Does rhinoplasty vary with age?

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    Mar 23
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Does rhinoplasty vary with age?

Does rhinoplasty vary with age?

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The nose has many idioms associated with it and all talk about pride. The nose is the prominent feature of the face, and a successful rhinoplasty looks good even as you age. This is only possible when an expert rhinoplasty surgeon does it with outstanding skills. It is a challenging task to create a nose that stands the test of time. Top rhinoplasty surgeons with extensive knowledge and expertise in all types of rhinoplasty techniques are the ones who can do a successful aging rhinoplasty.

There is no limit to the age of cosmetic rhinoplasty, and it can be done even in the teenage as long as the functional components of the nose are fully developed, and you are in generally good health. Generally, the most popular age for rhinoplasty is between 20-29 and in the 40s and 50s.

Many people believe that once they get a nose job done, it will stay the same forever which is a big misconception.

As we age, rhinoplasty gets more challenging, affecting long-term cosmetic results for the patient. Aging changes the appearance and the basic structure of the nose in order to enhance the appearance of the nose suiting the changing facial features.

What does rhinoplasty do to the nose?

Before discussing how rhinoplasty varies with age, it is essential to understand what nose surgery or a nose job does to the nose. Most rhinoplasties are reductive, which means the surgeon will manipulate the bones and cartilage to make the nose look smaller. As good as it seems, it tends to fail as one age Because though the bones stop growing as you reach puberty, body tissues change throughout the lifetime.

The nose contains bones, tissues, and cartilage which change shape as you age, and the nose starts to stretch and sag downward. As a result, the structure and skin of the nose lose strength, and with the previous rhinoplasty, the support is already weakened leading to a disfigured nose job. In addition, as the nose ages, the tip might become more extensive, making the nose look wider and heavier.

How does the nose change with age?

As we grow and attain puberty our features begin to take shape a by midlife they are thoroughly and perfectly formed. For example, a nose with the right shape and size during adolescence might seem bulbous, vast, or significant in adulthood. As time passes, the nose becomes different from what you are used to seeing in the mirror in your younger days. The changing shape of the nose also affects the air patterns.

Aging of the nose is a very normal process, but some people like it. This is because the shape and size of the nose matter, and then the rest of the face looks imbalanced and less attractive.

For a successful rhinoplasty, it is necessary to do it in a way that reinforces the structure of the nose to ensure excellent results at all times. This is why aging rhinoplasty has become an essential consideration for both men and women. The initial results are only the first step of having the ideal nose, how your nose will look years or decades after is critical for your appearance and happiness with a nose job over time.

Is the rhinoplasty procedure different for older vs. younger people?

The basic procedure for a nose job remains the same for older and younger people but they aim for different goals. In younger people, the focus is usually on.

  • Reducing nasal humps
  • Strengthening the nasal bridge or narrowing a wide bridge
  • Correct nasal asymmetry
  • Shortening a nose
  • Improving breathing issues, if any

On the other hand, for old people, a rhinoplasty typically focuses on

  • Correcting a droopy tip
  • Shaping a bulbous nose tip to a narrower appearance.
  • Reducing the size of the nose
  • Correcting breathing and cartilage defects

In both, the surgeon will aim to get the most natural-looking results that don’t show any obvious signs of surgery. The primary considerations for rhinoplasty are improving or modifying the overall structure of the nose structure in a way that compliments the proportions of the face and enhances the functions of the nose. This is done by

  • Modifying nose size with respect to facial balance
  • Altering nose weight and its size and position about the nostrils
  • Correct visible depressions and humps visible on the nasal bridge in the profile view
  • Tip plasty or nasal tip correction to right drooping, upturned, hooked, or enlarged tips
  • Correct large, wide, or upturned nostrils
  • Correct nasal symmetry

Rhinoplasty through the ages

Rhinoplasty, a cosmetic nose job, has recently been popular among youth. Increased awareness and acceptance of nose surgeries have contributed significantly to this. Modern-day nose surgeries are simple, with fewer complications and great results. They also cost less with lower recovery time.

