Nose Plastic Surgery

Surgery of the nose (Rhinoplasty) is very popular in men and women of all ages.This procedure is performed to correct the shape of the outside of the nose, to remove bumps from the bridge of the nose or to lift a drooping tip. External nasal deformities can cause great emotional distress and surgery may be just the answer.

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:

  • 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.
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
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 their aim to make you feel as relaxed, comfortable and fully informed about the procedure as possible. Our staff will be happy to help you make an appointment with Dr. Viral Desai.

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:

  • Your nasal bone structure and its shape and size
  • Any previous nasal injuries
  • Breathing, allergies or sinus problems
  • Previous nasal operations
  • 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.

PREPARING FOR RHINOPLASTY

  • Dr. Viral Desai may ask you to obtain an X-ray, CT scan or computer imaging of your nose prior to surgery
  • 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 one week prior to 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

WHAT TO EXPECT ON THE DAY OF SURGERY
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.

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 surgery.

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.

WHAT SHOULD I EXPECT AFTER MY SURGERY
Bending, lifting and straining should be avoided for the first few days post operatively. You should be able to return to work within 7-14 days. Exercise should also be avoided for at least three weeks after surgery. You should keep out of direct sunlight and apply sun-block 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.

It is important to sleep on your back with your head raised to minimize 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 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.

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
  • 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
  • Removal of the nasal pack is unpleasant, but is a relatively quick process