Please read this page and see examples - Rhinoplasty / Nose job / Nose
Surgery detailed description & Rhinoplasty Before After Pictures of almost every
type of nose e.g. Breathing problem, Deviated Nose septum Septoplasty,
Augmentation Rhinoplasty, Nose Length increment, Dorsal nasal hump reduction
rhinoplasty, Nose tip-plasty, Alar base reduction alarplasty, Cleft rhinoplasty,
revision rhinoplasty, rhinophyma or potato nose, Nose surgery recovery and nose
massage (our own technique). To watch our Rhinoplasty
Example Videos on our you tube play list
Nose Augmentation , Hump Reduction, Alarplasty, Cartilage graft, Bone Graft, Cleft Rhinoplasty, Deviated Nose Septoplasty.
Rhinoplasty 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 Rhinoplasty criteria have been defined for aesthetically pleasing nose but all these cant be used on every case. Each and
every race (Indian, Caucasian, Negroes, Asians Orientals) have different characteristic and any Rhinoplasty Nose 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 and so every type of nose here. 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. Common complaints by patient & Concerned Rhinoplasty (Nose Surgery) or Nose Job / Nose Reshaping Surgery Procedures :- Broad Nose Rhinoplasty :- Osteotomy & Narrowing of Nose with Tipplasty. Hump Nose or Bumpy Nose Surgery :- ( Hump) Reduction Rhinoplasty or Nose Job with roof closure Long Nose Rhinoplasty with Drooping tip :- Tip-plasty with or without Augmentation Rhinoplasty (Nose Job) or Reduction Rhinoplasty (Nose Job) Lateral Deviation of Nose or Crooked nose - Septo-Rhinoplasty :- Straightening of Nose or Corrective Rhinoplasty (Nose job Surgery) Low Dorsum or Bridge of Nose -Dorsum Augmentation Rhinoplasty :- Augmentation Rhinoplasty or Nose Job with or without tip plasty Big or Bulky Nose:- Reduction Rhinoplasty with tip plasty. Short Nose with upturned tip and visible nostrils - Short Nose Lengthening see Augmentation Rhinoplasty below. ( for examples of all - see Rhinoplasty before and after pictures 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. Congenital and post traumatic deformities :- Rhinoplasty or nose job in such situations are designed
according to the deformities or nose and other associated deformities.
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.
Breathing Problems DNS Septoplasty
:- Correction of DNS with or without other Rhinoplasty procedures or nose job
procedures.
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, Arab Countries 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 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.
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 before 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.
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.
ii) Dorsum Augmentation Rhinoplasty :-
Dorsum Height Augmentation Rhinoplasty with Iliac Crest bone graft - 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.
iii) 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) Alarplasty & Nostril Reduction, & Nose Tip-plasty Rhinoplasty :
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) Alarplasty / 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 Wide 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 Wide 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 ) Nose Reconstruction :
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, procedure or work required in your nose, type of anaesthesia required,
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.
Rhinoplasty Nose Job Cost in Delhi NCR India
Rhinoplasty Cost In Delhi NCR India Usually varies between 50000/- to 200000/-. Some procedures related to nose like
alar base reduiction, nostril reduction, dorsum fat grafting, isolated nose tip-plasty are short procedures which
we are usually doing under local anaaesthesia saving both time and money. While full rhinoplasty/ septo-rhinoplasty needs
general anaesthesia and costs higher. So best way to know the cost of rhinoplasty or nose job procedure in your
case is to consult Dr Prabhaash, Plastic surgeon directly and discuss your problem and solution in detail
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.
like septal cartilage, ear cartilage, rib cartilage or bone like iliac crest bone graft.
Fat graft is now also one of the preferred choices for dorsum and paranasal area
augmentation. Artificial material like silicone are least preferred. 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
