What is Nose Surgery or Rhinoplasty?
Rhinoplasty surgery or nose reshaping surgery is a cosmetic surgery procedure performed to correct the cosmetic concerns of the nose. It is done to change the shape or improve its function. Nose is a focal point which plays prominent role in facial appearance, if it gets bumpy, too big or too small it can easily disrupt the facial harmony. It can be done for medical reasons such as breathing issues related to the nose or correct disfigurement resulting from trauma or birth defects.
Initial Consultation & Appointment
You will have the opportunity to discuss the important issues with your doctor. Discuss about your cosmetic concerns in detail. Your surgeon will evaluate you as a candidate for rhinoplasty and clarify what nasal surgery can do for you.
You should come to the consultation prepared to discuss your complete medical history. This will include information about:
- Previous surgeries
- Past and present medical conditions
- Allergies and current medications
At the end of consultation your doctor will advise some blood test before undergoing surgery.
X-ray face (nose) or CT- Scan may be required after traumatic nasal deformities.
You should be well familiar with the procedural details of nose surgery before actually undergoing it.
Stepwise descriptions is as follows:
Assessment and photography
Examination of nose in detail is an integral part of surgery. History regarding previous trauma or surgery is important factor. Concerns of patient before surgery are highly valued in such type of cosmetic procedure. Pre-operative photographs are taken to assess the shape during surgery and afterwards.
Before undergoing major surgery, you always need to get the baseline blood tests.
PT/APTT with INR
Type of Anesthesia required
Rhinoplasty procedure in Lahore is office base or outpatient facility procedure. It can be done under local anesthesia or general anesthesia, depending upon the severity of deformity to be corrected. Small corrections like alar reduction, minor correction of tip can be done under local anesthesia otherwise all types of rhinoplasties are performed under general anesthesia.
Type of incisions given
In nose surgery or nose reshaping, a small incision is made across the columella and inside the nostrils to hide the scar. Nasal flap is elevated off from the cartilage and nose bone. This incision line is designed in such a way that it won’t get visible after some days of surgery.
An overly large nose may be reduced by removing cartilage. Sometimes surgery of the nose may require the addition of cartilage grafts.
Most commonly, cartilage from the septum, the partition in the middle of the nose, is used for this purpose. Occasionally cartilage from the ear or rarely a section of rib cartilage can be used for severe deformities. Bony fractures are usually required to correct the broad bony dorsum.
Straightening the dorsum of nose
Bony or cartilaginous hump need to be reduced. It is done to straightened the nose before performing osteotomies.
Bony Correction (Osteotomy)
Bony osteotomy and type of osteotomy would be required according to the shape of nose.
Most commonly performed lateral osteotomy, but it often requires transverse as well.
Correction of deviated septum. It helps in improving breathing problems. If cartilage is needed it can be harvested from septum.
Cephalic trim and tip work
Most important part in reshaping the nose by tip sutures and cephalic trim. It gives the nose final slim shape.
Closing of incision
After completion of tip work. Once the underlying nose shape is sculpted according the desire shape, nasal tissue is re-draped and incision are closed.
Metal or plastic external splint is applied for almost one week. Internal nasal packing is done to reduce bleeding which is removed after 48 hours. Sometime internal nasal splint is also applied which will be removed after 7 to 10 days.
How Much Rhinoplasty Cost in Pakistan?
Rhinoplasty cost or nose surgery price in Pakistan is highly depends upon the deformity of the nose to be corrected. Nose surgery price in Pakistan, or Nose Job cost in Pakistan varies with the extent of the deformity to be corrected and the type of anesthesia given. It ranges between 1 to 150k. Rhinoplasty cost includes surgeon fee, medicine used, theatre charges and hospital stay. We also provide free follow-up visit for our clients.
After Care of Rhinoplasty
You may need to avoid the following for a few weeks after your surgery.
– In order to protect your nose from trauma and to reduce swelling, it is recommended to raise the head with pillow as much as possible.
– Blood thinners and foods should be avoided.
– Sports should not be done for a while after nose surgery. 10 days of normal activities, and 3 weeks of heavy sports should be avoided.
– Care must be taken not to wet the plaster or splints that protect your nose after the operation.
– It is recommended not to wash the head part in the bath after a period of nose aesthetics.
– Trauma should be avoided.
– Do not use goggles after nose surgery until the doctor recommends.
– Regular feeding and regular sleep accelerate the healing process.
– Hard brushing of the teeth may cause sensation in the nose base
- running and other strenuous physical activities.
- blowing your nose.
- excessive chewing.
- laughing, smiling, or other facial expressions that require lots of movement.
- pulling clothing over your head.
Recovery After Rhinoplasty: –
After nose surgery you will be monitored in a recovery room for at least 2 to 3 hours after surgery. If everything is fine, you’ll leave later that day. You’ll need someone to drive you home because the anesthesia will still affect you. If it’s a complicated procedure, you might have to stay in the hospital for a day or two. To reduce bleeding and swelling, you’ll have to rest with your head elevated above your chest.
Rhinoplasty Side Effects
Swelling is unavoidable side effect because of manipulation of soft tissue of nose and bone structure. Edema will subside after a week or two.
In addition to swelling, Rhinoplasty patients should expect the bruising for at least one to two weeks. It is normal to have a numbness on operated part of nose and it will resolve after complete healing. It is safe procedure in the hands of experienced plastic surgeon.
WHICH RESULTS ARE OBTAINED WITH RHINOPLASTY SURGERY?
– Thin and slim nose.
– Change in the shape and angle of nose.
– Repair a crooked nose.
– Remove a bump in nose.
– Reduce the size of nostrils.
– Alar reduction.
– Correct multiple cosmetic issues.
– Helps improve in breathing issues.
Although rhinoplasty is easy and relatively safe procedure, healing from it can take a while. The tip of your nose is especially sensitive and can remain numb and swollen for months. You might be fully recovered in a few weeks, but some effects can linger for months. It can take as long as a year to appreciate the results of surgery fully.
Swelling and bruise are the important side effects but it can be easily dealt with.
Selecting A Surgeon
Best Rhinoplasty surgeon in Lahore. Select a surgeon you can trust
It’s important to choose your surgeon based on:
- Experience with surgery
- Your comfort level
After finding a board-certified plastic surgeon in your area who is experienced in performing rhinoplasty, you will need to make an office appointment to set up your consultation. Generally, because of the in-depth nature of the consultation, there is usually a cost associated with the initial visit.
How Long Will the Result Last?
The results of rhinoplasty are permanent, so it is important that you have clear aesthetic goals when this procedure is planned. Rhinoplasty should only be performed on a nose that has finished growing; complete development has usually occurred by age sixteen or seventeen. If rhinoplasty is performed before development is complete, continued growth can change the outcome of your surgery and cause potential problems and complications.
Maintain a relationship with your aesthetic plastic surgeon
For safety, as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon’s office for follow-up evaluation at prescribed times and whenever you notice any changes in your rhinoplasty. Do not hesitate to contact your surgeon when you have any questions or concerns.
Who Is A Good Candidate For Rhinoplasty?
You may good candidate for nasal surgery if:
- You are physically healthy
- Have realistic and positive goals towards new facial appearance.
- Your facial growth is complete.
- Age above 18 years.
Non-Surgical Rhinoplasty / Liquid Rhinoplasty
Patients who are afraid of undergoing surgical nose reshaping, they can opt for non-surgical rhinoplasty. It is done by using hyaluronic acid fillers.
Small deformities can easily be corrected with good natural results. The procedure may take 15 to 20 mints. It has quick recovery time with immediate results. Patient may feel redness and swelling for 1 to 2 days only.