Tag Archives: nose job

  • 0
11 Questions to ask your Surgeon before Rhinoplasty

11 Questions to ask your Surgeon before Rhinoplasty

Tags : 

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 Indian 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 or closed. 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 clearly 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 more. 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. And 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-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 the surgery. The reason for having rhinoplasty should be your own decision and not governed by Instagram celebrities and influencers or the opinion 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.

  • 0

How Long Does Rhinoplasty Surgery Take?

Tags : 

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


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.


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.

  • 0

Five Things to Avoid After Rhinoplasty Surgery?

Tags : 

Feb 23  0
Five Things to Avoid After Rhinoplasty Surgery?

A rhinoplasty or a nose job is a simple surgical or nonsurgical procedure done to correct the functional and cosmetic defects in the nose. A successful nose job can give dramatic, satisfying, and very positive results with minimal downtime. The only thing to remember is the nose job is the first step to getting the perfect nose. The care that you take during your recovery time plays an important role in the final results of a rhinoplasty.

Read More

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

Contact Us

    Find Us on Facebook

    Get In Touch
    close slider