Traditional rhinoplasty often involves breaking bones, either to remove a bony hump, or to thin the bony bridge, all of which is done using a chisel and hammer. Recently, a new technology has been incorporated into a rhinoplasty Dubai surgeon’s repertoire, which uses Piezo technology, or ultrasonic rhinoplasty as it is also known, for cutting, or shaving, bone. It has drastically decreased the need for breaking bones due to its precision when shaving and contouring, leaving the surrounding soft tissues, cartilage, fat, and skin unaffected. This not only ensures better results than the traditional method, but also means a shorter downtime for patients, with almost no bruising and minimal swelling. Dr. Shahram is the first plastic surgeon to use this technology in rhinoplasty in the UAE and has extensive experience using it routinely since 2014.


Dr. Shahram understands the profound impact a well-proportioned nose can have on your overall facial harmony and confidence. Driven by a passion for perfection and an unwavering commitment to patient satisfaction, Dr. Shahram is a renowned expert in the art of rhinoplasty, based in Dubai. With years of experience and a reputation for delivering exceptional results, Dr. Shahram combines surgical precision with a keen aesthetic eye to create natural-looking, harmonious outcomes. Whether you’re seeking rhinoplasty for functional reasons or aesthetic enhancements, our dedicated team is here to guide you through the process, ensuring personalized care and the highest standards of safety. Discover the beauty of balance and symmetry with rhinoplasty with Dr. Shahram – your trusted plastic surgeon for transformative nasal surgery in Dubai.

Why Choose Dr. Shahram 

Choosing Dr. Shahram means entrusting your facial harmony to a skilled and experienced plastic surgeon. Dr. Shahram specializes in both cosmetic and reconstructive rhinoplasty, addressing a wide range of concerns, from nasal humps and crooked noses to breathing difficulties due to structural issues. With a deep understanding of facial aesthetics and a focus on individualized treatment plans, Dr. Shahram ensures that each patient receives a customized approach tailored to their unique features and goals. Our state-of-the-art facility in Dubai, coupled with Dr. Shahram’s expertise, offers you the opportunity to achieve the nose you’ve always desired – one that beautifully complements your face and enhances your overall confidence. Schedule a consultation today to embark on your journey towards a more refined and harmonious facial appearance.

Procedure

Rhinoplasty reshapes the nose by reducing or increasing the size, removing 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.


Length

Surgery takes approximately two hours or more. It is generally done under general anaesthesia.

INPATIENT/OUTPATIENT

It can be an outpatient or inpatient procedure.

POSSIBLE SIDE EFFECTS

Temporary swelling, bruising around the eyes and/or nose, and some bleeding and nasal stuffiness.

RISKS

Infection, asymmetry, unsatisfactory nasal shape and incomplete improvient (which would require additional surgery) are possible.

RECOVERY

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.

RESULTS

Permanent.


HUMP REDUCTION

A dorsal hump consists of a mix of bone and cartilage. When patients view their facial profile, the dorsal hump begins at the top part of their nose near the eyes, and ends before the nasal tip. The majority of patients with a dorsal hump desire a flatter, smoother nasal bridge. There are multiple causes of dorsal humps – genetics, impact or previous injury. The majority of dorsal humps are inherited, which is why it is important to wait until the nose is fully developed before considering a dorsal hump reduction.

DAY ONE – BEFORE AND AFTER



INCREASING TIP PROJECTION

Tip projection is the distance that it juts outwards from where it associates the upper lip to its tip. Acquiring, improving, and maintaining nasal tip relationship and angle with the rest of the nose, face, chin and lips is one of the fundamental factors not only for having a beautiful and proportionate long lasting nose but also helps in defining race and gender. On the off chance that the tip distends unreasonably, it can influence the general appearance of the nose fundamentally.

INCREASING TIP PROJECTION – BEFORE AND AFTER



Augmenting the Dorsum

The dorsum of the nose is where the hump is. Occasionally it can be too flat, such as in Asian noses or after a previous rhinoplasty or just simple where the nose starts is too low. The dorsum can be temporarily augmented with fillers but often would need cartilage harvested either from the septum, ear concha or ribs for permanent augmentation. Sometimes Dorsal augmentation is done to camouflage an irregularity; usually as a consequence of trauma or previous rhinoplasty; that otherwise cannot be smoothened out.

Augmenting the dorsum – BEFORE AND AFTER



Scar after Open Rhinoplasty

Scarring is inconceivable and insignificant. The outside scar from a rhinoplasty normally is placed at the thinnest part of columella; which is the piece of the nose that isolates the nostrils; and its closed with exceptional precision. It usually heals very well and after completely healed it can hardly be seen even under magnification.

