In This Page : Rhinoplasty Nose job description & Before After Pictures of
almost every type of nose including Augmentation Rhinoplasty, Dorsal Hump
removal Rhinoplasty, Breathing Problems and Septoplasty, Broad (Big) & Long Nose
Rhinoplasty, Nose Lenghtening for Short Nose with visible nostril, Rhinoplasty
for deviated or crooked & Saddle Noses, Cleft Rhinoplasty, Revision Rhinoplasty,
Rhinophyma (Acne Rosacea or Potato Nose), Open & Close Rhinoplasty Videos and
FAQs related to Cosmetic Nose Surgery at affordable cost. Rhinoplasty at Dr.
Prabhash's Cosmetic Surgery Clinic, New Delhi, Delhi, India.
Rhinoplasty Nose Surgery
one of the most common cosmetic plastic surgery done world wide. Central part of
face including forehead , nose and peri oral area ( lips and adjacent area)
gives our face a unique feature. Nose, Being the most projected part of face is
noticed first when one sees our face. Various Rhinoplasty criteria have been
defined for aesthetically pleasing nose but all these cant be used on every
case. Each and every race (Indian, Caucasian, Negroes, Asians Orientals) have
different characteristic and any Rhinoplasty Nose surgery should be planned
considering the characteristic of that race. We have multiple races with minor
to major variation in facial features in our country , means we have almost
every type of face and so every type of nose here. Your Rhinoplasty surgeon
should be able to design and tailor surgery individually for your best. Common complaints by patient & Concerned Types of Rhinoplasty
(Nose Surgery) or Nose Job / Nose Reshaping Surgery Procedures :- Broad Nose Rhinoplasty :- Osteotomy & Narrowing of Nose with Tipplasty. Hump Nose or Bumpy Nose Surgery :- ( Hump) Reduction Rhinoplasty
or Nose Job with roof closure Long Nose Rhinoplasty with Drooping tip :- Tip-plasty with or
without Augmentation Rhinoplasty (Nose Job) or Reduction Rhinoplasty (Nose Job) Lateral Deviation of Nose or Crooked nose - Septo-Rhinoplasty :-
Straightening of Nose or Corrective Rhinoplasty (Nose job Surgery) Low Dorsum or Bridge of Nose -Dorsum Augmentation Rhinoplasty :-
Augmentation Rhinoplasty or Nose Job with or without tip plasty Big or Bulky Nose:- Reduction Rhinoplasty with tip plasty. Short Nose with upturned tip and visible nostrils - Short Nose
Lengthening see Augmentation Rhinoplasty below. ( for examples of all - see Rhinoplasty before and after pictures below) Commonly, combination of various Rhinoplasty or nose job procedures is
needed to provide a cosmetically or beautiful nose in every Rhinoplasty or nose job.
In general, a narrow nose with optimal
projection beyond face, straight dorsum (with slightly elevated tip in females),
nose lip angle 105 degrees with tear drop shaped nostril is considered good.
Overall , changes done during surgery are demand based, means what patient feels abnormal. Congenital and post traumatic deformities :- Rhinoplasty or nose job in
such situations are designed according to the deformities or nose and other
Breathing Problems Deviated Nose Septum &; Septoplasty
Nose is an organ of breathing first, cosmetic next. Correction is done to
improve both look and function. Any cosmetic correction is never done at the
cost of function anywhere in body. Nose works as humidifier and warmer for the
air we breath. Septum, the middle wall of nose which divides it in two passages,
is partly bony and partly cartilaginous.
Deviated nasal septum or DNS is a very common occurrence in general
population and often considered reason of obstruction in breathing, which is not
Nose is having two valve areas, external and internal, breathing difficulty
occurs usually due to narrow valve area rather than deviation of septum, unless
the later is very severe. Of course deviated nasal septum gives nose a deviated
look from outside and correction restores its look and when associated with
procedures to open the collapsed valves, improves both look as well as
breathing. Most of our male population face breathing problem which is not due
to deviated septum but external valve collapse, very common in India.