Rhinoplasty in the 20s and 30s

Termed youth rhinoplasty, this type of nose surgery is done to improve the cosmetic and functional appearance of the teen or the young adult’s nose to bring about more facial harmony and a rested look on the face.

A nose that does not ‘fit’ the face can cause significant mental distress in the youth. Studies have proven that many young females feel anxiety and depression because they have a nose like their father or the beak is crooked, and they shy away from class photos or selfies. The results of a youth rhinoplasty last for a long time.

Rhinoplasty in the 40s

By the age the 40s, signs of aging begin to show, and the skin demands extra attention. A nose job at this age is more focused on correcting a droopy tip and humps in the nose. However, care must be taken to ensure the supporting cartilage does not collapse. The surgeon might also use nasal grafts to reinforce the supporting structures.

Rhinoplasty in the 50s

A nose job can be easily tailored to suit a patient of any age. But in the 50s, the skin becomes thicker, so columella or tip manipulation is highly tricky. This is because the surgeon has to make the corrections aesthetically pleasing, and it shows through the skin but still does not weaken the basic structure. Other considerations also come into play in such surgeries, such as whether the patient has underlying conditions like hypertension or diabetes or other medical situations that can increase the risk of surgery.

Other things to consider are the condition and elasticity of the skin. Poor skin quality can cause easy bruising and delay the healing process. Also, the surgeon must consider the patient’s ability to adhere to pre and post-operative needs, quality of nasal cartilage and bone structure, blockages in nasal airways, etc.

How will my rhinoplasty change with the years?

Once the rhinoplasty is done, the actual effects begin to show once the swelling goes down. However, the surgery also initiates the aging process, and thus, most people see a difference in their rhinoplasty results 5-10 years post-surgery. There is no sure-shot way of predicting how the nose will look in the coming years, but here is a list of factors that can influence the results.

  • The techniques your surgeon will use during rhinoplasty.
  • Genetics
  • Trauma or injury to the nose, especially the face.
  • Skin quality and thickness

The best way to keep the rhinoplasty results looking good is to select a surgeon with extensive experience in aging rhinoplasty that can lessen the nose job’s adverse effects. In addition, taking good care of your skin and maintaining good lifestyle choices also help keep nose surgery results for a long time.

Today aging rhinoplasty is a specialty in itself. Modern rhinoplasty is more reconstructive than reductive with the same results, i.e., a more proportionate nose without removing the foundations’ strength. Best rhinoplasty surgeons use grafts to reinforce the areas that can weaken over time to improve the appearance and stability of rhinoplasty over time. If you have also been seeing changes in your previous rhinoplasty, you could consult your doctor for revision rhinoplasty.

Cost of aging rhinoplasty

The cost of rhinoplasty differs by many factors. The primary influencer on the price of nose surgery is the age and genetics of the patient. The second is the change they want to see in the nose. Other factors that cause the cost of rhinoplasty to vary include surgeon experience, primary rhinoplasty or revision rhinoplasty, cost of grafts used, the duration of hospital stay, and post-operation care. Your doctor and his team are the best people to brief you about the price and payment plans for rhinoplasty. Some types of rhinoplasties are covered by insurance, and some are not. Therefore you can discuss this with your insurance provider for the same. The main objective should be to get the best procedure done so that the results last decades.

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    Mar 23
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11 Questions to ask your Surgeon before Rhinoplasty

11 Questions to ask your Surgeon before Rhinoplasty

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The nose is the central feature of the face; it is right in front and center. Asymmetry or bumps in the nose can alter how your face looks, or if there are any irregularities in the function of the nose, it can cause breathing issues and be very distressing. Rhinoplasty is a simple and fantastic way to get your nose back in shape (in both aesthetic and functional ways) and brings balance and harmony to your features and confidence in your looks. But, of course, rhinoplasty is also done for other reasons such as repairing an injury or just revision surgery.

