Rhinoplasty -American British Surgical & Medical Centre, Dubai
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Rhinoplasty

Rhinoplasty is an operation to improve the appearance of the nose. It can also be used to improve breathing. A successful Rhinoplasty requires careful preoperative planning. Each part of the nose, including the dorsum (or “bridge ” of the nose), the tip, the nostrils and their relationship and proportions to each other must be carefully analyzed. The effect that a manipulation of one part will have on the appearance of another must be predicted and calculated. Rhinoplasty is truly a combination of art and science.

Introduction


Is Rhinoplasty Right For You? 
Here at ABSAMC Surgery Dubai, we know how important it is to a person’s self-esteem that they feel happy with their looks. Your face is your main tool for communicating with the rest of the world, and as such, you should be completely at easy and free from self-consciousness in your everyday life.
As a central feature in your face, it’s important you like the appearance of your nose. Unfortunately, many people are unhappy with the size or shape of their nose, but there is a solution. Rhinoplasty, also known as nose surgery, is an operation that improves the appearance of your nose. As well as improving the aesthetic appearance of the face, rhinoplasty can also help to correct impaired breathing.
All of our corrective nose surgeons are outstanding experts in their field. In fact, ABSAMC Dubai performs more rhinoplasty surgeries than almost any other procedure for men and women.

*Disclaimer:The information provided on this site is for general informational purposes only, and does not replace the need for a consultation with a plastic and reconstructive surgeon before undergoing a surgical procedure. Results are not guaranteed and may vary according to health condition, weight, skin type, individual needs and other factors.

A successful rhinoplasty operation requires careful preoperative planning. Each part of the nose, including the dorsum (or ‘bridge’ of the nose), the tip, the nostrils and their relationship and proportions to each other must be carefully analyzed. Altering one part of the nose will affect the appearance of the others, and this effect must be thoroughly evaluated and predicted prior to surgery. For this reason, rhinoplasty is truly a combination of art and science.

Types


Rhinoplasty surgery can be performed in one of two ways – ‘open’ or ‘closed’. Our preferred approach is the ‘closed’ approach, although both techniques have their values, merits and disadvantages. The most suitable technique for your specific circumstances will be discussed and examined in detail during your consultation and subsequent examination. Ultimately, the goal is to produce a natural and aesthetically pleasing result, and our surgeons will do their utmost to achieve this using the most appropriate technique for you.
1) Closed approach
Our preferred method of rhinoplasty is the closed approach. There are no external incisions, only internal – which is why this is called the closed approach. As a result, scarring remains hidden, giving a more pleasant and natural look.
This technique is most successful in treating the dorsum (bridge) and effecting minor changes to the tip of the nose. Typically, most people that undergo rhinoplasty achieve a significant improvement in their appearance from treatment to these places alone, which makes it a fantastic choice for the majority.
Furthermore, the closed approach can also be used to treat minor breathing difficulties brought on by structural abnormalities or damages in the nose.
2) Open approach
In complicated cases, the open approach is more suitable. In this technique, a small incision is made across the columella, sometimes known as the septum, which is the small bridge of tissue between the nostrils and leading up to the tip of the nose. Incisions are designed to be inconspicuous after healing. Advantageously, when viewed at eye level, the columella or septum is generally not visible – so neither is the scar.
This approach is preferred when major changes to the tip and the bridge of the nose are required. Additionally, if the breathing difficulties experienced by the patient are of the more serious variety, the open approach is much more effective.
Ultimately, the chosen approach will depend upon the findings of your consultation and examination with your doctor, who will be happy to answer questions about the procedure and discuss the pros and cons of each respective approach.
The UAE’s leading cosmetic surgery provider
Right from your initial consultation with ABSAMC Dubai, our dedicated team of friendly staff will make you feel at home and put you at ease. You can be confident in the knowledge that ABSAMC Dubai is the UAE’s leading cosmetic surgery provider. This is not only because our surgeons use the latest techniques and implant technology, but our comprehensive aftercare program is also the best in the country. Moreover, all aftercare comes at no extra charge – something that is unique to our practice.
Begin your journey towards a new, happier new you today. Call ABSAMC Surgery Dubai today on (00971) 04 297 5544, or simply visit our contact page.