Rhinoplasty Surgery (Nose job) Before After - 60 years old male with severe
drooping of tip with external valve collapse leading to obstruction in breathing
- first treated with Septoplasty , turbinate reduction and tip correction
outside India without improvement - Simple nose lift with external valve
correction provides best correction of breathing as well as look.
Deviated Nasal Septum DNS Septoplasty & Deviated Nose Correction
:- Correction of DNS with or without other Rhinoplasty procedures or nose job
Before after picture of severe S shaped curvature of septum, this septum was
curved not only in upside down plane but also in antero posterior plane,
straight septum after correction. (Note: - Please Dont see this
picture if sight of blood hurts you,we have tried to blur the blood soaked
areas. Complete Septoplasty involves correction of & cartilaginous septum as
well as bony part & realignment of all structures to provide a straight nose
with patent nasal passages. Deviated Nose / Crooked Nose :- deviated nose (
Abnormally healed nasal bone fracture or Congenital Deviation ) Rhinoplasty or
Nose Job for correction of nose deviation.
Post Traumatic Deviation of Nose - Before After Rhinoplasty, Patient wanted
to retain other racial Characteristics like tip and Nose length which has been
More Deviated Nose examples : See Revision Rhinoplasty & importance of
massage below and Photo Gallery
Open & Close Nose job Surgery
Rhinoplasty India Nose job Delhi - Video by Dr. Prabhash
Closed Rhinoplasty Video by Dr. Prabhash
Dorsal Hump Reduction Rhinoplasty with correction of external &
internal valves by Dr. Prabhash
Rhinoplasty Before and After
Individual Rhinoplasty procedures
and before after pictures (Case Examples) - Scroll down to see individual nose
types, open and close rhinoplasty videos and rhinoplasty before after pictures
for individual nose deformities.
Dorsum Height Augmentation Rhinoplasty - Some amount of augmentation you
will find in almost every nose job except hump reduction, even in nasal hump
reduction, cartilage graft in dorsum is needed to close open roof. Augmentation
Rhinoplasty or nose job done to elevate the depressed dorsum or tip or both. In
augmentation Rhinoplasty autogenous and artificial material can be used. We
usually use autogenous material unless there is no natural source for it. Here
in this page augmentation has been associated with other nose job procedures in
almost all cases except hump reduction and in every case only nose framework has
been modified for natural & best Rhinoplasty (Nose Surgery) results. Silicone
nose implant or any other implant has not been used in any Rhinoplasty.
Augmentation Rhinoplasty before &
after picture of dorsum or bridge of nose augmentation to match with tip along
with tip plasty : Augmentation with septal cartilage graft : For Surgery see
Rhinoplasty for Short Nose :
Short Broad Nose with visible upturned Nostril Before After picture. Narrowing
of nose with tip & septum lengthening done. Septum and complete Nose
augmentation with autogenous septal cartilage graft.
Short Nose Lengthening with autogenous septal
graft Before & After picture.
ii) Alar & Nostril Reduction &
Nose Tip Rhinoplasty (Nose Surgery) :
Different type of nose tip deformities, their
correction and before after pictures (A) Droopy projecting tip)Tip plasty usually involves correction of
nearby framework also to create a harmony with rest of nose. Tip of nose gives
us a distinct appearance and nose tip deformity is always obvious as its the
most projected part of our nose.
Before after picture Tip plasty-
Such deformity is usually found in occult type 0 facial cleft. This tip plasty
has been done by remodeling of nose framework (Alar & upper lateral cartilage
under local anesthesia , no artificial material used. (B) Low (Bridge) Dorsum &
Bulky Tip (Big Bulky or Bulbous Tip of Nose) :-
Augmentation Rhinoplasty or Nose Job with Tip Plasty. Tip plasty to reduce
bulkiness , in such noses alar cartilages are usually hyperplastic and fat
accumulation is found between cartilage framework and skin. Ear (Conchal)
cartilage has been used for nose dorsal elevation. Done under local anesthesia.
Before After Rhinoplasty for Bulky or Bulbous Nose tip and depressed dorsum -
Dorsum augmentation with conchal (ear) cartilage graft with tip plasty.
