Rhinoplasty

Correct functional breathing problems and aesthetic appearance of the nose with Rhinoplasty

About Rhinoplasty

The nose is one of the most prominent feature of the face being the high point. It has enormous aesthetic importance and having a perfectly shaped and straight nose is what everybody desires. But that is not the case always as many people have a short, crooked or even a deviated nose which takes away the aesthetic appearance of the face.

It indeed is possible to alter the appearance of the nose with a safe and effective rhinoplasty. Rhinoplasty is rated as the most commonly performed cosmetic surgical operation. Broadly this procedure can cover all problems related to nasal shape. A large nose can be reduced in size, a small nose can be made bigger while the length and height of the nose can be increased or decreased to make you look good.

Rhinoplasty can correct many functional breathing problems. It is necessary to always remember that good comfortable breathing is far more important and vital than a merely good looking nose.

What is Rhinoplasty?

Rhinoplasty is a surgical procedure performed to improve the appearance of the nose. A Septorhinoplasty is often performed to correct any defects within the nose such as a deviated septum or nasal obstructions. A nose surgery is also performed to restore the nose to its original shape after it has suffered a major injury during an accident or any other unfortunate event.

In a Rhinoplasty procedure, the cosmetic surgeon changes the nasal bone, cartilage, soft tissues or adds tissues to the nose, to aesthetically improve the appearance of the nose for the patient.

There could be several different reasons why patients opt for a nose surgery such as small nose, large nose, deviated/crooked nose, nose hump, wide tip, wide nostrils etc.

Rhinoplasty is one of the most delicate and complex surgical procedures in plastic surgery.

Are you an ideal candidate for Rhinoplasty?

Answer a few simple questions to help us understand your concerns, or issues, if any, in breathing or functioning of the nose.

Questions to ask your Rhinoplasty Surgeon:

Image Modification Software For Rhinoplasty - Vectra

We at Pandit Clinic have been using image modification software to give you a very good idea as to how you will look after surgery. This has helped many patients to make an informed decision and tailor their expectations to a realistic level. Dr Shrirang Pandit has been a pioneer user of the Alterimage programme for last ten years.

Since last three years we have incorporated the Vectra 3 D Camera in our clinic. It has proved very useful in a variety of ways. A small additional fee may be charged for this consult with Vectra. You can request such a session and learn how your nose will be transformed.

Rhinoplasty Before-After Results

* Disclaimer: Results May Differ From Person to Person. No individual result should be seen as typical

Who Is An Ideal Candidate For Rhinoplasty?

Dr Shrirang Pandit has specified the following list for an ideal candidate:

The candidate must be healthy overall to undergo a surgical procedure
The candidate has breathing problems due to the shape of the nose.
The cadidate is unhappy with the appearance of the nose and wishes to improve it aesthetically.

Rhinoplasty at Pandit Clinic, Pune is a gender neutral procedure and is done by keeping in mind the anatomy of the patient undergoing the procedure.

Why Do Patients Opt For Rhinoplasty?

There could be several different reasons why patients opt for a nose surgery. Following are the issues that patients face which can be resolved with a Rhinoplasty:

Reducing A Large Nose: Sometimes nose may be noticeably larger in size. Reduction Rhinoplasty can help in achieving narrowed and lowered nose.

Augmenting Small Nose: Small nose can be enlarged by modifying the shape of cartilage or adding some cartilage/ soft tissue to it. Another way to augment such nose is with a silicone implant

Hump Reduction: The hump of the nose is lowered to make dorsum of nose straight

Deviated / Crooked Nose: Instead of being centralized and straight, some nose has deviated to one side. In such cases, the deviated nose is made straight & well centred.

Reducing A Wide Tip: Wide tip of the nose may be because of excess wide cartilage &/or because of thick skin & soft tissue portion. Such a wide tip can be made narrow & well defined.

What To Expect Before The Rhinoplasty Surgery?

Your Plastic Surgeon may ask you to undergo certain routine blood tests before the surgery. This helps them in establishing your health condition and alleviates any complications that may arise in the surgery.

The Rhinoplasty Surgeon may also ask you to stop certain medications prior to the surgery. Also, in case you are a smoker then you will have to stop smoking 4 weeks prior to the surgery. You cannot consume any food or liquids (minimum) 6 hours prior to the surgery.

After the surgery, a full week’s rest is essential when recovering after a nose plastic surgery. You can slowly start resuming your activities after the nasal splint is removed and your doctor gives you an all-clear.

How Is Rhinoplasty Performed?

