| Nose
is the central, most prominent feature of the face and a major factor
in defining balance and harmony among facial features. When the nose is
out of aesthetic proportions it can affect your appearance, self-image
and confidence. |
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An
aesthetically pleasing and proportionate nose can make a face look
stunning. It is able to make an ordinary face look attractive. There
are many things that could be wrong with the nose. Modern techniques
and refinements in Aesthetic Plastic Surgery can correct those wrongs
and change the shape of the nose to make it aesthetically more pleasing. |
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| Who should have it done? |
| There
are various common problems of the nose that are correctable. Humped
nose, saddle nose, depressed nose, flat nose, wide nose, wide tip, boxy
tip, deviated, crooked nose, short nose or long nose, are various
traits that one may have and would want to have it corrected. Anyone who has this kind of nose and wants to have it
improved should consider cosmetic rhinoplasty. In general, adults with
the above problems, of any age who are in good health, moderately fit
are good candidates for nasal reshaping surgery. They should not have
any life threatening illness or medical conditions. Patients who smoke
can have an increased risk of complications.
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| Could you benefit from an Aesthetic Rhinoplasty- |
| If
you have a hump or a large nose, the hump can be removed, a saddle or a
depressed nose can be built up or augmented, a wide nose or a boxy
nasal tip can be narrowed. Nasal tips can be refined. Deviated noses
can be straightened. An aesthetic rhinoplasty can be combined with chin
augmentation if you have a small chin or a cheek augmentation if your
cheeks need to be built up for balance. A short nose can be made
longer, a long nose can be made shorter. If you feel you have one of
these noses, you would benefit by getting it improved by Cosmetic
Rhinoplasty. |
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| Where do I begin? |
| A
consultation with your Aesthetic Plastic surgeon at Aesthetics is the
first step to learn how Cosmetic Rhinoplasty can improve the appearance
of your face. This consultation will fully educate you in a
nonpressured environment and will include a discussion of your goals,
options available for Rhinoplasty, likely outcomes, potential risks and
complications. |
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| What kind of anesthesia is required? |
| Usually
the procedure would be done under a general anesthetic for improved
comfort, yet it is possible to do it under local anaesthetic as well.. |
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| The procedure |
| The
technique for rhinoplasty would depend on what is to be achieved. The
approach to rhinoplasty could be through a traditional closed approach
or the newer, open technique. In the closed technique, all incisions
are taken inside the nostrils, hence nothing is visible outside. In the
open technique, along with incisions inside the nostril a small
incision is taken on the underside of the nose. This heals very well
and is not visible in the long run, but it gives better exposure and
enables a precise correction under vision. The subsequent steps of the
surgery would depend on what is being done. |
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Augmentation:
A depressed nose can be built up and made prominent with either
artificial material called implants or autografts. Autografts could be
cartilage from the septum of your nose, ear or ribs. It could also be
bone grafts from skull or hips. Common implants used in rhinoplasty are
silicone or medpore. There are pros and cons to the use of every type
of material and your aesthetic surgeon would be able to explain those.
Hump removal:
A hump on the nose is partly due to prominence of the bone and partly
due to prominence of the septum/cartilage part of the nose. This has to
be shaved off. Once it is removed, the roof of the nose is open and has
to be closed with in fracture of the nasal bones.
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Boxy nasal tip:
If
the tip of your nose is bulbous or like a button, this can be refined.
The cartilages which form the part of the tip of the nose have to be
stitched tightly and reshaped to give a more proportionate and sleek
tip.
Broad nose:
This
is a common problem and can be corrected by moving the nasal bones
inwards by in fracture. Often the nasal tip has to be narrowed as well.
If the nasal base is flared or broad, this can be corrected as well.
Deviated nose:
Often
the nose becomes deviated during development or becomes crooked due to
injury. This can be straightened by removing the deviated part of the
septum or putting straightening stitches and cartilage supports.
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| What to expect after surgery? |
After
nasal surgery, there may be a trickle of fluid or blood from the
nostrils for 24 hours and to catch this, a nasal pad will be placed
under the nostrils. The nostrils might be blocked by a pack for 24
hours to stop this drip. Often, the surgical trauma may cause swelling
of the lining of the nose and give a feeling of the nose being bunged
up. This feeling may last for up to three weeks. There might be
bruising and swelling after
surgery that should subside in 3 - 6
weeks. If you have had in fractures, then you may have a splint on the
nasal bridge, which will be removed in 7 days. Immediately after
surgery, due to the swelling, you might experience some difficulty in
opening your eyes. This rapidly improves after the next day. Wounds
normally heal in 7 days to 2 weeks. Your plastic surgeon at Aesthetics
and the assisting staff will fully attend to your comfort and safety.
The swelling around the tip of the nose tends to take the longest to
resolve and may last for up to three months. |
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| Risks and complications- |
| Although
there are very few risks associated with this procedure, a possible
general risk includes bleeding and collection of blood under the skin
(hematoma). Bleeding is rare but may have to be stopped. Any surgery
carries risks associated with anaesthesia. There are very few risks if
the procedure is done under local anaesthesia. These risks will be
fully discussed with you prior to your consent for surgery. General
risks like delayed wound healing and infections are common to many
other operations and can be treated satisfactorily. Any surgery on the
nose has a 10% risk of residual deformity, for which further revision
surgery might be required. |
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Progress and healing-
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| Incisions
usually heal in 7 days to 2 weeks. Stitches are removed around this
time. You will be able to return to work and light normal activity
sometime between 2 - 4 weeks. You will then be asked to use a
moisturiser and massage the face and scars. You will be able to return
to light work and normal activity at this time, and to resume wearing
contact lenses. Cosmetics can camouflage any bruising or redness.
Healing will continue for several weeks. Diligent sun protection is a
must for best results. Nasal decongestants might help for nasal
congestion. |
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| Results and outlook- |
| Your
final result will appear over time, generally within several weeks. It
may take up to a year for incision lines to fully refine. Most of the
swelling resolves by three months. The results are usually dramatic and
noticeable straight after the dressing is removed, but further
refinement in the nasal features happens over three months. |
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| What matters more is that the appearance of your face matches the way you feel inside - youthful, vital and alert. |
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