Rhinoplasty modifies the functional characteristics and aesthetic appearance of the nose through surgical procedures on the skin, cartilage, bones and mucosa. The type of incision used by the surgeon ranks the nose correction as open or closed. With open rhinoplasty, the surgeon makes a small incision in the columella between the nostrils and then further cuts in the nose. The correction of the closed nose is only a cut inside the nose.
OPEN RHINOPLASTY (EXTERNAL)
The open nasal correction uses a “bypass incision”, called the transcolumellar incision, to connect the incisions made in the left and right nostrils. This incision allows the surgeon to fold the nasal skin backwards, allowing unobstructed surgical access and an unobstructed view of the underlying nasal structure.
Easy access to the underlying structure of bone and cartilage is the main benefit of open nose correction. This access improves accuracy when remodeling the frame. It would not be possible to use the closed technique. In addition, open rhinoplasty minimizes the risk of nasal cartilage deformity and facilitates cartilage remodeling by complicated sewing or transplantation techniques.
The disadvantage of open rhinoplasty is that visible scars are more likely. However, the scar is usually relatively small (4 to 5 mm) and is located at the narrowest point of the columella on the underside of the nose. In this way, the scar should only be slightly visible with precise execution and closure.
Depending on the patient’s natural anatomy and the desired results, a closed nose job may be a good option. However, in many cases, improved accuracy and improved access to the open technique are more than the low risk of visible scarring. In fact, most rhinoplasty surgeons consider open rhinoplasty as the method of choice for difficult nasal anatomies of all kinds, and many of the most effective techniques of contemporary rhinoplasty can only be performed with an open approach.
The surgery involves a skin incision between the nostrils (“open rhinoplasty”) or tiny cuts in the nostrils (“closed rhinoplasty”).
A closed nose correction will not leave visible scars and less swelling, but is not always possible or available.
In either case, the process can take one and a half to three hours. Most people should stay in the hospital for one or two nights.
Dr. Amar Raghu Narayanan
MBBS, MS – General Surgery, M.Ch – Plastic Surgery, Plastic Surgeon,
*** 21 Years Experience ***
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How much does it cost to have nose surgery?
Rhinoplasty costs. According to statistics published by the Indian Society of Plastic Surgeons in 2014, the average cost of rhinoplasty is $ 4,694. However, this figure does not include other expenses, such as anesthesia and facilities, so the total price can range from $ 5,000 to $ 10,000.
These procedures are performed to alter, correct or repair the nose.
An in-depth discussion of patient goals, expected outcomes and possible surgical limitations is an integral part of preoperative planning.
The surgery is usually performed in an ambulance under anesthesia.
Support is required on the first day after surgery.
After the operation, several visits to the doctor for nasal care and for optimal results are required.
What is rhinoplasty?
Nasal correction is a facial cosmetic treatment that is usually performed to improve the appearance of the nose or to rebuild the nose. During rhinoplasty, nasal cartilage and bones are altered or tissues are added to enhance the visual appeal of the nose. Rhinoplasty is also commonly used to repair nasal fractures. When nasal corrections are used to repair nasal fractures, the goal is to restore the appearance of the nose after an injury. Septorhinoplasty is a similar procedure used in patients who also have a stuffy nose. Septorhinoplasty not only improves the appearance of the nose, but also eliminates internal blockages and stabilizes structures that can block nasal breathing.
Initial evaluation for rhinoplasty
Cosmetic concerns and expectations must be fully discussed before surgery. The surgeon’s recommendations and the particular limitations defined by the structure of your nose, face and skin are important to understand and explain. Photographs (without makeup) are usually obtained before surgery to facilitate preoperative planning and after surgery to document postoperative outcomes.
What happens before rhinoplasty surgery?
In most cases, the operation is performed on an outpatient, hospital or operations center. Both establishments can provide high quality care without the expense and inconvenience of an overnight stay. An anesthesiologist monitors vital signs throughout the procedure. Normally, the anesthesiologist will call the day before surgery to check the medical history. Preoperative laboratory examinations should be carried out a few days in advance. Transport after the procedure should be arranged and a person should stay with the patient the first night.
