How to Reshape your Nose with Safe, Smooth and Tension free Rhinoplasty Surgery?

The Rhinoplasty or nose surgery is performed to change the appearance of the nose to make your face more attractive and bring balance in the facial feature.

• Increase or decrease the overall size of your nose
• Shorten or lengthen your nose
• Sharpen the bulbous tip, boxy tip, or correct bid tip
• Increase or decrease tip projection
• Correct droopy tip
• Correct rotation of the tip
• Narrow down the width of the nose, broad, broad-mid, and broad base of the nose
• Correction of pinched nasal feature
• Remove hump on the doldrums
• Elevate the flat or saddle nasal feature or
• Reduce the height of the nasal feature
• Correct protruding or retruding columella
• 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.

While contemplating a procedure, many questions that houses our mind. What if when the procedurecouldn’t meet success and you are unable to get the desired result! Well, Dr. Milan Doshi, who is one of the Best Cosmetic Plastic Surgeons in Mumbai will answer all your doubts in your consultation. Many factors that determine, whether you are a candidate for Rhinoplasty.

Nose shaping surgery is a good option in the following cases:

• A girl should be above 16 years and boy should be above 18 years and the nose is fully developed,
• When you are physically fit
• When you have realistic expectations from the Rhinoplasty.
• When the size and shape of your nose as above mentioned is not proportionate to your overall facial features and you expect a more balanced look.
• When you suffer from breathing problems due to some birth defects, i.e., deviated septum
• You might experience snoring problems that can be corrected with Rhinoplasty.

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At the time of consultation, you are free to ask questions with your plastic surgeon and he will answer your every query related to nose shaping surgery. One must keep this fact in mind that pre-procedure consultation helps define the goal and outcomes of the procedure as every patient is different and everyone has a different concern to receive the Rhinoplasty. However, it is inevitable to receive a consultation session to help you to identify the status of your problem.

During your consultation be prepared to discuss:

• Your surgical goals
• Medical conditions, drug allergies, and medical treatments
• Current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use
• Previous surgeries

Your Rhinoplasty surgeon will also:

• Evaluate your general health status and any pre-existing health conditions or risk factors
• May take photographs
• Discuss your Nose shaping procedure options
• Recommend a course of treatment
• Discuss likely outcomes of Rhinoplasty and any risks or potential complications.

One may have a number of questions to ask, but one must introspect each question with respect to the concerned problem, hence, it is good to make a list of important questions before proceeding for the consultative step.

Rhinoplasty consists of an amalgamation of many surgical techniques. There are many types of a Nose job as follows:

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.

Secondary 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 revision. In such cases, ear cartilage or even rib cartilage is used for Revision Nose shaping procedure. The donor sites are hidden/concealed very nicely. You will get natural-looking nose with a perfect nose shape by the nasal shaping surgery.

Ethnic Rhinoplasty

People of different ethnicity have different facial structures. Take the example of people from Asian countries who have a flatter nose and smaller eyes.People from African countries have big eyes and a broad nose. Ethnic nose shaping surgery is the process of the nasal reshaping of different ethnicity to maintain their ethnicity.

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.

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.

What Are the Technique of Rhinoplasty?

Closed Rhinoplasty

In the closed rhinoplasty, the incisions are made internally to adjust the structure of the nose. The surgeon navigates under the skin over the bridge of the nasal feature. The procedure provides no visible cut and decreased postoperative edema. As tissue is not under direct vision so many modern techniques of cartilage modulation become difficult.

Open Rhinoplasty

In open rhinoplasty, a small incision is made externally across the nasal columella, the tissue between the nostrils, and the rest is inside only like closed rhinoplasty. The nasal skin is then folded back and upward which provides complete access to the nasal structure and passage. The big positive point of the procedure is that it aids in the cartilage modulation.

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Consultation: Like any other procedure, the first step is to meet with your surgeon and discuss your concerns, the goals that you are aiming for, your expectations with the procedure, one can take a few photographs of your desired nose to convey your desired look in a better way. The surgeon will discuss the possibility of the outcome on a technical base. It is important to have realistic expectations.

Preparation: 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 if any obstruction occurs.

Anesthesia: Limited extent nose job/nasal shaping procedure can be done under local anesthesia with sedation. If a nasal procedure involves extensive work, it is better to do a nose job under general anesthesia. The procedure approximately requires 1 and a half hours to three hours to perform.

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.

Incision:
The Incision for a nose job is as described in open and closed nasal shaping surgery.

Rhinoplasty:
Modulation of the nasal structure is done primarily with suture, in addition to graft and strong support creation, or excision of cartilage is done if needed as a last resort. The bony base is modified with osteotomy. Septoplasty and 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. A silicone implant is used for nasal shaping surgery if previously discussed. The skin is sutured back with the hair-thin suture material. Nasal packing is provided.

