Table of content

PLASTIC SURGERY

RHINOPLASTY

Rhinoplasty, commonly referred to as a “nose job,” is a surgical procedure performed to reshape the nose, improve its proportion and aesthetics, or address functional issues such as breathing difficulties. It is a highly individualized procedure, and the techniques used can vary based on your unique goals and requirements

Techniques:

  • Open Rhinoplasty: This technique involves making an incision across the columella (the narrow strip of tissue between the nostrils) to provide better access to the underlying structures of the nose. The surgeon then lifts the skin to reshape the nasal framework, making precise adjustments to the bone, cartilage, and soft tissues.
  • Closed Rhinoplasty: In this technique, the incisions are made inside the nostrils, eliminating the need for an external incision. This approach is generally used for less complex cases where minimal modifications are required.
  • Augmentation Rhinoplasty: This technique involves adding volume or height to the nasal bridge or tip using various materials, such as cartilage grafts from the patient's own body (usually harvested from the septum, ear, or rib) or synthetic implants.
  • Reduction Rhinoplasty: This technique focuses on removing excess bone, cartilage, or soft tissue to reduce the overall size or reshape specific areas of the nose.
  • Tip Plasty: When the main concern is the appearance or shape of the nasal tip, a tip plasty can be performed. This technique involves modifying the cartilage in the tip area to refine its shape, projection, rotation, or definition.
  • Functional Rhinoplasty: This approach is utilized to address breathing problems resulting from structural abnormalities within the nose. It involves correcting issues such as a deviated septum or enlarged turbinates to improve nasal airflow.

Procedure:

  • Anesthesia: Rhinoplasty can be performed under general anesthesia, where you will be asleep throughout the procedure, or under local anesthesia with sedation, where you will be relaxed and pain-free but still conscious.
  • Incisions: Depending on the technique chosen (open or closed rhinoplasty), incisions are made either inside the nostrils or across the columella (the narrow strip of tissue between the nostrils).
  • Reshaping the Nose: The surgeon will then carefully lift the skin and access the underlying bone and cartilage. They will reshape and sculpt the nose by removing, adding, or rearranging tissues to achieve the desired outcome.
  • Closing Incisions: After the necessary modifications are made, the incisions are closed with sutures. If dissolvable sutures are used, they will dissolve on their own over time.
  • Splint and Dressing: A splint and dressing will be applied to provide support to the newly shaped nose and protect it during the initial healing period.

RISKS AND COMPLICATIONS

A list of potential risks and complications associated with rhinoplasty have been given below. It’s important to note that while these risks exist, they are relatively rare, and most patients undergo rhinoplasty without experiencing any significant complications. Nonetheless, it’s crucial to be aware of the potential risks involved. They include:

  • Infection: Although rare, infections can occur after rhinoplasty. They are usually treated with antibiotics, but in severe cases, additional surgical intervention may be required.
  • Bleeding: Some bleeding is normal immediately after surgery. However, excessive bleeding can occur during or after the procedure, and in rare cases, it may require surgical intervention or blood transfusion.
  • Adverse Anesthesia Reactions: Anesthesia carries its own set of risks. While complications are rare, they can include reactions to anesthesia medications, respiratory issues, or cardiovascular problems. An anesthesiologist will be present to monitor your vital signs throughout the procedure.
  • Scarring: Incisions made during rhinoplasty typically result in minimal scarring. However, in some cases, excessive scarring may occur, leading to visible or raised scars. This risk is more common in open rhinoplasty procedures.
  • Altered Sensation: Temporary or permanent changes in nasal sensation may occur after rhinoplasty. This can manifest as numbness, decreased sensation, or increased sensitivity in the nose or surrounding areas.
  • Nasal Airway Obstruction: In some cases, rhinoplasty may result in nasal obstruction, making breathing through the nose difficult. This can occur due to swelling, scarring, or alterations in the nasal structures. Additional surgical procedures may be necessary to address this issue.
  • Nasal Septum Perforation: In rare cases, a hole (perforation) may develop in the nasal septum, the thin wall that separates the nostrils. This can lead to nasal crusting, whistling during breathing, or nasal obstruction. Surgical repair may be necessary to close the perforation.
  • Poor Aesthetic Outcome: While the goal of rhinoplasty is to improve the appearance of the nose, there is a small risk of dissatisfaction with the results. Communication with your surgeon and realistic expectations can help minimize this risk.
  • Asymmetry: Despite meticulous surgical techniques, there is a risk of minor asymmetry between the two sides of the nose after rhinoplasty. This may require additional procedures to achieve optimal symmetry.
  • Skin Discoloration: In some cases, temporary skin discoloration, such as redness or bruising, may occur following rhinoplasty. This typically resolves on its own within a few weeks.
  • Delayed Healing or Poor Wound Healing: Certain factors, such as smoking, diabetes, or poor blood circulation, can increase the risk of delayed or poor wound healing after rhinoplasty. It's essential to follow your surgeon's pre- and post-operative instructions to minimize this risk.

