Best Rhinoplasty Surgery in Delhi, India

Rhinoplasty, often referred to as a nose surgery or a nose job, is a surgery that alters the shape and size of the nose. It can be done for two main reasons: cosmetic and functional. On the cosmetic side, it can address concerns like a bump on the bridge, a wide or hooked tip, or asymmetry. Functionally, it can improve breathing difficulties caused by a deviated septum or other structural problems within the nose. In some cases, rhinoplasty (nose surgery) can address both cosmetic and functional goals.

Rhinoplasty is usually done for two main reasons: cosmetic and functional.

Cosmetic Reasons: Aims to improve the appearance of the nose by:

• Reducing or increasing the size of the nose
• Changing the shape of the bridge, tip, or nostrils
• Correcting asymmetry
• Creating better facial balance

Functional Reasons: Focuses on improving breathing by:

• Correcting a deviated septum (misaligned wall separating the nostrils)
• Reducing nasal valve collapse (narrowing of the nasal passages)
• Addressing other structural issues that impede breathing

In some cases, rhinoplasty can be performed for both cosmetic and functional reasons. A skilled surgeon can address aesthetic concerns while also improving breathing function.

Here's a breakdown of the types of rhinoplasty(nose surgery):

Open Rhinoplasty

Open rhinoplasty involves making an incision across the columella (the tissue between the nostrils) to allow the surgeon full access to the nasal structure. It is typically used for major reshaping of the nose, as it provides the surgeon with better visibility and access to the nasal framework.

Closed Rhinoplasty

Closed rhinoplasty is a procedure where all incisions are made within the nostrils, avoiding external scars. It is preferred for minor adjustments, as it is less invasive with a shorter recovery time compared to open rhinoplasty(nose surgery).

Revision Rhinoplasty

Revision rhinoplasty, also known as secondary rhinoplasty, is performed to correct or improve the results of a previous rhinoplasty. It is used to address functional or aesthetic issues that persist or arise after the initial surgery.

Filler Rhinoplasty (Non-Surgical Rhinoplasty)

Filler rhinoplasty, also known as non-surgical rhinoplasty, uses injectable fillers to temporarily alter the shape of the nose without surgery. This type of rhinoplasty(nose surgery) is ideal for patients seeking minor adjustments, such as smoothing out bumps or improving symmetry. The results are temporary, typically lasting 6 to 18 months.

Reduction Rhinoplasty

Reduction rhinoplasty aims at reducing the size of the nose or specific parts of it, such as the tip or a dorsal hump. This type is commonly requested by individuals who feel their nose is too large or disproportionate to their facial features.

Augmentation Rhinoplasty

Augmentation rhinoplasty involves adding structure to the nose using grafts from the patient's own cartilage (often from the ear or rib) or synthetic implants. It is suitable for patients with a flat or underdeveloped nose, or those requiring reconstruction after trauma or surgery.

Ethnic Rhinoplasty

Ethnic rhinoplasty is tailored to meet the unique aesthetic goals and structural differences of patients from various ethnic backgrounds. This type of rhinoplasty(nose surgery) focuses on achieving natural-looking results that respect and enhance the patient’s ethnic features.

Functional Rhinoplasty

Functional rhinoplasty is performed to correct functional issues, such as breathing difficulties due to a deviated septum or other structural problems. It is often combined with cosmetic procedures to improve both the form and function of the nose.

Each type of rhinoplasty requires specific skills and techniques to achieve the desired outcome, and the choice of procedure depends on the patient's goals, the complexity of the required changes, and the surgeon's expertise.

Preparing for Rhinoplasty

Preparing for rhinoplasty involves several steps to ensure the best possible outcome and minimise risks. First, patients should have a thorough consultation with a qualified plastic surgeon to discuss their goals, medical history, and any concerns. This consultation often includes a physical examination and possibly imaging studies to plan the surgery. Patients are typically advised to stop smoking, avoid certain medications (such as aspirin or other blood thinners), and maintain a healthy lifestyle in the weeks leading up to the procedure. Pre-operative instructions may also include fasting before surgery and arranging for transportation and post-operative care, as patients will not be able to drive themselves home.