Scar after open rhinoplasty – BEFORE AND AFTER



Day one

During the initial 24 hours, try to relax and allow your body to rest and heal. This is typically when the most swelling and bruising will happen. Applying a cold compress consistently (5 minutes every hour) can assist with making you more comfortable and substantially reduce bruising and swelling. Dr. Shahram may apply tapes under the eyes and on the forehead to further minimize the spread of swelling. After a piezo-assisted rhinoplasty usually, there is no bruising, and swelling is also minimal.

Day one after rhinoplasty – BEFORE AND AFTER



Day 7 

About 50% of patients will have no or very minimal facial swelling by end of 7 days post-operation; around 40% have just negligible swelling; and around 10% have moderate swelling. The amount of swelling depends on the work done as well as the distinct individual – certain individuals just simply bruise and swell easier. By this time if some bruising had occurred, only yellow traces remain under the eyes which typically completely resolve within the following week. 1 week after the operation typically during the first follow-up, the sutures will be removed, and the cast and tapes also removed. The nose will be cleaned and new tapes applied.

Day 7 after rhinoplasty – BEFORE AND AFTER



Crooked Nose

Crooked nose is a nose that is not straight. This deviation from the midline might be bony or cartilage or both however it always has a septal component to it which acts as a pillar of the nose and therefore has to be corrected. Crookedness can be congenital, due to trauma or previous septoplasty or rhinoplasty. Correction of a crooked nose is a big challenge in rhinoplasty and although full correction might not be possible due to tissue memory or other facial asymmetries, satisfactory improvement usually can be achieved.

Crooked nose – BEFORE AND AFTER



Septoplasty

The septum is a wall inside the nose that separates the right and left airways. It consists of bone and cartilage. It’s extremely important in both the shape and function of the nose. Almost no septum is completely straight and its deviation, as long as it does not cause any functional or structural problem, there is no need for its correction. It usually happens when the growth of the septum continues after the nose has been completely over with its growth. The vast majority with a deviated septum have one nasal entry that is a lot more modest than the other. This can cause difficulty breathing. Septoplasty is a surgery to address a strayed or a deviated septum, where it causes breathing difficulties or crookedness or asymmetry of the nose and/or nostrils.

Septoplasty – BEFORE AND AFTER



Reduction of width of the nose

The width of the nose may be bony, cartilaginous, base, or all. The aim to reduce the width of the nose is to give a more refined and proportionate look from the front. Sometimes bones need to be shaved with the piezo machine or cut and placed closer to the midline, cartilage as well can be reduced. Sometimes the alar, which are the wings of the nostrils, need to be cut, reduced, or even sometimes the base of nostrils approximated with special sutures. Correct placement of alar reduction incisions and minimizing suturing reduces the visibility of scars after alar reductions.

Reduction of width of nose – BEFORE AND AFTER



Male Rhinoplasty

Rhinoplasty in males needs a different aesthetic approach as its important that although the shape and size have to be corrected it should maintain the male features and by no means feminize the face of the individual. It also has its own challenges as the skin of the males is usually substantially thicker then the females and the underlying structures should be placed in a way to sustain this weight and show the definitions which are aimed to be shown. It can likewise address breathing problems and fix the impacts of injury, like a damaged nose – frequently called a ‘fighter’s nose’.

Male rhinoplasty – BEFORE AND AFTER



Revision Rhinoplasty

Revision rhinoplasty is another challenging chapter in rhinoplasty and it certainly needs experience. Often tissue is lacking and skin is scarred and more rigid. It often requires cartilage for structural support. When septal cartilage has been severed in past operations or has been removed, inevitably cartilage has to be taken from other parts of the body, namely the ribs. Ear cartilage is not useful for structural reconstruction and only may be used for augmentation or camouflage. The rib cartilage is taken from 4-5cm incision under the breast folds and it heals very well and does not cause any functional or aesthetic impairments. Occasionally dried or hydrated radiated cartilage can be bought and used.

Revision rhinoplasty – BEFORE AND AFTER



Ethnic Rhinoplasty

Ethnic rhinoplasty is a type of cosmetic surgery that aims to create a more balanced and refined look that supplements the patient’s face but also respects their ethnic identity. A nose should not stand outside of a face and should mend beautifully with other facial features in a way that no suspicion of an operated nose can be observed or suspected.

Ethnic rhinoplasty – BEFORE AND AFTER



Lowering the Radix

Radix of the nose is where the nose starts from the forehead. When a large hump is removed, the radix disappears and the result is that the nose is starting from a much higher point on the face like on the old Greek statues called “The Greek Nose”. With help of piezo, Dr. Shahram can recreate a natural and pleasant radix both in primary and revision cases. The radix cannot be addressed as well and delicate by any other technique.

