Dr Prabhash Rhinoplasty Surgery Google
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Rhinoplasty Delhi Nose-job Surgery India
In This Page : Rhinoplasty / Nose job / Nose Surgery description &
Rhinoplasty Before After Pictures of
almost every type of nose . To watch our Rhinoplasty Videos on our you tube play list
Rhinoplasty Delhi Nose job Surgery India Before After. Please
read entire page & see Nose job before after pictures of every type of nose you will have all details about rhinoplasty, rhinoplasty
course & recovery, importance of post surgery massage & manipulations.
As nose shape & deformity is a highly
variable problem and every nose needs separate planning for correction.
Your Rhinoplasty surgeon
should be able to design and tailor surgery individually for your best. Analyzing your problems and expectations individually and designing surgery to
provide you best Rhinoplasty results at best Rhinoplasty cost in India, Delhi is
specialty of Dr Prabhash.
Full Rhinoplasty or Septo-Rhinoplasty needs general anesthesia, see rhinoplasty recovery below,
while, smaller procedures like nose tip-plasty, alar base reduction alaplasty, nose dorsum fat grafting for augmentation or to provide
cover to asymmetry we are easily doing under local anaesthesia cutting both recovery time and cost of rhinoplasty procedures.
WhatsApp us your details, nose pictures and changes you want to get best rhinoplasty cost in Delhi.
Open / Close Rhinoplasty Approaches : - 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 visible even in Open Rhinoplasty
preferred approach depends upon magnitude of
work needed in any particular nose. Close approach for minor work and as Open approach provides clear view of entire
nasal framework, so fine manipulations are always better with this. overall open rhinoplasty approach is superior to close.
Scroll down to see individual nose
types, link for rhinoplasty videos and rhinoplasty before after pictures
for individual nose deformities. You will find examples of almost every type of nose. We sadly inform you that some of
our brfore after pictures have been copied and being posted as their work by some clinics in Delhi, Maharshtra, Indore, Pune.
We dont want to name, but you should be aware of that.
Nose is an organ of breathing first, cosmetic next. We do correction to
improve both look and function. Any cosmetic correction is never done at the
cost of function anywhere in body. Nose works as passage as well 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
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. Most of our male population face breathing problem which is not due
to deviated septum but external valve collapse, very common in India, Nepal, Sri
Lanka, Bangladesh, Pakistan, Afghanistan region.
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
procedures.
Before after picture of Complex Septum deviation - 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. (Disclaimer: - Please Do not 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 Rhinoplasty Before After , Patient wanted
to retain other racial Characteristics like tip and Nose length which has been
respected.
i) Asian Nose &
Augmentation Rhinoplasty:-
Asian Nose rhinoplasty differs from others as there is deficient skin, bone as well as cartilage.
augmentation narrowing , tip plasty with nostril management is required.
i) Augmentation Rhinoplasty :-
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. We use only natural
or autologus material like cartilage or bone from your body for any type of augmentation. We do not use artificial
material like silicone or polypropylene implants, unless we do not have any other option.
Augmentation Rhinoplasty before
after picture of dorsum or bridge of nose height & length augmentation to match with tip along
with tip plasty : Augmentation with iliac crest bone graft.
Length Augmentation Rhinoplasty for Short Nose Lengthening
Rhinoplasty :
Short Broad Nose with visible upturned Nostril Before After picture. Narrowing
of nose with tip & septum lengthening done. Septum and complete Nose
augmentation with autologus septal cartilage graft.
Short Nose Lengthening with autologus septal cartilage
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
tip & nearby framework also to create a harmony with rest of 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 &
Big Bulbous Nose Rhinoplasty :-
Augmentation Rhinoplasty with Bulbous Nose tip correction has been done. Ear
cartilage used for dorsum augmentation.
Broad & deviated nose with dorsal hump, supra-tip depression and bulbous tip
of nose rhinoplasty before after.
(C) Flat Broad Tip :
Tip-plasty for flat broad tip - these cases usually have hyperplastic alar
cartilages with abnormal curvature.
