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Nose Reshaping (Rhinoplasty)

In very simple terms, rhinoplasty or nose job is the surgery by which the shape of the nose can be changed. The surgery could be conducted for cosmetic or medical purposes, such as better breathing. The procedure can be used to improve the bone, the cartilage, the skin or the nose, or even all three of them. The rhinoplasty surgery cost in India depends on many factors – extent of the job, technique used, kind of problem like saddle nose or crooked nose, the surgeon and location.
Though the costs are very affordable specially at our clinic in Delhi and Ludhiana – the broad range is around INR 75000 or USD 1300 for moderate work. Rhinoplasty Surgery can achieve the following changes:

  • Nose width or position of nostrils
  • Size in proportion to the face
  • Significantly improving crooked or saddle nose
  • Any asymmetry of the nose
  • Any visible humps or depressions of the nose

Types Of Rhinoplasty

Open Rhinoplasty

A small incision is made on the columella, which is the exterior part of the septum. This incision is made in addition to the normal incisions that would be made for such a procedure.

Before Rhinoplasty Surgery

Before your surgeon can get you started on your procedure, you will be asked several questions about your health in general. Your medical history will be looked into, in detail, and if you have or have had any serious medical condition, you will need to mention the same.
You will have to undergo a thorough medical examination to ensure that you are physically fit for the procedure. These tests will include blood tests, heart functions and sugar levels. You blood will be checked and your medications will also have to be monitored.
If you are a smoker, you will be asked to refrain from doing so, a few weeks prior to the surgery. You might also be asked to avoid medications such as aspirin, as these could lead to increased bleeding.

During Rhinoplasty Surgery

  • Anaesthesia – The patient will be administered either general anaesthesia or sedation to ensure complete comfort during the procedure.
  • Incision – Irrespective of whether the surgeon is performing an open or closed rhinoplasty, there will be incisions. The only difference is where the incisions will be placed. Once the incisions have been made, the surgeon will be able to raise the nasal bones and cartilage.
  • Reshaping – If the nose is too large, some of the bone or cartilage will be removed. Alternately, if the nose is too small, grafts will have to be taken from other parts of the body. Grafts can be taken from the septum, rib cage or ears.
  • Correcting a deviated septum – If it is the septum that has suffered damage, then the same is straightened out.
  • Closing the incision – Inside or outside, the incisions are then closed up. The nose will have been sculpted to the desired shape, and the skin will be pulled up before closure.

After Rhinoplasty Surgery

Most surgeons will place a splint or some sort of bandaging inside your nose, immediately after the surgery, to ensure that the repaired portion has sufficient support. These supports will be left inside till the time the healing is complete. Although the initial swelling will reduce in a matter of days, the actual reshaping will take time to settle in. Over a period of time, the shaping will start to become more obvious. There are specific things that need to be kept in mind while recovering from rhinoplasty and these include:

  • You will be told how to clean and care for the site, immediately after surgery
  • You will need to make sure that you take all your medications on time, including the oral and topical ones
  • Your doctor will advise you on how to keep a look out for potential infection or trouble
  • You will also be advised about when to meet the doctor for regular follow-ups
  • It is just as important that you ask your doctor about how and when you can return to your normal routines, including exercise

Closed Rhinoplasty

The entire procedure is performed inside the nose and there are no cuts or incisions on the columella.It is the mainly the columellar incision that differentiates the open and closed versions of the rhinoplasty, however, there are a few other differences in the closed version, such as:

  • Lesser incisions, which means lesser sutures
  • More possibilities for technical variations
  • Lesser edema post-surgery
  • Lesser chances of causing unwanted damage to the nasal area
  • Lesser time in the operating room and faster recovery
  • Lesser scarring

Primary

The very first time a rhinoplasty is conducted for either better functioning, reconstruction or correction.

Secondary

When a second rhinoplasty has to be conducted, because the primary surgery did not have the desired results. This is also known as revision rhinoplasty. Normally, secondary rhinoplasty procedures are much more complicated, because for the first one, the actual structure of the nose would have been altered. So, in order to have the desired results, the surgeon will have to recreate the support systems from scratch. The cartilage for the grafts might have to be harvested from the rib cage or the ears.

Nasal Reconstruction

As the name suggests, this type of surgery is about reconstructing what might have gotten damaged. The damage could include displaced or broken bones in the nose, displaced cartilage, collapsed nasal bridges, defects that have been present since birth, autoimmune disorders, trauma or accident as well as failure in the primary surgery.

