgeons using Piezo rhinoplasty techniques?

  • Many surgeons may not be familiar with this advanced technique
  • Need to adapt and modify their standard rhinoplasty
  • Piezo tome equipment is considerably more expensive.

A. According to the number of attempt of Rhinoplasty Surgery:

According to the rhinoplasty society –    Revision Rhinoplasty

1. Primary Rhinoplasty:

The primary nasal shaping procedure is conducted when no previous nasal operation has been done. The existing nasal structure is altered to achieve the desired result.


2. Secondary Rhinoplasty/Revision Rhinoplasty

The secondary nose shaping/nose job is conducted when someone is not happy with the result of the primary rhinoplasty. In some cases, there may not be enough septal cartilage left for the reconstruction.

Common Problems that Require Secondary/revision Rhinoplasty:

  • Nasal airway obstruction
  • Collapse of cartilage or nasal bones
  • Artificial cosmetic appearance to nose (“Overdone nose job”)
  • Internal and external nasal valve collapse
  • Worsened asymmetry
  • Over reduction or inadequate reduction of dorsal height (bridge height/hump)
  • Incomplete shaping (not enough of a cosmetic change)
  • Excessive or inadequate tip projection
  • Excessively narrowed nasal tip (“pinched tip”)
  • Excessive internal and/or external scarring (thickened scar tissue)


B. Verious Ethinic Rhinoplasty

It is vitally important to understand an ethnic patient’s aesthetic goals. Some request cosmetic enhancements that preserve their unique ethnic characteristics; others will seek a more Western or white/European standard. Fastidious patients may voice their concerns using accurate terminology, whereas others will have difficulty identifying features they like and dislike. For the latter, photographs of desirable noses will help to get desired planning

1.    Caucasian, leptorrhine (narrow nose);

2.    Hispanic Rhinoplasty paraleptorrhine (narrow-sided nose)

Hispanic groups exhibit varied features combination of their individual Spanish and American Indian descent.

One spectrum, Castilian nose, with long nasal bones, a high dorsum, and normal tip projection is essentially a white nose. Another spectrum is the mestizo’s nose, and overall a short and a broad nose, with thick skin, wide alae, a retracted columellate, under the projected tip. Any anatomic combination along this continuum may be seen.

2. African Rhinoplastyplatyrrhine (flat, wide nose)

It is characterized by a wide, low dorsum and broad, under-projected tip, and broad middle vault. Thick skin, fat layer leads to the bulbous tip. Anacute nasolabial angle is caused by both an under-rotated tip and bi-maxillary protrusion.

The nasal base is often wider than the inter-alar distance, and the under-projected tip contributes to excessive alar flaring.

The goal of rhinoplasty in a patient of African descent include achieving, straight dorsum, improved tip projection and definition, decreasing alar flaring andalar base width and narrower. Tip definition is improved by suture techniques and cartilage grafting. Improvement of low nasal dorsum require cartilage graft or silicone implant.

3. Asian Rhinoplasty: subplatyrrhine (low, wide nose)

Typically, it is a low radix, low dorsum, and broad, under-projected, round, blunt tip. Thick, sebaceous skin contributes to poor definition. The columella and soft triangle are retracted. They have an acute nasolabial angle and protrusive premaxilla. The radix of Asian patients typically lies at the midpupillary level.

Cartilage is overall weak and soft. Dorsal graft placement thus depends on the degree of ethnic characteristics the patient wishes to maintain.

4. Middle Eastern Rhinoplasty

Skin is thick and sebaceous and is most prominent at the supra-tip. The radix may over-project, the bony and middle vaults are wide, and the large dorsal hump is common. Tip is poorly defined; under-projected droopy tip. There may be an acute columellar labial angle. The tip deformities may be exacerbated by hyper dynamic action. Nasal deviation and nostril asymmetry are also common.

The goal of rhinoplasty in a Middle Eastern patient is moderate dorsal hump reduction, narrowing of the wide nasal bones, debunking of soft tissue, correction of the nasal tip potion, improvement of tip definition and correction of nostril asymmetries.

C. Special Rhinoplasty

1. Septorhinoplasty

It is also called septorhinoplsty, when the nose job is done to correct the septum, the structure inside the nasal cavities is deviated or shifted thus obstructing proper breathing. Along with cosmetic correction, Septoplasty is done by making a small incision on the nasal inside on one side. After that, the misaligned cartilage and bone is then removed, which allows to sewing the skin lining back to itself using a quilting type suture. With the deviated cartilage and bone removed the skin lining can lay much straighter, which then allows for smoother airflow while breathing.