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 mid-face hypoplasia- Nose, maxilla upper jaw
with / without chin Mandible Hypoplasia
Underdevelopment . Tip and dorsal nose augmentation with coastal cartilage (rib
cartilage - usually i dont prefer rib cartilage due to unusual curvature which
may develops in it.
E) Ala wedge excision & nostril reduction :
some people have wide and big ala,
side wall of nose surrounding nostril & nostrils.
(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 .
iii) Septo-Rhinoplasty
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 anesthesia.
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 and Broad Noses - Nose Length Augmentation & Reduction, Nose Hump Reduction
A) Broad nose or Wide Nose :- Big broad noses fall in different
category and some variation is found depending 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.
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 picture.
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
sleek nose.
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
in male.
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 traumatic (road traffic accident) broken nose with nose blockade,
correction with nasal passage restoration and iliac crest bone graft for dorsum
augmentation.
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 deformity is a complex problem and involves complex correction
process also .
X) Revision Rhinoplasty or Secondary Rhinoplasty
:-
Every surgeon tries to provide you the best possible result, but Sometimes you
may not get optimal or desired result in your first rhinoplasty surgery, you may
go for revision rhinoplasty once nose is soft and supple and adhesions improved.
Requirement of revision in our cases is less than 1-2 % as We do all possible
changes in rhinoplasty, but we are
getting cases for revision Rhinoplasty first operated elsewhere, this is one
example
of Revision
Rhinoplasty for Crooked Deformed Nose.
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). Touch up Procedures : Please mind, revision rhinoplasty and touch up procedures are different things.
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 anesthesia which doesn't need reopening nose
should be done at least 6 months after surgery. Any major procedure should be
deferred for at least one year best if two years. In our cases, we try to keep
expenditure minimum so
that you don't need to bear major financial load again.
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.
Profiloplasty :-
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. Now
we are preferring fat grafting for chin augmentation.
xii ) Reconstruction Rhinoplasty :
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.
Rhinoplasty Recovery, Post
Surgery Massage & Manipulations & FAQs
First, is Consultation and discussion regarding your problem, followed by some blood and laboratory tests for fitness for surgery.
If found fit you may book date for surgery. On the day of surgery - Nil by mouth means no food no water nothing by mouth for 6-8 hours before surgery
Admission and all paper work. In operation theatre - Anesthesia - Local or general as per requirement. Small
isolated procedures like tip-plasty, hump rasping,
ala and nostril reduction can be done under local anesthesia saving both time and money. full rhinoplasty needs general
anesthesia. Surgery Duration 1.5-2 hours in smaller procedures, 3 to 4 hours in full rhinoplasty.
awake from anesthesia - 5-10 minutes after surgery is finished, rest for another 3 hours,
oral liquids started after 3 hours soft diet after 6-7 hours.
Nose will be packed for 48 Hours. Discharge from hospital
after 6-8 hours or next day depending upon magnitude of surgery. 1st revisit after 48-72 hours for pack removal, 2nd revisit after 7-10 days for all dressing and suture removal.
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
swelling is still there. It takes around three months before nose
looks more normal with all evidences of surgery resolved except very little
amount of edema Swelling which is unnoticeable. Overall nose keeps improving
over an year.
Any difference in Female & Male Rhinoplasty.
Yes, 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.
what are materials used for nose augmentation?
materials used for augmentation can be autogenous ( from patients own body) or artificial materials. Autogenous :- 1. Cartilage:
from nasal septum—most commonly used.
conchal cartilage ( from ear) or rib cartilage. 2. Bone:- pelvic bone ( iliac crest)
Calvarial ( outer table of skull ) Artificial materials:-
Medpore
Silicone
Goretex .
Which material is better autologus or artificial ?
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 as part of
nose rather than separately movable
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.
Unsatisfactory Result & Touch ups?
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. Massage & Manipulations -
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
maneuvers.
Any association with psychological or psychiatric problem in Rhinoplasty ?
A big 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. Disclaimer : Its a medical information
website. information and pictures contained in this page and website is to
provide information about plastic & cosmetic surgeries, its
not substitute of consultation with your doctor
