Author Archives: rhinoplasty_india

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How Long Does Rhinoplasty Surgery Take?

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Do you ever look in the mirror or examine your selfies and feel that the shape of your nose does not look right with respect to the rest of the face? Does your nose look long in the photos or tilt in one direction or does the tip look fat and boxy to look it? Of you felt lately that you are not able to breathe freely through the nose and have been breathing through the mouth? If this all sounds familiar then the answer to all your problem is a simple rhinoplasty.

Rhinoplasty or the nose job can be a life-changing experience for many. The nose is not only essential for our being but its symmetry has the ability to enhance our natural beauty without appearing too made up. Knowing that they are looking good gives a healthy boost to a person’s morale and self-esteem. Rhinoplasty is one of the most commonly performed plastic surgery but it is still a surgery and it is quite natural to want to know all about it, like how much time will it take, what is the recovery time, etc. It helps the individual be more confident and comfortable.

A Nose job is a safe and successful procedure and it can take anywhere from about 1 to 3.5 hours to complete the surgery. Every patient has a unique set of facial features, and needs and expectations from the surgery. One individual’s nose job can be done in less than one hour while the other’s might take longer.

Basic rhinoplasty is done to manipulate a person’s nose to change its appearance and/or improve its function. It helps in a to of things such as sinus relief, correcting defects caused because of injury or trauma, broken nose, congenital birth defects such as cleft lip and so much more. The surgeon works with the bones and cartilage in the nose to get the desired function and appearance. In cosmetic rhinoplasty, the focus is entirely on correcting the shape and structure of the nose without disturbing the functions, and in functional rhinoplasty, the main aim is to improve breathing and sinus. Rhinoplasty is done because of

  • Personal preference
  • Health concerns
  • Facial injuries

Individuals who are in good health condition and above 18 years of age and are not addicted smokers and done abuse alcohol are the most suitable candidates for rhinoplasty. The use of tobacco and drugs increases the risks of more tissue damage and delayed healing. A nose job is a very intricate procedure and should only be done by an experienced, trained, and accredited professional. A practiced rhinoplasty surgeon will take under two hours to do a primary rhinoplasty whereas a less specialized or experienced surgeon can take up to 5-6 hours.

What affects the time rhinoplasty takes?

How long the rhinoplasty takes is a question whose answer is dependent on many factors. The two most specifics that affect the duration of rhinoplasty surgery are nasal structure and function.

  1. The first thing that the surgeon check is the condition of your nose, the skin type, etc. Is this your primary rhinoplasty or the secondary one?
  2. The second step is to discuss the goals of rhinoplasty. Are you looking to rectify the appearance of the nose or are there any functional needs as well.
  3. The third thing affecting the time taken by the nose job is the number of procedures that need to be. Cosmetic and functional rhinoplasties can often be combined together.

Factors affecting how long a rhinoplasty operation lasts

In plastic surgery, it is not about how quickly but the emphasis is on how well it is done. Efficiency is what takes prime importance. This is because, after two to two and a half hours of surgery, the swelling and bleeding start to work against the surgery. Rhinoplasty length can never extend beyond 5 hours at any time. Let’s look at the factors that come into play for it

Anaesthesia

Since rhinoplasty is an invasive surgery, anesthesia becomes a must. Though it does not affect the outcome of the procedure it does affect the length of the surgery. The anesthesia that is used in rhinoplasty is a low-level one. The longer the operation the more the anesthetic and it can lead to longer waking up time and some disorientation and grogginess during the day. Another factor is the type of anesthesia used. For most surgeons the preferred combination is local plus a low dose of general anaesthetic. This does not affect the recovery time post-nose job. In the case of non-surgical rhinoplasty, only a local numbing cream is applied before injecting the fillers and it has no downtime.