2. Rejuvenation Rhinoplasty

This type of nose shaping/nose job addresses nasal appearance related to aging, including a deterioration of the cartilage, and a thickening of the skin in the lower portion of the nose. In the procedure, the surgeon gently lifts the nasal tip, restores the shape of the nostrils to give a youthful look to the nasal area.

A.  Preoperative Preparation:

You should be in your optimum health for a safe and smooth recovery.

Once you decide to go ahead with surgery you are advised the following:

  1. Complete your body check-up test
  2. General examination and general fitness done. Nasal examination and CT scan of para nasal sinuses done to assess the air passage. To plan the nose job such a way that airway function should remain patent
  3. Any medical condition like diabetes or hypertension should be under control.
  4. Quit smoking as advised by surgeon
  5. Any nutritional support or on-counter medicine should be stopped
  6. You will be given detail instruction before surgery
  7. The Rhinoplasty surgeon team is always there to guide you in case of any confusion.

B.   On Admission at the Cosmetic Surgery Center

Please inform about:

  1. Recent illness like common cold, fever, urinary tract infection or any other seasonal illness
  2. Your medical ailments like blood pressure, diabetes, asthma, thyroid or any other illness
  3. Any ongoing medication
  4. Past history of any major illness, hospitalization, trauma, or surgery
  5. Drug or any other allergy
  6. Family history of any significant illness like blood pressure, diabetes, cardiac ailment, cancer, G 6 PD deficiency, thyroid, thalassemia, bleeding disorder, or any other illness.

1.    The Cosmetic Surgeon Will:

  • Listen to your concerns and explain to you again about the surgery
  • Discuss your desire nose shape
  • Your physical fitness is also evaluated (you will also be examined by anaesthesiologist for physical fitness)
  • Will mark the operative area with your active participation. This is useful as guidelines in the procedure.
  • Preoperative medications will be started.
  • The preoperative formalities are done.

2.    In the operation theater

  1. Anesthesia: Limited extent nose job/nasal shaping procedure can be done under local anesthesia with sedation. While extensive nose job will be done  under general anesthesia.
  2. Duration of surgery: The procedure approximately requires 1 and a half hours to three hours to perform.
  3. Infiltration: The operative area is infiltrated with a small amount of local anaesthesia and adrenaline, which reduces general anaesthesia requirement and makes the procedure very safe. Adrenaline reduces blood loss and helps to give bloodless operative field which makes the procedure more precise and there is less bruising and less scarring.
  4. Incision: The Incision for a nose job is as described in open and closed nasal shaping surgery.
  5. Nose Reshaping Surgery: Modulation of the nasal structure is done primarily with suture, in addition to graft and strong support creation. Excision of cartilage is done if needed as a last resort. The bony base is modified with osteotomySeptoplastyand other ENT work take care of air passage. Complete wash is given to remove debris and to reduce scarring to get a most predictable outcome. The skin is sutured back with the hair-thin suture material. Nasal packing is provided.And small splint is kept there to maintain the bone position.

A silicone implant is used if previously discussed and permission is taken from the patient.

Autologous Cartilage versus Nasal Implant

Nasal Implant Autologous Cartilage Nasal Implant
Nature of intervention More invasive Less invasive
Operative time More Less
Pneumotharox risk Yes in costal cartilage graft No
Scarring Additional at donar site No additional
Resorption Yes No
Aesthetic Outcome May Change Shape Superior
Tip Tip defining points well created Abnormally narrow and pointed, associated septal cartilage graft help to get good tip shape
Infection risk Less High
Extrusion Risk No High
Supply Limited Abundant

3.    Rhinoplasty Immediate Recovery

  • You will be advised to be in a propped up position, the ice pack will help to reduce swelling and bruise marks.
  • Nasal pack, which is now with airway, so one can breathe through the nose only. Mostly removed in a day.
  • You will be able to walk in the evening.
  • You can take soft diet in the evening.
  • You will be discharged from the hospital in a day or two.
  • You have to come 2 to 3 times to remold the splint as swelling reduces.

