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.
Author: Dr. Milan Doshi – M.S., M.Ch. (Plastic Surgery)
Indian Board certified Dr. Milan Doshi at Allure Medspa Mumbai, India is an expert plastic surgeon for various types of rhinoplasty. He has performed more than 900 successful rhinoplasty. He has also done equal number of nonsurgical or liquid rhinoplasty. His artistic hand has helped many celebrities to look very attractive on screen.
Concern: Twisted and Long Nose, Long Droopy Tip, Bulbous tip
Surgery: Open Rhinoplasty in Andheri, Mumbai
Concern: Crooked Nose
Surgery: Open Rhinoplasty in Andheri, Mumbai
Concern: Malehump Nose
Surgery: Male Open Rhinoplasty in Andheri, Mumbai
Concern: Collapse Nose After Nasal Injury, Dorsum Augmentation and Tip Projection
Surgery: Female Open Rhinoplasty in Andheri, Mumbai
|Time Required||1-3 Hours|
|Pain Level||Person feel like common cold|
|Hospital Stay||1-2 Days|
|Success Rate||97 to 98%|
|Result||Major Difference Visible Immediately Final Result 8 -12 Months|
|Complication Rate||Less than 2-3%|
|Rhinoplasty Cost||INR 80,000 to 2,00,000 Approx.|
Benefit of The Rhinoplasty or nose surgery is:
The Surgical Nose as Six Aesthetic Nasal 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 isan 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.
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: –
. 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. We create your 3 D image with Virtual Reality crisalix software. We can share screen with you and you can see the real time edited changes. It gives you realistic idea, what look can be achieved by the 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.
Makes dissection of Ala
Preservation rhinoplasty is popularised in recent years. Where nasal support tissue dissection is minimum to give natural looking result and faster recovery
Nasal frame work is created or supported by strong cartilage support to maintain the shape after rhinoplasty
Ultrasonic rhinoplasty uses piezoelectric instruments to reshape traumatically nasal bones, also known as rhino sculpture. Ultrasonic rhinoplasty uses piezoelectric instruments, that affect only the bones and the stiff cartilages through ultrasonic vibrations, as the instruments used in dental surgery. The use of piezoelectric instruments requires a more extended approach, to visualize the whole bony vault, to reshape it with rhino sculpture or to mobilize and stabilize bones after controlled osteotomies.
According to the rhinoplasty society – https://www.rhinoplastysociety.org/secondary-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.
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.
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
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.
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.
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.
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.
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.
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.
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:
Please inform about:
A silicone implant is used if previously discussed and permission is taken from the patient.
One must follow the surgeon advice to get best result.
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.
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
To know more about Dr. Milan Doshi, kindly click the link below:
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!
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.
|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|
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 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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