Rhinoplasty, Septoplasty ,Septo-Rhinoplasty , Nose Job, Nose Reshaping  Cosmetic & Plastic Surgery  in New Delhi ,  Delhi , India.
Rhinoplasty or Nose Job or Nose Reshaping is 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 criteria have been defined for aesthetically pleasing nose but all these cant be used on every case.
Each and every race ( Indian, Caucasian , Negroes & Orientals) have different characteristic and any Rhinoplasty or Nose Job 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 here.                       

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.                                                            ( Back to Top)

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.     ( for examples of all - see pictures below)

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.   A complete Septoplasty involves not only correction of cartilaginous septum but also of bony part of septum and realignment of all structures to provide a straight nose with patent nasal passages.     

             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 Don't see this pic if sight of blood hurts you, we have tried to blur the blood soaked areas                                  ( Back to Top)

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 iii 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.

Revision Rhinoplasty :-  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.  Till now we never needed to go for revision in our cases.

Procedures :- Before and after rhinoplasty or nose job / Nose reshaping pictures to demonstrate individual or combined rhinoplasty or nose job procedures.                ( Back to Top)

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)Nose Tip Plasty

iii) Septo-Rhinoplasty with Nostril Adjustment & Tip Plasty

iv) Low (Bridge) Dorsum & Bulky Tip (Big Nose) :- Augmentation Rhinoplasty or Nose Job with Tip Plasty.        ( Back to Top)

v) Deviated nose:- Rhinoplasty or Nose Job with osteotomy and tip-plasty.

vi) Low & broad dorsum (bridge of nose), drooping tip with long nose :- Rhinoplasty or Nose Job with tip plasty.     ( Back to Top)

vii) Dorsum hump or Bumpy (nose) with or without drooping tip:- Reduction Rhinoplasty or Nose Job with tip plasty and hump reduction.

viii) Low & wide dorsum with broad & low tip:- Rhinoplasty or Nose Job with tip-plasty.                                                                                          ( Back to Top)

ix)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.

x )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).                                                                                                                                    ( Back to Top)

For Details of Cleft Lip  Palate & Cleft Nose Deformity Correction -                               Click Here " Cleft Lip Nose deformity "

xi) 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 ?           ( Back to Top)

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 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 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.  ( Back to Top)

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.

10 )  Any rest required ?

yes, Rest for six hours after surgery, its better to take leave from work for 2-3 days,  avoid exertion and heavy work for a week at least. There will be dressing on your nose for Seven (7) days if osteotomy has been done , for 5 days if not.

11) Is it very costly surgery ?

Ans:- No, in today's era cost of Rhinoplasty or Nose job in India is very low compared to other countries while quality of work  and result is very high. All cosmetic & Plastic Surgeries including Rhinoplasty or Nose job cost very low and well affordable  to almost every class people. We offer cost package according to need and budget of patient and almost every patient can choose a package as per their need.

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