Category Archives: Rhinoplasty

  • 01
    Apr 23
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What type of nose is considered as Perfect Indian Nose?

What type of nose is considered as Perfect Indian Nose?

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The small and unassuming nose is an organ that plays a vital role in the perception of the beauty of the face. Different cultures and nationalities have noticeable differences in the structure and appearance of the nose. Your nose can tell much about your origins, i.e., your ancestors and ethnicity. This is because of the weather conditions, the type of work, and even the eating habits. People with wider noses usually come from humid and warm climates, and those in cold areas have narrow noses. The nose also plays a vital role in controlling body temperature. Narrow noses make it possible for inhaled air to be warmer. The race classifies the nose shape. Africans have predominantly flat noses (platyrrhine), Caucasians have narrow noses, and Asians have mesorrhine noses.

Indians have a wider set of eyes, and the mid-face is smaller and generally have small noses with high tip rotation (morphine noses), small ears, and a larger mouth. Indians have thick nasal skin, a sloping nasal structure, and a high nasal bridge. The nose measurements with the body’s proportion are essential when planning a cosmetic or aesthetic rhinoplasty. Indian nose is different from other populations, so surgeons need to modify the surgery techniques to match the ideal nose. India is a vast country, and the shape and size of the nose also differ by the region that people live in. For example

  • People residing in north India have long and narrow noses
  • South Indians have broader noses
  • People in Himalayan regions have narrow nostrils and short noses

The nasal analysis is the most crucial step in nose surgery. Therefore, it is essential to understand how much the nose deviates from the ideal norm to plan a nose surgery with a favorable result that blends harmoniously with other facial features. In the past, best rhinoplasty surgeon in india used to follow one set pattern and created only one ideal shape. Still, a modern nose job is tailored to give a great result to people of oriental ethnicity and Indian ethnicity even rigid the facial structures of the two are entirely different.

Features that make a perfect Indian nose

Many of us often look in the mirror and wonder if our nose is crooked nose, too big, too short, etc. So, what is an ideal nose? Ideally, the nose should be in perfect proportion to the face i.e., it should not look ‘out of place’ or overshadow other facial features. Generally, 104-108 degrees orientation is considered ideal for the nose.

It is a proven fact that humans are naturally attracted to symmetry. We naturally gravitate towards ideas or other people who have balanced proportions. When it comes to calculating facial symmetry, it is done in many ways

  • it is calculated by dividing the nose into three parts horizontally. The forehead to eyebrows is the first upper third, the eyebrows to the bottom of the nose is the middle third, and the lower third is the bottom of the nose to the chin.
  • When you look at it vertically, ideally, the nose should be perfectly in the middle third of the face.
  • If you look from the side view, the ideal nose’s parameters are that the side length should be equal to the width of the nose in the side view.
  • When using the rule of fifths, the ideal nose is when the nasal width equals the width of the person’s eyes.
  • One more way of measurement is looking from under the nose. A triangle should form with the area inside the nostrils (vestibules) making up two-thirds of the triangle.

The definition of the perfect nose is individualistic. Some features might be considered ideal. Rhinoplasty is one of the most popular plastic and cosmetic surgeries worldwide; its outcome depends on the surgeon’s knowledge of nose proportions from different ethnicities.

Features of a Perfect Indian Nose

The nose plays a large part in defining the shape of your face. In all cultures, an ideal primary nose is

  • when the wideness of the nose comes in a fifth of the face
  • Draw two imaginary vertical lines from the corner of your eyes and check if the nose’s width falls between those two lines.

Most rhinoplasty surgeons take the help of  Fibonacci’s sequence to calculate the width and height of the nose for a face. The golden ratio is the standard when altering the nose shape through rhinoplasty to enhance one’s natural beauty. The perfect nose

  • is in proportion with the rest of the facial features
  • has a smooth profile
  • has a smaller tip
  • has symmetrical nostrils
  • is straight

Nose features that are not considered to be perfect or ideal

Noses are categorized into different nose types, but there are some features that are not regarded as perfect, such as

Indian nose rhinoplasty

Indian rhinoplasty is a specific rhinoplasty that demands expert knowledge and technique from the doctor. Since it is a type of ethnic rhinoplasty, the rhinoplasty surgeon has to ensure that the organ’s ethnicity is maintained while still making natural-looking improvements in the shape and function of the nose. Here are some standard features of the Indian nose that make Indian rhinoplasty a specialization on its own

  • Indian noses have a thicker skin layer. Thus, any alterations in the bone and cartilage need to be foredefinite to show through the thick overlayer of the skin. Conservative alterations do not give the desired new shape.
  • Drooping tip. A ptotic nasal tip in the side profile characterizes Indian noses. This makes the Indian nose appear longer, and the face look aged.
  • Dorsal hump. This is also a joint deformity in the Indian nose. A bump on the nose makes the look longer than desired, and combined with the droopy tip it makes the overall appearance of the nose even more elongated.