Aspirin or a product containing aspirin should not be taken within 10 days of the date of surgery. Nonsteroidal anti-inflammatory drugs (such as Advil, Motrin, Naprosyn) should not be taken within 7 days of the date of surgery. Many over-the-counter products contain Aspirin or Advil medications. It is therefore important to carefully check all medicines. If you have any questions, call the office or contact a pharmacist. Tylenol is an acceptable analgesic. Prescriptions for painkillers are usually issued before the surgery date and must be completed in advance.
No food or liquids should be taken within 6 hours of surgery. This even includes water, sweets or chewing gum. Everything that happens in the stomach increases the risk of anesthetic complications. Smokers should do their utmost to stop smoking or at least reduce the number of cigarettes. This reduces cough and postoperative bleeding. During the postoperative period, smokers also experienced problems with tissue repair.
Any illness prior to the day of surgery should be reported to the surgeon’s office as soon as possible. If the disease occurs on the day of the operation, it is best to go to the operations center as planned and assess to see if the surgery is safe.
What happens the day of Rhinoplasty Surgery?
It is important that you contact the surgery center on time. Bring all paperwork and forms, including preoperative orders and history sheets. Wear loose and comfortable clothing that should not be put on the head. Leave all trinkets and valuables at home. Remove all makeup with a cleansing cream. Wash your face thoroughly with soapy water and do not apply makeup or cream.
Do not take any medicine unless you are asked. Normally, a nurse initiates an intravenous (IV) line of infusion in the preoperative waiting room and can receive medication to relax.
What happens during rhinoplasty surgery?
In the operating room, the anesthetist will typically use a mixture of gas and intravenous drug. Continuous monitoring during the procedure usually involves a pulse oximeter (oxygen saturation) and an electrocardiogram (heart rate). The surgical team is urgently prepared. In addition to the surgeon and the anesthetist, a nurse and a surgical technician will be present in the room. Depending on what is required and what additional procedures are performed, the operation may take one to several hours. The surgeon usually talks to a family or friends as soon as the patient is safe in the recovery room.
What happens after rhinoplasty surgery?
Patients are followed by a nurse after surgery in the recovery room. A patient can return home the same day that the anesthetic is fully recovered. It usually takes several hours. Home transportation must be organized. A responsible adult should spend the night in the same apartment for short-term help.
At home, the patient should sleep in bed with their head raised on 2 or 3 cushions. Edema and swelling are minimized by holding the head above the heart. An assistant should be available for toilet travel. The effort should be avoided. In case of constipation, use a stool softener or mild laxative.
Swelling and bruising of the nose, upper lip, cheeks or eyes for several days after surgery are normal. This will gradually disappear in the next 7 to 10 days. Ice on the face, in the bridge of the nose and in the eyes, to the extent that it is tolerated, helps to minimize these problems. It also helps with postoperative edema and pain. Some patients have discovered that frozen vegetables in packages (eg, frozen pea sacks) are a convenient ice pack that fits the face.
A nose splint or cast iron covers the outside of the nose and is usually removed one week after surgery. When the swelling subsides, the splint is usually less tight. If the plaster is wet, it can dissolve prematurely. This is not usually a problem and does not affect the outcome of the process.
Moderate bleeding from the nose is normal and progressively decreases. The gauze bandage (“mustache bandage”) collects the blood and must only be changed in a saturated state. It is not uncommon for this dressing to be changed every hour during the 24 hours following surgery. This dressing is not usually necessary after a few days. Do not take aspirin, aspirin-containing medications or nonsteroidal anti-inflammatory drugs (such as Advil) 3 weeks after surgery
It is best to follow a light, gentle and cool diet that is tolerated after recovery. Avoid hot liquids for several days. It is best to eat slowly immediately after the procedure to avoid postoperative nausea and vomiting. Patients sometimes vomit once or twice immediately after surgery; If it persists, medications may be prescribed to regulate the stomach. It is important to remember that a good diet with sufficient rest promotes healing.