Nose Job Result depends

  • rhinoplasty surgery Technique
  • rhinoplasty surgery Extent
  • Individual healing process.
  • purpose, and the end goal of the surgery and
  • Operating surgeon’s hand to a very extent.

One must follow the surgeon advice to get best result.

You can see Rhinoplasty surgery result as follows:

  • Immediately: There is a huge difference in your nose shape.
  • 1st week: most of the swelling will go,
  • 1st Month: Major Rhinoplasty result is visible over a month as the majority of the swelling has been reduced now.
  • 6th-8th MONTHS: most of the tip modification and tip sharpening will be visible
  • 8th-12th MONTHS: tip sharpening is going on.
  • The rhinoplasty surgery result is faster with close rhinoplasty technique compared to open rhinoplasty technique.
  • Revision rhinoplasty takes longer to show result than primary rhinoplasty

1. TAKE MEDICINES AS ADVISED

2. DIET

Take as much liquid as possible once you are comfortable, there is no diet restriction once you are out of anaesthesia, better to take soft diet which will be easy to chew and nutritious diet to hasten  healing and recovery.

3. POSITION

Keep the head of the bed elevated at an angle of 45 degrees for the first 1 week after surgery, it will reduce oedema faster and will help to maximise postoperative comfort. Avoid rolling onto your face. You can change your position and turn to side. Don’t turn to prone position.

4. PHYSICAL ACTIVITY

You are advised to walk in the evening on the day of surgery once you are conscious. One can do office like job in 6 to 8 days. One can do cardio like activity after 15 days and heavy gym and jerky activity after 4 weeks of surgery.

5. RECOVERY

  • Recovery varies patient to patient.
  • There will be feeling like common cold but as internal swelling goes, you will feel better.
  • On an average, first few days it is normal to have swelling. Most of your swelling should resolve over a week. Your nose mainly tip may appear fat after removal of splint and it will naturally dissipate over time.
  • Mild bruising may occur under the eyes if so will disappear over 2 to 3 weeks after surgery. Numbness is normal and will subside over the coming weeks to months.
  • Mild blood stained discharge is common.
  • Lower lip swelling will reduce gradually.

6. LOCAL CARE

  • Cold compresses should be applied across the eyes for the first 48 hours after surgery.
  • The stitches inside the nose are dissolvable and keeping them lubricated helps to quicken the healing process.
  • Keep moisturizing the lower lip to prevent drying of lips
  • It is important to keep the tape and splint on your nose for 7 days. Doctor will do the dressing.

7. BATHING

  • You can take bath in a day or 2 except head and face.
  • On face you can do sponging, avoid wetting nasal splint.
  • Following removal of the tape and splint, you will need to gently wash your nose twice a day to reduce oiliness.
  • Avoid hot tubs and swimming pools for at least 4 weeks after your surgery

8. RESULT

One can see huge the difference in NOSE shape and size immediate after surgery. Initially one may feel nose is quite high which gradually drops to normal position in 1 or 2 months time. Initially chest has local swelling; it will reduce over a month time as reactionary oedema reduces.

9. FOLLOW UP VISIT

After the discharge ,you have to  do  postoperative visit  after 2 to 3 days ,7 days ,15 days and then after 1 month.

10. LONG TERM INSTRUCTIONS

It is advisable to visit the clinic at 1 month, 3 and 6 months after the operation.KEEP WATCH FOR
Redness, swelling, pain, fever, bleeding or discharge Visit hospital immediately.

Confirm your appointment +91 9869041559 

Every surgery comes with its share of risk and complications.

The common side effect is swelling and bruising which will be taken care of with proper medications advised by the surgeon.

The potential risk might include bleeding, infection, Skin necrosis. Wound healing.

Long term complications are breathing concerns, not getting desired shape, or scarring, asymmetry can happen.

Anesthesia related complications

However, with an expert cosmetic surgeon in an accredited cosmetic surgery centre, surgery is quite safe with the desired result.

You will have to visit the clinic for follow up to get the best of your results.