Since nose surgery is a complex and intricate surgery, it needs delicate handling from the surgeon’s side, and therefore it is natural to expect some nervousness and doubts. Surgery can be a scary experience, especially when making changes to your face. Consequently, you must ask as many questions as possible with the rhinoplasty surgeon and clear all your doubts. It is a known fact that knowing what will happen during the operation can significantly reduce uncertainty and also help the patient plan the surgery. It also makes the patient feel safer and more confident.

 Here is a list of 11 important questions to ask your surgeon before rhinoplasty to make the procedure and recovery more effortless.

1. What are the qualifications and track record of the surgeon?

Selecting a good rhinoplasty surgeon is one of the most critical factors of a successful rhinoplasty surgery. It’s your face and you don’t want to take a risk. Make sure to enquire about your surgeon’s exact qualifications. Are they certified by the concerned agencies? Do they have the additional capability to perform rhinoplasty surgery? Do they have experience in performing nose surgeries and have they done enough surgeries in the past to address your concern? You can also cross-check the surgeon’s accreditation online and get reviews from previous patients. A less experienced surgeon might charge you less, but they will also not get the results.

  1. Can they show you the before and after photos?

Request to see the before and after photos of the previous patients. Any good surgeon or facility will be able to share this information with ease. You can also see back and after pictures of your concern; for example, if you are seeking a tip surgery, then before and after photos of tip surgery of past patients will give you a better vision. This access will also give you an idea of the surgeon’s style and technique.

  1. Do I know what I want, and will I get it from rhinoplasty?

There are very few restrictions on who cannot get a rhinoplasty but your conversation with your surgeon should talk about your expectations. Your face is unique, and every rhinoplasty is personalized after summarizing your medical history, anatomy, and goals. This will help you make an informed decision about what you want and what can be achieved. When going in for the first consultation with the surgeon, take some ideas about what you want and don’t want and some reference photos if you have any. This will create a starting point with the doctor and give him an understanding of what changes are essential for you, and then he can guide you accordingly. Ask your surgeon about 3-D software that gives you a real-time idea of the difference the nose job will make in your facial features.

  1. Does your surgeon have experience in nose reshaping in your ethnicity?

Ethnic rhinoplasty is an essential aspect of a nose job. Each person has some classic facial characteristics depending on their ethnicity. Therefore, what calculations work for a Caucasian nose will not work for an Ideal nose? Therefore, before you finalize a rhinoplasty, ask your surgeon about her experience in the context of your ethnic background. This will ensure that the results of your rhinoplasty will be subtle, refined, natural-looking, and aesthetically pleasing. In addition, your surgeon will be able to ensure that your goals align with the surgical results. For this, the surgeon must understand the complex anatomy of the nose and the need to maintain both form and function. Best nose plastic surgeons in India have extensive experience in facial surgical procedures and the artistry to get the most natural-looking results.

  1. Open or closed, which surgical technique will be used?

Rhinoplasty surgery can be done using two techniques open rhinoplasty or closed rhinoplasty. The technique selection depends on the changes you want, the surgeon’s comfort and experience, and your facial framework. The type and extent of reshaping also go a long way in selecting the right approach for your rhinoplasty. There are pros and cons of each technique in terms of outcome and aftercare.

  1. What type of rhinoplasty will give you the desired outcome?

There are different types of rhinoplasties, and each meets another goal. The surgeon can one or more types of rhinoplasties to give you the desired results. The common types of nose jobs include

  • Structural rhinoplasty is done to improve the shape and size of the nose. This is done by removing excessive tissue and bones or adding a graft to replace, reshape, or reinforce the nasal structures. This is usually done in an open approach for better access and manipulation.
  • Preservation rhinoplasty is focused on preserving the nasal tissues and reshaping and repositioning the nose. This nose surgery is done by the best nose plastic surgeons in India to maintain the natural aesthetics of the nose reshaping and improve its appearance.
  • Functional rhinoplasty aims to improve the function of the nose, such as correcting the deviated septum to improve breathing.

