Rhinoplasty – Nose Correction2017-07-22T16:43:38+09:30

Rhinoplasty – Nose Correction

According to our Plastic Surgeons in Thailand, nose reshaping (rhinoplasty) is consistently among the most frequent plastic surgeries, with hundreds opting for nose surgery last year in Phuket.  It’s not surprising, given that the nose is the most prominent facial feature.  Even subtle changes in the nose can have a dramatic impact on not only the nose itself but the overall aesthetics of the face.  That’s why it’s so important to have a skilled and experienced plastic surgeon with expertise in facial aesthetics and a deep understanding of how all the different features of the face interrelate. 

A “Rhinoplasty” (“Nose Job”) is a surgical procedure designed to reshape the nose. Rhinoplasty can be done for corrective (“functional”) problems (such as nasal airflow obstruction causing breathing problems or a deviated septum). To correct a structural deformity (such as a crooked nose or prominent bump), or to improve the appearance of the nose by making subtle changes to its size, shape, width or tip.

The goal of rhinoplasty is to improve the proportions and the form of the nose, potentially improving self-confidence and overall facial balance.

Rhinoplasty can enlarge or reduce the nose, or reshape the bridge and nasal tip. Nose reshaping can also adjust the nasal width, change the profile of the nose or reduce nostril width. Rhinoplasty can additionally correct nasal asymmetry, straighten the nose if there is a significant deviation, and right other features of the nose such as a bulbous tip, hooked shape, large dorsal hump or excessively upturned nose.

Rhinoplasty reshapes the nose for both aesthetic and reconstructive purposes. Whether the concern is a congenital feature of the nose you would like to modify, a past injury was causing a post-traumatic nasal deformity or other issues related to the appearance of your nose; rhinoplasty can help provide balance and create better proportion to your nose and face overall.

Good candidates for a rhinoplasty include males and females who are healthy, in good physical shape, emotionally stable, with realistic expectations of what rhinoplasty surgery can and cannot achieve.

Potential rhinoplasty patients are at least 14 or 15 years of age (to ensure facial growth is complete), are nonsmokers, with particular but practical goals for seeking a change in the appearance of their nose. As long as one is in excellent health and understands all potential risks and benefits of surgery, there is no upper age limit for having nose reshaping done.

  • Individuals seeking rhinoplasty often feel their nose is too large for their face;
  • they may dislike a bump on the nasal bridge when in profile,
  • feel their nose is too wide when viewed from the front,
  • wish to change a drooping, broad, “boxy” or thickened nasal tip,
  • or feel self-conscious from enlarged or excessively flared nostrils.
  • Others notice their nose is asymmetrical or off-center from a previous injury,
  • and yet others have difficulty breathing due to internal nasal issues or septal deviation.

Reasonable patients with physical and emotional maturity and realistic expectations of rhinoplasty surgery are usually very satisfied with the decision to reshape their nose. Even slight changes to the shape of the nose can have a dramatic and positive effect on appearance and body image if done in the right setting. Ideal rhinoplasty candidates are well-adjusted and otherwise happy with their lives and do not expect rhinoplasty to transform them into someone else. The best nose reshaping candidates just want to improve their nose appearance, but do not seek absolute perfection.

Closed Rhinoplasty

A “closed rhinoplasty” involves making small incisions inside the “mucosa” (internal lining) of the nose to access its internal structures. The skin of the nose is separated from the bone and cartilage to remove, reshape, augment or rearrange these components of the nose framework. The closed rhinoplasty technique is used primarily for “primary” rhinoplasty or simple nose reshaping.

Open Rhinoplasty

An “open rhinoplasty” makes an incision in the skin of the “columella”, the vertical segment of skin separating the nostrils at the base of the nose. The open rhinoplasty technique enables full visualization of all internal structures including cartilage, bone and internal lining and is used for most major nose reshaping procedures and revision or “secondary” rhinoplasty.

Revision Rhinoplasty

A Revision or “Secondary Rhinoplasty” can further improve the appearance of the nose if necessary after a “primary” rhinoplasty procedure. Patients may choose revision rhinoplasty if they are unsatisfied with the way their nose looks or functions. They may feel the overall effect is either too subtle or too dramatic, or they may believe their results are asymmetrical or uneven, usually due to postoperative scarring inside the nose or other healing abnormalities. Others may be concerned about residual nasal airflow obstruction or related breathing difficulties.

Revision rhinoplasty is significantly more complicated and has a much higher risk of complications than primary rhinoplasty. It is recommended that at least a year pass after a primary rhinoplasty before any secondary surgery is attempted, as it takes at least a year or longer for the final nasal form to emerge after nose reshaping.