You might feel a little discomfort like the common cold. Propped up position, ice pack and medication help you to recover faster.
You might experience some bruising, swelling and puffiness in your facial area.
You should visit the clinic for a follow-up 2 to 3 times in first week.
Stitches and nasal splint (outside) will be removed in 5 to 7 days.
You can fly back in a 7 to 10 days.
A week to 10 days of leave from your office will help in recovery

  • Dr. Milan Doshi is an Indian board certified plastic cosmetic surgeon with more than 25 years of experience
  • Cosmetic surgeon Dr. Milan Doshi has credit for performing more than 1,250+ rhinoplasy surgeries in his career.
  •  He is a recognized member of the ASPS, ISAPS, APSI, IAAPS
  • he has mentored more than 50 plastic cosmetic surgeons across India and has been a recognized mentor by ISAPS.
  • He has credit for many presentations for nose reshaping surgery at various national & international conferences
  • He regularly performs various rhinoplasty to give a properly sculpted nose,
  • He is an expert for revision rhinoplasty,
  •  He performs various ethnic rhinoplasty,
  • Dr. Milan Doshi has been recognized as the safesand trusted surgeon in Mumbai, India.
  • He is most sought after cosmetic surgeon, among the Bollywood celebrities because he consistently delivers unmatched body contouring results.
  • Patients from 50+ countries got benefited by Dr. Milan Doshi’s expert surgical hands.

To know more about Dr. Milan Doshi, kindly click the link : best cosmetic surgeon in mumbai

We have two centers in Mumbai with the state-of-the-art facilities.

Cosmetic surgery clinic at Andheri West is for the non-surgical rhinoplasty. where one can get the pre-procedure consultation, post-procedure follow-ups. The Andheri West center of Allure Medspa is a prime attraction for celebrity people as it is a hotspot destination for production houses and their offices.

The cosmetic surgery hospital/center in Goregaon West is ISO 9000:2008 and NABH certified

The two separate modern operation theatre, advanced patient’s monitoring system during operation and post-operative care add to the safety of the procedure.

We are all updated with the latest technology. We offer real time 3D virtual consultation so you can have best idea how you will look after surgery? And that sitting at your comfort. We have special outstation patient facilitation program toto add your comfort

We believe in educating you and make a tailor maid plan for your rhinoplasty, we recommend the particular option of the technology/method of the procedure according to your need, expectation and desired goal of the Rhinoplasty.

Due to the facilities of equipment such as an ultrasonic cleaner, ETO-sterilization, autoclave, fumigation and stringent protocols we ranked highest in the safety and hygiene measure.

With an indoor overnight facility one can find the best ambiance in our center where the patient’s comfort is kept in mind with in-suit bathrooms & rooms are equipped with all the necessary things such as microwave, refrigerator, LCD TV, landline phone, etc. and make a homely feeling for the patients during their hospital stay.

The staff at Allure Medspa take all precautions to make your journey of fine to fabulous a pleasant experience. One can have a homely feeling even with the medical procedure.

Our center is committed to providing exceptional care, standard facilities, and advanced measure for the surgery and all under a single roof.

We have the most priority for the patient’s PRIVACY and CONFIDENTIALITY!

How Various Factors Affect the Rhinoplasty Surgery Cost?

  1. Patient’s Profile:The patient’s profile includes the need for rhinoplasty surgery, type of surgery used to correct the concern, as well as the nose structure, general health of the patient and the goal of surgery.
  2. Surgeon’s Profile:The board-certified surgeon is firstly counted for the cosmetic procedure, especially the Rhinoplasty surgery. The M Ch, MS, and MBBS surgeon who has expertise in performing the nose job and recognized by various national & international cosmetic organizations i.e., ASPS, ISAPS, weigh the cost of the procedure. Patient’s reviews and referrals make huge difference.
  3. Anaesthesiologist Charge:Anaesthesiologist makes your surgery painless and monitors your vital parameters during surgery and his expertise is important for the safety of the surgery.
  4. The Infrastructure of the centre:It is always important to choose the accredited centre rather than the day care centres as it can assure you about safe and successful rhinoplasty surgery. NABH accredited centre is counted as the best centre/clinic that confirms the safety & hygiene associated with the surgical procedure. Operation theatre monitoring equipment, level of sterilization, a used instrument for special purposes.
  5. Hospital Stay:The facilities of in-suite room, cleanliness & hygiene as well as 24/7 staff support system.
  6. Medicines:Medicines include anaesthesia, surgical medicine, disposable and consumables.
  7. Follow-ups:The required session of follow-ups after the rhinoplasty surgery may enhance the cost of the procedure.

Most health insurance plans do not cover nose job or its complications, but many plastic surgeons offer patient financing plans, so be sure to ask.