During Rhinoplasty

During rhinoplasty, the patient is usually placed under general anaesthesia or local anaesthesia with sedation, depending on the complexity of the procedure and the surgeon's preference. In open rhinoplasty, the surgeon makes an incision across the columella and lifts the nasal skin to access the underlying structures. In closed rhinoplasty, all incisions are made inside the nostrils. The surgeon then reshapes the nasal bones and cartilage, adds grafts if necessary, and adjusts the nasal tip and nostrils to achieve the desired shape and function. The procedure typically lasts between 1.5 to 3 hours, depending on the extent of the changes being made.

Post Rhinoplasty Care

Post-rhinoplasty care is crucial for a smooth recovery and optimal results. Patients will need to keep their head elevated and apply cold compresses to reduce swelling and bruising. It's common to have nasal splints or packing in place for the first week to support the new structure and minimise bleeding. Pain and discomfort can be managed with prescribed medications. Patients should avoid strenuous activities, heavy lifting, and blowing their nose for several weeks. Follow-up appointments with the surgeon are necessary to monitor healing and remove any splints or stitches. It’s important to follow all post-operative instructions carefully and report any unusual symptoms, such as severe pain, fever, or excessive bleeding, to the surgeon promptly. Full recovery and final results can take up to a year as swelling gradually subsides and the nasal tissues settle into their new shape.

Rhinoplasty offers a variety of benefits, both cosmetic and functional. 

Functional Benefits

• Improved Breathing: Rhinoplasty(nose surgery) can enhance airflow and alleviate symptoms like snoring by correcting issues such as a deviated septum or nasal obstructions.
• Reduced Sinus Issues: The procedure can improve sinus drainage, potentially alleviating chronic sinus problems.

Aesthetic Benefits

• Enhanced Facial Harmony: By refining the size and shape of the nose, rhinoplasty can balance facial proportions.
• Increased Self-Confidence: Many individuals experience a boost in self-esteem due to a more aesthetically pleasing appearance after rhinoplasty.
• Correction of Nasal Deformities: Rhinoplasty can address various nasal deformities, including bumps, crookedness, or a large nasal tip.

Beyond the aesthetic and functional benefits, rhinoplasty also offers significant psychological advantages. Many patients report improved self-esteem and overall satisfaction with their appearance, contributing to better mental well-being. However, it is essential to consult with a qualified and experienced surgeon to ensure the procedure is appropriate and to discuss potential risks and realistic outcomes.

While rhinoplasty can be a transformative procedure, it is important to understand the potential risks involved. Like any surgery, these risks can be minimised by selecting a qualified surgeon and adhering to post-operative care instructions.

Common Risks of Rhinoplasty

• Bleeding: Generally minimal, but excessive bleeding can occur, especially in individuals with bleeding disorders.
• Infection: A common risk with any surgical procedure.
• Anaesthesia Risks: Potential complications from general anaesthesia, such as allergic reactions.
• Swelling and Bruising: Common after surgery, typically subsiding over time.
• Numbness: Temporary or permanent numbness in the nose or upper lip.
• Pain: Normal discomfort post-surgery, though severe or persistent pain should be reported to the surgeon.
• Changes in Skin Colour: Temporary discoloration around the nose.
• Difficulty Breathing: Temporary issues due to swelling or nasal packing.
• Unsatisfactory Results: Although rare with experienced surgeons, there is a possibility that results may not meet expectations.

Less Common but Serious Risks

• Nasal Obstruction: Rare cases where nasal passages become blocked post-surgery.
• Septal Perforation: Development of a hole in the septum.
• Skin Necrosis: Tissue death in the nasal area.
• Scarring: Visible scarring, though usually minimal.