Rhinoplasty for the Indian nose can be done in an open or closed method. This depends on the type of reconstruction the doctor is aiming for.

Are you a good candidate for Indian rhinoplasty?

Any healthy male or female is a good candidate for Indian rhinoplasty. Also

  • If you are past your teens, then you can opt for rhinoplasty
  • If you do not smoke or are willing to give up smoking for a long time
  • You are of Indian descent and have a concern about the appearance and structure of your nose
  • You have realistic goals

India is one of the top five countries with a maximum number of rhinoplasties performed in a year with a more than 97% success rate.

What to expect in an Indian Rhinoplasty surgery?

Rhinoplasty can be done in two ways.

  • Liquid rhinoplasty uses filler and threads to contour the shape of the nose. The fillers and treads are used to correct the tip orientation and reduce the bump on the nose. The results of this type of rhinoplasty last for 18-24 months.
  • Surgical nose job: A surgical nose job is done under general anesthesia. Since every nose has an individual characteristic, every rhinoplasty is tailored so that the final appearance is harmonious with the rest of the face and still maintains the unique ethnic identity. The surgeon will discuss the detailed plan with you before the surgery and discuss the implants or grafts needed to define the nose. A surgical nose job takes about 2-3 hours to complete, and the results are more or less permanent.

Indian Rhinoplasty cost

Since the perfect Indian nose has some distinct features and the results can be life-altering, it is essential to choose a qualified plastic or cosmetic surgeon over the surgery cost to get the desired results. The cost of an Indian nose job includes fees of the specialist, the surgical costs, hospital, and other allied charges. The price of Indian nose rhinoplasty varies with the nature and type of the procedure. Cosmetic rhinoplasties are not covered by insurance costs, whereas functional rhinoplasties are covered by insurance.

  • 31
    Mar 23
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Is closed rhinoplasty more desirable than open?

Is closed rhinoplasty more desirable than open?

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The first rhinoplasty done was an open nose job, performed in 600 BC in India. The surgery aimed to restore breathing function in a woman who had lost her nose in a battle. In 1800, French surgeon Dr. Joseph Bartholomew started using skin grafts from the patient’s forehead and ears. In the early 1900s, Dr. Harol Gilles introduced the innovation of the nasal flap, which is still popular today but in a more advanced form. Since then rhinoplasty surgery has made significant progress in terms of techniques and innovations.

Rhinoplasty is also known as nose job or nasal surgery and can be done in both surgical and nonsurgical ways. It can correct many issues with the nose, such as a crooked nose, drooping or upturned tips, prominent nose, small nose, bump or dip in the bridge and breathing functions, nasal polyps, injury abnormalities, inflammations, symmetry balance, and nostril correction. It often involves cutting the bone and reducing the thickness of nasal skin. In some cases, the surgeons also use grafts to augment the nose. The surgery is usually done under anesthesia and takes about 2-3 hours to complete depending on the technique used by the surgeon. Rhinoplasty can be done using the open rhinoplasty or closed rhinoplasty procedure. Both aim to improve the form and function of the nose. Still, open rhinoplasty is usually done for reconstructive purposes such as repairing a trauma nose, etc.; closed rhinoplasty is done to correct minor flaws and a deviated septum.

Open rhinoplasty

As the name suggests, this type of nose job is done by exposing the nose’s framework so that the rhinoplasty surgeon can see the structures inside the nose. This is one of the common approaches to performing a nose job as it gives the surgeon more space to maneuver around the nose. Incisions are made in the columella (tissues inside the nose ) and sides of the nose. Incisions are generally hidden inside, but the one across the columella might be visible for some time. This nose surgery technique gives the surgeon the freedom to lift the nose’s skin providing access to the tip, sides, back, septum, cartilage, and external nostrils of the nasal structure. Open rhinoplasty is done in cases of

  • Wide bridge or nasal hump that is curved and runs in the vertical length of the nose
  • The difficulty of breathing through the nose
  • People suffering from nasal tumors
  • Congenital disabilities in the nose, e.g., cleft lip
  • Revision rhinoplasty
  • Rotated tip
  • Asymmetric nose

Pros of open rhinoplasty

Open rhinoplasty is a widespread technique, but it has advantages and disadvantages. The pros include