Rhinoplasty Surgery Cost at Allure Medspa, Mumbai India:

Types Cost (INR)
Primary Rhinoplasty 70,000 to 1,50,000
Secondary Rhinoplasty 1,00,000 to 2,00,000
Additional Cost, if Needed
Nasal Implant 15,000 to 20,000
Endonasal Surgery 30,000 to 60,000
  1. 18% GST by GOVT of India on all cosmetic surgery.
  2. EMI facilitiy is available.

Rhinoplasty Surgery Cost Include:

  • Surgeon’s Fee
  • Anesthetist fees
  • Medicines/consumables during surgery
  • Hospital facility & stay
  • Technology used
  • Immediate post-operative follow-ups

 Factors  NOT included in rhinoplasty surgery cost

  • Preoperative fitness test
  • Post-operative medications (to be taken at home) After the Rhinoplasty surgery
  • Rare and unforeseen health circumstances experienced by the patients
  • Insurance doesn’t cover the Rhinoplasty surgery cost as the finance service provider doesn’t assist you in planning cosmetic surgeries.

Q: What is rhinoplasty?
A: Rhinoplasty is a surgery that changes the shape of the nose. Rhinoplasty aims to make your nose in harmony with your face also considering your age, gender, body structure, and ethnicity.

Q: What is involved in rhinoplasty surgery?
A: Rhinoplasty commonly referred to as a “nose job,” is a surgery to change the shape of your nose by repositioning the cartilage or bone beneath the skin of your nose. It can be done inside your nose or by making a small incision at the base of your nose or between your nostrils. Sometimes, breathing issues are also solved with rhinoplasty.

Q: How painful is a rhinoplasty?
A: Most of the time, you do not feel pain in a rhinoplasty procedure. Your doctor will numb your nose with anesthesia to make the procedure painless. You may experience mild to moderate discomfort after your surgery, which can be managed with medication.

Q: Is rhinoplasty a major surgery?
A: Rhinoplasty is a major surgical procedure. Your nose is a complex 3D shape in the center of your face. Therefore, it’s critical to find a qualified doctor for the job. During rhinoplasty, the changes made are often very subtle but can have a significant impact on how your nose/face looks and functions. Because these changes are minor, the margin for error is small.

Q: Do nose jobs last forever?
A: Rhinoplasty results are permanent, therefore, it also emphasizes the importance of selecting a qualified cosmetic surgeon you can trust to deliver the results you want. However, rhinoplasty cannot reverse the aging process or the effects of time. As you age, in the long term, gravity causes your nose to droop and sag.

Q: Does rhinoplasty change your smile?
A: Rhinoplasty does not change your smile. Immediately after your surgery, you may have an effect on your smile, but this is usually temporary. This could take anywhere from two to four weeks. Rhinoplasty corrects droopy tips and makes your smile more attractive.

Q: Are nose jobs worth it?
A: Yes, nose jobs are worth it when your goals are realistic and you have selected a plastic cosmetic surgeon having a track record of successful surgeries and positive reviews. Rhinoplasty not only gives you an aesthetic nose but also gives you the confidence to move freely among your friends socially. It can also make your breathing easier if done for medical reasons.

Q: How bad is rhinoplasty recovery?
A: Rhinoplasty recovery is not as bad as the general perception among people. After your rhinoplasty, you may experience discomfort like having a common cold. The first night after surgery, you may experience a dull ache around your nose, but the pain will subside significantly. It’s normal to have swelling, bruising. You may have some minor oozing from your nose while recovering from a nose job. Bruising around your eyes is most common and usually takes about two weeks to go away completely.

Q: Why is rhinoplasty so difficult?
A: Rhinoplasty is a difficult procedure because your nose is a complex organ that is 3D in shape and placed in the center of your face. The changes made during rhinoplasty are often very subtle, leaving a very small margin for error. These changes, however, leave a significant impact on how your nose looks and functions. It is therefore important to choose a board-certified plastic cosmetic surgeon who has extensive experience in doing rhinoplasty surgeries.

Q: Is rhinoplasty covered by insurance?
A: Rhinoplasty done for cosmetic reasons is not covered under insurance. Although few insurance companies cover rhinoplasty done for medical reasons breathing like breathing problems. You must ask your agent about the details as different insurance companies have different policies criteria. Many plastic surgeons offer financial support and discounts that might help you fund your surgery.