Many patients choose to undergo rhinoplasty in order to make their nose more aesthetically pleasing. This may include considering surgery due to:

• The size of your nose in relation to your face

• Width of the nose at the bridge

• Positioning of the nostrils

• Asymmetrical appearance

• Size or shape of the nostrils

In addition to the aesthetic considerations, rhinoplasty is commonly used in order to treat and correct a deviated septum and improve breathing and air flow.

A rhinoplasty is usually performed in the operating room under general anesthesia for optimal comfort, control, and safety. Surgery of the nose is performed either using the “closed” technique (where incisions are hidden inside the nose), or as an “open” procedure (involving incisions in the skin at the base of the nose). Through these incisions, the soft tissues that cover the nose are gently raised, allowing reshaping of the framework of the nose.

Prior to making incisions, local anesthesia is injected to ensure the nose is numb upon awakening but also to help “vasoconstriction” the blood vessels of the nose and minimize bleeding. Incisions are made to access the internal structures of the nose, and modifications are made to the framework (cartilage and bone), the lining (mucosa) and the external cover (the skin). Sometimes the nasal bones are brought closer together or moved farther apart using “in-fracturing” or “out-fracturing”. Bony work will usually create significant bruising that often spreads to the eyes (creating “black eyes”).

A prominent bump can be gently reduced using a “rasp” (file). The size of the nose can be reduced by removing bone and/or cartilage, or it can be augmented by adding bone or cartilage “grafts” from the nose or other parts of the body such as the ear or rib. A deviated septum is straightened, and nasal airflow can be improved by trimming protruding projections of the mucosa of the nose (called “turbinates”). Flaring nostrils can be reduced using small incisions in a natural crease at their base and other surgical details as appropriate.

Rhinoplasty is truly a three-dimensional procedure: Following sculpting of the underlying bone and cartilage framework of the nose, the nasal skin and soft tissues is redraped over the nasal scaffold and incisions are closed using dissolving sutures wherever possible. Nasal “packing” (absorbent gauze) is applied to the inside of the nostrils to help reduce swelling and bleeding after surgery. A firm external “splint” is applied to the nasal skin for support and protection for approximately one week after surgery.

When you awake from a rhinoplasty, you will be comfortable from a local anesthetic that has been injected in the nose but will feel very “stuffy”. It is important not to blow your nose for up to a week after nasal surgery. Rhinoplasty is usually done as an outpatient procedure and can take 2-4 hours to perform, depending on the details of operation.

During your recovery from Rhinoplasty, a splint and/or packing will most likely be placed inside your nose, along with a bandage on the outside to support and protect your nose’s new structure during the initial healing process. The recovery process varies depending on the type of procedure, but initial swelling typically goes down within a few weeks. However, it may take up to a year for your new nose to refine itself, and during this time you may notice gradual changes in the appearance as it refines to its permanent shape.

Following a rhinoplasty, you may even develop two black eyes! Glasses should not be worn for a week or two after rhinoplasty to avoid pressure on the nasal bridge. Any initial asymmetry from swelling or an uneven appearance to the nose is quite common and will normalize as healing progresses.

After approximately two weeks, visible signs of surgery such as puffiness or discoloration should dissipate; however, it can take up to a full year for your final results and your new nasal contour to be evident. Sleeping with a few extra pillows to elevate your head can help speed the resolution of post-op swelling. Open rhinoplasty incisions tend to heal very well with good quality scars while closed rhinoplasty incisions are completely hidden inside the nose

We understand that you will not always be sure about what surgery will be needed and that you will need to know that you are, in fact, a candidate for your Rhinoplasty surgery. To address this, you have the opportunity to have one of our highly qualified surgeons from Phuket International Hospital provide you with their personal recommendations at no cost or commitment to you to proceed with surgery.

Step 1: Take photos as required

Step 2: Complete the Patient Registration and upload images taken

Step 3: Receive personalised  Recommendations, exact cost and duration required to stayin Phuket for recovery, from a surgeon specialised in your chosen procedure.

The cost of Rhinoplasty  in Thailand  is significantly lower than you would expect to pay in Australia, the cost of a Rhinoplasty in Sydney, Brisbane or Perth in Australia would be $9000 +.

Our advice to get a clear picture of what is going to work to achieve your results is to submit your images and patient information so our Thailand Surgeons  who can provide you with recommendations. These recommendations will  include what surgery will achieve your results, confirmation of price and duration you require for recovery in Phuket.

The pricing below is  for Rhinoplasty cost in Phuket and should be used a  guide only without having surgical recommendations provided.

Nose Nose Augmentation(LA) 30,000  $1,100
Nose Nose Augmentation(GA) 59,000  $2,200
Nose Alarplasty (LA)  15,000  $500 20,0000  $700
Nose Alarplasty (GA)  45,000  $1,700
Nose Augmentation+Tip-Plasty   150,0000  $5,700
Nose  Reduction Rhinoplasty+ Septoplasty   180,0000  $6,800
Nose Revision Reduction Rhinoplasty (redo)   300,0000  $11,400
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