10 Questions that needed to be answered before Rhinoplasty

It is not uncommon to be in a state of stew when considering any cosmetic surgery, especially when it involves facial correction.

Preparing a questionnaire before your initial consultation makes sure that you put across all your apprehensions in order to achieve in-depth understanding of the procedure.

Booking a private & complimentary consultation at Care Well Medical Center, Delhi can be your first step. The compassionate & experienced staff at the clinic is welcoming and comforting, whilst maintaining complete security of patient information.

Dr. Sandeep Bhasin is an outstanding surgeon to answer all of your queries & suggest the best treatment for the procedure.

Here are 10 most important Questions that needs to be answer before Rhinoplasty

Q. HOW DOES RHINOPLASTY RECONSTRUCT THE NOSE?

After making incision and getting access to the underlying cartilage and bone, the structure of the nose can be sculpted and reshaped.

Dr. Bhasin of Care Well Medical Center rebuilds the nose utilizing the patient’s own cartilage, which is commonly extracted from the septum. If the cartilage in the septum has already taken off, the specialist can use auricular (ear) cartilage or even a rib graft if necessary, for reconstruction.

Furthermore, the success of a procedure depends on the skills of the practitioner.

So, the first step you should be taking is to have a clear objective of the procedure. Just because you have the means to modify the appearance of your nose, does not mean that you should. There are well-founded intentions for doing so, but it is vital that you perceive what yours are.

Once there is lucidity in your mind about what & why you want the surgery, the next step is finding the right specialist. Not only should this be based on expertise and credentials, but there needs to be a level of affinity and faith. A personal recommendation from closed ones you know can progressively go a long way but what if you don’t have? You know already we believe.

Q. What can Rhinoplasty fix?

Most people are in for Rhinoplasty to gain cosmetic corrections, and there’s a lot of what can be done to improve the nasal shape:

• Alter the length, width, or overall size of the nose according to face shape or patient’s wish
• Improve nose symmetry
• Straighten a crooked or bumped nose
• Decrease the nostril size
• Reduce and refine the bulbous tip
• Rectify a bad nose job

Rhinoplasty can also be considered in pursuit of gaining functional advantages, improving breathing issues or repairing damage from an injury. Narrowed nasal septal fissures (holes/clefts in the nose), due to  complications from previous operations or certain drugs, can be done surgically as well.

No matter what: choose a surgeon who is highly specialized in Rhinoplasty techniques for positive outcomes. Surgery is a big deal & Rhinoplasty itself is a highly specialized procedure, and a successful result requires substantial skill.

All surgeries are accompanied with risk. When you seek to have the structure of your nose altered, or correct a functional issue like an averted septum, or just do it for matter of appearance, the plausibility of something going wrong can be particularly unnerving.

Q. Is it possible that my nose changes its shape or gets bigger with age?

Honestly, it’s fairly normal for the nose to modify its shape as time progresses. With age, the Cartilage in the human nose can become less supportive, inducing the nasal tip to slump, making the nose appear outstretched or springing in a “hooked” tip shape. Nasal skin can also have the tendency to thicken, causing the nose to look larger or wider.

Rhinoplasty can fix either concern by constructing the cartilage, decreasing the tip size, or creating other adjustments to restore a better proportioned or a more fetching nose. And, while you think, you are too young to get Rhinoplasty, there is no upper age limit, provided you are physically/mentally healthy.

So if you are bothered by the shape or size of your nose as you age, head forward to consult with a board certified, trained plastic surgeon.

Q. AM I a Good Candidate for Nose Surgery?

Truly identifying Rhinoplasty can be an ideal course of action for your requirements & concerns. Candidacy for any surgical or non-surgical cosmetic procedure depends on the outlook, expectation of the individual patient, as well as their health and nose condition. While patients of all ages have had nose jobs, we generally attempt to wait until the nose and face are done growing so the outcomes are stable & secure.

You can however consider Rhinoplasty to fix any of the given issues:-

• If your nose is too small or too large to the magnitude of your face.
• It’s asymmetrical or crooked.
• Languished or too elevated.
• There are structural issues that impact your breathing and cause congestion.
• You have a bump on the nose bridge (dorsal hump).
• The nasal tip is too big, bent or bowed.
• You’ve had an injury and look to restore your nose to how it appeared before.
• Extremely flared up nostrils or you’re just not satisfied with how your nose fits your face, you could be perked from Rhinoplasty.

Q. What Surgical Techniques are advised for me?

There are various types of nose surgery and surgical techniques available; all you need to have is a thorough evaluation of your nose & expectations with an experienced specialist.

An explicit approach that a specialist takes will typically depend on your nose, the extent of surgery required and your intent for the procedure. Typically, Dr. Bhasin implements either the open methodology or the closed methodology with or without grafts.

With open Rhinoplasty, the incisions are formed in the skin that keeps apart the nostrils. While, in closed Rhinoplasty, incisions are made inside of the nose so they’re not noticeable at all.

Nose reshaping is acquired by re-organizing, reducing or aggrandizing the underlying bone and cartilage. If the nose has an immensely wider width, specialist may choose to narrow down the nasal bones. Whereas, the cartilage can be sculpted to make it smaller in case the tip is too big.

On the other side of the equation, when site of the nose are too small, we can use the cartilage or soft tissue grafts to construct them up for better facial proportion. The nasal support structure can also be sculpted to adjust the angles of the nose. These 2 are presently the most preferable techniques of nose surgery.

That said, Dr. Sandeep Bhasin does not favor implants and recommends not considering them as these can put the patient at possible risk of infection, hence giving unsatisfactory & unstable outcomes.

Q.What kind of results do I expect from Rhinoplasty?