(C) Flat Broad Tip :
Tip-plasty for falt broad tip (these cases usually have hypertrophied alar
Rhinoplasty Nose job before after
- Hyperplastic alar cartilages- hyperplastic variant of type 0-type 14 facial
cranial cleft- a cleft nose variant without a visible cleft - feature of cleft
on surface is increased distance between eyes.
(D) Low / Depressed Tip :
Nose tip Augmentation for depressed tip
Nose tip plasty before after
picture : This depressed tip is an example of binders Syndrome (Central face
hypoplasia- Nose, maxilla ( upper jaw) and chin (Mandible) Hypoplasia (
Underdevelopment ). Tip and dorsal nose augmentation with coastal cartilage (rib
E) Ala & nostril reduction :
some people have wide and big ala & nostrils. side wall of nose surrounding
nostril is called ala. a wide nostril is usually associated with a low tip and
low dorsum. correction of involves reduction of ala & narrowing of nostril with
or without tip plasty and augmentation of dorsal bridge of nose ( see picture
(Dorsal hump reduction, cartilage
graft to smoothen dorsum, tip-plasty, narrowing of nose with Internal Osteotomy)
Rhinoplasty with alar base nostril reduction before after picture (Photo).
with Nostril Adjustment & Tip Plasty :
Rhinoplasty or Nose Job with tip plasty. septal cartilage for elevation of
bridge of nose, tip plasty and osteotomy - under general anaesthesia.
Septo-Rhinoplasty before after
picture: Wide or broad depressed nose with depressed tip - Septoplasty to
harvest septal cartilage graft (best graft material for nose augmentation),
osteotomy to make nose narrow tip plasty and nostril reduction.
iv) Short , Long & Broad NosesA) Broad nose or Wide Nose :- Big broad noses fall in different
category and some variation is founddepending upon race and ethnicity. Big nose
with dorsal hum common in roman, Long and high nose hump and with or without
droopy tip is often found in Punjab and Afghanistan. Broad or Wide Nose with
lack of tip definition Before after Rhinoplasty picture :
Rhinoplasty Before After for Broad
Nose with wide nose tip- This nose was one of extreme broad nose treated with
Nose reduction, osteotomy and tip plasty.
B) Extreme Broad Nose
One of extreme broad nose with
dorsum irregularity (history of dorsal hump reduction and Rhinoplasty somewhere
else) , deformed flat tip, supra-tip depression , huge ala and wide nostril -
before after Rhinoplasty picture or photo
C ) Long Nose Rhinoplasty
: Long Nose with dorsal hump and very droopy tip
is also called hawk nose. Long Nose with deviated & drooping tip - Before after
Rhinoplasty for long nose
correction, long nose with drooping tip before after Picture
D) Low & wide dorsum with
broad & low tip :-
Rhinoplasty or Nose Job with tip-plasty. An
Example of Asian Rhinoplasty Low and flat dorsum and very wide ala and
nostril is seen in African nose..
Low Broad dorsum Broad tip - Before
after Rhinoplasty tip-pasty picture.
Low broad dorsum with wide drooping tip - Rhinoplasty before after picture-
Dorsum and tip augmentation with correction of drooping tip and creation of a
v) Dorsum hump or Bumpy
(nose) with or without drooping tip :-
Hump nose or bumpy nose also called Roman Nose.
Hump reduction rhinoplasty involves reduction of hump (rasping or hump excision)
as per requirement. If roof is left as such or simply approximated with
osteotomy possibility of open roof deformity is very high, so we are doing roof
closure along with valve correction to provide cosmetically and
functionally perfect nose. see nose reduction video for detail. Example case
here Hump Reduction Rhinoplasty or Nose Job with tip plasty & Narrowing of nose
Before After Picture Rhinoplasty or Nose Job with Hump Reduction, Correction
of supra-tip depression, Tip plasty for elevation of tip of nose as well as
narrowing and Correction of wide nasal base.
