Rhinoplasty Surgery in Ludhiana & Chandigarh, Punjab

• You can expect a change in the size of the nose.
• You can even ask for a change in the angle of the nose (crooked nose makes you look ugly)
• The tip of the nose can be reshaped to give it a slender look.
• Nostrils can be narrowed and shaped.
• The tip of the nose can be reduced too.
• You can expect the upper bridge to be straightened.

This surgery isn't a long cosmetic surgery alone. It is aimed at corrective measure too when the wall that divides the nostrils called septum is straightened and aids in breathing easily. The 'corrective' surgery aims at the following disfigurements:

• Straightening the nasal wall called septum so that breathing is facilitated.
• Removal of polyps, which are external small growths inside the nasal passage obstructing the flow of oxygen to breathe. (Polyps can sometimes be fatal)
• Shrinking the size of turbinates: These are the nasal tissues which grow abnormally large and hamper the breathing process.

Rhinoplasty is a fairly simple operation in expert hands and very frequent. But, it is important to be clear about who are the most appropriate candidates to go for it. Following are some guidelines:

• Achievable Expectations
  You need to be sure what changes are you aiming at and be ready for a corrective procedure in case of any error, though the chances are remotely not even 10%.
• Psychological/ Emotional Stability
  You need to be emotionally and psychologically sound to get a surgery done. It’s recommended that the patient should be emotionally stable.
• Good Health
  The patient should be in good physical health for a speedier recovery. It is preferred that you are a non-smoker for better health conditions.
• Fully formed Nose
  You should be preferably an adult of 17 years and above with the nose of definite size and shape. It would be preferred if you are an adult whose facial growth has been achieved.

Even if there is no upper age limit for getting the Rhinoplasty done, the surgeons, however, believe that the younger patients have better adaptability to the changes that take place in the appearance of nose.

• The duration of the surgery varies from one to three hours.
• Local anesthesia with sedation or general anesthesia may be administered.
• This is an out-patient surgery, where the patient may not be needed to stay overnight in the hospital.

The surgeon will apprise you of the risks and discuss in full transparency with you. Any serious complication, while unlikely, is possible but can easily be avoided by diligently following the surgeon’s instructions.

Following are the potential associated risks:

• Severe bleeding: The chances of occurrence are less than two percent.
• Sinusitis: This might occur within weeks of getting the Nose Job done and is caused generally due to internal swelling which can easily be treated by medication.
• Anesthesia risks
• Mild infection or poor wound healing
• Irregularities in cartilage or bone structure
• Skin discoloration and swelling
• Obstruction in nasal breathing- Depending on the cause, this can be improved with revision surgery.
• Change in skin sensation.
• Migration of grafts/ implants: Rhinoplasty may result in shifting or extrusion of a graft or an implant which can easily be corrected and stabilized.

The classification of Rhinoplasty can be done in different ways depending on the following parameters:

A. The Size Change of Nose

Depending on the adjustment that takes place to the size of Nose, Rhinoplasty can be classified into two types:

a. Augmentation Rhinoplasty (Increment in the nose size): In this type of Rhinoplasty, the implants/ grafts are added to increase the size of the nose. The types of implants/ grafts used in Rhinoplasty vary from one patient to another. The options are as follows:

• Bone grafts-Their usage is limited to reconstructive surgeries.
• Cartilage grafts- These grafts are taken from other parts of the patient’s body including ears, ribs and septum. This is possible only if the requirement for grafts is limited.
• Porex implants
• Silicone implants

b. Reduction Rhinoplasty (Decrement in the nose size): In this type of Rhinoplasty, the cartilage and bone from the patient’s nose are removed and rearranged to reduce its contours.

B. Surgical Technique

a. Endonasal/ Closed Rhinoplasty:In this, all incisions are hidden inside the nose.

b. Open Tip Rhinoplasty:In this type of Rhinoplasty, all incisions are inside the nose except for the one which is on the skin between nostrils. A good thing, however, is that it is fine and small, hardly visible to others.

C. The Reason for which Rhinoplasty is done

a. Aesthetic Rhinoplasty: In order to enhance the overall facial appearance.

b. Medical Rhinoplasty (Septoplasty): In order to ease the breathing process.

c.Reconstructive Rhinoplasty: To correct the birth defects or deformities caused by an injury or accident.

D. Frequency

a. Primary Rhinoplasty: When the Rhinoplasty is done for the first time.

b. Secondary or Revision Rhinoplasty: This is basically a corrective Rhinoplasty, the need for which arises when the results from the primary Rhinoplasty are not upto the mark, or have resulted in some sort of functional problems like congestion, or breathing problems.

The type of Rhinoplasty that is done for a patient depends on the decision made by the surgeon during the initial consultation.

Rhinoplasty makes it possible to achieve the results that are permanent in nature although it might take up to 6 months for it to show complete results. However, the subsequent injury or the success rate of the primary Nose Job may raise the need for a secondary or revision Rhinoplasty. Also, the on-going development of the body can affect the results in case the patient opts for Rhinoplasty before completing the physical development or adulthood.

Here are a few parameters which will help you zero-down upon a doctor and make your search easier:

• Certified: The surgeon should be Board certified in plastic surgery or Otolaryngology. The credentials of the doctors and his/ her association with various surgical and medical organizations show his/ her caliber.
• Experience: The number of years in practice, the number of surgeries performed and the success rates are all very relevant factors.
• 'After' and 'before' pictures:The precision and finesse in the hands of surgeon can be determined by comparing the before and after pictures of the clients. Also, the surgeon should be able to give a fair view of how will you look post-surgery through simulations.