Grafting

In cases of trauma or injury to the nose or in reconstructive rhinoplasty the surgeon might need to harvest the cartilage from other parts of the body such as the ear or rib to get a suitable graft and it can increase the surgery time. Additional tissues somethings become necessary to get the finest results. These requirements often come when performing rhinoplasty to correct a round or plunging tip, correct the nasal bridge, straighten the crooked nose, or lengthen or widen the nose. The first choice of harvesting is the nasal septum in case of septum correction and improve breathing and preventing sinus infections. The next choice is cartilage from the ear. In such cases, the incision is done in the back of the ear in line with the natural curve. Rib cartilage is used when the surgeon needs a large piece of cartilage. It is then shaven in thin slices and most used to raise the nasal bridge. It is not very time-consuming but adds to the length of the surgery.

Open vs closed rhinoplasty

This is the surgeon’s choice. Open rhinoplasty takes more time than closed rhinoplasty. Close rhinoplasties are done in less severe cases and are often referred to as a patient-favored technique. The reason is that the incisions are placed inside the nose and no scarring is visible outside. Open rhinoplasty on the other hand gives a more approachable view to the surgeon and makes it easier and more precise to place cartilage and tissue grafts. It is a primary choice when significant manipulation is required. The incisions are made on the outside of the nose and then closed with sutures so some scarring might be visible. Open rhinoplasty can add 20 extra minutes to the operation than closed rhinoplasty.

Experience, style, and preference of the rhinoplasty surgeon

Rhinoplasty sounds simple but to get good results you need expertise. Closed rhinoplasty can restructure the nasal architecture and even improve breathing without visible incisions or marks and only ultra-experienced surgeons can meet this mark. For new surgeons, closed rhinoplasty can become a challenge. Therefore how much actual experience the surgeon has gained makes it possible for him to do the surgery quickly and without risks. The skill and judgment of the surgeon matter the most when it comes to gaining the nose that you always wanted. Going to an inexperienced surgeon as a cost-cutting measure can run a risk of doing more damage. A skilled surgeon will understand the challenges of your nose and work quickly and efficiently to meet your specific needs.

Complexity of the rhinoplasty surgery

This has the most effect on the amount of time your surgery will take. For breathing issues such as septoplasty, turbinate reduction, etc time taken can be longer, whereas some cosmetic changes can be done easily as an outpatient procedure. The nose is a delicate structure comprising cartilage, skin, and bone and it needs great expertise to get good results.

The length of rhinoplasty surgery also includes other factors such as time taken to prepare the patient for the surgery, inducing the anesthesia, disinfecting, instrumentation, and monitoring, etc. A change to one part of the nose can affect the rest of the nose and the face. The surgeons aim to preserve the function and keep the scarring to minimal and still bring out the finest and most natural new look for the nose.


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Non-surgical nose job: Procedure and results

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Non Surgical Nose Job

You have probably never heard anybody say what a beautiful nose you have but the truth is that the shape and size of the nose play a very important role in facial aesthetics. The everyday social media interaction we do brings about beautiful proportioned faces everywhere and it has made the non-surgical nose job or the liquid rhinoplasty or the lunchtime nose job a very popular cosmetic surgery for everybody.

While the opinion of a beautiful nose differs across various cultures, the general consensus is that balance proportion, and symmetry is what make the nose perfect or beautiful. As humans, symmetry is something that we all appreciate and are attracted to and this is what is the aim of a liquid rhinoplasty. The ideal nasal width of a person is equal to the width of a person’s eyes and in the same way, vertical symmetry of the face is achieved when the nose is in the middle third of the face.

This is not a replacement for permanent rhinoplasty but a very viable option for those who do want to or cannot afford to have a permanent nose job but still want to alter the shape of the nose for better aesthetics. Many use a liquid rhinoplasty as a prelude to permanent surgery to see what changes it can make. One of the biggest advantages of liquid rhinoplasty is that it can be reversed if you don’t like the results. Most men and women opt for a non-surgical nose job because they are dissatisfied with the appearance of their nose for a long time such as the bulbous tip, dorsal hump, or low radix of the nose. There are no cuts, grafts, or scars in liquid nose jobs. Non-surgical rhinoplasty can also be used to improve nose function by securing the nasal valves.

