Complete guide for Rhinoplasty,All you need to know about rhinoplasty.

1. Rhinoplasty Rhinoplasty (Nose Reshaping surgery) - Cost Comparison, Complication, Risk and Recovery

2. How Rhinoplasty can Help? A proportionate face is definitely a beautiful face. Anyone can feel that their nose in somehow not in proportion to their face. They feel that it is too large, too small, uneven or even misaligned which diminishes our attraction factor. The most appropriate way to get the perfect nose is to get a rhinoplasty (Nose) surgery. Rhinoplasty (Nose Surgery) is basically a cosmetic surgery aimed at improving the shape and size of the nose. Rhinoplasty is done to make the nose larger or smaller as well as change the angle of the nose in relation to the upper lip or to correct abnormalities in the nose, such as bumps and indentations.

3. Rhinoplasty, also called plastic surgery of the nose or a "nose job," is a very popular procedure that can make profound differences not only in the balance of facial features, but also in a person's self-esteem. The main improvements that a rhinoplasty surgeon can make include decreasing or increasing the size of the nose, altering the tip or bridge of the nose and narrowing or changing the shape of the nostrils. Rhinoplasty is a type of cosmetic surgery that is performed in order to reshape the nose. Although rhinoplasty is most often chosen for cosmetic reasons, Rhinoplasty can also help correct structural defects that may cause breathing problems. Surgeons who do rhinoplasty typically has training in either plastic surgery, otolaryngology (ear, nose, and throat specialty), or both.

4. Types of Rhinoplasty There are many types of rhinoplasty. You may be in need of one or more than one of the following Rhinoplasty techniques: • Augmentation Rhinoplasty • Reduction Rhinoplasty • Revision Rhinoplasty • Nose Tip Plasty • Alar Plasty / Alar Reduction • Hump Nose Reduction • Deviated deformed nose / Corrective Rhinoplasty • Post Cleft Lip Nasal Deformity

5. Augmentation Rhinoplasty Small size of nose needs augmentation. This is done putting a nasal implant over the bony and cartilaginous framework, under the skin. Usually L-shaped implant is used supplied by international manufacturers. • Reduction Rhinoplasty Large or heavy nose needs reduction in size. Usually bony and/or cartilaginous structure needs to be tailored to size, as per the need of the patient.

6. Revision Rhinoplasty Patient who has undergone Rhinoplasty in the past but are still unhappy with the outcome can undergo revision Rhinoplasty. Selection of the experienced certified cosmetic surgeon is necessary, who can understand your problem and tailor the Rhinoplasty technique accordingly. Nose Tip Plasty If you wish to have a cuter sharp and front projecting nose instead of large, bulbous, parrot beak like or deformed nose tip - you will need nose tip plasty.

7. Alar Plasty Flared and wide nasal openings are usually source of fun and amusements to others causing complexed feelings to the suffering patient. Cosmetic Rhinoplasty done to correct this problem is known as Alar plasty or Alar reduction Hump Nose Reduction Bony projection on the nose bridge looks awkward. It is possible to shave the extra bone gently to give smoother straight nose bridge. Deviated Deformed Nose / Corrective Rhinoplasty

8. Patients having different problems with the nose structure may be as a result of injury, overgrowth of nasal septum, previous nose surgery or some disease falls in this category. Such patient needs more than one of above techniques combined together tailored to give the desired outcome. Post Cleft Lip Nasal Deformity Cleft lip nose deformity is congenital i.e. inborn. Repair for this problem is done usually in early life. As the child grows deformity of nose and lip becomes more and more evident. Patient with post cleft lip nasal deformity usually have multiple anatomical defects including under developed cheek bone of the effected side. Meticulous understanding of the anatomical defect and accordingly planning and surgical execution is needed to be done by experienced cosmetic surgeon to fix all the defects.

9. What's the difference between an open and closed rhinoplasty? • With rhinoplasty, you will hear the terms "open" and "closed." It's important to know the difference between these surgical techniques and ask your provider what is best for you. • In a "closed" rhinoplasty, incisions are placed inside the nose. In an "open" rhinoplasty, the doctor cuts immediately underneath the nose in the columella, or the thin strip of tissue that separates the nostrils. • A closed rhinoplasty is the more established and common technique. Some doctors say closed rhinoplasty heals faster than open rhinoplasty, while others say open rhinoplasty provide more control during the operation and more consistent results.

10. Ideal candidates You must have realistic expectations about what Rhinoplasty can do about you. Ideal candidates for Rhinoplasty are people who are looking for improvement, not perfection in the way they look. If you are physically healthy, psychologically stable and realistic in your expectations, you may be a good candidate for Rhinoplasty. Planning for Rhinoplasty • During the consultation, doctor will discuss with you about the changes you would like to make in your appearance. You will be told about the different options available to you, Rhinoplasty itself, its risks & limitations and the cost. • Your complete medical history including allergy, diet & exercise etc. will be recorded. You are supposed to tell about any medications that you are currently taking. Be sure to ask all the questions you have in your mind about Rhinoplasty and the results. Learning everything you can about your options, risk & benefits is the key to making an informed decision.

11. How Long the Rhinoplasty Takes • Hospital Stay Rhinoplasty is performed usually on outpatient basis and patient is allowed to go home few hours after the Rhinoplasty is over. If you have undergoing several procedures at once, you may need to stay in the hospital overnight. • Anesthesia Rhinoplasty may be performed under the general anesthesia. Rhinoplasty can also be done under local anesthesia with light sedation, or, local anesthesia with deep sedation.