Q: How long does rhinoplasty surgery take?
A: Rhinoplasty typically takes around 1.5 to 3 hours to complete. However, this time can vary from surgery to surgery. Time taken to complete your rhinoplasty surgery may depend upon:
– Nature of surgery (cosmetic/corrective/medical).
– Additional procedures.
– The expertise of your surgeon.
– Your general health.

Q: What is the perfect nose?
A: A perfect nose shape is one that complements your other facial features. It should also match your gender and ethnicity. The goal of facial plastic surgery is never to completely change your appearance, but rather to enhance your natural features with a nose that has a more harmonious shape.

Q: Is nose surgery safe?
A: Nose surgery is as safe as any other surgery. You should select a well-experienced surgeon having a good surgical center that will make your surgery more safe.

Q: Is nose job safe in India?
A: Now nose jobs in India are very safe. The availability of well-experienced surgeons and well-equipped cosmetic surgery centers has motivated more and more people to opt for rhinoplasty in India. Many NRI and foreigners also come to India for cost effective and safe nose surgery.

Q: Is India good for nose surgery?
A: In fact, India is very good for nose surgery. According to a survey done by the International Society of Aesthetic Plastic Surgeons, India ranked fourth in the world for rhinoplasty surgeries. India produces some of the world’s best doctors and surgeons, who have received their education and training at world-class institutions around the world. Added with NABH accredited centers, you get the same quality and safety as in the west at a low price.

Q: What nose is the most attractive?
A: The most attractive nose is one that is in complete harmony with the rest of your facial structures. An attractive nose should also match your gender, body structure and ethnicity.

Q: What are the side effects of nose surgery?
A: Normally nose surgery does not have complications, however, since every surgery carries some risks with it, the following are some risks associated with nose surgery:
– Bleeding
– Infection
– Side effect from anesthesia
– Breathing problems (rare)
– Pain, discoloration, or swelling of your nose and under your eyes
– Scarring

Q: Can I reshape my nose without surgery?
A: Yes, you can reshape your nose without surgery. Dermal fillers and Botox can reshape your nose up to a certain extent. Their results are however temporary. Some minor corrections or some residual changes following your surgery can be managed with these non-surgical options.

Q: What is the most attractive nose shape?
A: As a thumb rule, an ideal nose is one that has a shape that complements the rest of your face’s appearance. The goal of facial plastic surgery is never to completely alter your appearance, but instead to enhance your natural features with a more harmoniously shaped nose.

Q: How do I choose a rhinoplasty surgeon?
A: It is most important to choose the right rhinoplasty surgeon for your rhinoplasty. You can check for the following things for the same:
– A board-certified plastic cosmetic surgeon.
– An M.Ch, in plastic and reconstructive surgery and who has expertise in performing the nose job.
– Recognized by various national & international cosmetic organizations i.e., ASPS, ISAPS.
– Positive patient reviews and referrals.
– Must have an artistic hand.
– Should be passionate and dedicated.
– Should have an empathetic staff.

Q: What type of surgeon does rhinoplasty?
A: Ideally, a plastic cosmetic surgeon does rhinoplasty surgery. In ill-regulated countries like India, so many other doctors promote themselves as cosmetic surgeons. They may jeopardize your results and health.

Q: Which hospital is best for rhinoplasty?
A: NABH accredited center is counted as the best center/clinic in India that confirms the safety & hygiene associated with your surgical procedure. NABH certification requires following medical protocols very stringently. It assures you about safe medical treatment and any surgery.

Q: How long does it take to recuperate from a nose job?
A: Facial swelling stays there for 5 to 7 days. Suture and splint are removed at the same time. Bruise marks take 2 to 3 weeks to go. You can do exercise after 3 to 4 weeks. It takes about 4 weeks for the bones in your nose to heal after surgery in most patients. You can join your office job in a week or two. You should avoid strenuous exercise during this time.

Q: What happens when you get a nose job?
A: When you get a nose job done, your nose is reshaped for cosmetic or medical reasons. Your surgeon makes cuts within your nostrils during the surgery. In more difficult cases, your surgeon may also make cuts across the base of your nose to achieve the desired result. The inner bone and cartilage are then reshaped by your surgeon to produce a more pleasing appearance.