It’s crucial to discuss these potential risks and complications with your plastic surgeon during the consultation. They will evaluate your individual case, address your concerns, and take appropriate measures to minimize these risks and ensure a safe and successful rhinoplasty procedure.

PRE-OPERATION PREPARATION

  • Consultation: Your goals, medical history, and expectations will be discussed in detail with our surgeon. S/he will evaluate your nasal structure and determine if you are a suitable candidate for rhinoplasty.
  • Medical Assessment: Undergo a thorough medical assessment, including blood tests and imaging studies, to ensure you are in good health and suitable for surgery.
  • Medication Review: Inform your surgeon about any medications or supplements you are taking, as they may need to be adjusted or temporarily discontinued before surgery.
  • Smoking and Alcohol: Avoid smoking and consuming alcohol for a few weeks before and after surgery, as they can interfere with the healing process.

POST-OPERATIVE CARE

  • Dressings and Splints: Keep the dressings and nasal splint in place as instructed by your surgeon. They are designed to protect and support the nose during the initial healing phase. Avoid touching or removing them without your surgeon's permission.
  • Medication: Take any prescribed medications as directed, including pain medications, antibiotics, and nasal sprays. Follow the recommended dosage and frequency provided by your surgeon.
  • Swelling and Bruising: Swelling and bruising around the nose and eyes are common after rhinoplasty. Apply cold compresses gently to the area for the first few days to help reduce swelling. Avoid applying ice directly to the skin to prevent frostbite.
  • Head Elevation: Keep your head elevated at a 30 to 45-degree angle, especially while sleeping. This helps reduce swelling and promotes better drainage. You can use additional pillows or a wedge pillow to maintain the elevated position.
  • Nasal Care: Your surgeon may provide specific instructions for nasal care, which may include using saline nasal sprays or rinses to keep the nasal passages moist and clean. Follow their recommendations carefully and avoid blowing your nose forcefully.
  • Physical Activities: Avoid strenuous activities, heavy lifting, and exercises that may increase blood pressure for at least a few weeks after surgery. These activities can contribute to swelling, bleeding, and potential complications. Your surgeon will provide guidance on when you can gradually resume normal activities.
  • Sun Protection: Protect your nose from direct sun exposure for several weeks after surgery. Apply a broad-spectrum sunscreen with a high SPF and wear a hat or use other forms of sun protection when going outside.
  • Follow-up Appointments: Attend all scheduled follow-up appointments with your surgeon. They will monitor your healing progress, remove any sutures or splints, and address any concerns or questions you may have.
  • Patience and Expectations: Remember that the healing process after rhinoplasty takes time. Swelling may take several weeks to subside, and it can take several months to a year for the final results to fully manifest. Be patient and maintain realistic expectations.

