Do I need rhinoplasty (nose reshaping surgery)?

• Noses come in infinite shapes and sizes, so your nose is unique to you. Nose is the central focus of the face and therefore defines a persons look. If you are unhappy about the shape of your nose, it may be worth investing in a nose job.
• If you have problems with breathing, especially If you have a deviated nasal septum, that can be corrected as well, which will improve your breathing.
• Studies have shown that rhinoplasty can improve a persons self-esteem and quality of life.
• If you are not sure, book a consultation, and we will advice you on if and how we can improve the shape of your nose.

Rhinoplasty is one of the most technically challenging procedures in cosmetic surgery practice and is also the the most popular. The first mention of rhinoplasty is as early as 600 B.C., when an Indian surgeon, Sushata Samhita operated on noses that had been cut as a punishment for stealing or injured.

Nose is the central feature of our face and defines our appearance. We are born with noses of different shapes and sizes and at times the shape may have been changed by traumatic injuries. Surgery can be done to improve the shape of the nose (straighten the hump , make the bridge narrower, make the tip sharper, raise a depressed bridge etc,) and/or to improve the function of breathing (eg. in case of deviated nasal septum).

The benefits of having a nose job done is personal satisfaction and happiness with improved self-esteem and confidence with the enhanced body image. A good result with rhinoplasty can be a life changing positive experience. It can enhance your career and personal relationships.

Every surgery has its limitations and your expectations should be realistic to avoid disappointment. At the consultation, I will find our why and what you desire from the procedure. After detailed examination, I will explain and guide you on the best way forward and whether I believe your aesthetic goals can be achieved. If I feel that you will not benefit from having surgery to you nose (that the shape cannot be improved upon enough to enhance your features), I will honestly tell you that. In some cases it may not be safe to go ahead with surgery.

Rhinoplasty should usually not be done before 16 years of age, as the bones of the face are still growing.

Great results can be obtained if decisions are taken in partnership between the patient and surgeon,with the patients best interest in mind.

Going ahead with a nose job is an important step in life, so make sure you are comfortable with your decision. Make sure you have planned your leave from work, so that you are relaxed on the day of surgery. For a few days before the surgery avoid anything that increases your chances of bleeding, like aspirin or garlic. If you have any questions or doubts please call and speak to our team. Good communication is very important for a better understanding.

Once you come to hospital, the nurses will show you to your bed and take some observations like blood pressure. The doctor will take your history and consent for the surgery and then you will be taken to theatre when ready.

Rhinoplasty is done under a general anaesthetic. It can be done via an open or closed procedure, which only differs in where the incisions are made. The skin of the nose is incised and separated from the bones and cartilage. The bone and cartilage are then reshaped to give the desired effect and the skin then sutured back over it. In some cases a small graft may need to be taken from the back of your ear to provide cartilage to support the nose. I will explain this if it is required.

Once the surgery is done a splint is placed on the nose for support and the nose may be packed with gauze to prevent bleeding.

After the surgery you will be brought back to your bed and the nurses will make sure you are comfortable and not in pain. You will be given pain relief as needed. After a few hours you will be allowed to drink some clear fluids. You may be allowed home the same day or may have to stay in hospital for one night. Your surgeon will discuss that with you.

Your will receive intravenous antibiotics before and after surgery to prevent any infection. Please let the doctor know if you are allergic to any drug.

When the surgery of the nose to is done for the first time it is called Primary Rhinoplasty. As the structures of the nose are intact, the surgeon gets a good view of the anatomy of the nose and has good access to all the tissue. This makes the surgery comparatively easier and so offers the best result.

If the results of a primary rhinoplasty are not satisfactory, the patient may wish to improve on this with a second surgery. This is called a Secondary, Tertiary or Revision Rhinoplasty. This surgery is more challenging for the surgeon, because the previous surgery would have disrupted the normal anatomy of the nose. Fibrosis and scar tissue formation makes access to structures of the nose more difficult. Revision rhinoplasty should only be done by a trained and experienced cosmetic surgeon. In expert hands, revision surgery can greatly improve upon the results of the previous rhinoplasty.
Reassuringly in most cases, in the hands of an experienced surgeon, revision rhinoplasty will provide significantly improved results. Revision rhinoplasty , is considered one of the most challenging surgeries in the field of facial plastic surgery and is being successfully done at our centre.

Open or Close Rhinoplasty only refers to the surgical approach taken by the surgeon to access the internal nasal structures. In Open Rhinoplasty, the surgeon makes an incision in the skin between the nostrils. The skin and tissue is then lifted off to expose the bone and cartilage, which is then reshaped to achieve the desired result. In Closed Rhinoplasty the incision is made inside the nose. Both these approaches have their own advantages and disadvantages and the surgeon will decide the best option in consultation with the patient.

The nose job, or rhinoplasty, is the most common cosmetic surgery done in the teens and according to some reports, its popularity is on the rise. Teenage years are a delicate period in one’s life, and as one matures physically, there is immense peer pressure to look the best.

The nose being the most prominent feature on the face, is often the target of their dislike. But rhinoplasty is one surgery where timing is critical. As a child matures, the bones of the face are growing as well, and prematurely disturbing this facial growth center could lead to abnormal development of the face. According to the American Society for Aesthetic Plastic Surgery, the nose has usually completed 90 percent of its growth by the time girls reach the age of 14, and boys reach the age of 16.

It is essential that teenagers should be assessed for physical and mental maturity before accepting them for surgery. Trained and experienced cosmetic surgeons know to ensure, that the youngsters fully understand that the procedure is permanent, the limitations of surgery and that they have realistic expectations of the results of the surgery. If the surgeon suspects Body Dysmorphic Disorder or other psychological issues, then the teenager should be referred for further psychological evaluation.

If the patient is not sure, it is better to delay the surgery, as it can easily be done later but it is very difficult to redo rhinoplasty well.

Dr. Anup Dhir is one of the most trained rhinoplasty surgeon in India, with more than 30 years of experience in this field. His offers excellent results with primary as well as revision rhinoplasty.

Enjoy your new nose and look, love and look after yourself!