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Nose Job (Rhinoplasty)

Surgery for the Nose
Rhinoplasty , also referred to as nose surgery, is a surgery that changes the shape of the nose. The surgery may be done to change the appearance of the nose, its function or both.It is one of the most popular cosmetic surgery procedure worldwide.

It is a surgical procedure to reshape your nose to improve its appearance and proportion in relation to your other facial features. This is often done to alter the size and shape of the bridge and tip of the nose. This can be done if you do not like the shape of the nose, or it has been damaged due to trauma to the nose or a birth defect.

Rhinoplasty can be done under local or general anaesthesia by the open or closed technique. This will depend on where the incisions are made. Reshaping is generally done through incisions inside the nose. There may also be an incision passing across the central portion of the nose between the nostrils. This entails removing small wedges of skin at the base of the nostrils. The resulting scars usually fade very well and ultimately should be barely noticeable. The upper portion of the structure of the nose is bone, and the lower portion is cartilage. Rhinoplasty can modify bone, cartilage, skin or all three. The nose is reduced, or in some cases built up, by adjusting it's supporting structures-either removing or adding bone and cartilage. The skin and soft tissues then redrape themselves over this new scaffolding.
In some cases, there may be an internal deformity of the nose that can affect the breathing. This may be due to an irregularity in the septum (the central structure of cartilage and bone that separates the two sides of the nose) or the turbinates (structures protruding internally from the lateral walls of the nose). Adjustment of these structures to improve the nasal airway may be made at the same time as alterations to the external appearance of the nose. Rhinoplasty is not a procedure with a set series of steps. Each operation is unique and is customised for the specific anatomy and goals of the person undergoing the procedure. After surgery, some pain, swelling and bruising of the nose are to be expected, but they will subside gradually. You will wear a splint for approximately a week or longer . Your routine will be severely restricted for only a day or two, but you should curtail activities that raise your blood pressure-such as bending, lifting or exercise-for a few weeks. There can be a nasal pack and you may need to breathe through your moth initially.

The final result of your Rhinoplasty may be apparent after several months, even a year, until your nose has had an opportunity to fully heal and settle. Often the best compliment you can receive from your family and friends is that your nose does not appear very different. Remember-the intention of Rhinoplasty is for your "new nose" to blend in naturally with your face.

Revision Rhinoplasty
Revision rhinoplasty is performed to correct problems that develop or continue after a previous rhinoplasty. This procedure is done to correct a previous unsuccessful surgery of the nose. The revision rhinoplasty is always more difficult and requires more expertise than the first surgery. This is due to the fact that the normal nose is no longer intact and the tissue before the first surgery is now filled with scar tissue. This makes it difficult to locate surgical planes to separate and reposition the remaining bones and cartilage. Normally a revision rhinoplasty will give significant improvement

Revision rhinoplasty, is considered one of the most challenging subjects in the field of facial plastic surgery and is being successfully done at Image Medical Center. Dr. Anup Dhir is one of the leading surgeons performing rhinoplasty in India and has performed many live rhinoplasty surgeries in teaching workshops.

Non surgical Rhinoplasty
This is a new technique which is often done for minor deformities with fillers or fat injections.