Septorhinoplasry
Septorhinoplasry
The nose occupies the centre of the face and is one of the most commonly noticed parts of the face. It also has important functions related to breathing. The nose is made up of bones and cartilages that are joined together to form the shape of a roof. This is supported by a midline wall called the nasal septum that separates the nose into right and left nostrils. The shape of the nose depends on all these structures and the skin covering it, as well as hereditary factors. Nasal deformities are readily noticeable.
Your nose … is it too large, too small, too flat, too pointed? Is it crooked? Do you have trouble breathing from one or both sides of your nose? Or does it simply not fit your face?
Surgery can change the shape of the whole nose or just a small part, making it fit more harmoniously with the rest of the face and improve the function of the nose. Mr Syed is skilled in making these changes while preserving, or if need be enhancing, the function of the nose. The operation is called Rhinoplasty. When rhinoplasty is combined with an operation on the septum, it is called a Septorhinoplasty.
What results can I expect?
Rhinoplasty is by far the most complicated of the facial plastic surgical operations. The thickness and texture of your skin, the strength, shape, and symmetry of the nasal bones and cartilages, healing power of your body following surgery, and, of course, the skill of the surgeon, all have an impact on the outcome. Please note that the end result is not apparent for 9-12 months following surgery and continued changes in the shape of the nose occurs with time.
A rhinoplasty is successful if the patient is happy after surgery. Therefore, if you are considering cosmetic rhinoplasty, you should look at your nose in the mirror carefully and try to determine the areas you find unsatisfactory and what you would like to have changed. If you need your nose to be perfect and if you are expecting surgery to correct all imperfections instead of merely making them better, do not have the surgery, as your expectations of the final outcome may exceed what the surgery can deliver. Some requested changes are more accomplishable than others. In general, however, the majority of the patients are happy with the end result.
Surgical procedure
A full assessment of your nose and facial features is carried out with the aid of photographs during the consultation. The operative plan is explained to the patient to ensure that the expectations from surgery may be realised. The surgery is usually performed whilst you are asleep. Cuts are made inside and occasionally outside the nose and the skin is lifted off the bone and cartilage underneath. A hairline fracture may be made in the nasal bones to allow the change in the shape of the nose. Small pieces of bone and cartilage may be removed from or even added to the nose to smooth out any bumps or dips. At the end of the procedure all incisions are stitched in place. In some cases, extra cartilage is required to obtain the desired shape of the nose. This cartilage is taken from your ear or ribs. The surgeon will discuss this with you when planning the operation. A small dressing is inserted inside the nose, which is removed the next day and a temporary splint on the outside of the nose is used for 10 days.
After care
After the operation you will have some discomfort but any pain tends to be minimal and controlled with simple pain killers. You may have some bruising and swelling around your nose and eyes for 1-2 weeks. Your nose will feel blocked and crusty in the first two weeks after surgery. We advise you to only blow your nose very gently in the first week following surgery and sneeze with your mouth open to protect your nose and minimise the chances of bleeding. You may get some blood stained watery discharge from your nose for the first 2 weeks or so and this is normal. We will give you some drops or a spray to help this. It may take up to 3 months for your nose to settle down and for your breathing to be clear again. Try to stay away from dusty and smoky places for that time. The stitches inside your nose will dissolve and will fall out by themselves.
The skin of the nose is very sensitive to the sun following surgery and it is important that you wear sunscreen (factor 30 or more) and a hat for at least 6 months. The nose may feel a little stiff and numb for up to 3 months, particularly around the tip.
Most people need 1-2 weeks off work, especially if the work involves heavy lifting or strenuous activity. You should not play any sports where there is a risk of your nose being knocked, for at least 6 weeks.
Who Needs Septorhinoplasty Surgery?
Functional Concerns
Many patients seek septorhinoplasty surgery to correct functional issues such as:
- Deviated Nasal Septum: Breathing problems may arise from a restriction of airflow caused by a misplaced nasal septum.