Lowering the radix – BEFORE AND AFTER



Scar after rib cartilage harvest

In some cases, especially in revision rhinoplasty, there is not enough structural cartilage that can be used from inside the nose (septum) and therefore for the reconstruction of the structures of the nose, a piece of the rib cartilage may need to be harvested, typically through a 4 – 5 cm incision under the right breast. The remaining scar is inconspicuous and heals well in women is placed under the breast fold and therefore not visible in a standing position. The recovery from such an added procedure is quick and apart from some tenderness while changing position during the first days, there is no sharp pain involved. Dr. Shahram will numb the area before you wake up from recovery so you will not feel it at all when you wake up from the procedure which is done at the same setting as your rhinoplasty. Ear cartilage is weak and curved and cannot be used for structural support and is mainly reserved to be used as camouflage or augmentation grafts.

Scar after rib cartilage harvest – BEFORE AND AFTER



Rhinoplasty Dubai

FREQUENTLY ASKED QUESTIONS

Rhinoplasty is a surgical procedure also known as a "nose job" that involves reshaping the nose. It can be performed for both aesthetic and functional purposes. Aesthetic rhinoplasty is typically performed to change the size, shape, or proportion of the nose in order to enhance its appearance and improve facial harmony. Functional rhinoplasty, on the other hand, is performed to correct breathing problems caused by structural abnormalities or defects in the nose, such as a deviated septum.

Rhinoplasty, like any surgical procedure, carries some risks, but when performed by a qualified and experienced surgeon in an accredited facility, it can be a safe and effective procedure. Risks can be minimized by choosing a reputable surgeon who has extensive experience in performing rhinoplasty and by carefully following all pre-and post-operative instructions.

The length of time it takes to perform a rhinoplasty can vary depending on several factors, including the complexity of the procedure, the surgeon's experience, and the patient's individual anatomy. In general, a typical rhinoplasty surgery takes between 1 to 3 hours to complete. However, more complex cases that involve significant changes to the nasal structure or extensive grafting may take longer.

Yes, rhinoplasty and nose job are typically used interchangeably to describe the surgical procedure that involves reshaping the nose for aesthetic or functional reasons. Both terms refer to the same surgical procedure, which can involve altering the size, shape, and proportions of the nose to improve its appearance or function. "Nose job" is often used more colloquially, while "rhinoplasty" is the medical term used by doctors and surgeons to describe the procedure.

The results of rhinoplasty can be permanent, but this can vary from person to person. The new shape and structure of the nose are intended to be long-lasting, and in many cases, the results of rhinoplasty can be permanent. However, the final outcome may be influenced by several factors, including the patient's natural healing process, and the extent of the changes made during surgery. In some cases, additional touch-up surgeries may be required to achieve the desired result or to address any changes that occur over time. Additionally, the aging process can also affect the appearance of the nose over time, and some patients may experience changes in the shape or size of their nose due to factors such as weight fluctuations or pregnancy.

Preparing for a rhinoplasty surgery involves several important steps.

Here are some common preparations you can expect:

Consultation: Schedule a consultation with Dr. Shahram. During this meeting, you can discuss your goals, expectations, and any concerns you may have. Dr. Shahram will evaluate your nasal structure, provide recommendations, take pictures and prepare computer simulations of the changes expected and explain the surgical process in detail.

Medical Evaluation: Dr. Shahram will perform a comprehensive medical evaluation to assess your overall health and determine if you're a suitable candidate for surgery. This evaluation may include reviewing your medical history, conducting physical examinations, and ordering laboratory tests.

Communicate with Dr. Shahram: It's crucial to openly communicate with the Doctor about your desired results, any medical conditions you have, medications you take, and any allergies or previous surgeries. This will help ensure a safe and successful procedure.

Quit smoking and avoid certain medications: If you're a smoker, you will likely need to quit smoking for several weeks before and after the surgery, as smoking can impair the healing process. Additionally, your surgeon may advise you to avoid medications and supplements that can increase the risk of bleeding, such as aspirin and certain anti-inflammatory drugs and supplements such as Omega 3 and Cod liver oil.

Arrange transportation and support: Rhinoplasty may be performed as an outpatient procedure, meaning you'll be able to go home the same day. In any case, you'll need someone to drive you home after the surgery, as you may feel groggy or experience temporary side effects from anesthesia.

Pre-operative instructions: Dr. Shahram will provide you with specific pre-operative instructions that you should follow closely. These may include guidelines on fasting (not eating or drinking anything for a specified period before surgery), avoiding certain skin products, and taking any prescribed medications as directed.

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