Among the most popular cosmetic procedures to be performed in Dubai – and even the whole world for that matter – is nose correction surgery. Also known as rhinoplasty, it serves to reshape minor proportional aspects of the nose. Size can be corrected by making the nose smaller (removing tissue) or larger (grafting tissue), shape can be corrected (bumps or depressions in the tip or bridge) and nasal surgery (the nostril area and what lies between the nose and the upper lip) can be performed for functional or aesthetic correction. Nose correction surgery in Dubai can be facilitated with the help of highly professional and skilled surgeons as well as the availability of cutting-edge technology in respect of equipment and products.
Traditional rhinoplasty is performed by creating a minor incision at the bottom of the nose. Today that is called ‘open rhinoplasty’, whereas more contemporary methods perform the incision within the nostrils and is termed as ‘closed rhinoplasty’. Septoplasty is an associated procedure that may be carried out if necessary along with rhinoplasty and addresses the issue of closed or deformed nasal passage to facilitate the easy passage of air through the nasal structures. It should be kept in mind that there is no gold standard procedure for all noses and each patient has to be individually evaluated by the plastic surgeon before the surgery takes place. In this evaluation the patient’s past medical records, their motives as well as needs for surgery and their expectations are discussed before the possible treatment is outlined. Due to these reasons a surgeon can never guarantee perfect results, since the outcome is based on an estimate that includes variables such as the effect of ageing on a treated nose. A good plastic surgeon will be as close as possible to his/her estimated guess and most patients end up being satisfied with surgery.
Secondary or revision rhinoplasty is undertaken when a patient has already undergone a prior nose surgery that was either not satisfactory enough or was overdone. Secondary procedures are usually minor procedures and basically serve to refine the look achieved from the primary surgery. For instance grafts of cartilage may be taken from other parts of the body – such as the ribs – to reshape an excessively de-sized nose. In revision rhinoplasty the limitations and other variables are different and some of them are beyond the surgeon’s medical prowess. Even the best nose surgery specialists have revision rates of between five to ten percent.
Revision rhinoplasty is a lot more complicated than primary rhinoplasty since there will be minimal amount of original tissue left to work with and grafting is an extensive and complicated procedure. Functional properties of breathing are also among the many variables that should be taken care of not to be adversely affected.
Rhinoplasty may be carried out in the presence of local anesthetic and mild sedation but most patients prefer general anesthesia. The choice however should be decided by the surgeon to see if the patient will not suffer extensive complications under general anesthesia. Techniques of surgery may vary depending on the outcome being achieved. For instance a narrower nose would mean removal of cartilage and sub-dermal tissue. An incision would also be made at the junction of the nose and cheek. Straightening the nose would involve removal of bone as well. Incisions are always designed to be made in natural anatomical creases of the face so as to prevent visible scarring and these too disappear with time.
Recovery from nose correction surgery takes between 4-6 weeks during which time the patient has to follow the doctor’s instructions in order to get the preferred results. This would involve abstinence from smoking and strenuous physical activity. Sleeping with your head elevated and wearing a nose splint as well. Medications to reduce swelling, bruising and pain should also be taken timely. Post-surgery checkups are also of utmost importance.
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