Before After Pictures Reduction Rhinoplasty Hump Reduction, Tipplasty Broad
Nose Correction in Female
VI ) Post traumatic nose
deformity :- (Broken Saddle Nose with nostril and airway stenosis
or blockade) :-
Augmentation Rhinoplasty or Nose Job with tip plasty and reestablishment of
nasal passages. Case Example-
Post traumetic (road traffic accident) broken nose with nose blockade,
correction with nasal passage restoration and iliac crest bone graft for dorsum
X) Cleft Rhinoplasty :
Nasal deformity associated with cleft lip and palate :-
Cleft Rhinoplasty or Nose Job with tip plasty & correction of Cleft lip nose
deformity along with base of nose ( Maxilla)
Cleft Lip Palate & Cleft Nose Deformity
Correction - Cleft Nose
Correction involves correction of base of nose i.e. adjacent maxilla (jaw bone)
which is less developed in cleft lip cases along with nose correction. Almost
every structure of nose id deviated deflected and deformed including bony and
cartilaginous septum, alar cartilage , upper lateral cartilage , nostrils and
ala with alar base- so correction involves every aspect of nose along with bone
grafting or implant augmentation of jaw bone or maxilla. Details you may see in
our research paper on cleft lip nose deformity - link is there in publication
page. for Details of Cleft lip and palate - Visit Cleft Lip and Palate Page.
For details on open Rhinoplasty & cleft nose correction you go through our
research paper on cleft nose & open Rhinoplasty - please visit Research &
Publications page - Composite correction of a unilateral cleft lip nose
deformity and alveolar bone grafting on pubmed or Indian Journal of plastic
X ) Revision Nose Surgery for Crooked Deformed Nose :-
Revision Rhinoplasty or Nose job Revision is for those who are not satisfied
with their result of primary surgery. as such best opportunity to provide the
best result is in first surgery, but sometimes patient wants some more change,
or some changes are deliberately left for second stage ( rare). In such Cases
Revision Rhinoplasty Can be done after 3 to 6 months after first surgery,
depending upon magnitude of dissection in first surgery and resolution of
swelling. In our Cases, We do all possible changes in one go only but we are
getting cases for revision Rhinoplasty first operated elsewhere, this is one
Revision Rhinoplasty Before After
: (History of hump reduction and Rhinoplasty somewhere else 3 years back )
presented at our clinic for revision Rhinoplasty (Nose Surgery)with Long
Deviated Nose with Severe DNS (Septum totally out of midline) Bony Hump,
Supra-tip Depression Deviated & Drooping tip - Natural Septo-Rhinoplasty (No
artificial material used).
xi ) Rhinophyma
Cosmetic Rhinoplasty or nose job .
Before after picture
Rhinophyma or potato nose correction : Rhinophyma is exaggerated activity
and growth of sebaceous glands of tip of nose which discharges creamy white oily
substance. Discharge instead of coming out becomes collected in glands.
side view of face is called profile view. It shows projections and depressions
of Face. nose and chin affect the profile view most. Augmentation or reduction
may be needed to provide a beautiful appearance.
Before and after picture of
profiloplasty (augmentation Rhinoplasty & correction of jaw projection.
xii ) Reconstruction
Before After Picture of Nose Reconstruction Using forehead
Flap and Framework Reconstructed with coastal (rib) cartilage. Color is hyper
pigmented (dark) at this moment , it takes around two years in acquiring natural
color. Only Natural tissue has been used no artificial material.
Surgery Procedure & Recovery Time
1) What are open and closed approaches for
Ans:- in Closed Rhinoplasty approach,
incision for modifying nasal framework, are entirely inside the nose, no visible
mark outside. In Open Rhinoplasty , the same inner incisions are connected
externally either in mid columella (middle pillar of nose between nostrils when
seen from basal view) or at lip columella Junction. Over the time they heal well
and practically there is no visible scar in long term. We use nose lip junction
natural line to enter nose means through natural fold line, so no additional
line even in Open Rhinoplasty .
2) which Rhinoplasty or nose job approach is
preferable, open or close?