Non-surgical nose job is also referred to as non-surgical nose reshaping and it can make mild to moderate alterations to the patient’s nose shape. A liquid nose reshaping uses two main procedures, namely:

  • Dermal fillers
  • Nasal threads

Gone are the days when fillers were used to be made of wax and silicon which gave an unnatural appearance to the nose. Modern fillers are made of safe materials that are precise in nature and mold the existing structure to give the most natural-looking results. Similarly, the threads are made of safe and absorbable materials like polydioxanone (PDO) which have a low risk of allergies and inflammation.  Liquid rhinoplasty is a pain-free procedure and gives immediate results.

What can a non-surgical nose job help you with?

A liquid nose job cannot alter the structure of the nose but it can greatly improve the appearance of the nose by

  • Correcting the nasal hump or the dorsal hump: The hump is present at the bridge of the nose and looks like a camel back hump when looked at from the side. Fillers are injected in the sides of the hump to even it out and make the nose look straighter.
  • Right the droopy nasal tip: Both filler and nasal threads can be used to correct the droopy nasal tip by lifting it. The result is a comfortable side profile and a younger appearance to the face.
  • Correcting nose symmetry
  • Correcting the angular shape and improving nasal proportions. This treatment smooths the sharp angles in the nose giving the entire face a softer appearance.
  • Rectifying the nasal sidewall depression
  • Enhancing the retracted maxilla lateral to the pyriform aperture. This corrects the pear-shaped look
  • Fillers are used for a liquid nose job to elevate the saddle nose deformity caused because of a failed previous rhinoplasty
  • Correcting nasal birth defects
  • Correct problems caused because of traumatic injuries
  • Acting as a filler for nose contouring post-primary rhinoplasty.

Advantages of nonsurgical nose contouring

Liquid nose contouring has the obvious advantage of no surgery but there are other major benefits too such as

  • The treatment takes less than an hour and hence the name lunchtime nose job.
  • There is no downtime and you can go back to normal work in a few hours
  • The changes are small like maybe a millimeter or two but their impact is noticeable and can be seen immediately
  • In the case of filler, the changes can be reversed. If threads are used then they dissolve in a year.
  • No post-surgery complications such as scaring, incision infections etc.

Non-surgical nose job: Procedure

The entire procedure does not take more than your lunchtime. Fillers can be injected in any part of the nose such as the bridge, tip, and side. Threads on the other hand are not suitable for correcting the dorsal hump. Most cosmetic surgeons use a combination of fillers and threads to give the desired symmetry and balance to the nose with respect to the face.

Non-surgical nose job cannot alter the bone shape or make the nose smaller but it can add volume to the nose, enhance the tip and straighten the slight crookedness of the nose. In the pre-procedure consultation, your cosmetic surgeon will explain everything to you and discuss your concerns and expectations regarding nose augmentation.  The surgeon will also test your skin to check the skin laxity. Once you and the surgeon are on the same page then the next step is to check the medical history. Liquid nose contouring is not suitable for

  • Breastfeeding or lactating women
  • People who have thin skin or sun-damaged skin
  • People who have had radiation treatments to the nose
  • Patients with chronic medical conditions
  • Allergy to fillers or suture materials
  • Inflammation and allergy in the treatment area.

Once everything is satisfactory you and the surgeon will decide on a mutually convenient time and date for the procedure. On the day of the procedure

  • Eat a meal before going in
  • Don’t apply makeup on the treatment area
  • The surgeon will clean the area and apply a numbing cream or inject a numbing agent in the nose and wait for it to take effect.
  • In the meantime, the cosmetic surgeon will mark the area on the nose for injecting fillers or threads
  • Then using small injections, the surgeon will carefully inject the filler in the nose or use a cannula-type syringe to insert and anchor the treads under the skin.
  • The doctor will then gently press the area where fillers are injected so that they adapt well.
  • If both fillers and threads are used then the cosmetic surgeon will first anchor the threads and then inject the fillers immediately.
  • The cosmetic surgeon will ask you to wait for a few minutes post the procedure and then you can go home.

The most commonly used dermal fillers are Juvéderm which is a cross-linked hyaluronic acid filler and comes in the form of a gel.  This is the preferred filler because it is soft and reversible. The areas where fillers and threads are to be placed depend on your goals. In some cases, multiple threads need to be injected over several sessions to get the desired effect.