It’s essential to note that these guidelines are general in nature, and your surgeon may provide specific instructions based on your individual case.

EXPECTED RESULTS AND RECOVERY TIMELINE

  • Immediate Post-operative Period: You may experience some swelling, bruising, and discomfort around the nose and eyes. Your surgeon may prescribe pain medication and advise cold compresses to help reduce swelling.
  • Nasal Congestion: It is common to experience nasal congestion due to swelling and the presence of internal nasal splints or packing. This congestion usually improves within a week or two.
  • Activity Restrictions: Avoid strenuous activities, heavy lifting, and bending over for a few weeks after surgery to minimize the risk of bleeding and swelling.
  • Follow-up Appointments: Attend all scheduled follow-up appointments with your surgeon to monitor your healing progress, remove any splints or packing, and address any concerns or questions you may have.
  • Swelling and Final Results: Swelling will gradually subside over several weeks to months, and the final results of your rhinoplasty will become more apparent as the tissues heal and settle. It's important to have realistic expectations and be patient with the healing process.

Potential Results: Rhinoplasty can enhance the appearance of the nose by improving symmetry, refining the shape, and balancing facial proportions. It can also address functional issues such as breathing difficulties.

The specific results will vary based on your individual goals, nasal anatomy, and the surgical techniques employed.

Discuss your expectations with your surgeon during the consultation to ensure a clear understanding of the potential outcomes.

APPOINTMENTS AND CONSULTATION

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FREQUENTLY ASKED QUESTIONS

Rhinoplasty, also known as a “nose job,” is a surgical procedure that aims to reshape the nose, improve its appearance, and address functional issues such as breathing difficulties.

Good candidates for rhinoplasty are individuals who are in good overall health, have realistic expectations about the outcome, and have specific concerns about the appearance or functionality of their nose. It’s best to consult with a qualified plastic surgeon to determine if you are a suitable candidate.

The two main techniques used in rhinoplasty are open rhinoplasty and closed rhinoplasty. Open rhinoplasty involves making an incision across the columella (the narrow strip of tissue between the nostrils) to access the underlying structures. Closed rhinoplasty involves incisions made inside the nostrils, without any external incisions. The choice of technique depends on the individual’s unique case and the desired outcomes.

During the procedure, you will be under anesthesia, so you won’t feel any pain. However, it is normal to experience some discomfort and swelling in the days following the surgery. Your surgeon will prescribe appropriate pain medication to help manage any discomfort during the recovery process.

The initial recovery period for rhinoplasty usually lasts about one to two weeks, during which you may experience some swelling and bruising around the nose and eyes. However, complete healing and final results may take several months, as residual swelling gradually subsides and the nose settles into its new shape.

Like any surgical procedure, rhinoplasty carries certain risks. These can include infection, bleeding, adverse reactions to anesthesia, scarring, changes in nasal sensation, nasal airway obstruction, or unsatisfactory aesthetic outcomes. However, complications are relatively rare, and by choosing a skilled and experienced surgeon, you can minimize these risks.

The results of rhinoplasty are typically long-lasting. However, it’s important to keep in mind that the aging process can still affect the nose over time. Maintaining a healthy lifestyle and following your surgeon’s post-operative instructions can help preserve the results for many years.

In most cases, rhinoplasty is considered an elective cosmetic procedure and is not covered by insurance. However, if there are functional issues related to breathing difficulties that can be addressed through rhinoplasty, insurance coverage may be possible. It’s best to check with your insurance provider to understand their specific coverage policies.

MEET THE TEAM

The medical team in the plastic surgery department deserves high praise for their exceptional dedication, expertise, and commitment to providing outstanding care, creating an environment of excellence and support.