Ans:- preferred approach depends upon amount of
work needed in any particular nose. Both can be done in any nose, close is
preferred for minor modifications. Open approach provides clear view of entire
nasal framework so fine manipulations are always better with this. All the
incisions are kept inside nose in both approaches and not visible outside except
that a mid collumellar incision or lip columella junction incision joins
incisions of both sides in open approach. No noticeable scar in both cases. For
severely crooked noses, we are doing complete dismembered Rhinoplasty, its an
extension of open Rhinoplasty in which individual components of nose framework ,
both bony and cartileginous are modified separately to straighten deviated
septum. Please mind in deviated nose, its not only the septum which is deviated,
but upper and lower lateral cartilages are also devitaed and each one needs
modification. So septoplasty alone in such cases is insufficient. Dismembered
Rhinoplasty gives beautiful result even in most difficult cases.
3) How long the Rhinoplasty or nose job
Ans :- may take one and half to two and half
hours , depending upon amount of work needed.
4) General or local anesthesia for Rhinoplasty
or nose job ?
Ans:- local and nerve block anesthesia is
sufficient for most of cases. Short term general anesthesia is used for
osteotomy (cutting and inward mobilization) of nasal bones.
For a complete Septo-Rhinoplasty (Nose Surgery) general anesthesia is
preferable to local as its safer, more controlled and more comfortable for
patient, also it allows surgeon to work in a comfortable environment which is
most important for fine cosmetic and functional manipulations.
5) What manipulations usually done in
Rhinoplasty / Septoplasty / SeptoRhinoplasty (Nose Surgery) or nose job.
Ans:- A complete Rhinoplasty usually involves
correction of bony and cartilaginous dorsum ( the part of base of nose visible
in front view), tip correction ( narrowing or elevation) , correction of
nostrils and lip nose relationship. Overall all work needed in a nose are done
simultaneously, depending upon individual requirement.
In , septoRhinoplasty, septum is dealt along with rest of nose, straightening,
debulking etc are done , again decided by need of individual nose. Besides this
septum provides the best possible source of cartilage for dorsum augmentation or
tip work. so septoplasty is often added to Rhinoplasty (Nose Surgery) as it
corrects septum as well as provides autogenous material for use in rest of
6) What about breathing difficulty in
Rhinoplasty or nose job ?
Ans:- Nose has two valve areas , internal and
external. In an otherwise normal looking nose , itís the internal valve collapse
which causes breathing difficulty and needs to be widen with spreader graft. In
a nose with drooping tip, external as well as internal valves are affected and
7) Rhinoplasty Recovery After Surgery : How
much is recovery time after Rhinoplasty or nose job surgery?
Ans:- surgery takes around two and half hours .
recovery from general anaesthesia is almost instant after Rhinoplasty surgery.
You may feel little tiredness for a few hours (2-3). Mobile and may take normal
diet after 5-6 hours. Nose will be packed for 48 Hours. Discharge from hospital
after 6-8 hours or next morning. Dressing on nose 7 days.
Your nose will look normal to others but you will feel swelling at 2 weeks.
After three weeks , nose looks almost normal , in newer shape, but mild (
undetectable) swelling is still there. It takes around three months before nose
looks almost normal with all evidences of surgery resolved except very little
amount of edema ( Swelling ) which is unnoticeable.
8 ) Any difference in Female & Male
Ans : Male Rhinoplasty is always believed to be a
separate entity , as male noses are usually more deformed also expectations in
male is always more than females, their thick skin makes result late to appear.
In our practice we see every nose as a different and individual entity be it
male or female Rhinoplasty and contrary to the common belief in plastic surgery
society our male patients are equally happy. In females skin is usually thin and
shape of nose appears well after Rhinoplasty.
9) what are materials used for nose augmentation?
Ans:- materials used for augmentation can be autogenous ( from patients own
body) or artificial materials. Autogenous :- 1. Cartilage:
from nasal septumómost commonly used.
conchal cartilage ( from ear) or rib cartilage. 2. Bone:- pelvic bone ( iliac creast)
Calvarial ( outer table of skull ) Artificial materials:-
10) Which material is better autogenous or artificial ?