Nonsurgical rhinoplasty results

You will notice an immediate change or difference in your facial profile. There can be some redness or bruising on the nose but this will not hamper your regular activities. The results of a liquid nose contouring will continue to improve over the next few months and last comfortably from anywhere between 9-14 months depending on the material used and your skin type. Nasal threads create small injuries under the skin which trigger the body’s natural healing response. This improves collagen production and you might see some permanent filling in some areas.

Get your selfie camera ready because in 1 or 2 days post the procedure, once the swelling goes down, you will be able to see a marked change in your facial profile as desired. However, you should not try and touch and press the treated site and let it heal naturally.

If you have unbearable pain or notice any undue redness, bruising or blue skin then contact your cosmetic surgeon immediately.

Nonsurgical nose job cost

The cost of liquid rhinoplasty is lower than that of surgical rhinoplasty. A nose filler cost is dependent on the amount of filler used, the surgeon’s feel, and the facilities used. The type of nose filler also affects the nose filler procedure cost. Thread rhinoplasties are differently priced than nose filler liquid nose jobs and their price depends on the number the threads and the sessions needed.


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How to get insurance to pay for rhinoplasty?

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How to get insurance to pay for rhinoplasty

Rhinoplasty surgery is a complex procedure. It is top ranking as the popular cosmetic surgery of the year and one of the most searched terms on google. A nose job can make a dramatic difference in your facial profile and it has a great functional feature too. The nose is the center of the face and any asymmetry or abnormal contours stand out in a big way and disrupts the entire facial harmony. Unlike other features of the body, a perfect nose does not stand out and often gets unnoticed. But when it distracts from the rest of the features such as eyes or lips it negatively impacts the self-esteem of the individual.

Rhinoplasty or the nose job is surgery done to improve the nose contours, proportions, and functions. This involves manipulating the bone, cartilage, skin, and tissues inside the nose. For example if you are going in for dorsal hum correction then the part of the bone needs to be shaved or filed off to straighten the bones. However, the cost of rhinoplasty can be different for some and many have this question in mind whether their insurance covers rhinoplasty and if yes then how to claim that. How to get the nose job covered by insurance is one of the primary questions that most patients ask during the initial consultation.

To correctly answer the question that if insurance covers nose jobs, it is important to understand the types of rhinoplasties.

There are mainly two types of rhinoplasties.

Cosmetic and Medical or functional. In both nose jobs, aesthetics remain a primary concern. But when it comes to talking about insurance, a cosmetic nose job is NOT covered in insurance whereas functional rhinoplasty can be fully or partially covered by insurance.

How to get a nose job covered by insurance

Functional rhinoplasty is done to repair the inner structure of the nose and create free airflow. This helps the patient breathe normally. Functional defects in the nose can be because of birth defects such as a deviated septum or a narrow nose or because of nasal trauma, injury or accident, etc. A medical nose job might not make any major appearance changes in your nose but it can manipulate the nasal contours in a way that is visibly more pleasing.

In order to get your nose job covered by insurance, you will have to prove that the rhinoplasty surgery addresses the functional problems of the nose and cannot be treated without surgery. You will also show reports that the conservation corrections have not worked. Insurance cover for nose jobs can be admitted for the treatment of

  • Deviated septum i.e., septoplasty. This surgery is part of a rhinoplasty procedure done to correct the crooked bone and cartilage between the two nostrils. This helps in correcting breathing problems and the crooked nose
  • Nasal fractures because of injury, trauma, or accidents that are blocking the airway to the nose and making it difficult to breathe normally
  • Sinus inflammation that is chronic and does not respond to other treatments
  • Polyps
  • Other structural abnormalities.
  • Burn treatment.

The following cosmetic treatments of rhinoplasty are not covered by rhinoplasty insurance

  • Any change in the shape of the nostrils
  • Tip plasty i.e., modification in the shape and size of the tip
  • Narrowing of nasal bridge
  • Straightening a crooked nose
  • Correcting nasal bumps
  • Changing nose angle
  • Liquid rhinoplasty

Most plastic surgeons often do both rhinoplasties in combination i.e., they correct the internal passages along with the exterior shape and contours. Which is actually a double benefit for the patient. However, the insurance will only cover the medical part of the treatment.