It is essential to discuss all potential risks with the surgeon before undergoing rhinoplasty. The surgeon can provide detailed information about specific risks associated with the individual case, helping to make informed decisions.

Choosing a board-certified plastic surgeon with extensive experience in rhinoplasty is crucial to minimising risks and maximising the chances of a successful outcome.

Can individuals with haemophilia undergo rhinoplasty?

Individuals with haemophilia may face increased risks during surgery due to potential bleeding complications. It's crucial to consult with a qualified surgeon and haematologist to assess candidacy and discuss appropriate precautions.

What precautions are necessary for rhinoplasty patients with bleeding disorders?

Patients with bleeding disorders, like haemophilia, may require specialised care and monitoring before, during, and after rhinoplasty. This includes coordination between their haematologist and plastic surgeon to manage bleeding risks effectively.

Are there alternative treatments for individuals with bleeding disorders who desire nasal enhancement?

Depending on the specific condition and severity, non-surgical options such as dermal fillers or other cosmetic procedures may be considered as safer alternatives to rhinoplasty for individuals with bleeding disorders. It's essential to discuss these options with healthcare providers familiar with the condition.

How is rhinoplasty different from septoplasty?

Rhinoplasty is a cosmetic procedure aimed at changing the shape, size, or appearance of the nose. Septoplasty, on the other hand, is a functional surgery focused on correcting a deviated septum to improve breathing.

How painful is rhinoplasty?

Pain levels vary, but most patients experience mild to moderate discomfort after rhinoplasty. Pain can be managed effectively with prescribed medications, and it typically subsides within a few days to a week.

What is the average duration of a rhinoplasty procedure?

The average rhinoplasty procedure takes about 1.5 to 3 hours, depending on the complexity of the surgery and the specific changes being made.

Is rhinoplasty effective for addressing breathing issues?

Yes, rhinoplasty can be effective for addressing breathing issues, especially when combined with procedures like septoplasty that correct structural problems within the nose.

Are scars noticeable following a rhinoplasty procedure?

Scars from rhinoplasty are generally minimal and well-hidden. Incisions are typically made inside the nostrils or along the natural creases of the nose, making them less visible.

What non-surgical options are available for nasal enhancement?

Non-surgical options for nasal enhancement include dermal fillers, which can temporarily alter the shape of the nose by adding volume to specific areas. These procedures are less invasive but also provide temporary results.

How significantly will rhinoplasty change my facial features?

Rhinoplasty can significantly enhance facial harmony and balance by refining the size and shape of the nose. The extent of change varies based on the individual’s goals and the surgeon’s recommendations.

What physical activities should I avoid post-rhinoplasty?

After rhinoplasty, patients should avoid strenuous activities, heavy lifting, and contact sports for at least six weeks. It's important to follow the surgeon's specific guidelines for a safe recovery.

What are the risks and potential complications of rhinoplasty?

Potential risks and complications include infection, bleeding, anaesthesia reactions, scarring, asymmetry, breathing difficulties, and the possibility of unsatisfactory results that may require revision surgery.

Does rhinoplasty involve or affect the sinuses?

Rhinoplasty primarily focuses on the nose's structure and appearance and generally does not involve the sinuses. However, if combined with procedures like septoplasty, it may indirectly affect sinus function.

Are the results of rhinoplasty permanent?

Rhinoplasty results are generally permanent, though the nose's appearance may change slightly over time due to ageing and other factors.

Is rhinoplasty classified as a type of plastic surgery?

Yes, rhinoplasty is classified as a type of plastic surgery. It involves surgical techniques to alter the nose's appearance and, in some cases, its function.

How does septorhinoplasty differ from traditional rhinoplasty?

Septorhinoplasty combines both rhinoplasty and septoplasty. It addresses both cosmetic changes to the nose and functional corrections to the nasal septum, improving both appearance and breathing.

Reviewed By Dr. Sumit Mrig- Associate Director and Head ENT(Ear Nose Throat) on 22 Aug 2024.