Dr Agneesh Patial’s Insight Ent Clinic and Daycare Centre

Rhinoplasty

Rhinoplasty is a surgical procedure designed to reshape and enhance the nose’s appearance or function. It can be performed for cosmetic reasons or to correct structural issues that affect breathing.

This procedure can:

  • Resize the nose (make it larger or smaller)
  • Adjust the angle between the nose and upper lip
  • Refine the nasal tip
  • Correct bumps, indentations, or other irregularities

Rhinoplasty not only enhances facial harmony but can also improve nasal function for patients with breathing difficulties or structural deformities.

 

 

Rhinoplasty: A Transformative Procedure

Rhinoplasty, commonly known as nose reshaping surgery, serves both functional and aesthetic purposes. The procedure can:

  • Enhance facial harmony by improving nose shape and size.
  • Open blocked nasal passages caused by a deviated septum.
  • Repair the deformity resulting after nasal fractures from injuries or trauma, left untreated or delayed or with poor outcome despite reduction treatment.
  • Restore breathing function after disease, cancer treatments, or burns.
  • Correct congenital abnormalities (birth defects).

Rhinoplasty can address various nasal concerns, such as:

  • Correcting a bulbous, upturned, hooked, or droopy nose.
  • Fixing a deviated septum for better breathing.
  • Reshaping nostrils that are too wide, small, large, or turned upward.
  • Smoothing out noticeable bumps or dips on the nasal bridge.
  • Adjusting the size of the nose to create a balanced facial appearance. 

There are two primary techniques used in rhinoplasty:

Open Rhinoplasty – Recommended for major nasal reshaping, this method involves a small incision across the base of the nose (columella), allowing for full visibility and precise structural adjustments.

Closed Rhinoplasty – Suitable for minor corrections, this approach involves internal incisions within the nostrils, leaving no visible scars.

Types of Rhinoplasty:

Functional Rhinoplasty : Restores nasal form and function after disease, trauma, or previous medical treatments. It is also used to correct congenital defects and a deviated septum.

Secondary (Revision) Rhinoplasty : Performed to correct or refine results from a previous rhinoplasty. These procedures can range from minor touch-ups to complex structural repairs.

During rhinoplasty, the surgeon:

  • Makes an incision inside the nostrils (closed rhinoplasty) or across the nasal base (open rhinoplasty).
  • Lifts the nasal skin to access underlying bone and cartilage.
  • Reshapes the nasal structure by reducing, adding, or repositioning bone and cartilage.
  • Repositions the nasal skin to cover the newly shaped structure.
  • Secures the skin with small sutures to ensure proper healing.

After surgery the patient has

  • Internal Nasal Splint
    • soft silicone or plastic splint placed inside the nostrils.
    • Supports the nasal structure and helps with breathing and healing.
    • Often used if the septum is also operated on.
    • Internal splints may be removed within 2-5 days.
  • External Nasal Splint
    • firm plastic or aluminum splint or POP cast applied to the outside of the nose.
    • Secured with tape or adhesive strips.
    • Helps maintain the new nasal shape and protects the nose from accidental bumps.
    • External splints are usually worn for 7-12 days.
  • Nasal packing – Cotton gauze may be used inside the nose and is usually removed within 24 to 48 hours.
  • Swelling and bruising – Common around the nose and eyes, gradually subsiding over a few weeks.

Patients is called on OPD basis for dressing change, suture removals, cast adjustment/removal and nasal cleaning from inside ( nasal toilet)

 Rhinoplasty is a life-enhancing procedure that not only improves aesthetics but also restores proper nasal function. For expert rhinoplasty care, consult a trusted specialist to achieve the best possible results.

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