Pre Surgery


There are several good reasons why you might decide to have rhinoplasty surgery. You might have damaged it in an accident, simply be unhappy with your nose’s appearance, or have breathing difficulties which require surgery. However, it’s imperative that you review your options carefully before choosing cosmetic surgery – discuss your options with your ABSAMC Surgery Dubai GP and think carefully before committing to the procedure.
If you decide to proceed with rhinoplasty surgery, discuss the procedure in detail with your ABSAMC surgeon and explain your reasons for the surgery and what your goals are. Crucially, having realistic expectations is paramount to achieving the best possible result for you.
Preparing for your operation 
To achieve the finest results possible, it’s important to make sure you are fully prepared for the procedure. During the consultation process, your doctor will give advice on the best way to prepare yourself. This may include:
• Stopping smoking. Smoking increases the risk of getting a chest or wound infection, which can slow your recovery.
• Making sure you are in good health. If you have a cough, cold or sore throat, this can increase the risk of infection afterwards. In this case, it is advisable to reschedule the surgery for after you have fully recovered.
Rhinoplasty surgery is usually performed under general anesthesia, meaning you will be unconscious during the operation. For a general anesthetic, you will typically be asked to abstain from eating or drinking for about six hours beforehand. However, some anesthetists allow occasional sips of water until two hours beforehand – your doctor will clarify this with you.

Prior to procedure, you may be asked to perform various tasks or meet requirements, such as the following:
• Your nurse may check your heart rate and blood pressure, as well as testing your urine.
• Your surgeon will usually ask you to sign a consent form. This confirms that you understand the risks, benefits and possible alternatives to the procedure and have given your permission for it to go ahead.
• Your surgeon will examine your nose and measure its shape and size.
• The surgeon may take photographs so that the results of the surgery can be compared with your original appearance.
• You may be asked to wear compression stockings to help prevent blood clots forming in the veins in your legs.

Approaches


There are two main types of rhinoplasty surgery – reduction rhinoplasty and augmentation rhinoplasty. Reduction rhinoplasty is a procedure to make the nose smaller, while augmentation rhinoplasty makes it bigger.
1) Reduction rhinoplasty 
If you wish to have your nose made smaller to improve the facial harmony of your face, the surgeon will make incisions inside the nostrils to reach the bone and cartilages. Small amounts of both of these will be removed and re-arranged to help achieve the shape you have agreed upon with your surgeon.
The skin over the nose will not be touched, as it will naturally shrink down to the new shape. The surgeon may need to make a cut in the columella or septum (the skin in between your nostrils). This approach is called ‘open rhinoplasty’ and any scarring from external incisions will be inconspicuous after healing.
It may also be necessary to reduce the size of the nostrils to keep the features in proportion. The surgeon will make small incisions in the nostrils to do this. This will leave fine scars on each side, but again, they will become faded and inconspicuous over time.
2) Augmentation rhinoplasty 
If you wish to have your nose made bigger or bulkier, the surgeon may make incisions inside the nostrils or on the skin in between them to re-arrange the bone and cartilage. The operation may require a graft (extra bone and cartilage) in order to build up the nose to the desired shape. To achieve this, the surgeon will probably use cartilage from the ears and bone from one of the following areas:
• Back of the elbow
• A rib
• The skull
• Hip bone
• Artificial implants
The cuts will be closed with dissolvable stitches, which will disappear on their own after about seven to ten days. Small pieces of plastic may also be inserted inside the nose to prevent scar tissue from forming.
What to expect after having surgery at ABSAMC Dubai 
The recovery process differs for everyone, but a few weeks of discomfort will be worth it for the fantastic improvements you will see afterwards.
Immediate After-Effects 
You will need to rest until the effects of the anesthetic have fully passed. Once it has worn off, you may require pain relief to help with any discomfort, which will be supplied by ABSAMC. Over-the-counter painkillers will also be suitable. If you have any questions, ask your pharmacist for advice.
You will need to arrange for someone to drive you home and it is advisable to have someone look after you for at least the first 24 hours. For national and international patients, private nursing care, recovery centers and hotel accommodation can be made through our office. Before leaving the clinic, your nurse will give you some advice about caring for your new nose and a date for a follow-up appointment.