Antibiotics are prescribed after surgery. It is important to finish all ordered pills. A form of narcotic is also prescribed (usually Vicodin) to take as needed. When taking narcotics, it is important not to drive or engage in activities where impaired judgment may result in injury. In some situations, steroids may be prescribed either preoperatively and / or postoperatively. It is very important to take this medicine as prescribed and not stop it prematurely. An anti-vomiting drug such as Phenergan may be prescribed for postoperative nausea or vomiting. Possible reactions to one of these drugs, such as Skin rash should be reported to the doctor as soon as they are detected. Without your doctor’s knowledge, no other prescription or over-the-counter medicines should be taken.
What is the post-operative care for rhinoplasty?
In most cases, the bags were placed in the nose to control postoperative bleeding. Packaging material is removed during a scheduled postoperative visit. Arrangements should be made for another person to drive to the office for this first visit. Before this visit, take a light meal and avoid taking excess pain medication. Immediately after removing the nasal pouches, a saline nasal spray such as “Ocean Spray” is used several times a day to prevent scab formation in the nose. Several office visits are needed to assess healing, remove crusts and ensure a speedy recovery. The nose is usually fragile after surgery. It is therefore necessary to spray a special anesthetic before removing the crusts.
After removing the package, breathing through the nose is acceptable, but do not breathe or sneeze for more than 7 to 10 days. All sneezes must be passed through the open mouth. Expect a slight bloody drainage from the nose for a few days. If the bleeding becomes too intense, apply ice and rest with your head straight while holding your nose. If the bleeding lasts, call the doctor.
Rest during the first week after surgery. Avoid excessive speech, smiles, gnawing, strenuous activities, heavy lifting, elbowing and tilting. Try not to place the glasses on the bridge of the nose as long as the pain and swelling do not subside. Contact lenses can be worn as soon as the swelling of the eyes and irritation are gone. Alcohol and tobacco should be avoided as they can prolong swelling and healing. Smoke, dust and fumes can irritate the nose and cause an infection. Tanning of the face is not recommended within 6 months of surgery. Sunscreen number 15 or higher is recommended for each sun exposure. Makeup can be worn at any time after surgery.
Lubricate the nostrils as directed with a cotton swab and Vaseline to soften the hard crusts. Peroxide helps to solve crusts. After a few days, some of the absorbable sutures may be visible. Be gentle when brushing your teeth. They are often sensitive for several weeks and it may take a few months for the teeth and palate to become numb.
Exercise and swimming can be resumed after 3 weeks if no bleeding problem occurs. The dive should be postponed for two months. It is advisable not to plan a trip three weeks after surgery to allow adequate postoperative recovery.
Notify Your Doctor If You Have:
A sudden increase in bleeding from the nose, which is not relieved by pressure, ice and lifting of the head.
Fever above 30 ° C, which persists despite the increase in absorbed fluid and Tylenol. A feverish person should try to drink about a cup of liquid per hour of waking.
Acute persistent pain or headache that is not relieved by prescribed analgesics.
Increased swelling or redness of the nose or eyes.
What are the risks and complications of rhinoplasty?
This operation, like any operation, can lead to unsuccessful results, complications or injuries for known or unforeseen reasons. Since the response to surgery, anesthetic reactions, and healing outcomes are different, no guarantee can be given for results or potential complications.
The following complications have been reported in the medical literature. This list is not intended to include all possible complications. Although many of these complications are rare, they have all been entrusted, at one time or another, to experienced surgeons who practice conventional care.
Nasal congestion due to failure of the erection of the septum, subsequent new deviation of the septum, collapse of the nasal cartilage, or regrowth or swelling of the crows.
Non-repair of existing sinus infections or recurrence of existing sinus and / or polyp issues or need for additional or more aggressive surgical procedures.
In rare cases, bleeding may result in a need for blood products or a blood transfusion. Autologous (donated) or designated donor blood may be withdrawn in advance if emergency transfusion is required.Chronic nasal drainage or excessive dryness or crusting of the nose or sinuses.
Need for allergy evaluation, treatments, or environmental controls. Surgery is not a cure for or a substitute for good allergy control or treatment.
A cosmetic result that does not live up to expectations. It may be necessary to carry out a revision.
Failure to resolve the associated “sinus or nose headache”. The exact cause of headaches can be difficult to determine or can be caused by many different causes. Consultation with another specialist such as a neurologist may be required.
Eye damage and associated structures (rare).
Permanent numbness of upper teeth, palate or face.