Ans: use of autogenous material is always better whenever available and
applicable. use of artificial material is second choice. in most of noses
remodeling of nose bony and cartilaginous framework itself is sufficient to give
desired result, if not cartilage harvested from septum , or ear cartilage or any
other option is chosen for. Among Implants silicone is more acceptable for
dorsum and Medpore for paranasal augmentation. We usually dont use implants, if
needed we use it in a different way so that Implant becomes incorporated part of
nose rather than separate
many people think cosmetic surgery always needs
use of artificial material, its a big confusion, cosmetic surgery is surgery
which is intended to improve your look when function problem is not there, in
fact almost every cosmetic surgery involves improvement of both look and
11 ) Any rest required ?
Ans: yes, Rest for six hours after surgery, its
better to take leave from work for 10-12 days (due to dressing, otherwise all
regular smooth movements are allowed 6-7 hours after rhinoplasty, avoid exertion
and heavy work for a week at least. There will be dressing on your nose for 7-10
days if osteotomy has been done , for 5 days if not. Follow up visits required
first after 48 hours, second on 7-9th day. Some exercise and minor massage
(individualized for every type of rhinoplasty) between 3 weeks to 6 weeks
further improves your result, especially in rhinoplasty for deviated nose.
12 ) What about Recovery time, Follow up,
Unsatisfactory Result & Touch ups?
Ans: Recovery Time & Follow ups : Rhinoplasty is
a day care procedure, you will be discharged on same or next day. 1st visit
after 2 days for pack removal. next between 8-10th day depending upon type of
procedure for all dressing removal. After removal of dressing nose looks pinched
and irregular, due to irregular swelling inside plaster splint. Swelling will
increase for 48-72 hours and nose looks more regular with swelling and you are
socially presentable now. You cant touch nose for 3 weeks. we keep Nose softer
between 3 to 8 weeks & during this period you may change shape and alignment
with little massage and manipulations which you will be described on visit after
3 weeks and reviewed weekly direct or through mail depending upon situation.
Please mind these steps are very much important and helps you get the desired
shape. Specially in broad and deviated noses (some deviation is there in 90 %
cases) you cant get a good result without it. We dont like to accept patients
who cant comply in follow ups. Examples you may see on our facebook page and
here in this pic. Result is well visible after you start massage but finally
improvement continues till one year. Please mind rhinoplasty is game of patience
and its not for those who want very fast result.
Please mind these follow ups are essential.
Unsatisfactory Result : We try to do the best for you but everything in this
world has got limitations. Most of our patients are satisfied and happy but we
got 6 (1.5 %) unsatisfied patients also, unfortunately, they were lost in follow
up. As such this number is very very small but still we respect individuality of
every patient. Sometimes even our best possible work may not satisfy you.
Whenever you think you are unsatisfied you should consult your primary surgeon
first, whoever he or she is, as he/she knows your problem best plus at least he
will not try to misguide you. No surgeon or doctor wants to provide
unsatisfactory result, we all are trying to provide you the best but we are
simple human beings doing our job and not god who can do everything. Moreover
most of small problems can be solved during follow up with minor or non-surgical
manuevers. Touch up Procedures : Usually we do entire procedure in one go but some
times some small procedures which can be better done later or if you feel that
something is required, Touch-up procedure may be required (usually 3-4% cases).
small procedures under local anaesthesia which doesnot need reopening nose
should be done at least 6 months after surgery. Any major procedure should be
defferred fot at least one year best if two years. In our cases for touch ups or
revision surgeon's charge is fully free, other charges we try to keep minimum so
that you dont need to bear financial load again.
13 ) Any association with psychological or psychiatric problem in Rhinoplasty ?
Ans: yes, Psychological and psychiatric problems
are not very uncommon in cases of rhinoplasty like rest other face cosmetic
surgery procedures. Psychological stress due to job or problems in personal life
may depress you and make you think that these problems are due to your bad face
or nose, which may not be correct. Also surgery may aggravate your psychological
or psychiatric problem which can be bad for you. So if you are facing any sort
of psychological or psychiatric problem or ever faced it in life you should
clearly tell this to your doctor. Most of people try to hide their psychological
problem and think it may affect their image. Its not true, in today's era almost
every person is facing some psychological stress and its better to solve it
rather than going for surgery. Your medical history is important and Its always
better to bring family members with you.