You should never hesitate to request any prospective plastic surgeon to show you their nose surgery before and after photos, certificate of competence, and letter of recommendation, particularly of patients with a problem similar to yours. This will aid you to identify if the execution is a suitable fit or not.

Outcomes usually vary depending on what has been attempted to be fixed and what the patient hopes to achieve from the surgery. This will collectively help you get a general idea of what you can expect.

In addition, you must be eager to know when positive outcomes can be noticed post-surgery. Then, before having to believe the common misconception transmitted around of seeing the brand new nose as soon as the swelling subsides; please do know that this does not happen.

It takes almost a year for the final outcome to be noticeable since the cartilage, muscles and skin metamorphose over this healing period. However, when the swelling vanishes, a huge improvement is seen, and you’ll have something to look ahead knowing the resultwill continue to get better over time.

Q. As a prospective patient, what will be my duties to have successful Rhinoplasty?

It is essential for patients to strictly adhere to all the instructions given by the surgeon before and after surgery. A professionally skilled doctor will provide the details on – how to prepare for the surgery as well as what routine to follow post-operation.

The list will be inclusive of what medications you will be needed to take, what drugs & activities you are required to refrain from and what concerns to look for post-surgery healing.

Being truthful with the doctor about any previous surgeries, medication, allergies, infection etc., is also the patient’s responsibility to undergo successful Rhinoplasty. 

Q. What is the nose surgery recovery process be like?

One of the major myths linked to Rhinoplasty is that it’s tremendously painful. Majority of patients don’t receive any unbearable pain and instead just experience little discomfort due to incisions, which can be dealt with pain medication if needed.

You might likely have a stuffy nose for few days, which gets better as the swelling dwindles.

You’ll wear a splint for one week after surgery to maintain the shape of your nose and sink the swelling. The splint will be removed at your post-operative visit. Further, you can resume to normal activity once the healing process is complete. It takes about 30-45days depending upon your follow-up& care.  

Early in the post-surgical period while you’re healing, you’ll want to keep away touching your nose. Your doctor let you know when it’s time to touch and massage your nose. For initial some days, you will be asked to keep your head elevated to speed up the recovery. Most patients can perform low-impact exercises and activities like yoga, jogging, riding, &biking. Wait until six weeks after surgery before jumping into anything that’s too heavy where you can accidentally get hurt in the face like contact sports, including soccer, basketball, football, volleyball, etc.

Q. What are the risks and complications of Nose Surgery?

Almost all patients undergone nose surgery will have some degree of swelling and bruising. At, Care Well Medical Center, we recommend cold compresses or use splints to manage the swelling, keeping your head raised for the initial couple of days following the procedure and not involving in high-impact exercises/activities until it is advised by the surgeon.

Serious complications include:

§Complications from anesthesia.

§Bleeding.

§Infection.

§Asymmetries.

While anesthesia often bears risk, the risks can be downplayed by opting for local anesthesia and sedation as a replacement to general anesthesia when suitable. At Care Well Medical Center, a highly trained anesthetist is always on-hand for every surgical/non-surgical treatment, so that anesthesia is administered appropriately and safely.

It is imperative to choose the surgeon and clinic that complies with strict safety standards of Health Maintenance Organizations (HMOs) and follow all the protocols entailed to avoid negative surgical outcomes.

Infection is a critical concern with any surgery, and through Dr. Bhasin's experience it is clear that the possibility of infection is elevated when the practice is performed utilizing implants and not the upgraded open/close techniques with or without grafts.

Furthermore, preventive antibiotics are prescribed to guard against infection as well. Excessive bleeding is controlled by advising patients to keep the head movements at a minimum and sleep in an elevated position to reduce blood flow to the head as well and reduce or restrict certain medications and herbal remedies before surgery.

Q.What are my options if I'm not satisfied with the outcomes?

As stated before, Rhinoplasty procedure can take about 12 months for the final outcomes to be apparent. Have patience during this time as the cartilage, skin, and muscles will be transfiguring.

We’ve dealt with patients who have had complications with other surgeons, and have approached us for Rhinoplasty revision since they were utterly disappointed with how their nose turned out to be even after more than a year of their initial surgery.

Good thing is Rhinoplasty Revision is possible where the nose can be fixed again, but requires realistic expectations. In cases, that seek to bring facial features into accord could create the appearance you’re wishing for with the revision. This could also mean combining nose surgery with another procedure like injections or Botox.

Non-surgical alternatives to Rhinoplasty

There are non-surgical options available to Rhinoplasty, that can achieve cosmetic goals but they are not long-lasting as opposed to Rhinoplasty. 

“Non-surgical nose job” is offered using several kinds of dermal fillers to harmonize the shape of the nose. However, since injectables are only capable of adding volume to the nose, they are only useful in certain cases such as:

• straightening a “ski slope” nose
• covering up a small bump
• improving slight asymmetry

Note that the outcomes from fillers will only last about 12-18 months after which you can repeat the procedure for restoration.

While a non-surgical nose job may in some cases be an excellent pursuit to “try on” a new nasal shape, a surgical Rhinoplasty is the only possible procedure to ensure enduring results, or make any alterations, which the majority wants as part of their nose re-construction proposition.

On a closing note

Hopefully, we were able to answer all of your questions related to Rhinoplasty Surgery in Delhi. If you’re willing to learn more about the procedure, schedule a consultation at Care Well Medical center, Delhi.

Once Dr. Sandeep Bhasin has agreed to evaluate you and discuss your concerns and objectives. He’ll be in a position to provide clarity of what you can expect at every step of the way, including the nose surgery techniques and the expense that will work best for you. Contact us for successful Rhinoplasty Surgeries and Procedures.