So, should I avoid rhinoplasty because of its cost?

Now that we know exactly what part of rhinoplasty insurance covers, the question arises that should we avoid rhinoplasty. The answer is no.  Rhinoplasty has many benefits that are far greater than the cost. Rhinoplasty can help you with

  • Relief from congestion
  • Reduced sense of smell
  • Chronic nasal and sinus inflammation
  • The problem of breathing through the nose
  • Headaches caused because of sinus
  • Regular breathing
  • Turbinate reduction

Do you qualify for functional rhinoplasty?

In order to claim insurance cover for a nose, the plastic surgeon first has to determine if you are a suitable candidate for functional rhinoplasty. If you are suffering from any of the following conditions than a simple or complex rhinoplasty can bring you much needed relief.

  • Congenital nasal defects
  • Collapsed airways
  • Injury to the nose like a broken nose
  • Narrow nose hampering in regular breathing and other functions
  • Nasal trauma from infections and congestions.

Since rhinoplasty surgery is a permanent procedure and changes cannot be reversed but only corrected through a revision rhinoplasty, to be a good candidate you should have

  • Completed facial growth which is ideal by the time you turn 20
  • Sound physical and mental health
  • No smoke or alcohol abuse history
  • Realistic expectations and a good understanding of the surgery

How to get a nose job covered by insurance

Here are steps to follow for insurance claim

  • Talk to health insurance about the coverage that you can get. There are clear guidelines for this. Ask about how much pre and post-operation cost they cover. This is a much safer option than assuming the coverage. Every insurance provider has set criteria and parameters to determine a patient’s medical coverage depending on the plan that they have opted for.
  • Check if the hospital accepts your insurance provider and whether you have opted for a cashless treatment or not
  • All top hospitals have an insurance department that can help you with the paper work
  • Make sure that you take all your documents especially the insurance card with you when you go to the hospital for the day of surgery
  • Before you leave the hospital, check that all the bills are in order with proper invoice number, signs and seals.
  • If you have paid for the treatment then make sure you attach the payment receipt too.

In cases where the insurance does not cover your type of rhinoplasty or you are not able to get the coverage and are concerned about how much the nose job will cost with or without insurance, you can consider the following potential options too

  • Credit card payments: most credit cards offer an EMI option that you can avail of this way the burden on you reduces and you get the freedom to enjoy the rhinoplasty results.
  • The second option is to talk to the medical facility about the payment options. Most top medical facilities offer suitable payment plans for patients seeking rhinoplasty for cosmetic or functional reasons.

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Know the Difference Between Rhinoplasty and Septoplasty?

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Know the Difference Between Rhinoplasty and Septoplasty?

A nose job is a very popular type of surgery and it covers a vast number of procedures under its umbrella. This is not surprising because the nose is located at the front and centre of the face and it has a very important role in maintaining regular functions. The main function of the nose is to control and filter the airflow and help you breathe properly. But there is another important role of the nose is the beauty of the face. A crooked nose can make your lips look crooked. The crooked nose can be because of a slanted tip or it might be because of the deviated septum or bone structure.  The balance and harmony that the nose brings to the face are unique.

There are two main types of nose surgery:

septoplasty and rhinoplasty. both aim to improve the nose but address different issues. They can be done as stand-alone surgeries or combined for better results.

Many times what we see as a deformity on the nose from the outside is actually related to some internal issues as well and both need to be treated to make the patient comfortable. Rhinoplasty focuses on treating the external appearance of the nose and septoplasty is aimed to correct or improve the internal defects.

When you visit the surgeon for a nose job, he will ask you about your concerns in detail and then help choose the right treatment for you. Rhinoplasty and septoplasty both have different goals but the aim is to improve your quality of life and self-confidence. It is therefore important to understand the difference between septoplasty and rhinoplasty to know what difference it will make in your nose and facial profile. Here we have listed some common things and major differences between rhinoplasty and septoplasty to help you understand which one to choose.