Q: What is the best age for a nose job?
A: While there is no set age for rhinoplasty, it is generally considered to be between the ages of 18 and 40. You have matured physically and emotionally to be a good candidate for rhinoplasty at this point, and your skin still has youthful elasticity. If rhinoplasty is required for patients before the age of 18 years, signed consent from parents is required to proceed further.

Q: What is a nose job?
A: Nose job, also known as rhinoplasty, is a cosmetic surgical procedure for changing the appearance of the nose.

Q: How much does a nose job cost?
A: A nose job in India could cost you around 80,000 to 2,00,000 INR. The expertise of cosmetic surgeons and accreditation/ quality of the hospital set up is major and most important rhinoplasty surgery cost factors. The final cost depends on the extent of the rhinoplasty surgery and Your goal of the surgery also plays a role.

Q: Is rhinoplasty safe?
A: Yes, if rhinoplasty is done by an experienced surgeon in an accredited hospital, it is very safe. chances of complication or need for revision rhinoplasty surgery reduce a lot.

Q: Does rhinoplasty require general anesthesia?
A: Yes, most of the rhinoplasty requires general anesthesia. a limited nose job may be done under local anesthesia plus sedation. rhinoplasty always is done under the supervision of an expert anesthesiologist to monitor your vitals and safety.

Q: How much nose plastic surgery costs in India?
A: Nose plastic surgery in India will cost around 80,000 to 2,50,000 INR. Nose plastic surgery cost in India is almost one third that of western countries. Metro city and the prime location of the clinic will have more cost for nose plastic surgery.

You should weigh the expertise of a board certified plastic surgeon and accredited hospital set up to get the safe and best result of nose plastic surgery. The extent and goal of nose plastic surgery are also important cost factors.

Q: How to fix your nose without plastic surgery?
A: Various techniques of non-surgical rhinoplasty are there to fix the nose without plastic surgery. Fillers, botox, thread lift can correct some nose ailments. However, non-surgical rhinoplasty can correct minor concerns and results are temporary.

Q: How to prepare for rhinoplasty?
A: your surgeon is the best to guide to prepare for rhinoplasty
To prepare for rhinoplasty,
1.Decide about your goal of surgery.
2.You can take representative photographs during the consultation
3. Do research on the net and make a list of your concerns to ask a rhinoplasty surgeon.
4. You need to do nasal airway analysis and general body checkup
5.You will be asked to stop smoking a few days before the surgery.
6.Avoid taking medicines like aspirin and blood thinners before surgery. One must stop on counter medicine or nutritional supplements.

Q: Is nose surgery recovery painful?
A: Nose reshaping surgery is not painful. Pain killer medicine will take care of pain. There will be swelling on the face and inside the nose, so one will feel like having nasal congestion and the common cold.

Q: What is augmentation rhinoplasty?
A: Augmentation rhinoplasty refers to the nose surgery nasal height is increased.it is commonly done for patients having flat noses or patients of Asian origin. Your own body tissue like cartilage or bone or implants are used to increase nasal height.

Q: What is the rhinoplasty surgery cost?
A: Rhinoplasty in India will cost around 80,000 to 2,50,000 INR. Rhinoplasty cost in India is almost one third that of western countries. Metro city and the prime location of the clinic will have more cost for rhinoplasty surgery.
You should weigh the expertise of a board certified plastic surgeon and accredited hospital set up to get the safe and best result of rhinoplasty. The extent and goal of rhinoplasty are also important cost factors.

Q: When can you exercise after rhinoplasty?
A: One is advised to avoid any kind of exercise for 2 weeks. Light exercise can be resumed after 2 weeks and heavy exercises can be resumed after 3 weeks after surgery.

Q: Can I have surgery with a stuffy nose?
A: Yes, you can have this surgery with a stuffy nose, in fact, rhinoplasty is helpful in treating the stuffy nose and also improves air passage.

Q: How long does a nose job take to perform?
A: It takes around 1.5-3 hours to perform a nose job depending on your concerns and expertise of the cosmetic surgeon.

Q: How much does non-surgical rhinoplasty cost?
A: Expertise of the cosmetic surgeon is the most important factor to get the best result of non-surgical rhinoplasty. The best cosmetic surgeon’s charges and material required for the best result for non-surgical rhinoplasty are the main cost determinants for the non-surgical rhinoplasty cost. Also since they are temporary, you will need to get it done again and again, so there is that additional cost too.

