The nose is the most dominating feature straddling the contours of the face and it’s shape, size and it’s proportions and harmony vis-a-vis the rest of the facial features is probably the first factor to decide one’s looks. Hence it is no surprise that a large number of people consider rhinoplasty to alleviate their concern about their looks. But, it is also the surgery where we feel, both the patient and the Cosmetic Surgeon should tread with extra caution.
For you if
- there are specific changes that you desire in the shape and structure of your nose; changes that you can put a finger on and specify
Not for you if
- you want your nose or face to look better but cannot really identify the change that you wish. This includes wanting your nose to look like some other person’s
- you are in an emotionally disturbed state
We prefer to do it under general anaesthesia. You can go home the same day. The cuts are made inside the nostril except sometimes, a cut might be made on the pillar between the two nostrils called the columella.
What happens next
There is not much pain. Usually some packing is inserted in the nostrils, which you can pull out after 24 hours. After the surgery your nose will drip for 3-4 days; you can fix a small pad to soak this. There is a stuffy feeling just like a cold and your eyes could water for about 5 days. There can be swelling over the nose, cheeks and the eyes which can persist for 5-7 days. Some patients can have bruising with purple discoloration under the eyes which could take 7-10 days to go. You might have a small splint or paper tapes on the nose which are usually removed after 5 days.
The final result is to be seen after 3 months as some subtle changes keep taking place.
- if an implant has been inserted, there is a small chance of infection or extrusion
- any distortion in the shape
Either you will be happy with the result or you might not be happy with the result. If you are not happy with the result, it could be because of either of the following reasons
- Desired changes not achieved- this is very rare
- Besides desired changes, other unwanted changes could happen; asymmetry between the two sides, the desired change is overdone, undesired change in the position of the tip or the structure of the bridge, all could be examples of this
- This is the most common :- desired changes generally achieved, no untoward changes but still unhappy
When talking about your nose to your cosmetic surgeon
There is frequently an inability on the part of the patient to get across accurately to the cosmetic surgeon, the change that he or she desires in the shape of the nose. To make this easier, let us try to point out how the cosmetic surgeon names the various parts of the nose, what are the things the cosmetic surgeon can do to these different parts and what are the terms the cosmetic surgeon uses to describe these actions:
Correct broad uneven nose
correct hooked nose
correct plunging tip
Raising the dorsum
Shortening long nose
Correcting broad tip
Narrowing the base
Narrowing the dorsum