Rhinoplasty

A rhinoplasty nose job is mostly done for cosmetic reasons primarily. The nose is a complex organ and each person’s nose is very unique. Therefore, the ideal nose for each person is different and there is no mould that every nose can fit in. therefore your nasal structure has an individual relationship with your facial features. Unlike other plastic surgery procedures, conservatism is a prime consideration in rhinoplasty to preserve the natural and soft look. It is important to let your doctor know about what you are looking to correct.

Rhinoplasty can be done to

  • Reduce the size of the nose
  • Change the width of the bridge
  • Correct the hump on the bridge
  • Lengthen the nose
  • Make your nose symmetrical
  • Straighten a crooked nose
  • Change the orientation of the nose tip and alter its size and shape
  • Remove the depression on the bridge
  • Correct the size, position, and shape of the nostrils

Every patient has a different set of preferences when it comes to selecting the type of rhinoplasty. the final aim is to achieve a natura look that fits well with your facial features. There are very high degrees of refinement that can be achieved with surgical nose reshaping. In a rhinoplasty nose job, a detailed consultation is done with the surgeon about what you like and don’t like about your nose. the surgeon will carefully asses your nose, look at the photos, examine your skin type, and work with you to work out what nose shape works for the structure of your face. This procedure can be done in a minimally invasive way too i.e., with the use of threads or fillers. This is called liquid rhinoplasty and is done to augment the nose. A Liquid nose job is a temporary procedure less costly than the traditional rhinoplasty. Rhinoplasty can be done under local or general anaesthesia. Rhinoplasty is usually not covered by insurance.

Septoplasty

This type of nose job is done to correct the shape of the septum. The septum is the thin wall that separates the two nostrils. The septum has important functions, it supports the nose and helps direct the airflow. It is composed of cartilage and thin bone. When either the cartilage or the bone is not straight, it is called a deviated septum.  This can happen because of birth or an injury. About 80% of people around the world have some degree of deviation in the septum.

Deviated septum sometimes does not cause any symptoms or problems in an individual. But when left untreated or if it gets severe it can cause many problems such as

  • Reducing the airflow and causing difficulty in breathing. This obstruction can get worse when you get some cold or allergies as it can cause the nasal passage to become narrow and swell.
  • Deviated septum can cause dryness in the effect of airflow and it can cause crusting or bleeding in some people.
  • A crooked septum can also cause congestion in the nose and cause swelling in the tissue and skin lining on the insides of the nose. Medications can help reduce the swelling but not solve the deviated septum problem.
  • Snoring or noisy breathing when sleeping because of deviated septum and swelling in the tissues of the nose and obstructed breathing.
  • Sinus infections are mainly caused because of deviated septum and it can disrupt the person’s entire life. A chronic sinus infection can cause swelling, irritation and inflammation in the nasal passages.
  • Obstructive Sleep apnea is a condition caused by deviated septum and it results in a person to stop breathing in the night during the sleep. This can happen multiple times during the night. Sleep apnea decreases the oxygen supply to the brain and other parts of body.

People suffering from deviated septum tend to sleep on one side to adjust breathing through the nose. Deviated septum should be treated to avoid long term and short-term health problems. Septoplasty to correct the deviated septum is a simple surgery that can help relieve the patient of long term pain and  discomfort. Deviated septum cannot be treated with medications.

When untreated conditions like sleep apena can cause blood pressure, heat attack, diabetes, depression, headache, ADHD, stroke and even cause poor performance in daily life and even affect the children.

Septoplasty

If you have difficulty in breathing or have had a recent trauma to the nose that has changed your breathing pattern then it is time to talk to your surgeon about septoplasty. The surgeon makes an incision to divide the nasal mucosa from bone and cartilage. Then the cartilage is straightened. Also if the problem is the bone then then the surgeon will have to trim the bone or add a graft to help correct the deviation. Spreader grafts are small reinforcing strips that correct the deviated septum that is causing the problem along the bridge of the nose. Then the mucosa back over the bone and cartilage and the nose shape returned to normal. Septoplasty is a medical treatment is covered by insurance.