Recovery


You may have dressings (packing) in each nostril for a day or two to stop you from breathing through your nose. You may also have a splint over your nose to support it for about a week.
For the first 48 hours after the operation, the general anesthesia may still affect your co-ordination. Therefore, you should abstain from the following for two days:
• Driving
• Drinking alcohol
• Operating heavy machinery
• Signing any legal documents
For the days and weeks after the procedure, you may experience minor nose bleeds, sensations of being bunged up or discomfort. To alleviate unwanted symptoms and to quicken the recovery process, try to following these steps:
• Keep your head up as much as possible
• Avoid hot baths for at least one to two weeks
• Sleep in an upright position on several pillows to lessen the pressure in your nose
• Breathe through your mouth for the first few days
• Use petroleum jelly or lip balm to avoid dry and chapped lips
• Do not blow your nose for at least the first week
• Wipe a dripping nose gently
• Cough out sneezes
• Stay away from dusty or smoky places until you have fully recovered
• Avoid contact sports, such as football, soccer or rugby, for at least six weeks
While there isn’t any medical reason why you should stay away from work, you will probably feel more comfortable and less self-conscious taking some time off and returning when the bruising has settled.
Contact your ABSAMC surgeon or GP immediately, if any of these symptoms occur:
• Bleeding that doesn’t stop within 10 to 15 minutes
• An inability to drink or swallow normally
• High temperature
• Increasing and severe pain It may take several months before your nose settles into its new shape. Although this period can be a trying and uncomfortable one, it will be well worth it for the transformation you will see in your face afterwards, and your new-found self-confidence.

Rhinoplasty is a commonly performed procedure, which is generally safe and normally yields positive results and extremely satisfied patients. However, in order to make an informed decision and to commit to the procedure, it is important to be aware of all of the potential side-effects and possible complications that can entail.

Side-effects

Side-effects are the unwanted and mostly temporary effects you may experience after undergoing rhinoplasty. Side-effects of rhinoplasty include:
• Soreness, swelling and bruising, particularly around the eyes. This can last up to a month.
• Stiffness and numbness, particularly at the tip of the nose. The numbness should subside after a few months but the stiffness may be permanent.
• Inability to breathe through your nose. This should ease and improve as the swelling settles.

Complications

Complications are when problems occur during or after the operation. Complications specific to rhinoplasty are uncommon, but can include:
• A chest or nose infection. These can be treated by antibiotics.
• A heavy nose-bleed either shortly after the operation or one week to ten days after the operation. This may require further hospital treatment.
• Changes in the shape of the nose as scar tissue matures. This may require further surgery.
• Damage to the columella or septum (the cartilage wall between the nostrils). This may require further surgery.
• Any implants placed in the nose may push through the nose lining and need to be removed. This can happen months or even years later, and is more likely in the case of larger implants or of accident, injury and trauma to the nose.
The exact risks are specific to you and your body and will differ for every person – ask your surgeon to explain how these risks apply to you as an individual.
Of course, it’s also possible that you may not be completely satisfied with your appearance after the operation. However, at ABSAMC we employ only the finest surgeons from around the globe, with the best pedigrees of education and experience, in order to provide the highest quality care possible. If anyone can make you satisfied with the results, ABSAMC can.

FAQs


Below are some answers to the more common questions that those considering a rhinoplasty operation might ponder.

Q: How can I know if rhinoplasty is right for me?

A: A: You shouldn’t rush into a decision to have cosmetic surgery. Discuss all of your options with your GP, who may be able to recommend a reputable surgeon or give advice about how to choose which hospital to be treated in. A full list of qualified cosmetic surgeons is provided by the British Association of Aesthetic Plastic Surgeons. However, if you decide to go ahead with a rhinoplasty procedure, you will not find better care or more qualified surgeons than with ABSAMC.
Before committing to the procedure, you should discuss in depth with your surgeon what you think is currently wrong, what you are hoping to gain from the operation and the results you can realistically expect. Only commit to the operation if you are fully satisfied that the surgeon understands exactly what you want, that you understand what the operation involves, and how your nose is likely to look afterwards.
Your surgeon will also make you aware of the serious risks associated with the procedure, such as bleeding, skin loss and infection. You must consider these carefully when making your decision.

Q: How much does rhinoplasty cost?

A: Typically, the package covers all the costs of your treatment, such as hospital charges, surgeon’s fees, anesthetist’s fees and follow-up consultations. Costs vary from surgeon to surgeon and clinic to clinic, but you will ordinarily be given a fixed price after your initial consultation with the cosmetic surgeon.
Remember to never base your decision on costs alone on deciding where to be treated – the quality of the surgeon and the hospital or clinic is paramount. At ABSAMC, we can guarantee the highest levels of technical skill and care available.

Q: Can you make my bent nose straight?

A: Rhinoplasty can correct and improve the shape of the nose. However, it may not be possible to make it perfectly straight, particularly if the deviation is due to accident or injury.
Also, any change made to the shape of the nose must keep the rest of your features in proportion. As such, it may not be possible to change the shape of the nose dramatically, depending upon the individual. Furthermore, large nostrils can also be difficult to reduce without making significant incisions and leaving noticeable scars.
Before opting for rhinoplasty, discuss with your surgeon what you’re hoping to gain from the procedure and the results you can realistically expect. All of our surgeons are extremely qualified and experienced and will be able to advise you on what is possible for you.

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