Non-surgical rhinoplasty

Non-surgical rhinoplasty is yet another medical procedure, in which fillers are used, which can be injected into the nose. These fillers can either change or simply shape the nose, without any incisions or sutures. If there are any depressed areas of the nose, these fillers are injected to create a rise. This means that this procedure can be used only to increase the size of the nose, but not reduce it. At times, the procedure is used to ease out breathing difficulties.

Possible Risks

As is the case with any surgery, there are a few risks with rhinoplasty too, and some of them include:

  • Bleeding and recurring nosebleeds
  • Septal perforation
  • Infection or allergy to medical material used including anaesthesia
  • Uneven looking nose
  • Breathing trouble
  • Pain or swelling that does not go down
  • Loss of sensation in or around the nose
  • Scars

Frequently Asked Questions

We strive to provide highest quality at affordable cost with hygiene and imported equipments

 

Is There An Age Limit For Blepharoplasty?

While there is no specific age limit for the procedure, the requirement for the same normally comes with old age.

 

Will Blepharoplasty Take Care Of The Wrinkles And Crows’ Feet Around My Eyes?

No; blepharoplasty is meant to correct only the eyelids, which means that it cannot take care of wrinkles or crows’ feet. There are other procedures for such issues.

 

Will Blepharoplasty Take Care Of The Dark Circles Under My Eyes?

Dark circles have nothing to do with the dark skin under the eyes, which is why treating the eyelids will have no effect on the colouring of the skin.

 

Will The Effects Of Blepharoplasty Be Permanent?

While the effects might not be permanent, it will last a really long time. With age, the eyelids will start drooping again and a repeat surgery might be required.

 

Will Insurance Cover My Blepharoplasty Bill?

Drooping eyelids could hamper vision, which is why, certain insurance companies will cover the same.

Frequently Asked Questions

What is rhinoplasty?

A rhinoplasty, commonly referred to as a nose job, is a surgical procedure that is performed to change the shape or look of a nose or improve its function due to trauma or birth defects.

 

Q: How much does rhinoplasty cost?

The cost of rhinoplasty greatly depends on your geographic location and how much alteration you want or need to have done to your nose. The starting cost of a rhinoplasty procedure ranges from 15000-20000 RS . The average cost does not take into consideration an overnight hospital stay if required. If you have documented breathing issues, your health insurance may cover a portion of the procedure. Before you schedule your rhinoplasty, contact your health insurer to discuss the possibilities of the procedure being covered.

 

 What are the risks of rhinoplasty?THE SURGERY?

Rhinoplasty is a generally safe surgical procedure, but as with any surgery, things can go wrong. The most common risks during a rhinoplasty procedure are infection, adverse reaction to the anesthesia, and excessive bleeding. There is also the slight possibility that you will need additional surgery in the future. Another risk in regards to cosmetic rhinoplasty is that you may be unhappy with the procedure — rhinoplasty has the highest rate of revision in cosmetic surgery.

How can I prepare for rhinoplasty?

Prior to the rhinoplasty your surgeon will go over the realistic expectations of your procedure. He or she will determine what needs to be done and the most appropriate methods to use in order to meet your expectations. As far as what you can do to prepare for your rhinoplasty, it is recommended that you don’t take any medications that may inhibit blood clotting or cause postoperative bleeding problems such as aspirin and ibuprofen. If you smoke, it is also recommended that you stop smoking at least a month before your surgery and don’t start again until a month afterward. Smoking greatly slows down the healing process and will extend the time it takes you to recover. This may be a good time to quit smoking altogether.

 

What can I expect during rhinoplasty?

 Your rhinoplasty will generally be performed under general anesthesia and the entire surgery typically lasts no more than two hours. Depending on your situation, your surgeon may make an incision across the bottom of your nose between your nostrils (known as the open technique), or in the lining of your nostrils (known as the closed technique). Your surgeon will then remove or rearrange cartilage, and in some cases break and rearrange bone to reshape the nose. Afterward, the surgeon or health care team closes the incisions and your nose is packed with gauze. Usually, a nasal split is also applied.

 

What can I expect after rhinoplasty?

Results from a rhinoplasty surgery can typically be seen once the swelling goes down and your physician removes the nasal splint. Nasal breathing is also difficult for about 3 weeks after the surgery due to swelling. Most, if not all, of the swelling is gone two months after you have the surgery performed. As your doctor may tell you. you should see your nose becoming more refined over the following months.

 

 

What are the alternatives to rhinoplasty?

When it comes to alternatives to cosmetic rhinoplasty, there are none. But if you’re looking to improve your breathing you can try using nasal strips as a non-surgical means of correcting the issue.

Before And After

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