When Septoplasty and Rhinoplasty overlap

Sometimes the deviated septum can cause off balance in the facial appearance too and hence septoplasty can be combined with rhinoplasty and it is called Septorhinoplasty. This not only corrects the breathing problem but also improve facial aesthetics. Every nose job needs to consider function and appearance. Septoplasty is careful about not disrupting the aesthetics of the nose and rhinoplasty is done carefully to preserve the nasal passageways. Deviated septum and rhinoplasty are commonly preformed surgeries which are very safe and effective.

You can get a rhinoplasty and septoplasty at the same time and it has a lot of benefits in terms of

  • Cost
  • Safely
  • Recovery
  • Convenience

Cost of septoplasty and rhinoplasty

Septorhinoplasty is done in one go but the cost of septoplasty and rhinoplasty with insurance is different. Because the functional rhinoplasty is covered by insurance and rhinoplasty is not therefore you must talk to your provider before confirming for the surgery. when done together septoplasty and rhinoplasty cost is very economical i.e., Cost effective one because

  • The anaesthesiologist fees comes onto play only once.
  • You need to pay the surgeon’s feel only once
  • Better results without need of revision rhinoplasty
  • Fewer consultation.

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Different types of Rhinoplasty surgery

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Types of Rhinoplasty Surgeries

Rhinoplasty or nose surgery or nose jobs are a type of plastic surgery that changes the shape, structure, contour, and size of the nose. There are many different reasons that people have nose jobs and they can be classified into two parts

  • Cosmetic rhinoplasty is done to change or improve how the nose or facial profile looks. Cosmetic rhinoplasty can be done through surgical and nonsurgical methods.
  • Functional rhinoplasty which is performed to correct the breathing and nasal function and can be done only through a surgical method.

Rhinoplasty is the most commonly performed plastic surgery around the world and it is a very safe and effective procedure. A simple procedure changes the way the rest of your face appears and these minor/major changes in the nose bring together the facial features in perfect harmony. What can the rhinoplasty do for you

  • Correct birth defects
  • Dramatically improve your appearance
  • Repair a fractured nose
  • Open blocked nasal package
  • Restore breathing functions that have been hampered by injuries, burns, or treatments like cancer.

If you too are thinking of getting a nose job because you are unhappy with the size and shape of your nose or if you need a functional correction then it is important to know about different types of nose surgery.

Different types of nose jobs

The type of nose surgery suitable for an individual depends on him and the technique the surgeon deems most fit. The Patient’s anatomy and the expected results play an important role in dictating the approach. Nose jobs are classified into various types based on the approach that the surgeon takes, and the problem that needs to be targeted.

On the bases of the surgical approach, the types of nasal surgeries include

  • Open rhinoplasty: In this type of surgery, the incisions are made on the outside of the nostrils to get access to the inside. This type of nose surgery gives the surgeon the freedom to the entire nasal structure and to reshape the nose easily. This type of open rhinoplasty is usually preferred when extensive work is to be done for the patient. Or for patients who have a number of nasal issues such as structural deformities or collapsed valves from a previous rhinoplasty. The incisions are barely noticeable and there is very little visible scarring.
  • Closed rhinoplasty: This is a more popular option than closed rhinoplasty as all the incisions are made inside the nose and nothing is visible outside. There is a low chance of complicated swelling or edema post this procedure. This rhinoplasty is suitable when the structural changes are small.
  • Filler rhinoplasty: This is the non-invasive way to a nose job. Fillers are used to reshape the nose to a more symmetrical and balanced form. There is no suture or pain or downtime in this procedure. However, this is a temporary option for a nose job and this type of nose surgery cannot decrease the size of the nose. This type of nasal surgery is suitable for people who only want to correct minor imperfections in their nasal region and do not want to opt for a permanent change.