12. Operation During Rhinoplasty surgery, the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The nature of sculpting will depend on your problem and the preferred technique. Finally the skin is re-draped over the new framework. When can you get back to normal life after Rhinoplasty? MostRhinoplasty patientsare well about within two days, and able to return to school or sedentary work a week or so following surgery. However, 5 days restful routine is advised.

13. How to Prepare for Rhinoplasty Surgery A in depth discussion with the surgeon is the first step in the understanding your needs and preferences if any. A brief medical history and examination of the nose will be conducted. Photographs of the face will be taken and the relationship of different parts of the face will be assessed. Silhouette drawings of the nose will help you understand the possible outcome of the surgery. Smoking and use of drugs that contain aspirin will have to be stopped about 2 weeks prior to surgery. CT scan of the paranasal sinuses will be ordered and an otolaryngologist (ENT) opinion will be sought if there are functional problems or sinus pathology.

14. Explanation about Rhinoplasty Procedure Rhinoplasty generally takes an hour or two, though complicated procedures may take longer. During Rhinoplasty the skin of the Nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The nature of the sculpting will depend on your problem and the surgical technique. Finally, the skin is red raped over the new framework. Rhinoplasty may be performed from within the Nose, making the incisions inside the nostrils. In some cases, especially in more complicated ones or in secondary procedures, an "open" procedure is indicated small incisions are made across the columnella, the vertical strip of tissue separating the nostrils. The resulting scars from an open procedure are barely noticeable after a few months after the Rhinoplasty. When the Rhinoplasty is complete, a splint will be applied to help your Nose maintain its new form and to help reduce the swelling. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.

15. After Rhinoplasty Surgery After Rhinoplasty, you can expect to be somewhat sore. Beginning on the first day and continuing for several days after, you can expect swelling and bruising to increase - black eyes are not unusual during rhinoplasty recovery. Apply cold pressure around but not directly to the nose will help reduce swelling. Furthermore, most patients report that the pain is not as bad as the facial appearance may make it seem.

16. Risks and Benefits of Rhinoplasty • Benefits : Rhinoplasty carry the same risks as any other surgery. Bleeding, infection, and reactionsto medications or anesthesia are some of the possible side effects of rhinoplasty surgery. In addition, there are several risks that are unique to plastic surgery of the nose. These include burst blood vessels that can lead to red spots and small scars on the underside of the nose. • Risks -Bleeding. -Injury or holes to your septum (the wall that separates your nostrils). -Skin problems including breakdown of skin tissue (skin necrosis) and irritation from the tape and bandaging.

17. How to get recovery from Rhinoplasty The recovery from Rhinoplasty takes a couple of weeks. Swelling of the nose may stay a few weeks longer. Most people resume their daily activities in a couple of days and resume office work in a week. Small paper tapes over the nose could be attached to keep the changes in shape. Splint may be used if bony changes are made. There is always some stuffiness of the nose when work has been done on the nasal septum. Pain is minimal and is controlled with medications. If bones are rearranged then bruising will occur around the eyes but will fade within a few days. Discoloration usually disappears in 2 weeks.

18. What you can expect from Rhinoplasty Vast majority of rhinoplasty patients who choose qualified surgeons to perform their surgery are satisfied with their results. In many cases, very small changes to the structure of the nose - sometimes as little as a few millimeters - can produce drastic and pleasing results. Rhinoplasty for Men Rhinoplasty surgery is essentially the same for men as it is for women. But there are differences in the shape of the male nose versus the female nose that must be taken into consideration. While every case must be addressed individually, based on your physical condition and goals, there are certain aesthetic commonalities in male noses that are considered by your surgeon.

19. What surgical rhinoplasty can treat? • Nose size related to facial balance • Nose profile with visible humps or depressions • Nasal tip that is big or bulbous, drooping, upturned or hooked • Nostrils that are large, wide or upturned • Nasal asymmetry If anyone desires a more symmetrical nose, keep in mind that everyone's face is asymmetric to some degree. Results may not be fully symmetric, although the goal is to create facial balance and correct proportion.

20. Looking for the best hospital ? Here is the list of some of the best hospital in India. • Fortis Hospital, New Delhi • BLK Hospital, New Delhi • Medanta - The Medicity (Gurgaon) • Indraprastha Apollo Hospital • Jaypee Hospital, New Delhi • Apollo Spectra Hospital • Sir Ganga Ram Hospital, Delhi • Wockhardt Hospital, Mumbai • SL Raheja Hospital, Mumbai

21. What is the cost of Rhinoplasty Surgery in India? • Cost of Rhinoplasty Surgery in India is very less as compared to the other countries. Rhinoplasty will cost around Rs. 2 lakhs. What is the cost comparison of Rhinoplasty in India to other countries? Cost of Rhinoplasty Surgery in USA will cost around Rs. 20 lakhs ($30,000) Cost of Rhinoplasty Surgery in UK will cost around Rs. 16 lakhs ($25,000) Cost of Rhinoplasty Surgery in Singapore will cost around Rs. 7 lakhs ($10,000) Cost of Rhinoplasty Surgery in India will cost around Rs. 2 lakhs ($3500)

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