  1. What is liquid rhinoplasty?

Liquid rhinoplasty is a non-surgical type of rhinoplasty that can be used to contour the nose shape temporarily. This type of treatment uses dermal filler and surgical threads to treat the structural defects of the nose. Liquid rhinoplasty is popularly used to correct the appearance of a dorsal hump and downward pointing tip. These treatments last 6-12 months and must be repeated for continued results. Liquid rhinoplasty cannot correct any functional defects in the nose, but it is a great way to see the changes a cosmetic rhinoplasty can bring to your face.

  1. What is the revision rate of rhinoplasty patients?

Revision nose surgery is done on patients who are not happy with the results of the previous surgery or need more corrections in the first procedure. The revision rate is usually less than 5% in any good practice. However, sometimes a cosmetic nose job can cause a breathing problem or bring it forward; in that case, further revisions are required to improve the breathing. Ask the surgeon about his particular revision rate.

  1. What is revision surgery?

The healing process varies from patient to patient and sometimes you might not be happy with the immediate results of rhinoplasty, but they improve over time. But what happens when the results don’t give the desired outcome? Then you will require a revision. Keep in mind that you will be making a revision decision only after the effects of the previous ones are visible. Sometimes minor concerns can be resolved even without a revision. Please discuss with your surgeon the eventualities that their facility covers.

  1. What will be my recovery time, and how much time should I take off from work?

This is an important question to ask as the recovery period depends on various individual factors. In some patients, the recovery is in less than six weeks; in others, it might take time because the degree of work done is higher. The rhinoplasty surgeon will be your best guide for the norms of recovery and even give you tips to expedite your healing. A general timeline of healing is as follows.

  • Week 1: removal of the nasal splint, but still visible bruising and swelling
  • Week 2: less swelling and bruising
  • Week 4: facial swelling subsidies, the breathing improves and results begin to show.
  • Week 6: The patient is back to regular work and workout life, and bone healing is also done
  • Month 3-4: Results begin to show very clearly. The area has no pain, swelling, or other abnormal sensations.
  • One year and more: The skin shrinks to the new nose, and the final shape can be observed.

Here is a list of things that can affect the healing

  • Not following doctor’s orders
  • Previous trauma can delay the healing
  • Thick skin, thin skin, etc., are common factors that act as limiting for the surgery.

  1. What is the cost of the rhinoplasty?

An essential part of discussing your surgery is the cost of the surgery. The cost of a nose job varies with many factors such as the surgeon’s experience, your expectations, location, the technique used, healing time, etc. Some types of rhinoplasties are covered by insurance while others are considered purely cosmetic surgery. This is why talking to your doctor about the rhinoplasty surgery cost in detail is essential. Make sure you get a detailed breakup of the price and payment plans.

It is essential to keep your expectations realistic post-surgery. The reason for having rhinoplasty should be your own decision and not governed by Instagram celebrities and influencers or the opinions of others. Don’t compare your skin and nose to other models and friends. What works for others may work better for you. Take time to understand the procedure and ask as many questions as possible. Even after the surgery, keep in touch with the surgical team and communicate with them about any accidents or injuries to the nose. This will help in ensuring proper recovery. Attend all follow-up appointments.

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    Mar 23
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How to know if I have a Saddle Nose?

How to know if I have a Saddle Nose?

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The saddle nose, pug nose, or boxer nose is a type of nose deformity characterized by a distinct dip or sag in the middle portion of the nose. This ‘saddle’ can be barely noticeable or severe enough to cause breathing problems. However, the saddle nose is clearly visible in the side profile photos and selfies, and people often feel very conscious about it. In severe cases of saddle noses, there can be obvious nasal deformities that alter the shape and function of the nose. Most patients can go through their lives with a saddle nose, but corrections become necessary for some. Dr. Debraj Shome, the best rhinoplasty surgeon in Mumbai, shares his views on saddle nose. 