Different kinds of nose jobs based on cosmetic or functional concerns:

  • Reduction Rhinoplasty: This type of nose surgery is done to reduce the size of the nose. The surgeon can do this in the open or closed method. The surgeon can reduce the overall size of the nose or work on the areas that are bothering you such as a tip, a hump, a dip, and more. This is an invasive surgery and is done by removing the cartilage or bone to get the expected size and shape of the nose. The skin is not trimmed because it will mold to the new size and shrink naturally.
  • Augmentation rhinoplasty: This type of nose surgery is done to improve the proportions of the nose. This can be done through a surgical method or as a liquid rhinoplasty. This type of nose job can alter small noses and repair cartilage damage. Augmentation improves the shape of the nose and adjusts the features such as building up the nasal tip and/or the nasal bridge. For augmentation surgery, the surgeon uses a rib or ear graft. Liquid rhinoplasty uses fillers to augment the nose.
  • Post-traumatic rhinoplasty: The nose is a delete structure and even small injuries can alter the shape of the nose or effect its functionality. When an injury or trauma happens to the nose there can be many effects of it such as broken bones, damage to the cartilage (or septal hematoma), asymmetry, visible changes to the nose, internal deviations, nasal bridge collapse causing a boxer nose or saddle nose and even breathing issues. This type of nose operation is done to bring the nose back to the original shape and appearance.
  • Reconstructive rhinoplasty: Sometimes treatments like cancer or a facial trauma or an illness can seriously disfigure the nose because of lack of tissue or crushed bones and cause medical issues. Reconstructive nose surgery is done to restore the nose to its previous state following this, Reconstructive rhinoplasty is done in multiple surgeries and it might take many months to get the results.
  • Refinement rhinoplasty: As the name suggests this is one of the different kinds of nose job which is done for pure cosmetic reasons. The most common is tip refinement and it is one of the highly individualized nose surgery procedures and has to be designed by keeping the facial characteristics in mind. This type of nasal surgery is done to make changes in the tip of the nose. Tip plasty can reduce the bulbous tip, restore the droopy tip etc. tip plasty can be done as an open surgery or a closed rhinoplasty.
  • Ethnic Rhinoplasty: Each culture has a different facial feature and the nose, eyes, and even lip shapes differ. This type of nose surgery is done to bring symmetry and aesthetics to the nose by keeping the ethic characteristics of the patient in mind.
  • Revision rhinoplasty or corrective rhinoplasty: Some times the primary rhinoplasty does not give the desired results or the patient is not careful enough during the recovery and the nasal functions and shape do not turn out the way it should be. Revision rhinoplasty is done to correct the problems with the previous surgery. The common issues that the corrective rhinoplasty can address are
  • Obstruction in the nasal region
  • An overdone previous nose job
  • Worsened asymmetry
  • Not enough cosmetic change to show the correct shape
  • Incorrect tip projection
  • Scar tissue formation
  • Improper bridge height such as over reduction and incomplete reduction
  • Septoplasty: This is a type of nasal surgery that is done to fix the deviated septum. The septum is the important part of the nose and is made of bone and cartilage and divides the two nostrils. When the septum moves to one side of the nose and affect the breathing. Septum deviation can happen at birth or because of an injury to the nose. The cosmetic surgeon can use a donor rib cartilage to stabilize the nasal tip and still maintain the external shape of the nose.
  • Turbinoplasty: Turbinates are small shell-like structures along the wall of the nose and they normally don’t hamper the function of the nose and their primary function is to cleanse and humidify the air as it passes through the nostrils. But in case of swelling, they can obstruct the breathing. This triggers for this swelling include allergies, infections and cause irritation etc. Trubinoplasty is done to reduce the size of the enlarged structures and give relief to the patient.
  • Alarplasty: This surgery is done to correct the shape of the alar i.e. the sides of the nose at the bottom. It is done by reshaping the nose structure to improve the balance at the base and improving harmony with other nasal parts.
  • Polypectomy: This type of nose job surgery aims to remove the nose polyps. The polyps are swelling on the nose lining that can cause severe nasal obstruction and reduced sense of smell. This is an invasive surgery and needs proper recovery time.

The types of nose surgery cost

Different kinds of nose jobs have different costs. The cost of nose surgery depends on many factors such as the type of nose surgery, the expectations of the patient, the skin type, and the surgeon’s expertise. The doctor can together combine different types of nose surgeries to address all the concerns of the individual.


About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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