  • The surgeon can see the anatomy underneath. This way, the surgeon can more accurately measure and analyze the nasal structures in open-nose surgery. In addition, the things that would have been missed in the external examination, such as abnormalities causing crooked shapes, can be seen clearly. This way, the surgeon does more detailed and accurate work to reshape the nose according to your preferences.
  • There is less chance of nasal asymmetry as the surgeon can be more precise in correcting bone, cartilage, and skin tissues.
  • The better and more accurate placing of grafts and prostheses: Cartilage Grafts and prostheses are needed to reconstruct the nose to its most natural contours. The surgeon can place these more accurately with open rhinoplasty because of full access to the nasal skeleton. These grafts or prosthetic devices are usually used on the nose’s bride or tip to improve or reinforce the nose structure or increase the septum length.
  • It is more accessible to the stability of the nasal elements, which results in fewer chances of nasal collapse or weakening, and it means the rhinoplasty will last longer.
  • It is more suitable for complicated surgeries: People with a bad previous or first rhinoplasty benefit more from open rhinoplasty. This is because the surgeon can eliminate most nasal defects in one go.
  • Fewer chances of scarring, bruising, and swelling: With greater surgical flexibility comes less swelling, bruising, and scaring than closed rhinoplasty.

Cons of open rhinoplasty

  • It is more invasive
  • It takes longer to heal
  • Leaves a small but visible scar
  • Has a more extended recovery period, i.e., more than two to three weeks
  • It can cause scarring on the side of the incision, but they fade away with time
  • This rhinoplasty takes about 1.5 to 3 hours

Recovery after open rhinoplasty surgery

The initial recovery time is about four to seven days, but the time might be extended if it is a functional open rhinoplasty. The surgeon will place bandages or a splint on your nose and give you something to stop the bleeding. The surgeon will tell you when the dressings can be removed, usually four to six days after the surgery. It is normal to experience nasal congestion, swelling, bruising, pressure inside the nose, headache, and nausea. This will go away in 10-14 days.

Closed rhinoplasty

In this nose job, the surgeon makes small incisions inside the nose to make the desired changes. Although it does not give much visibility, it still lets the surgeon work with great precision. This is a more common type of rhinoplasty in cosmetic nose surgery procedures. The rhinoplasty surgeon can sculpt and shape the tissue of the nose with ease to give a natural and aesthetic outcome that suits the facial features. This is a more complicated procedure that needs finer techniques on the surgeon’s part and cannot be used for making significant structural changes in the nose. Closed technique for nose surgery is done for

  • Narrowing the width of the nose
  • Reshaping the bridge and removing the hump
  • Redefining the tip
  • Reshaping the nostrils

Pros of closed rhinoplasty

  • Less and hardly visible incisions: since closed rhinoplasty is used to do only minor changes, there is no need to make visible or large incisions. The incisions are endonasal and do not show on the skin.
  • Shorter time in the operating theatre: It only lasts 30 to 90 minutes and requires less anesthesia and incision.
  • Faster and shorter recovery period: Full recovery takes about five to seven days, and the patient can return to everyday life within a week of the operation. The bruising and swelling are minimal because the blood vessels are not damaged during the procedure.
  • Fewer chances of complications because the entire method is less invasive and does not require open changes. Also, there is no open wound and hence fewer chances of infection.

Cons of closed rhinoplasty

It is an invasive surgery and, therefore, not without some disadvantages because it gives the surgeons a little less visibility than open rhinoplasty.

  • There is a slight possibility of damage to the structure of the nose because of limited access and inside incisions.
  • The surgeon can make fewer correct because of less access
  • It cannot be used for revision or secondary rhinoplasty
  • Results can change because of aging
  • It requires more delicacy to perform and can make limited changes
  • You might have breathing problems for a few days post-surgery because of swelling in the nose.

Recovery post-closed rhinoplasty

This surgery recovers faster than open rhinoplasty, about 7-10 days. The surgeon will instruct you to lubricate the nose and use nasal sprays to reduce the congestion and remove mucus as the nose heals. Inflammation, nosebleeds, minor swelling, and internal infection are common problems post-closed rhinoplasty.

How to choose between open and closed rhinoplasty?

Many factors affect this decision, mainly based on what needs to be technically done inside the nose. The surgeon will check the framework of the nose and its strength it to decide which technique will suit the best. Each structure, including the cartilage and tip, can be manipulated using open or closed rhinoplasty, depending on the complexity of the surgery. The other factors affecting the selection include

  • Your expectations
  • The natural shape of your nose and ethnicity
  • The number and severity of defects
  • The balance between the number of changes you desire and the possible

It is not possible to state which method is better. You must discuss all your expectations with the surgeon and ask about his surgical expertise and recommendations.

