Rhinoplasty... Contd

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No single nose can be an ideal nose! A nose which looks beautiful one person will not necessarily look good on another person. Attempts are made to keep the nose in conformity with the rest of the face, keeping in mind the necessary specific changes which the patient came to us for.

Many patients feel that the change in shape will be so much that it might be the subject of discussion amongst family & friends. But, in reality neither the patient nor the patient's relatives or friends really remember the original shape of the nose a few weeks after surgery.

The incisions for rhinoplasty are usually made inside the nose. The nasal skin is lifted away from the cartilage & bones. Then the necessary modifications to the skeleton (bones and cartilages) are made. The excess skin re drapes itself onto the new framework over a period of time.

The procedure of rhinoplasty involves very minor changes in the region of millimeters, but the overall effect is of a balanced nose as with respect to the shape and size. Also the final result of the procedure is evident only after 3 months when all the swelling abates and the skin is well draped over the new framework. This is the normal healing period.

The final results depend on the initial deformity, the healing capacity of the person and most importantly the skin type. People having thin skin have the best results as the results are better seen through thin skin. Hence females have better results as compared to males and westerners have better results as compared to most of our patients.
In some cases the bridge of the nose is depressed whereas the rest of the nose is apparently normal.

In such cases an augmentation rhinoplasty is performed. Augmentation is done by inserting either cartilage from the nose / ear or bone from the rib / hip or silicone implants. Each of the materials which are inserted, have their pro's and cons which the surgeon will advise you about when you go in for the surgery.

In others the whole nose is bulky where a reduction rhinoplasty is performed which will involve reduction of all the structures of the nose.

As the face has to be viewed as a whole unit and the nose not being seen separately, sometimes it is seen that the chin is disproportionate making the face seem unbalanced. In such cases chin enlargement or reduction might be needed, which can be performed simultaneously to enhance the facial balance.

Another aspect of rhinoplasty that has to be touched upon is the fact that so many people blame the nose for their lack of progress in work or life in general. The nose cannot be seen separately it is a part of the person and hence it alone cannot be the cause for any problems in life for the patient. Because it is the first thing that anybody sees as he or she wakes up in the morning, it's the first to be blamed. In such cases a rhinoplasty might not solve the inherent problems and may not help in other aspects of a person's life.

Disclaimer: The information provided in this article is for general informational and educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or a qualified healthcare provider with any questions you may have regarding a medical condition.