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Frequently Asked Questions (FAQ)
Rhinoplasty more commonly known as “nose job” is a surgery performed to change the shape of the nose as well as to improve the breathing problems associated.
In closed Rhinoplasty technique all the incisions are inside the nostrils and thereby provides a very limited exposure. Open Rhinoplasty gives wide access to perform all the necessary techniques under direct vision. Although there is a small scar at the columella which fades away in a few weeks time, the outcomes of open Rhinoplasty gain advantage over the closed techniques.
Minor defects can be camouflaged with methods like fillers. But the effect of these procedures are temporary. For a long lasting and permanent change Rhinoplasty is the only solution.
At our center we usually perform Rhinoplasty after the age of 16 years. The nasal growth usually concludes by the age of 16 in both girls and boys. In case of sever functional impairment we perform limited surgery on younger children as well.
The aim of this surgery is focussed both on functional and aesthetic outcomes. Sometimes changing the shape itself can improve the breathing significantly (drooping tip, pinched nose). We do a preoperative analysis of the airflow through nose by a rhinomanometer and compare it 3 months after surgery for improvement.
On an average a Rhinoplasty surgery can take 2.5 to 4 hours depending on the complexities of the surgery. The estimated time of your surgery will be told to you during your consultation with Dr Ghaisas.
Usually all rhinoplasties at Ghaisas ENT hospital are done under general anaesthesia. It is usually the preferred choice by the surgeon and patient as well.
A skilled surgeon always thrives to produce the best results. But nothing in medical science can be provided with a 100% guarantee. Keeping that in mind, we take utmost care to deliver precise results. Few cases who sometimes need corrections can be revised after a waiting period of about 12 months.
A rest period of 10 days is usually advised. Following which you can resume your normal routine activities. One must be careful not to get any injuries to the nose or face. Heavy exercise should be avoided for three weeks. Wearing of spectacles is also not allowed for 3 weeks.
The swelling can take a variable time to settle, most of the swelling disappears by the end three weeks the rest of it may take even one year. The swelling in the tip area can take a longer time to subside. Depending on the skin and tissue type the final surgical results can be expected from 1 month to 1 year.
In his vast experience of 15 years, Dr Ghaisas has been able to produce excellent and consistent results without using any artificial grafting materials. Tissues like cartilage and fascia from various sites like the nasal septum, ear cartilage, rib cartilage can be used to reshape the nose.
Usually in primary cases the nasal spetum can be sufficient to provide grafting materials. Sometimes in revision cases or primary cases requiring major reconstruction the nasal septal cartilage is not enough. In such cases the possible donor sites can be the ear (conchal cartilage) or the rib (costal cartilage). Harvesting material from these areas usually do not cause any donor site impairments apart from additional scar behind the ear or small scar in side if the chest.
Being a cosmetic procedure requiring precise skill and experience an average Rhinoplasty surgery can cost from Rs 1 lakh to 2.5 lakhs depending on the surgical complexities encountered.
Rhinoplasty beng a cosmetic surgery is not covered under insurance. If the Rhinoplasty is being performed for a functional impairment as proved by tests performed at the hospital, the cost of the functional corrective surgery (septoplasty) can be accepted via insurance.
A waiting time of about 1 year is ideal before planning a second surgery.
Typically most of the patients undergoing Rhinoplasty at this center go home the same evening. Although few patients are sometimes asked to stay overnight. We have all private rooms in this hospital.
Eyeglasses are best avoided for 3 weeks.
Patients are adviced not to eat or drink anything till 3 to 4 hours after the surgery. Following which a liquid/ semi solid bland diet can be started. The nose will be packed on both the sides, so one has to breathe from mouth. Little oozing of blood from the nose or side of nose is expected, inform the nurse or doctor and they will give further instructions. One should sleep with the head at a higher level (placing pillows under the head)
Yes we can show you the comparison by means of a software. Although the results shown through a software may not be an exact match of the expected final result.
10 days of rest at home. It doesn’t mean a complete bed rest, but one has to avoid going outdoors to prevent infection and dry dusty environment. Little bruising below the eyes has to managed with vigourous ice application below the eyes. There will be a plaster cast over the nose for ten days. The face has to be cleaned with a wet towel making sure not to wet the plaster cast. Instill the nose drops as prescribed by the doctor and complete the course of medicines. You can take bath below shoulder till the cast is removed.
The plaster cast will be removed on the 10th day. Following which you will be instructed to apply this cast with help of tapes only in the night for 1 month. While cleaning the face make sure the skin is not stretched much, so clean the face in the direction of nose. Avoid heavy exercise for 1 month.
Complications related to anesthesia, nausea vomiting have to be reported to the nurse/ doctor. Sometimes little bleeding from the nostrils or sides of the nose can occur. Swelling under the eyes or blackish blue discolouration can occur. Blocked nose leading to difficulty breathing can occur on and off for about a week.
Infection is one of the dreaded complications that can affect the results of the surgery. Usually with regular intake of antibiotic course as prescribed by the doctor, infection hardly occurs. Cosmetic imperfection and dissatisfaction is not so uncommonly seen with Rhinoplasty patients. Minor corrections can be planned at a later date if required.
On the first day of surgery soft semi solid diet is adviced. In the subsequent days no specific food restrictions to be followed.
As mentioned previously most of the swelling comes down by end of three weeks although the tip swelling is the last to go. In case of people working for the film/ TV industry, one should be prepared for even 12 months time till perfect results are achieved.
Immediately after the surgery the nose will be packed with a sponge like material to prevent any bleeding. These packs will be removed mostly on the same evening. After a day or two the nose again starts to get blocked due to dried up blood and secretions which can be dealt with nasal drops as explained by the doctor. On the 10th day along with cast removal a thorough internal nasal dressing will be done following which the breathing becomes normal.
Forceful blowing of nose and nose picking are strictly prohibited for 3 weeks. If you are experiencing too much crusting/blockage please consult the doctor and will prescribe nasal washes and ointments accordingly.
The cast, Sutures and intranasal splints will all be removed on the 10th day of surgery.