Rhinoplasty Dubai | 18 November 2021
Many people are unhappy with the size and/or shape of their nose. The nose is central to facial balance and many people opt for surgical nose reshaping, or rhinoplasty, in an effort to find a more harmonious alignment of their features. Sometimes the problem can be more to do with the position of the chin or jaw, but patients tend to focus their dissatisfaction on the nose. While surgical techniques are advanced, there are limitations as to how much the nose can be altered.
Outcomes depend on the size of the nose, the condition of the skin and the age of the patient. The most important thing is that there is clear communication between a patient and a surgeon about what is wanted and what is achievable. Patients should also bear in mind that surgery alone will not solve any emotional or social problems they may attribute to their nose or to their appearance.
Cosmetic reasons
Most people who dislike their nose have concerns about the bridge or the tip. At the bridge, or dorsum, people often complain about having a hump. Meanwhile, people who want to change the tip often see this part of the nose as being too wide, round or lacking in definition.
Medical reasons
Other patients may opt for a rhinoplasty because of an injury to the nose, whereby the nose may be broken or bent following an accident of some kind. Others may have functional breathing problems relating to the nasal airways. In these cases, surgical interventions would be considered reconstructive, whereas for the majority of nose operations the surgery is classed as cosmetic.
Nose operations are most commonly carried out to:
– alter the hump at the bridge of the nose
– reshape the tip of the nose
– alter the length of the nose
– alter the width of the nose
– alter the width of the nostrils
– restructure and reposition the nose after an injury
– open up the nasal airways to help breathing
A nose reshaping operation is either performed from inside the nostrils – this is referred to as a closed rhinoplasty; or else by making a small cut on the nose and elevating the skin – known as an open rhinoplasty dubai. The precise nature of the operation will vary depending on the area of the nose that is being treated.
Bridge (or dorsum)
If the bridge of the nose is being operated on, the surgeon removes the bone and cartilage that is causing ‘the hump’. The nose may then be broken to allow the remaining pieces of bone to be moved closer together, resulting in the narrowing of the nose.
Tip
When the tip of the nose is operated on, the cartilage that makes up the tip-support needs to be partly removed or reshaped. This is done through the nostril, or by making a small cut in the bit between the nostrils (known as the columella) in an open rhinoplasty.
Length
A surgeon can adjust and reduce the central structure of the nose, known as the septum, to help shrink the tip and reduce the overall length of the nose. Adjustment to the tip cartilages also helps adjust nasal length.
Width
By breaking and repositioning the side nasal bone, a surgeon can also reduce the width of the nose and achieve a narrower appearance.
Additional rhinoplasty
Surgeons can also add to the nose using cartilage grafts from the septum or, occasionally, silicone implants, in what is called an additional rhinoplasty. This type of operation is used to build up a ‘flat’ bridge or tip.
The above techniques can also be used to straighten and refine a nose that has been broken through injury, and to relieve breathing difficulties.
Consultation
During your rhinoplasty consultation be prepared to discuss:
– Your surgical goals, with regard to both appearance
and breathing
– Medical conditions, drug allergies and previous
medical treatments
– Current medications, vitamins, herbal supplements,
alcohol, tobacco and drug use
– Previous surgeries
Your rhinoplasty dubai surgeon may also:
– Evaluate your general health status and any pre-
existing health conditions or risk factors
– The options available to you for nose reshaping
– Examine and measure your face
– Take photographs
– Discuss your nose surgery options
– Recommend a course of treatment
– Discuss likely outcomes of a nose surgery and any
risks or potential complications
Procedure
Rhinoplasty reshapes the nose by reducing or increasing the size, removing or reshaping a hump, changing the shape of the tip or bridge, narrowing the span of the nostrils, or changing the angle between the nose and upper lip. This procedure may also relieve some breathing difficulties when combined with surgery performed on the nasal septum.
Procedure Length
Surgery takes approximately 2 hours or more. In most cases general anaesthesia is used.
Inpatient/Outpatient
This is usually an inpatient operation with one night stay at the hospital however in special cases can be done as a day case.
Possible Side Effects
Temporary swelling, bruising around the eyes and/or nose, and some bleeding and nasal stuffiness may happen. Since using Piezo ultra-surgery the incidences of bruising has substantially become less common.
Rhinoplasty Surgery Risks
– Anesthesia risks
– Infection
– Poor wound healing or scarring
– Temporary change in skin sensation of tip of the
nose (numbness or tenderness)
– Nasal septal perforation is rare. Additional surgical
treatment may be necessary to repair the septum
but it may be impossible to correct this complication
– Difficulty breathing
– Unsatisfactory nasal appearance
– Skin discoloration and swelling
– Possibility of revisional surgery
Recovery
Typically patients will have a splint over their nose and some sutures under their nose which will be removed in their follow up appointment about 7-10 days after the operation. After tapes will be applied to the nose for a further 2-3 weeks. The patient may go back to work after one week. Activities that are more strenuous may be resumed after two to three weeks. The patient should avoid any activity that could impact on the nose or allow it to become sunburned for at least eight weeks. The use of a sunblock that provides both UVA and UVB protection is useful. The final results may take one year and sometimes longer to achieve.
Rhinoplasty Dubai | 18 November 2021