There are various areas of the nose that can be changed – such as the nostrils, the tip of the nose or the bony structure. Rhinoplasty can recontour the nasal profile, change the angle between the nose and upper lip and reshape the nasal tip.
The result of Rhinoplasty is a natural-looking nose that “fits” with the rest of the face.The results of Rhinoplasty enhance the balance between the nose and other facial features.
AM I A GOOD CANDIDATE FOR NOSE SURGERY?
Some of the indications that you may be a good candidate for nose surgery are:
1. Your nose appears too large for your face.
2. There is a bump on the nasal bridge when viewed in profile.
3. Your nose seems too wide when viewed from the front.
4. The nasal tip droops or plunges.
5. The tip is thickened or enlarged.
6. Your nostrils are excessively flared.
7. Your nose is off-centre or crooked.
8. Previous injury has made your nose asymmetrical.
Nose reshaping surgery should only be performed when the nose is fully grown, usually at the age of fifteen.
WHAT TO EXPECT
AT YOUR CONSULTATION
You should discuss the alterations you would like to see made with Dr. Viral Desai. Oftentimes, surgery of the chin is performed with nasal surgery to improve appearances. During the consultation, there are several points that Dr. Viral Desai will consider regarding your nose reshaping surgery, such as:
1. Your nasal bone structure and its shape and size
2. Any previous nasal injuries
3. Breathing, allergies or sinus problems
4. Previous nasal operations
5. Any serious illnesses or operations or medications that you are presently taking.
You should inform Dr. Viral Desai if you are taking any nasal sprays. You should expect to be with Dr. Viral Desai for at least 30 minutes.
We give utmost importance to patient confidentiality and take strictest care to ensure your privacy. The staff at CPLSS understands that it can be difficult for a patient to make enquiries about such a delicate matter. It is our aim to make you feel as relaxed, comfortable and fully informed about the procedure as possible.
PREPARATION FOR SURGERY
X-RAY, CT SCAN or COMPUTER IMAGING
Dr. Viral Desai may ask you to obtain an X-ray, CT scan or computer imaging of your nose prior to surgery.
STOP SMOKING, INTAKE OF VITAMINS & BLOOD THINNING TABLETS
You should stop smoking (including the use of nicotine patches), intake of any blood thinning tablets (i.e. aspirin/disprin) and intake of vitamins at least 1 week prior to surgery.
FASTING BEFORE SURGERY
Fasting is required for 7 hours prior to surgery.
You should inform Dr. Viral Desai of any reactions to medications, general anaesthetics or tapes.
HOW RHINOPLASTY IS PERFORMED?
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.
You will be given a general or local anaesthetic and sedation (depending on your type of surgery). 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.
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-surgery.
Wear 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) on the day of your surgery.
WHAT SHOULD YOU EXPECT
AFTER YOUR SURGERY
NO BENDING, LIFTING & STRAINING
Bending, lifting and straining should be avoided for the first few days post operatively.
RETURN TO WORK IN 7 – 14 DAYS
You should be able to return to work within 7-14 days.
NO EXERCISE FOR 1 WEEK
Exercise should also be avoided for at least three weeks after surgery.
KEEP OUT OF DIRECT SUNLIGHT
You should keep out of direct sunlight and apply sun-block to the nose regularly.
DON’T WEAR SPECTACLES
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.
SLEEP ON YOUR BACK WITH HEAD RAISED
It is important to sleep on your back with your head raised to minimise possible complications. Rest is an essential part of the recovery process. 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 1 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.