Saddle nose has cosmetic repercussions too. It can make your entire face look flat. You can quickly identify saddle nose with the following symptoms:

  • The collapse of the nasal bridge cartilage
  • Upward rotation of the bulbous nose tip
  • Obstructions in breathing through one or both nostrils
  • Nasal crusting which becomes chronic
  • A visible horizontal crease in the lower part of the nose that looks like a dent in the nose.
  • Septal perforation
  • Nose bleeds
  • Whistling sound during nasal flow

It is common for people with saddle noses to feel conscious about the dip in the nose, especially during picture-taking times. The excellent news is saddle nose deformity can be easily corrected. However, this repair is a highly specialized procedure as this surgery is different for every patient depending on the indicators and desired alterations.

What causes saddle nose?

The most visible indication of saddle nose deformity causes is the loss of dorsal height or a noticeable degree of nasal dorsal depression. There can be many reasons for this loss of height. The septum is one of the critical parts of the nose and a central one too. It is responsible for the structural integrity of the nose. Any damage to the septum structure causes a sunken appearance of the nose. This causes many cartilage and bone defects. This deformity mainly originates because of

  • Congenital reasons such as Cleidocranial dysostosis, which affects the teeth and bone, and Congenital syphilis, which is an infection passed from the mother to the child
  • Trauma: Direct trauma to the nose can cause the bones to break or damage the cartilage structure. Depression in the nasal bone can also cause saddling or sagging and loss of height.
  • Surgical causes: A prior rhinoplasty, a Septorhinoplasty cost in india, or changes in the septal cartilage that are not done correctly or not appropriately healed can also cause nasal deformities such as the saddle nose. Septorhinoplasty in young patients can also cause a collapse of the nasal septum because the septum is weak and collapses as it grows. Removing too much septal cartilage is another reason for saddling.
  • Over reduction of the dorsal hump: Surgical removal of the camel-shaped shape on the nasal bridge can also cause depression in the middle of the nose.
  • Poorly done rhinoplasty to correct nasal contours, which causes over the projected nasal tip, or a supra tip correction, can make the nose appear saddled.
  • Down syndrome
  • Normal variation
  • Infections
  • Illness caused by medical treatment
  • Medical causes such as leprosy, syphilis, recurring infections in the tissues, Wegener’s Granulomatosis, and Relapsing Polychondritis. Syphilis can also cause severe cartilage damage.
  • Accidents
  • Septal hematoma and septal abscess, which cause the normal blood flow to the septum to be obstructed, can also cause a saddle nose deformity.
  • Cocaine abuse: Long-standing use of cocaine leads to a deficit in blood flow in the septum, which causes it to become weak and eventually collapse. The chronic use of intranasal decongestant sprays also causes this safe effect.

Saddle nose rhinoplasty includes both camouflage and reconstruction treatments. In most cases, saddle nose deformity is acquired, and its manifestation depends on individual, racial, or genetic characteristics. Trauma and iatrogenic causes are the two most common causes of saddling.

Types of saddle noses

Treating or correcting saddle nose deformity begins with correctly categorizing its severity. This classification is based on the anatomic issues causing saddle nose and include

  • Type 1 has dorsal nasal depression, but the lower third of the nose has normal tip projection.
  • Type 2 which has moderate to severe depression with a prominent lower third of the nose upturn
  • Type 3 with moderate to severe dorsal depression loss of tip support, and visible structural deficits
  • Type 4 with severe normal depression and loss of structural support to the entire nose.

Type 2,3 and 4 deformities cause difficulties in breathing too.