Rhinoplasty is an outpatient procedure. The following steps are involved when performing a rhinoplasty

The first step of the surgery is administering general or local anaesthesia along with intravenous sedation. The doctor chooses the best option according to an individual’s case.
The type of surgery: open or close, is decided during the consultation itself. The incision is then made either externally or internally depending upon the type.
The next step involves reshaping the nose. The process involves one or multiple of the following

Shortening or lengthening the tip of the nose
Increasing or decreasing the size of the nose
Widening or narrowing down the nose.

Widening and narrowing is done by adding or removing the cartilage or bone within the nose. Autologous grafts of cartilage that belong to septum are the most popular method to enhance the nose. Rib cartilage may also be used. Fat grafts and fillers may be used to smoothen out and mask the imperfection. This is done till the desired shape of the nose is achieved.

In the case of a deviated septum, a septoplasty is performed in order to straighten the nose and correct the breathing issues.
After the nose is reshaped, the incisions are closed with the help of stitches.

How Is The Recovery After A Rhinoplasty Surgery?

The doctor advises rest for at least a few days in order to speed up the healing procedure. Swelling and soreness can be observed during this period, but this is common after the surgery. These generally subside within a few days. Dr Shrirang Pandit will prescribe certain medications in order to take care of the pain and soreness. These must be taken as prescribed for a omfortablle recovery..

The doctor will also provide certain instructions regarding taking care of the site. The patient can resume their work after a week of rest. However, vigorous exercising must be avoided at least for 4 weeks.

It takes a long time for the nose contour to take the perfect shape, hence the results are not immediately visible.

Routine follow-ups must be taken with Dr Shrirang Pandit as it helps to keep a track of the healing process as well as result visibility.

How Much Does Rhinoplasty Cost?

The actual cost estimate will be given to you by your surgeon. Since every case is unique the skills required and the time required will be different. Therefore, it is better if you consult your rhinoplasty surgeon on matters of cost.

What is a Reduction Rhinoplasty?

This is a procedure performed to reduce the size of the nose. It can consist of reducing the height, removing a hump on the bridge or reducing the size of the nose tip and the width of the nasal bridge. These techniques alone or in combination can be performed to give a pleasing appearance.

The nose may be large, crooked, thick skinned, beaked and distorted in many forms; we can help you get a better shape and size.

How much time does it take to perform a Rhinoplasty?

Generally, a rhinoplasty lasts anywhere between 1.5 hours to 3 hours. In certain compliccated procedures, the time taken might be more. this time totally depends upon the individual case at hand.

Is Rhinoplasty Painful?

Rhinoplasty is a omplicated surgical procedure. The patient does not feel any pain or disccomfort when the surgery is taking palce. This is beause the patients are administered either local or general anesthesia along with intravenous sedation. This helps the patient to be pain free. However, the patients can observe soreness and pain once the anesthesia wears off. This is generally controlled with the help of antibiotic medicines which need to be taken as prescribed by the doctor.

What is Nasal Augmentation?

The nose can be depressed and augmentation of nasal dorsum is one of the commonest request seen in our practice. A variety of materials can be used to increase the height of the nose and fill up the depression. Your own body tissue constitutes the best material for augmentation. Bone or cartilage either from nasal septum, the ribs or the ear is used as filler. At Pandit Clinic we have developed a special procedure by using rib cartilage.

Silicone implants, Porex, and other synthetic substances are also used for this purpose. These are foreign bodies and they need to be well understood before you use them.

Dr. Shrirang carries out Reduction Rhinoplasty and Nasal Augmentation at his clinic.

How Long Do Nose Implants Last?

Silicone or saline implants which are used for rhinoplasty generally have a life of 10 to 20 years. However, as these are foreign materials, one needs to use them cautiously and with the utmost care.

Dr. Shrirang Pandit

MBBS, MS, Mch (Plastic & Reconstructive Surgeon)

Meet Dr. Shrirang Pandit

Dr. Shrirang Pandit is the founder of the Pandit Clinic. He has an experience of 30+ years in plastic surgery. He is a renowned name in the industry and pioneer of aesthetic lasers in India. Dr. Shrirang Pandit has performed numerous surgeries on children with facial clefts, managed patients with burn injuries and also has a large experience with lasers on Asian Indian skin. He has attended various laser workshops and courses as faculty and is keen on educating the next generations. He is a life member of all the top plastic surgery associations like Association of Plastic Surgeons in India, Association of Surgeons of India, Indian Association of Cosmetic Laser Surgeons, to name a few. He also acts as a key opinion leader for Ultrashape Inc., Lumenis Inc, VASER Sound Surgical Technologies, USA