Step By Step Guide To Rhinoplasty Surgery In Bangalore

Rhinoplasty or a nose reshaping procedure is done for functional or aesthetic improvement of the nose . It helps in balancing the proportion of the nose with the rest of face . Sometimes a chin enhancement is also added which complements the rhinoplasty results . Patients seek rhinoplasty for reducing the hump on nose , correct a droopy or bulky tip , reduce a nasal wide flare , or correct a flat bridge . Sometimes a septorhinoplasty can be done for correcting a deviated septum , collapsed nose , birth defect as in cleft lip and palate or following an injury.
This blog focuses on the step by step guide to rhinoplasty in Bangalore. It would help in understanding the different types of rhinoplasty , preoperative preparation and postoperative care.

Types of rhinoplasty

Broadly classified as open and closed rhinoplasty.

Open rhinoplasty is a procedure chosen for more detailed correction of nose which includes deviation , hump , broad tip and need or cartilage support of the nose .   This is the technique used in Structural rhinoplasty  where the basic structure and support of nose is addressed as the name suggests.

• Step 1. A small incision is made in columella ( skin bridge between the two nostrils just above the upper lip) and skin is raised above the nasal cartilages . 
• Step 2. A septoplasty ( endoscopic or open ) is done to remove all the deviated septum inn the nose causinng the blockage. A concurrent Turbinoplasty ( the fleshy tissue inside your nostrils ) can also be reduced if it is hypertrophied or enlarged. The cartilage retrieved from septum is later used in building the structure o nose.
• Step 3.  Hump on the nose is removed and an osteotomy of the nasal bones - This is an important step to correct or align the nasal bones . A wide base is narrowed or a deviated bones are  straightened .
• Step 4. Now the nasal bridge is assessed and cartilage support is added as spreader grafts on the bride .
• Step 5. The tip of the nose is next addressed . A droopy tip needs suuspension sutures , a broad tip needs removal of cartilage and definition of tip domes or flat tip needs cartilage placement as a shield graft or a bolster graft . A poorly projected tip may need an additional cartilage support as  columella grafts . 
• Step 6. Alar resection or Alar reduction is done to correct asymmetric ala , wide ala or the wide nostril base . 
• Step 7. once the nose sutures are placed , an external nasal splint is placed on the top of nose and taped well to secure the nose . A nasal pack as a sponge inside your nostrils can be placed to soak up the blood .

Closed rhinoplasty is a procedure in which incisions are in concealed locations inside your nostril and itys ideal for minor corrections of  nose , like a hump removal or a tip reduction . It is not suited  for someone with deviation of septum needing reconstruction o septum.

Your surgeon would choose the best approach for you based on the corrections needed.

Rhinoplasty consultation -

A detailed consultation is essential to discuss your aesthetic and functional issues . Your plastic surgeon might examine inside the nostrils to check for deviation or turbinate hypertrophy.

Things to note in consultation

• Detailed examination
• Medical history / allergies 
• Bring photographs to discuss your aesthetic goals
• A CT scan might be suggested in DNS 
• Approach and type of anesthesia will be discussed 
• Photographs will be taken and simulation of surgical results on the pictures 
• Detailed informed consent for the procedure , outcome , risks, chances of revision rhinoplasty will be discussed

The procedure - A rhinoplasty procedure would typically last for 1.5-4 hours . It is done under local or general anesthesia . You will be advised admission for a day or can be discharged the same day . An insurance coverage is possible in patients with DNS and functional breathing issues  with prior documentation.

Recovery Timelines

1. Immediately after surgery-  A nasal pack can be placed inside and you need to breathe through the mouth for the first 6-8 hours.The general anesthesia takes 4-6 hours to wear off. Water sips can be taken after 2-3 hours and you can take solid food after 4-5 hours if there is no nausea or vomiting . You will be given painkillers adequately.

2. First 24-48 hours until 1 week - The swelling around the nose , undereye and cheek might set in during this time . Cold compress and keeping the head end elevated on pillows would help in the reduction of inflammatory swelling. Pain killers would be prescribed  for heaviness of head and discomfort.

• A nasal spray and decongestant drops like xylomist/ ortrivin would help in better breathing .
• Avoid sneezing , blowing your nose , or bending down .
• Avoid hot fluids / food 
• Avoid hot showers 
• Sutures would come out at the end of first week
• External splint would be taken out after 10 days 
• Nasal taping would be continued for a month to reshape the tip of nose 
• It is advised to stay at home or the first one week to 10 days .

3. First month- Swelling begins to subside and nose starts to take shape. It is normal to experience some tightness of lips and hardness in nasal tip.

Breathing becomes comfortable and you will no longer need the decongestant drops.
Continue nasal taping as it helps in reduction of swelling of tip. 
Scar creams or gels would be prescribed. This helps in fading the scars away.
End of first month you can restart your physical activities to full extent.

4. First 3-6 months

Final results become visible as the swelling subsides completely . You will be happy looking at the newly gained sculpted nose.

Rhinoplasty or nose reshaping procedure in Bangalore is done by expert and internationally trained plastic surgeon Dr Sandhya balasubramanyan. Her precision and her keen eye to details  in Rhinoplasty surgery in bangalore is what sets her apart . During consultation Dr Sandhya would explain in detail the procedure , outcome and recovery . You can book her appointment by clicking on the enquiry form and you will get a call back or just drop a whatsapp message.