The cost of open Rhinoplasty

The cost of open rhinoplasty is higher than that of closed rhinoplasty, but it depends on how many procedures or corrections. In addition, the surgeon fees, experience, and location also affect the cost of rhinoplasty suitable for you.

Whether you choose to have open or closed rhinoplasty, you must consult the best surgeon in india with the experience and expertise to address your concerns regarding your nose. Have a detailed discussion with your surgeon before deciding on the best option. This is the only way to know which rhinoplasty you are suited for. Your doctor will discuss your concerns and goals and then determine the best treatment for the particular case.

  • 30
    Mar 23
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revision rhinoplasty

How frequently can you undergo a revision rhinoplasty?

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Rhinoplasty is considered to be the most complex and challenging among facial and cosmetic surgeries. The nose is a complex structure of tissues, cartilage, and bones that intersect in different convex and concave degrees. You need the best rhinoplasty surgeon for a nose job because the nose has to be reshaped to make it look better and function well. A surgeon who is not aware of the intricacies of the function of the nose is more like to botch up the nose job than one who does. Therefore, when going for any plastic or cosmetic surgery you should always choose a surgeon who has a history of satisfied clients.

Undesirable alterations in the structure of the nose can cause a difference in how the nose functions and impact how a person breathes. Most expert rhinoplasty surgeons often have a revision rate which can be because of many reasons. Rhinoplasty is surgery; sometimes, there can be complications or unanticipated problems during the surgery that necessitate the need for revision rhinoplasty. These revision rates are generally higher for inexperienced surgeons or those using outdated techniques or needing to understand the patient’s state.

A good nose job has a positive impact on the patient’s life. However, besides being highly technical, a nose job is also a sensitive issue. Revision rhinoplasty is generally done when the patient is not satisfied with the previous rhinoplasty results, but it is a very technically challenging procedure. There is no limit to the number of times one can go in for a revision or a secondary or tertiary rhinoplasty but keep in mind that each comes with its risks and problems. The best revision rhinoplasty surgeon in India will assess you to make sure you qualify for revision rhinoplasty.

How many people get revision rhinoplasty?

On average, the rate of revision rhinoplasties worldwide is around five to ten percent maximum. This is good news, and it means that more and more people are pleased with their first rhinoplasty results. But if you have had a nose job, are not happy with its results, or need additional corrections, here is some more basic information about revision rhinoplasty.

What is revision rhinoplasty?

Revision rhinoplasty uses the same basic techniques as the first rhinoplasty. Only the reasons can be different. The results of a primary rhinoplasty are often unpredictable because the tissue might not heal correctly, and changes in bone or cartilage because of the first surgery. Revision rhinoplasty is used to enhance the nose’s appearance and correct the weakened nasal functions. This is even more difficult plastic surgery than the primary or first rhinoplasty and needs advanced surgical techniques in the hands of the best revision rhinoplasty surgeon in India.

Revision rhinoplasty using dermal fillers

This is a non-surgical option for revision rhinoplasty. Dermal fillers are used to fill in the concave curves and add volume to the nose. These are purely cosmetic treatments and do not have any functional issues. Dermal fillers need to be repeated two years.

Reasons for opting for revision rhinoplasty

You can opt for revision rhinoplasty, and it can address many issues with your nose, such as

  • Asymmetrical results from the first rhinoplasty: Sometimes, the best rhinoplasty results can be underwhelming because the nose still appears uneven or does not blend smoothly with other facial features. This usually happens because the surgeon’s inexperience when performing rhinoplasty leads to a crooked nose or disproportionate nose appearance. Revision rhinoplasty can help correct this and achieve a more natural and balanced look that is harmonious with overall facial features.
  • ‘Made up’ looking results: The aim of modern plastic and cosmetic surgery is to ensure that the results look unnatural but blend perfectly. A nose that looks like a nose job is done on it can cause dissatisfaction to many people. A strange look to the nose can be because of too much correction in the first rhinoplasty or scar tissue formation. To correct this a revision rhinoplasty is needed.
  • Not happy with the results: The main culprit is the need for more communication between the doctor and the patient. Patients are often disappointed with the results because they must be briefed about the consequences beforehand. Sometimes the procedures go differently than expected. For the patients, it is essential to understand that every nose is unique, and getting a celebrity nose does not mean it will suit you. The surgeons need to understand the need to communicate the expected results correctly.
  • Functional issues with the nose: A good nose surgery is one that gives you an aesthetically pleasing nose that works perfectly. Inadequate healing and manipulation of practical aspects can lead to issues with essential nasal functions. Revision rhinoplasty can correct function issues while preserving aesthetic elements.
  • Trauma or injury post-first rhinoplasty: The nose is a delicate structure, and nose reshaping surgery increases its vulnerability. If you have had any trauma or accident that had an impact on the nose, then it can cause the cartilage and soft tissue to be damaged. They are especially delicate first 1-2 years after the surgery. In such events, a revision rhinoplasty can help reinforce the structure of the nose and resolve both cosmetic and functional issues.