After Surgery:

Nasal pack, which is now with airway, so one can breathe through the nose only. You will be discharged from the hospital in a day or two. You will be advised to be in a propped up position, the ice pack will help to reduce swelling and bruise marks.

Rhinoplasty result is faster. You can see the result immediately after the procedure. It becomes more visible as swelling reduces. The major result of Rhinoplasty is visible in a month. Tip sharpening goes on for 6 to 9 months and a little more with open or revision nose job procedure or when the skin is thick.

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, scarring, and complications related to the administration of anesthesia. However, with an expert cosmetic surgeon in an accredited hospital set up, 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.

Stitches and nasal splint (outside) will be removed in 5 to 7 days. After your nasal operation is done, a week to 10 days of leave from your office will help in recovery. Due to Rhinoplasty, you might experience some bruising, swelling and puffiness in your facial area. You might feel a little discomfort like the common cold. Propped up position, ice pack and medication help you to recover faster. After a week of the procedure, you should visit the clinic for a follow-up. Your surgeon will examine your progress and determine whether you are healing well and not experiencing any complications.

Dr. Milan Doshi as a Rhinoplasty Surgeon:

Dr. Milan Doshi, M Ch (plastic surgery), is a board-certified cosmetic surgeon with 20+ years of experience.

Dr. Milan Doshi is a pioneer name in the cosmetic surgery at MUMBAI, INDIA and performs cosmetic surgeries exclusively. He is well-known as the top cosmetic surgeon in Mumbai and a recognized member of the ASPS, ISAPS, APSI, IAAPS, he has trained more than 50 plastic cosmetic surgeons across India and has been a recognized mentor by ISAPS.

He has done more than 10K cosmetic surgeries and patients from 50+ countries got benefited by Dr. Milan Doshi’s expert surgical hands.

He has a credit for performing more than 1k Rhinoplasty surgeries in his career.

He regularly performs regular rhinoplasty to give a properly sculpted nose, revision rhinoplasty, to offer natural-looking results, ethnic rhinoplasty, and septorhinoplasty to correct nasal cavities and resifting the same to establish proper breathing. He has credit for many presentations for Rhinoplasty surgery at various national & international conferences.

NO WONDER Dr. Milan Doshi has been recognized as a celebrity cosmetic surgeon for Bollywood fraternity and credit of happily satisfying hundreds & hundreds of rhinoplasty surgery patients across the globe with the best results.

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Allure Medspa for Rhinoplasty:

We have two centres in MUMBAI with the state-of-the-art facilities, cosmetic surgery clinic at Andheri West is for the non-surgical procedure where one can get the pre-procedure consultation, post-procedure follow-ups. The Andheri West centre 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/centre in Goregaon West are 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 recommend the particular option of the technology/method of the procedure according to the patient’s 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 centre 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 centre 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!

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The procedure cost depends on various factors in which the following are the mandatory inclusion:

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

Following are the factors that are NOT included in the 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.

How various Factors affect the cost of Rhinoplasty Surgery?

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 Rhinoplasty surgery and recognized by various national & international cosmetic centre’s i.e., ASPS, ISAPS, weigh the cost of the procedure.
3. Anesthetist Charge: Anesthesiologist 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 daycare centre’s 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 theater 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 anesthesia, 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 Rhinoplasty surgery or its complications, but many plastic surgeons offer patient financing plans, so be sure to ask.

Rhinoplasty surgery cost at Allure Medspa, Mumbai India:

Note: 18% GST by GOVT of India on all cosmetic surgery. This price include surgeon fee, hospital facility fee, anaesthesiologist fee, consumable during surgery, 1 pressure garment and follow up visits.

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Is the Rhinoplasty surgery long-lasting?
The procedure of Rhinoplasty will alter the shape and size of the nose permanently, however, the changes can be affected over a long time with factors like ageing.

Will the scars be visible in the Rhinoplasty procedure?
The incision made 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.

Is Rhinoplasty surgery painful?
General anesthesia is administered prior to perform the procedure. Therefore, you will not feel any pain during the procedure. Following the procedure, your surgeon may prescribe medication to alleviate any pain. Most patients experience more discomfort than pain as they recover.

Does rhinoplasty cause black eyes?
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.

Is there any age limit for conducting Rhinoplasty surgery?
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.

Does Rhinoplasty require breaking nose?
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.

Will Rhinoplasty surgery be too evident after undergoing it?
The goal of the rhinoplasty is a natural-looking nose. Once recovery is completed people cannot make out about nasal surgery. However, your close family and friends may pick up the difference.

How long will it take to go back to work?
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. Office job you can resume in a week or 10 days. You can continue with heavy work after 2 to 3 weeks.

Is Rhinoplasty necessary to change the shape of the nose?
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.

When one can go for revision rhinoplasty?
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.