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   home > Face > Nose Augmentation
  Nose Augmentation (Rhinoplasty)  
 

Nose augmentation, technically known as augmentation rhinoplasty, is a surgical procedure to enhance the size and shape of a nose for a number of reasons :

  • To enhance the height of a nose in a patient who, for personal reasons, feels his or her nose size is too small.
  • To correct deformed nose following an injury.
  • To achieve better balance in the features of face specially nose, chin, lips and cheeks.
  • As a reconstructive technique after nose surgery.

 
 
                

      
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A quick look at your queries...
 

WHAT SORT OF CHANGES IN SHAPE OF NOSE CAN BE ACHIEVED WITH SURGERY ?

The shape of the nose can be changed as per the patient's wish. Some common requests are :

To increase the height,
To make tip pointed and narrow,
To reduce the flare of nostrils,
To reduce the breadth of overall nose,
To get rid of hump on the dorsum,
To increase or decrease the length of nose,
To correct deviation of nose for cosmetic reasons,
To simultaneously correct airway obstruction due to deviation of septum.

WHAT IS NOSE IMPLANT ? WHAT CHANGES IN SHAPE OF NOSE CAN BE ACHIEVED BY AN IMPLANT ?

The nose implant is a synthetic implant that is inserted under the skin in the nose. It is extremely useful to effect the following changes in shape of the nose:

1. To Increase the height of the nose from eyebrows to the tip.
2. To Give a better dorsal profile instead of a flat plateau; this makes the nose look thinner and narrower.
3. To lift the tip and make it more pointed.
4. To lengthen the nose.
5. To camouflage underlying nasal deviation and make the nose appear straight.


AM I THE RIGHT CANDIDATE FOR NOSE AUGMENTATION ?

The best candidates for nose augmentation are men or women who have thin skin and require moderate augmentation. If you're physically healthy and realistic in your expectations, you may be a good candidate.

WHAT ARE THE TYPES OF IMPLANTS USED FOR NOSE AUGMENTATION ?

Implants made of synthetic material like silicone, PTFE, polyurethane, Gortex etc. have been used.
The implants are available in various sizes and shapes.
Broadly the implants are of two types viz. dorsal implants, used only for increasing the height of the nose and 'L shaped' implants, which in addition can lift the tip of the nose.
Porous implants get fixed quickly and are if need be, are difficult to remove compared to smooth implants.
Most commonly used and popular nose implants are 'L shaped' smooth silicone implants.

WHAT ARE THE UNCERTAINTIES AND RISKS ?

Nose augmentation is a relatively straightforward procedure. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure.

Some of the possible complications are common to any surgery like, risk of anesthesia, hematoma, infection, etc. however they are rare in hands of an experienced surgeon. The surgery is performed under local anesthesia with or without sedative. This avoids the risk of general anesthesia. Some patients especially smokers can have delayed wound healing or exposure of implant.

One needs to avoid trauma or rough handling of nose for about 3 weeks after the surgery in order to avoid shift in position of an implant. After this period, the skin cavity collapses around the implant and possibility of shift is minimal.

Implants can never cause long term complication like cancer.

Overall incidences of complications are extremely remote and this is considered a very safe procedure. And hence nose reshaping has been one of the commonest cosmetic surgical procedures all over the world.

 

HOW DO I PLAN MY SURGERY ?

In your initial consultation,  Dr. Patankar  will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your nose and facial proportions. He would also discuss the surgical approach and the placement of resultant scars. 
Be sure to discuss your expectations frankly with your surgeon. He would in turn be equally frank with you, describing you alternatives and the risks and limitations of each. And, be sure to tell your surgeon if you smoke, and if you're taking any medications, vitamins, or other drugs.
Your surgeon should also explain the costs involved based on your choice of implant and the procedure.

CAN I COMBINE THIS SURGERY WITH OTHER SURGERIES ?

Yes, this surgery is routinely combined with chin or lip reshaping. It can also be combined with any other cosmetic surgical procedure like liposuction / breast shaping etc.  The combined result is simply amazing.

HOW DO I PREPARE MYSELF FOR SURGERY ?

You would be asked to get certain basic tests done like blood and urine examination.

Your surgeon jointly with you, would decide on the size and shape of the implant. You may be asked to procure the implant before the surgery or asked to make part payment towards the same.

You would be given instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.

HOW LONG WOULD I NEED TO STAY IN THE HOSPITAL ?

The surgery is usually done on an outpatient basis. Most of the patients can leave the hospital within 1 to 2 hours after the surgery.

IS THE SURGERY PAINFUL ?

The surgery is usually performed under local anesthesia along with oral or intravenous sedatives. You'll be awake during the surgery, but relaxed and insensitive to pain. You can enjoy your favorite music during the surgery or have a chat with the surgeon. General anesthesia may be used for the patients who are very anxious; in that case, you'll sleep through the operation.

WHAT IS THE SURGICAL TECHNIQUE USED ?

The method of inserting and positioning your implant will depend on your anatomy and your surgeon's recommendation. The incision is very small, just about 4 to 5 mm, and placed usually on under-surface of the nose. Every effort will be made to ensure that resulting scars would be as inconspicuous as possible.

Working through the incision, the surgeon will lift skin to create a pocket. The implant is then inserted in midline.

Most of the times, there are just a couple of very fine stitches on the skin. A gauze bandage may be applied over your noses to help with healing.

The surgery usually takes half an hour  to complete.

WHAT CARE DO I NEED TO TAKE IMMEDIATELY AFTER THE SURGERY ?

You're likely to be up and around within 3 to 4 hours after the surgery. You would have a small gauze dressing for about 24 hours. The only discomfort experienced by most of the patients is some heaviness of the noses. This can be easily controlled by medication prescribed by your doctor.

You would be advised to visit the clinic the next day to have the tapes removed and then once again after a week for follow-up examination.

WHEN CAN I RESUME MY DAILY ACTIVIES AND JOIN MY DUTIES ?

You should be able to return to work the very next day, depending on the level of activity required for your job.
Your nose will probably be sensitive to direct stimulation for two to three weeks, so you should avoid rough physical contact. 
There would be some swelling initially on the nose. Within 10 to 20 days, swelling would reduce considerably and nose would start looking normal. If you have a thick oily skin especially around the tip of the nose, it tends to retain swelling for longer period.
Vigorous exercise and contact sports are best avoided for about 6 weeks.

IS THERE ANY LONG TERM CARE REQUIRED AFTER NOSE IMPLANTS ?

Nose implants don't require any special care in the long term. You can continue with routine skin and face care after the surgery.

YOUR NEW LOOK

For almost all the patients, the result of nose augmentation is very satisfying, even exhilarating, as they appreciate their enhanced appearance. Your self esteem would go up and you would experience a new, never before, confidence to face the world.

 

 
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