MORE REAL CASE RESULTS
TIP PLASTY FOR BROAD TIP
CROOKED NOSE CORRECTION
NASAL DEFORMITY CORRECTION
Frequently Asked Questions
Rhinoplasty, which is more commonly known as a ‘nose job’, is a surgical procedure used to refine and/or reshape the nose. Common changes include modifications in the size and shape of the bridge and/or the tip of the nose. 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-center or crooked
- Previous injury has made your nose asymmetrical
While you will certainly see positive results from your rhinoplasty procedure well before a year’s time, it typically takes a full year for all of the swelling to subside and the final, most refined results to be achieved. A noticeable difference in your nose should be immediately apparent after surgery. However, this is not fully representative of the final result due to post-surgical swelling and discoloration. The swelling should begin to fade within about a week after surgery, and 80% of the swelling and 100% of the discoloration should have faded within two to three weeks. By month three after your procedure, 90% of the swelling will be gone, with the remainder slowly fading throughout the rest of the year. This residual swelling is typically not apparent to the patient or other observers after the first few months.
Surgical times vary according to several factors. Primary rhinoplasty procedures tend to take between two and three hours to complete and revision rhinoplasty procedures typically take between 3 and 4 hours.
Rhinoplasty is generally considered a safe procedure, though every surgical procedure does carry some risk of complication. These risks may include adverse reactions to anesthesia, infection, nosebleeds, numbness of the skin, small bursting of blood vessels on the surface of the skin, asymmetry, and other possible complications.
Though pain is a relative thing, most rhinoplasty patients experience more discomfort than pain. In addition, this discomfort is most often associated with nasal packing, or packing of the nose after surgery to prevent or control bleeding. The nasal packing is typically removed within a day or so after surgery, and patients typically feel a great deal of relief once this occurs.
Nasal packing is the procedure in which gauze or cotton packs are applied to the nasal chambers, and is used to control or prevent bleeding and sometimes to support the septum after rhinoplasty. The packing is typically removed within twenty-four to forty-eight hours after surgery.
The amount of time it takes to recover after rhinoplasty will vary from patient to patient. You’ll likely want to remain in bed for the first day after surgery, but most patients find that they’re up and about within a day or two. Though swelling and bruising can remain visible for three weeks or more, patients are typically able to return to work within a week’s time. Sun exposure and any strenuous activity risking injury to the nose will need to be avoided for two to three weeks.
Rhinoplasty requires that incisions be made in the skin which will result in scars. With closed rhinoplasty procedures, however, the incisions are confined to the inside of the nose, thus resulting in no visible scarring. With open rhinoplasty, a small incision is made on the columella, or on the underside of the skin between the nostrils. This results in a small, fine-line scar that is well-concealed and barely noticeable in time.
X-rays are often not required before undergoing rhinoplasty. However, a CAT scan or other x-rays may be taken if there are breathing problems or to give the surgeon a better feel for the nose’s anatomy.
Rhinoplasty can refine and/or reshape the nose by making any of the following changes:
• reduction or increase in the overall size
• change in the angle between the nose and upper lip
• narrowing of the span of the nostrils
• removal of a hump
• change in the shape of the bridge or the tip.
Rhinoplasty can also alleviate some breathing problems
At the consultation, Dr. Viral Desai will discuss your goals and the realities of what rhinoplasty can achieve for you. Dr. Desai will examine your nose and face and discuss your medical history. You may (and should) ask questions about the surgery, the surgical facility and any potential complications.
Most of Dr. Desai’s patients return to work within about a week after surgery. Keep in mind, however, that swelling and bruising can remain visible for three weeks or longer.
Discoloration around the eyes does typically occur after surgery. The degree of this discoloration and the amount of time required for it to fade will vary from patient to patient. You can generally expect some amount of discoloration around the eyes for about seven to ten days, though in some patients this can last up to three weeks.
The nasal septum is the separation between the nostrils. Septoplasty is a surgical procedure used to correct the shape of the septum due to defects or deformities. Septoplasty may be performed during a rhinoplasty procedure.
It is advisable to have someone drive you home post-surgery.
You should have someone stay with you for at least the first night after your rhinoplasty surgery.
The splints are typically removed within a week after the surgery. Sutures are generally removed within a week after surgery.
Spectacles can be worn while the splint is in place. After that, care must be taken when wearing your spectacles to keep them from resting on your nose. Supports or stilts can be used on the lower portion of the spectacles to keep them off the nose.