Rhinoplasty, also known as a nose job surgery, it is a surgical procedure that alters the shape or size of the nose to become more harmonious and enhance its proportions. Usually performed for cosmetic purposes to boost self confidence but sometimes it is performed for functional reason, such as correcting a deviated septum.
Who is candidate for rhinoplasty
Here are some general guidelines for determining who may be a good candidate for rhinoplasty:
Nose Characteristics
Rhinoplasty is always a good option for patients who feel unhappy with their nose. Those who are concerned with any of the following characteristics;
- Too large nose
- Too small nose
- Too wide nose
- Too narrow nose
- If they have a bump on the nose bridge
- If the nose is crooked
- Boxy tip nose
- Droopy tip
- Upturned tip
Overall facial structure, harmony and skin thickness should be always taken into consideration when examining the nose.
Functional Concerns
In addition to the previous concerns, some patients may have some functional concerns. Deviated septum is the commonest reason which can cause difficulty in breathing and repeated sinus infections.Septum deviation may be developmental or due to previous trauma to the nose.
Age
Rhinoplasty should be performed on patients who are at least 18 years old and have a fully developed nose size and shape and shouldn’t be performed during the growth phase of an adolescent or younger child as it may affect the overall nasal growth.
Health
The patients should be in a good health condition. Any medications you’re on regularly should be discussed with Dr Mohamed Ashraf during the consultation.
Realistic Expectations
Finally, the most important aspect for rhinoplasty candidates is to have a realistic expectations for the outcome. Rhinoplasty helps to improve the appearance of the nose and the function, yet it’s not magic. Dr Mohamed Ashraf will make everything clear during the consultations and will walk you through the recovery process and the expected outcome precisely.
Who is not a candidate for rhinoplasty
While the majority are good candidates for rhinoplasty. However there are some people who are considered not a good candidates for a rhinoplasty or any cosmetic surgical procedure. Reasons to disqualify a patient from performing a rhinoplasty are;
Medical Conditions
Patients who are taking blood thinners that can’t be stopped prior to surgery, uncontrolled hypertension, uncontrolled hypertension or severe heart disease may not be able to perform the surgery safely and are at higher risk of complications and unfavorable outcome.
Patients with poor health, weak immunity, or who have undergone a recently a major surgery are also at higher risk of complications.
Psychological Factors
Patients who have unrealistic expectations after clear understanding of the procedure of what can be promised by the surgeon. Patients who are performing the rhinoplasty to please someone else are advised not perform a rhinoplasty.
Age
Those who are under 18 years old as any surgery would affect the cartilage growth and may have a poor long term aesthetic outcome.
The Procedure
Before the surgery photos of the patients are taken in different positions for medico-legal documentation and for assessment during the surgery.
Anesthesia
Rhinoplasty is usually performed under general anesthesia and takes approximately three hours to complete. However minor deformities local anesthesia may be used safely.
The surgery
There are two primary techniques for a rhinoplasty, open and closed.
Open rhinoplasty; it involves an incision between the nostrils in the columella usually a v-shaped one. This technique allows a great visibility and control for the surgeon
Closed rhinoplasty; the incision is from the inside of the nose with no visible scars from the outside
Dr Mohamed Ashraf will decide which approach is best for your case and will explain the steps and technique in full prior to surgery during your consultation.
During the procedure. we may reshape the nasal bones and cartilage to improve the nasal dorsum bridge, remove humps. Change the tip shape, size or projection. Straighten a deviated septum, shorten or elongate the septum. Remove excess tissue and fat from your nose.
Also we may need to enhance the nose with cartilage acquired from the patient own septum, ears or rib cartilage (usually reserved for revision cases).
Once the procedure is complete we put steri-strips and a nasal splint to help the nose keep it’s new shape and minimize the expected swelling.
Male rhinoplasty – before and after
young lady rhinoplasty – before and after
Recovery
After our surgery, the patient will be discharged the same day from hospital with pain and antibiotic medications prescribed. The patient will need to rest for a few days and avoid any strenuous activity or lifting heavy objects during this time. Swellings and bruises are expected and should subside within 10 days
Follow-up consultation visits will be arranged with Dr Mohamed Ashraf in the 3rd, 8th , 11th day after surgery.
The nasal splint will be removed around the 10th day after surgery.
Nasal decongestant sprays and drops are prescribed for 1 month as some patient may suffer from temporary swelling from the inside affecting their breathing.
It’s important to know that the final results of the procedure may not be visible for several months.
The cost of a rhinoplasty in Egypt
The cost of rhinoplasty in Egypt is usually much more affordable than most of the gulf and european countries. Typically includes several different components, such as the Dr Mohamed Ashraf fee, facility fees, anesthesia fees, and the cost of any necessary medical supplies or medications.
However Dr Mohamed Ashraf will give you a definite quotation during the consultation. All previously mentioned fees will be included in your quotation. If you live abroad online consultations are available or you can send photos to our clinic on whatsapp.
Overall, the cost of rhinoplasty shouldn’t be the only issue, choosing the right experienced surgeon and carefully researching potential outcomes should be also taken into consideration.
What are risks of a rhinoplasty
While it is generally safe and effective, like all surgical procedures, it does carry some risks that the patient should be aware of
- Bleeding
- Infection
- Scarring
- Complication with anesthesia
- skin discoloration
- Unsatisfactory results; asymmetry or remaining hump are among the commonest reasons.
Revision rhinoplasty
Revision rhinoplasty, also known as secondary rhinoplasty, is a surgical procedure performed to correct the results of a previous rhinoplasty procedure. Revision rhinoplasty can be a more complex and challenging procedure than primary rhinoplasty, as the surgeon must work with the existing structure of the nose.
Why is revision rhinoplasty performed?
Revision rhinoplasty is typically performed to correct issues that arose from a previous rhinoplasty procedure, including:
- Unsatisfactory cosmetic results
- Breathing difficulties
- Nasal deformities
- Structural abnormalities
- Scar tissue
Combining Rhinoplasty with another procedure
sometimes it is combined with a facelift, upper eyelid lift, chin augmentation, also liposuction and other body contouring. However it during your examination Dr Mohamed Ashraf will explain all the scenarios according to your case, health condition and lab results and the possibility of combining another procedure or not.
Liquid Rhinoplasty
It is a non-surgical rhinoplasty done in office based using dermal fillers. Typically reserved for patient complaining of nasal bridge hump or have a saddle nasal bridge and refusing surgery. May also be used to elevate the tip or correct minor deformities after previous nasal surgeries
However it’s worth knowing that liquid rhinoplasty would never make your nose smaller as fillers are gel like substances that we add to enhance the shape and straighten the nose profile. Botox use in the nose is reserved for bunny lines to smoothen the wrinkles on the nose when you smile.