Am I a good candidate for ear surgery?
Some of the indications that you may be a good candidate for Rhinoplasty are:

Your nose appears too large for your face.
There is a bump on the nasal bridge when viewed in profile.
Your nose seems too wide when viewed from the front.
The nasal tip droops or plunges.
The tip is thickened or enlarged.
Your nostrils are excessively flared.
Your nose is off-centre or crooked.
Previous injury has made your nose asymmetrical.

What to Expect At Your Consultation:
The staff at Cosmetic Plastic Surgery and Laser Super Speciality Centre understands that it can be very difficult for a patient to make enquiries about such a delicate matter. Our caring and supportive staffs are more than happy to help you make the necessary arrangements for an appointment for you to see Dr. Viral Desai. It is their aim to make you feel as relaxed, comfortable and fully informed about the procedure as possible. Please do not hesitate to ask the staff for any assistance.

There are several points that Dr.Desai will consider regarding your nasal surgery, such as:
• Any previous nasal injuries
• Breathing, allergies or sinus problems
• Previous nasal operations

Any serious illnesses, operations or medications that you are presently taking.
Your nasal bone structure and its shape and size. You should inform Dr. Viral Desai if you have or are taking any nasal sprays. Sometimes surgery of the chin is performed with nasal surgery to improve appearances.
You should expect to be with Dr. Viral Desai for at least 30 minutes. Rhinoplasty can recontour the nasal profile, change the angle between the nose and upper lip, and reshape the nasal tip The goal of rhinoplasty is a natural-looking nose that "fits" with the rest of the face.Alterations can be made to decrease the nasal bridge and reduce the size of the nose. The results of rhinoplasty enhance the balance between the nose and other facial features.

Where are the Incisions Placed?
Incisions vary depending on the type of nasal surgery Dr. Viral Desai has suggested.
The majority of incisions will be made within the nose so that they are not visible. The procedure "open rhinoplasty" requires a very small, inconspicuous incision made at the columella.

How Will Dr.Viral Desai Reshape my Nose?
Dr. Viral Desai can perform various types of alterations to your nose.
Changes can be made to the septal bone if it is crooked. This is performed by re-breaking the nasal bone and straightening it, allowing the patient to breathe easier. Some patients have a hump on the bridge of their nose, which can be chiseled down
Making it less visible. The nasal cartilage can be altered to allow a thinner bridge and narrower appearance. If the nose is bent it can be straightened and changes can also be made to lift a drooping tip. Implants or Cartilage can also be inserted to build up areas to produce a better looking nasal structure.

Risks, Complications and Side Effects:
Though uncommon, there are risks and complications associated with this kind of surgery. Dr. Viral Desai will discuss them with you in detail at your consultation. They include:
• Post operative bleeding and infections. Sometimes a haematoma can arise following nasal surgery, which requires   readmission and removal in theatre.
• Some infections may occur after surgery and usually subside after a course of antibiotics.
• Numbness of the skin may occur but will subside in time. If this does occur, you should inform Dr. Viral Desai.
• Removal of the nasal pack is unpleasant, but fortunately it is a relatively quick process.
It is important to sleep on your back with your head raised to minimize possible complications. Rest is an essential part of the healing process.

Pre-Operative Operations:
• Dr. Viral Desai may ask you to obtain an X-ray, CT scans or computer imaging of your nose prior to surgery.
• Smoking should be ceased 2 weeks prior to surgery (including Nicotine patches)
• Any blood thinning tablets (i.e. aspirin/disprin) or vitamins should be ceased 2 weeks prior to surgery.

When Can I Resume My Normal Actrivities:
Bending, lifting and straining should be avoided for the first few days post operatively. You should be able to return to work within 10-14 days. Exercise should also be avoided for at least three weeks after surgery. You should keep out of direct
sunlight and apply sunblock to the nose regularly. It is important not to wear glasses for a number of week's post operatively, as this can affect the healing process, by causing indentation. You should consult Dr. Viral Desai if this affects you. Dr. Viral Desai is open to discussion about any follow-up surgery, which you feel may be required if you are dissatisfied with the result.
Please note that follow-up surgery cannot take place immediately. Dr. Viral Desai will advise you accordingly. Fasting is required for 7 hours prior to surgery
including water, chewing gum and lollies. The length of your stay will depend upon the type of surgery you are having.

What to Expect on the day of Surgery:
You will have fasted for 7 hours prior to this. Any x-rays, CT scans or computer imaging should be brought with you to the hospital. If you are staying as an inpatient you should bring all toiletries, nightwear and comfortable clothing (i.e. a tracksuit or a top that is buttoned or zipped at the front rather than a top that you have to pull over your head.) You will be given a general or local anaesthetic and sedation (depending on your type of surgery) and it is important to inform Dr. Viral Desai prior to surgery of any previous complications/reactions to anaesthetics, or of any anxiety or nervous conditions. All anaesthetists that work with Dr. Viral Desai have high expertise in plastic surgery. You will have a nasal pack inserted into your nose, which is removed 24 hours after your procedure. You may also have a splint applied to the nasal bridge or sutures, which are removed 7 days post operatively.

What Should I Expect After My Surgery:
The recovery period varies from patient to patient and it is important not to expect too much too soon. You will experience some blockage in the nose, causing slight discomfort. It is important not to blow your nose too hard as this can cause damage. You may experience some minor bleeding but this should subside in time. Bruising around the eyes may occur and usually takes approximately one week to subside. It is important not to take aspirin or disprin as pain relief, as this may cause bleeding. It is expected that swelling may last a number of weeks. The nasal bones are soft and it is very important to protect the nose, avoiding any activity where injury may occur.

Maintaining Patient/Doctor Relationship:
Dr. Viral Desai is a very approachable doctor who understands your needs in relation to your Nasal surgery. Please feel free to approach him with any questions or concerns you would like addressed. You will return to the consulting rooms for follow up care, where your progress will be monitored. Post-operative photographs will be taken at a later date.
It is important for you to remember that the relationship between you and Dr. Viral Desai does not end when you leave the hospital. If you have any questions or concerns do not hesitate to contact the office to speak with him. The post-operative period is an extremely important time and there is trained staff available to help you.