Some other factors that affect the first rhinoplasty results are

  • Use of old techniques and equipment
  • Complications during the surgery
  • Not following complete healing instructions

Things that revision or secondary rhinoplasty can do

The most common things that patients seek from nose job revision are –

  • Adding or removing the volume of the nose
  • Changing the tip orientation and size
  • Correcting breathing issues
  • The Disparity in nostril size or shape
  • Asymmetric
  • Crooked nose

Benefits of revision rhinoplasty

Rhinoplasty has many benefits apart from addressing the concerns of the patients, such as

  • A skin rejuvenated appearance
  • enhanced facial balance
  • Corrections in nasal function
  • Improved breathing
  • Improved confidence in your appearance

How many times can you get revision rhinoplasty, and when?

Revision rhinoplasty is done usually one to two years after the first rhinoplasty because that is the amount of time needed for the nose to heal after the first surgery. The best revision rhinoplasty surgeon will discuss the step-by-step procedure for secondary rhinoplasty, the expected results, and post-treatment care which can be longer than the first one.

Each revision you opt for can have additional complications, and the risk might increase. If you opt for correction too many times, the changes to alter the appearance diminish because the surgeon might need more stable cartilage. Here are some other factors that affect or limit the number of times you can get a revision rhinoplasty done

  • Complexity: The more revisions you have, the more complex it becomes, and the options for alteration become limited. The changes to have dramatic revisions will decrease from the first rhinoplasty itself. This also depends on the type of issue you are seeking treatment for. For example, if your first rhinoplasty is about correcting the deviated septum and the secondary is about tip correction, then the overlap is minimal and hence fewer complications. However, if the operation is on the same tissue or area, the results might be less refined.
  • Surgeon: It is always better if the secondary rhinoplasty is done by the same surgeon who does the first rhinoplasty. Most people run to a new surgeon for a revision. But your old surgeon is already familiar with your nose, and he knows what work has he done and therefore will have a better idea and clarity on what needs to be corrected. However, if you are uncomfortable with the old one, do thorough research on a new revision rhinoplasty expert surgeon. Don’t be lured by the overpromising ones. A good revision nose job surgeon can confidently talk about aesthetics and facial symmetry and explain the limitations of secondary and tertiary nose jobs. Ask your new surgeon about their experience in issues and similar styles.
  • Patient: As the patient, it is very important that you fully understand the limitations of your nose and revision nose jobs. You need to adjust your expectations of what is possible or what is not. The more revisions you seek, the more limitations. It is an elective surgery and therefore it is essential always to keep the expectations realistic.
  • Aging nose: Like the rest of us, the nose also ages, and it also affects the results of rhinoplasty. As the nose ages, the texture and elasticity of skin change, the cartilage weakens, and therefore it is not possible to make drastic changes in the nose, especially in the revision procedures. Often in the second and third revisions rhinoplasty grafts or materials needed to be put back in the nose to improve the function and make aesthetic changes.

When revising rhinoplasty, a surgeon’s skin and experience are different. The plastic surgeon might be knowledgeable about reshaping and resizing nose jobs but might need to be experienced in various requests and suitable techniques. Each rhinoplasty needs a customized approach, be it first or revision. Therefore, it is critical to ensure that you are in good overall health and only select the best and most experienced revision rhinoplasty surgeon for revision nose jobs.

How to find a good revision rhinoplasty surgeon?

An excellent and certified plastic surgeon will ensure that the likelihood of a revision is very low, but still, if there is a need:

  • Have an open discussion about your worries and expectations
  • See if the surgeon can show you approximate results using computer imaging.
  • Pay careful attention to the healing process and what you must do.
  • Look through the photo galleries of the procedures done by the surgeon.

Do plenty of research before saying yes to one revision surgeon.

Revision Rhinoplasty cost

The cost of revision rhinoplasty might be slightly more than primary rhinoplasty. This will also vary with whether the same surgeon does the revision rhinoplasty. Some medical centers offer a combination package for a primary and a discount on a secondary rhinoplasty (if needed). The other factors that affect the cost of revision rhinoplasty are the surgeon’s fees, the location of the facility, the post-operative care, and insurance coverage.

  • 29
    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.

  • 28
    Mar 23
  • 0
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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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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