Persistent pain, healing restrictions and hospitalization.
Septumper perforation (permanent hole in the nose between the two sides).
Failure to restore or aggravate the sense of smell or taste or to relieve nosebleeds.
Male nose job: All you need to know
As with any other cosmetic surgery that women like to do to improve their appearance, men now have the opportunity to improve their bodies with the same aesthetic procedures. Thus, men’s nasal work is becoming more and more popular not only in Australia, but also in Western countries such as the United States and the United Kingdom. This simply reflects the evolution of the concept of beauty over the years.
Male nose job: Is it different from women’s?
Male rhinoplasty is the same procedure as rhinoplasty, in which women reshape and improve their nasal profile. The main reason for the use of the nose in men is the same as in women, that is, to improve the aesthetics of the face. In addition, men may also use rhinoplasty to treat structural defects in the nose that may or may not cause certain diseases or disorders such as sleep apnea, abnormal septum, and other respiratory disorders.
In a nasal job for men, the surgery can ensure that the nose balances the patient’s facial features, including the proportions of the cheeks, chin, and eyes. The rhinoplasty was announced to help men (and women) improve the symmetry of their face, develop the shape and size of the nose, minimize the appearance of defects and lumps on the bridge of the nose, and treat the nasal mucous tip of the nose.
Male nose job: Is it complicated?
Contrary to the popular belief that rhinoplasty is a small and simple facial cosmetic surgery, this procedure is complex and must be performed by an expert. Choosing the ideal plastic surgeon with the same aesthetic level that you have achieved would actually meet your realistic expectations regarding the appearance of your nose after surgery.
Male nose job: How is a man’s nose different from a woman’s?
Although male rhinoplasty uses the same techniques and types of rhinoplasty as does female rhinoplasty, its main objective differs significantly in the reconstructive and aesthetic part of the postoperative outcomes. As the beauty of the woman encompasses the smaller nose, the work of the man’s nose is oriented in a different direction. Male noses usually have a prominent right-hand bridge and a nasal tip that protrudes at a 90-degree angle between the nose and upper lip, while the women have soft curves and a slightly obtuse angle to the upper lip. The nose bridge of the men is higher and wider than that of the women. The nasal tip of men is also more projected than that of women.
Male nose job: Is it different from women’s?
Both rhinoplasty procedures follow the same steps and techniques, but have different goals. Men often have to have nose surgery to smooth the nasal bridge and widen the nostril. In comparison, women often have a nose operation to treat a nose that is too broad, giving the appearance of a drooping point. Your plastic surgeon must effectively monitor the aesthetic or functional problems of your nose in order to personalize the operation of the nose and ensure that the operation will help you achieve a well-balanced and natural facial appearance.
Male nose job: The benefits of male rhinoplasty
The benefits of male or female rhinoplasty are numerous:
Improved Nasal Symmetry: Successful nose work can balance and develop facial features without artificially or surgically acting.
Nose correction can be used to treat nasal reconstruction while solving the problem of breathing or sleeping.
Improved self-esteem: using the male nose can improve the patient’s facial appearance, give him greater self-esteem, and give him the freedom to interact better with others.
Nose jobs for men are increasingly considered by many cosmetic clinics as a great way to enhance the look and masculinity of men. Although rhinoplasty offers many long-term benefits, it is important for the surgeon to remind his patients of the key considerations he must consider before surgery, such as: Eg risks and complications, the recovery phase. and the times that the surgery would bring.
Crooked nose rhinoplasty
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How Can I Fix a Crooked Nose?
What’s a crooked nose?
Like humans, there are twisted noses of all shapes and sizes. A crooked nose refers to a nose that does not follow a vertical straight line in the middle of your face.
The degree of curvature can be very subtle or dramatic depending on the cause. Although twisted noses are usually only an aesthetic problem, they can sometimes affect your breathing.
To treat a crooked nose, the Internet is full of exercise routines that promise to keep your nose straight. Read on to find out if these exercises really work.
What causes a crooked nose?
Before considering treatment options, it is important to understand the causes of a crooked nose. There are two main types of twisted noses. A type is caused by a problem in the complex system of bones, cartilage, and tissues that make up your nose.