  • Highly Skilled Surgeons: Experts in plastic surgery with extensive training, experience, and up-to-date knowledge in advanced techniques for precise and optimal procedures.
  • Compassionate Nurses: Crucial in patient care and recovery, providing comfort, expertise in wound care, monitoring, and patient education.
  • Supportive Administrative Staff: Efficiently manage appointments, provide clear communication and guidance, ensuring a seamless experience.
  • Collaborative Teamwork: Cohesive collaboration between surgeons, nurses, anesthesiologists, and support staff, ensuring a comprehensive approach and optimal outcomes.
  • Patient-Centered Care: Prioritize well-being and satisfaction, tailor treatment plans, and create a positive, supportive environment.In conclusion, the medical team in the plastic surgery department deserves high praise for their exceptional skills, compassion, and dedication. Their unwavering commitment to providing top-quality care and ensuring optimal patient outcomes sets them apart. Patients can trust in the expertise and professionalism of this remarkable team, knowing that they are in capable hands throughout their plastic surgery journey.

PRICING AND PAYMENT PLANS

Factors that can influence the pricing and fees associated with rhinoplasty. However, please note that specific pricing and fees can vary significantly based on several factors, including our surgeon’s expertise, location, clinic reputation, and the complexity of the procedure. It’s best to consult with our clinic for accurate pricing information.

Factors that may contribute to the pricing and fees of rhinoplasty:

  • Surgeon's Fee: This fee includes the expertise, skill, and experience of the plastic surgeon performing the procedure. Surgeon fees can vary based on the surgeon's reputation, qualifications, and demand for their services.
  • Anesthesia Fee: Rhinoplasty can be performed under general anesthesia or local anesthesia with sedation. The fee for anesthesia services may vary depending on the type of anesthesia used and the duration of the procedure.
  • Facility Fee: The use of a surgical facility, such as an operating room in a hospital or an accredited surgical center, may involve additional fees. This fee covers the overhead costs of the facility, including staff, equipment, and supplies.
  • Pre-operative Tests and Consultation: Before undergoing rhinoplasty, patients may need to undergo pre-operative tests, such as blood work, imaging studies, or a consultation with the surgeon. These tests and consultations may have associated fees.
  • Post-operative Care and Follow-up: The cost of post-operative care, including follow-up visits, dressings, and any necessary medications, may be included in the overall pricing or charged separately.
  • Geographic Location: The cost of rhinoplasty can vary based on the geographic location of the surgeon or clinic. Prices in urban areas or regions with a high cost of living may be higher compared to less densely populated areas.

It’s essential to have a thorough discussion with the plastic surgeon or clinic about the breakdown of fees and what is included in the total cost. Additionally, financing options or payment plans may be available to help manage the cost of rhinoplasty.

MEDICAL LITERATURE AND RESEARCH

Our clinic takes pride in our highly skilled surgeons who are committed to staying up-to-date with the latest research and medical literature in the field of rhinoplasty. They actively participate in professional development activities, attend conferences, and read medical journals to ensure they are well-informed about advancements in the field. By integrating their extensive experience, surgical skill, and the latest research findings, our surgeons deliver personalized and tailored rhinoplasty procedures. Our clinic fosters a culture of continuous learning and improvement, creating a collaborative environment where knowledge is shared among surgeons. When you choose our clinic, you can trust that you are in the hands of surgeons who prioritize your well-being and strive for the best possible results. Contact us today to schedule a consultation with our exceptional surgeons.

SUPPORT AND COUNSELING

At our clinic, we prioritize the comfort and well-being of our patients during their rhinoplasty recovery. We provide comprehensive support and counseling services to ensure a smooth healing process. Our dedicated team offers personalized post-operative care instructions and addresses any questions or concerns you may have. Additionally, our compassionate counselors are available to provide emotional support and guidance throughout your recovery journey. We believe in creating a nurturing environment where you feel cared for and supported every step of the way. Trust that our clinic is committed to your comfort and satisfaction during the recovery process. Contact us today to learn more about our comprehensive care approach.

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PLASTIC SURGERY – RHINOPLASTY