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Breathing problems:-
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 always true.
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.
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Common complaints by patient & Concerned rhinoplasty or
Nose Job / Nose Reshaping Procedures:-
Broad Nose :- Osteotomy & Narrowing of Nose
with Tipplasty.
Hump Nose or Bumpy Nose :- ( Hump) Reduction Rhinoplasty or Nose Job
Long Nose with
Drooping tip :- Tip-plasty with or without Augmentation
Rhinoplasty (Nose Job) or Reduction Rhinoplasty (Nose Job)
Lateral Deviation of Nose or Crooked nose:- Straightening of Nose or
Corrective Rhinoplasty (Nose Job)
Low Dorsum or Bridge of Nose :- Augmentation Rhinoplasty
or Nose Job with or without tip plasty
Big or Bulky Nose:- Reduction
rhinoplasty with tip plasty.
Deviated Nasal Septum
(DNS) (Septoplasty) :- Correction of DNS with or
without other rhinoplasty procedures or nose job
procedures involve
And various congenital and post traumatic deformities :-
Rhinoplasty or nose job in such situations are designed
according to the deformities or nose and other associated
deformities.
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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
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.
Procedures :- Before and after
rhinoplasty or nose job / Nose reshaping pictures to demonstrate individual
or combined rhinoplasty or nose job procedures.(
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i) Augmentation Rhinoplasty:-
Before and
after picture of depressed bridge or nose or tip of nose.
Augmentation rhinoplasty or nose job done to elevate the
depressed dorsum or tip or both.

ii) Low (Bridge) Dorsum & Bulky Tip (Big Nose) :-
Augmentation
Rhinoplasty
or Nose Job
with Tip
Plasty. (
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iii) Deviated nose:-
Rhinoplasty or Nose Job with osteotomy and tip-plasty.

iv) Low & broad dorsum
(bridge of nose), drooping tip
with long nose :-
Rhinoplasty or Nose Job with tip plasty. (
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Dorsum hump or Bumpy (nose) with or without drooping
tip:-
Reduction
Rhinoplasty or Nose Job with tip plasty and hump
reduction.

Low & wide dorsum with broad & low
tip:-
Rhinoplasty or Nose Job with tip-plasty.
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Post traumatic nose deformity:-
( Saddle Nose with nostril and airway stenosis or
blockade)
Augmentation
Rhinoplasty or Nose Job with tip plasty and
reestablishment of nasal passages.

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).
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Rhinophyma:-
Cosmetic rhinoplasty or nose job.

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Nose job:- ( Rhinoplasty, Septoplasty, Septo-rhinoplasty)
Frequently Asked Questions:-
Rhinoplasty or Nose Job
Procedure, Course & Outcome of cosmetic & Plastic
Surgery of Nose
1) What are open and closed approaches for Rhinoplasty?
Ans:- in closed 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 base. Over the time they
heal well and practically there is no visible scar in long
term.
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.
3) How long the rhinoplasty or nose job surgery takes?
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 ? (
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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.
5) what manipulations usually done in rhinoplasty /
Septoplasty / Septorhinoplasty 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 as it corrects septum as well as provides
autogenous material for use in rest of procedure.
7) what about breathing difficulty in rhinoplasty or
nose job ?
Ans:-
nose has two valve areas , internal and
external. In an otherwise normal looking nose , it’s 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 need correction.
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8) 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 that. You may feel little tiredness for a few hours.
Initially nose may look red, slight bruising may be there
and there will be swelling.
After three weeks , nose looks almost normal , in newer
shape, but 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 which is unnoticeable.
9) what are materials used for nose augmentation?
Ans:- materials used for augmentation can be autogenous (
from patients own body) or artificial materials.
Autogenous :-
Cartilage:
from nasal septum—most commonly used;
conchal cartilage ( from ear);
or rib cartilage.
Bone:- pelvic bone ( iliac creast);
Calvarial ( outer table of skull )
Artificial materials:-
Medpore ;
Silicone
Goretex .
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 a
compromise rather than a 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.
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 function.
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Rhinoplasty, Septo- Rhinoplasty or Nose
Job in New Delhi, Delhi, IRhinoplasty, Septo-Rhinoplasty or Nose
Job ,Nose Cosmetic Surgery, Plastic Surgery of Nose,
Septoplasty in New Delhi , Delhi , India.
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