Saddle nose rhinoplasty

Depending on the manifestation of the saddling and the investigation into the exact nature of deformity and dysfunction help the surgeon select the best reconstructive options to correct the deformity: these address both the aesthetic and functional aspects.

Diagnosis

This is done by taking in the patient’s complete history and doing a physical examination. This helps the surgeon figure out the etiology of the deformity. The doctor will also ask about any history of nasal airway obstructions, past nasal traumas, nasal surgeries, history of autoimmune diseases, etc. if the patient has been using cocaine, then it needs to be investigated too.

The physical examination includes the degree of the location of the saddle, the condition of the nasal septum, the state of nasal valves, and the structural stability of the nasal support structures. Both imaging and diagnostic tools are used for this.

Treatment

There are two parts to the treatment. One is medical, which is aimed at containing the progression of saddling. Patients suffering from diseases such as Wegener granulomatosis and relapsing polychondritis need the intervention of medical specialists to help improve the condition.

The second part is surgical rhinoplasty or nose job that corrects the saddle nose defects. This nose surgery is done to add or restore strength to the cartilage at the base of the nose. Saddle nose rhinoplasty is one of the most complicated nose surgeries because it requires a carefully crafted graft to be placed in the nose and planning of anatomical reconstruction of the other structures.

In case of mild saddling, getting a proper graft from the septum or conchal cartilage might be possible. However, in case of greater severity of the deformity, the surgeon will recommend taking cartilage from the ribs or using artificial cartilage. In grafts obtained from external sources, the following criteria should be met.

  • They should be noncarcinogenic.
  • Nonallergenic
  • Nonimmunogenic
  • Non-destructive to the adjacent tissue and integrable
  • Non-resorbable for durability
  • Easy to mold, remove, and work with
  • Should feel similar to the actual cartilage and have the same strength
  • It should be readily available
  • Cost-effective
  • Zero extrusion rate.

The suitability of the graft will depend on the degree of saddling. The choice of material and type of reconstruction plays an important role and saddle nose deformity correction. There is no one ideal nasal implant. Each implant has its only successes and failures; your doctor will be the best one to decide which will suit your problem.

Rhinoplasty for saddle nose corrections takes about 2-3 hours to complete. The grafts are carefully shaped and sterilized first. Then the surgeon will make an incision along the columella of the nose and lift the skin. Finally, the graft is placed, and other structural corrections are done per the treatment plan.

Who can get saddle nose surgery?

A healthy patient bothered by the saddle nose opts for this rhinoplasty surgery. However, some persons with contraindications include

  • Patients with autoimmune conditions in whom the damage can be continuous
  • Intranasal drug abusers who have failed sobriety
  • Unhealthy patients and those with a poor risk profile, such as schizophrenia patients.
  • Patients who have unrealistic expectations

This rhinoplasty is also not recommended for people who

  • I have had some previous rhinoplasties
  • Have a history of smoking
  • Are 16 years or younger
  • Patients who are likely to experience nasal trauma such as boxers, martial artists, etc.

Saddle nose surgery recovery

Mild swelling and bruising are expected after the surgery but will decrease in 10 odd days. You should take great care of your nose and avoid blowing or sneezing through it. Don’t try to touch the nose too often or pull or tug at it. The full results appear as the skin heals, and you can see complete healing in one year of surgery.

Saddle nose surgery cost

Saddle nose surgery is one of the most challenging nose deformities to correct for the surgeon. The correct surgical approach is essential, which can have a physiological impact on the patient. The cost of saddle nose surgery in India depends on the graft type used and the surgical approach used.

Other factors that influence the price of this type of rhinoplasty are the surgeon’s expertise, the hospital cost price, the location of the clinic, and the post-operative consultations. Since it is mainly done for functional reasons, the cost of saddle nose rhinoplasty is usually covered by insurance.

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    Mar 23
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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.

  • 18
    Mar 23
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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 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 not 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 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 hence the name lunchtime ideal 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 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 after 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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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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