Rhinoplasty

Rhinoplasty is a surgical procedure to change the shape of the nose.

Indications

Indications for surgery may be Functional or Aesthetic.

  • Difficulty in breathing
  • Post traumatic deformity
  • Congenital deformity
  • Aesthetic reason

Pre Operative Workup

  • Includes
  • A detailed history
  • Complete examination
  • Radiological evaluation when required
  • Detailed discussion of expectations

Technique

The procedure is usually done under general anesthesia if it involves multiple corrections and local anesthesia if its just an alar correction.

Various corrections ranging from septoplasty , to cephalic trim , hump reduction, osteotomy to alar base reduction to dorsal augmentation using ones own cartilage to implant can be done.

The ideal procedure for each patient would be decided pre operatively after a detailed discussion with the patient and their concerns.

Post Operative Care

Patients are usually discharged after six hours of observation or asked to saty overnight if required. Liquid diet with salt restriction is advised for a period of 5 days in cases where osteotomy is performed. Regular follow ups twice a week, followed by once a week for one month and once in two weeks next month is required.

Post Operative Sequelae

  • Swelling
  • Bruising
  • Mild bleeding
  • Difficulty in breathing through the nose
  • Mild asymmetry can occur.