Q: How much would it cost to get a nose job?
A: Nose job in India will cost around 80,000 to 2,50,000 INR. Nose job cost in India is almost one third that of western countries. Metro city and the prime location of the clinic will have more cost for a nose job.
You should weigh the expertise of a board certified plastic surgeon and accredited hospital set up to get the safe and best result of a nose job. The extent and goal of the nose are also important cost factors.

Q: How to straight nose without surgery?
A: Dermal fillers can help to get a straight nose without surgery. Dermal filler can camouflage only minor irregularity. Major deviations or crooked nose, or breathing concerns can be improved by rhinoplasty surgery by the best cosmetic surgeon only. Derma fillers’ results are temporary so it needs to be done again and again. For permanent results, surgery is the only option.

Q: Is a non-surgical nose job worth it?
A: If you don’t want to undergo nose shaping surgery or looking for minor correction of nose shape you can go for non-surgical rhinoplasty. As a result of non-surgical rhinoplasty are temporary, you must count the recurrent cost.

Q: Is the nose reshaping surgery result long-lasting?
A: Yes, rhinoplasty results are long lasting.

Q: Will the scars be visible in the Rhinoplasty procedure?
A: Rhinoplasty scar is well coumaflaged and hardly visible .The incision in Rhinoplasty surgery is made in the discreet area such as the inside or underneath the nose, right between the nostrils. The scarring is minimal and tends to be well-concealed. One should follow the surgeon’s post-operative care instructions for the scar to heal completely.

Q: Is nose reshaping surgery painful?
A: You will not feel any pain during the procedure. As general anesthesia is administered prior to perform the procedure. Following the procedure, your surgeon may prescribe medication to alleviate any pain. Most patients experience more discomfort than pain as they recover.

Q: Does rhinoplasty cause black eyes?
A: It sometimes causes black eyes. However, it will subside in a week or two of the surgery. Not everyone gets a black eye with the procedure.

Q: Is there any age limit for conducting Rhinoplasty surgery?
A: The women should cross an age limit of 16 years and men of 18 years to conduct the Rhinoplasty surgery. This is to ensure that the face is fully developed as further growth will affect the result of Rhinoplasty.

Q: Does Rhinoplasty require breaking nose?
A: Breaking the nose may be or may not be needed suring rhinoplasty surgery. The surgery depends on the person, the anatomy of the person’s nose, the type of Rhinoplasty being conducted, and the desired result. Many patients only need cartilage reshaping to achieve the desired result. Bone reshaping is done with osteotomy where the surgeon breaks the bone in a controlled manner for the desired shape.

Q: Will nose reshaping be too evident after undergoing surgery?
A: People cannot make out about nasal surgery once the basic recovery take place. The goal of the rhinoplasty is a natural-looking nose.

Q: How long will it take to go back to work?
A: Office job you can resume in a week or 10 days. You can continue with heavy work after 2 to 3 weeks.Typically, one is advised to rest for a week after the surgery is conducted. After a week the bandage will be removed. You may be able to apply makeup to your face to help hide any residual bruising.

Q: Is Rhinoplasty necessary to change the shape of the nose?
A: It is not always necessary to undergo Rhinoplasty to correct the defects of the nose. Depending on the condition of your nose, the severity of the defect and the result you desire, you can also have a non-surgical option. You can ask for an option during your consultation with the surgeon.

Q: When one can go for revision rhinoplasty?

A: One can go for revision rhinoplasty minimum6 to 8 month after primary surgery. Internal healing and residual swelling after rhinoplasty and any trauma go over in 6 to 9 months. One has to wait until that time. One can go for the revision rhinoplasty once you feel the operated area is soft.

Q: How long rhinoplasty takes to heal?

A: Week 1: spint will be removed. You can face people. It is safe to resume activities of daily living.
Week 2: The majority of the facial swelling has subsided and most of the bruising should have resolved.
Weeks 3: You can safely return to aerobics
Weeks 4: The bones are stable, you can resume resistance workouts (weight lifting), wearing glasses and blowing your nose.
3-6 months: abnormal sensation or hardness of nose will resolve.
1 Year: The healing process is complete. Nose reshaping is completed.

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Note: The author of this content is Dr. Milan Doshi, An Indian board-certified plastic & cosmetic Surgeon wholly & solely confirms the authenticity of the information & knowledge delivered by this write-up.