- Chronic Nasal Congestion: Structural problems may lead to ongoing nasal blockage or sinus issues.
- Snoring or Sleep Apnea: Obstructed airways due to nasal deformities can contribute to sleep-related disorders.
Aesthetic Reasons
The cosmetic goals of septorhinoplasty surgery vary widely but often include:
Key Benefits of the Septorhinoplasty Procedure
A well-executed septorhinoplasty procedure can:
- Improve Nasal Functionality: By correcting internal structural issues, it ensures better airflow and reduced breathing problems.
- Enhance Facial Symmetry: Small changes to the nose’s shape can have a dramatic effect on overall facial harmony.
- Boost Self-Confidence: After surgery, patients frequently express more satisfaction with their looks, which makes them feel better about themselves.
- Address Multiple Concerns Simultaneously: Multiple surgeries and recuperation times are decreased when the functional and aesthetic features are combined into a single surgery.
What Happens During the Septorhinoplasty Procedure?
Preoperative Preparation
Prior to having a septorhinoplasty, patients attend their surgeon for a comprehensive consultation. During this time:
- To help with planning, photos of the nose are collected.
- A thorough discussion of the patient's medical background and surgical objectives is conducted.
- To meet certain functional and aesthetic requirements, a personalised surgical strategy is created.
The Surgical Process
- Anesthesia: To ensure patient comfort, the treatment is usually carried out under general anaesthesia.
- Incisions:Depending on the complexity, the surgeon may choose to make incisions at the base of the nose (open method) or inside the nostrils (closed approach).
- Septum Correction: The surgeon straightens and reinforces the nasal septum, removing any obstructions to improve airflow.
- Reshaping the Nose: The desired aesthetic result is obtained by precisely reshaping the bone and cartilage. If more cartilage is required, it might be removed from the ribs or ear.
- Closure:A splint is used to hold the nose during the early healing phase after the adjustments are finished, and the incisions are sutured.
Recovery After Septorhinoplasty Surgery
The recovery process following a septorhinoplasty procedure requires patience and proper care. Here are key aspects to consider:
Initial Healing:
It's normal to experience swelling and bruises around the eyes and nose, which usually go away in two weeks.
Splint Removal:
The external splint is typically removed after 7-10 days.
Activity Restrictions:
For at least six weeks, stay away from very intensive sports and activities to avoid difficulties.
Follow-Up Visits:
Regular consultations with your surgeon guarantee appropriate recovery and allow quick action when necessary.
Long-Term Results:
While initial improvements are noticeable within a few weeks, the final shape and functionality of the nose continue to refine over 12 months.
Choosing the Right Surgeon for Septorhinoplasty Surgery
Selecting the Best Surgeon for Surgery on the Septorhinoplast. Choosing a skilled surgeon is essential to get an excellent result. Look out a facial plastic surgeon who is board-certified and has experience conducting septorhinoplasty. A thorough consultation, patient testimonials, and before-and-after pictures can all be used to evaluate the surgeon's expertise level.
If you are in Nashik and considering septorhinoplasty surgery, Dr. Sudarshan Aahire, a renowned ENT specialist and septorhinoplasty surgeon in Nashik, offers extensive expertise in both functional and cosmetic nasal surgeries. Known for his meticulous attention to detail and patient-focused care, Dr. Aahire ensures that each procedure is tailored to meet individual needs for optimal outcomes.
Common Myths About Septorhinoplasty Surgery
Myth 1: It’s Purely Cosmetic
Fact: While septorhinoplasty surgery does enhance appearance, its primary goal for many patients is to improve nasal functionality.
Myth 2: It’s Only for Severe Cases
Fact: Even minor nasal irregularities can significantly affect breathing or self-confidence, making the procedure worthwhile for a broader range of patients.
Myth 3: Recovery is Extremely Painful
Fact: Most patients report mild to moderate discomfort that is easily managed with prescribed medications.
Is Septorhinoplasty Surgery Right for You?
If you struggle with nasal breathing issues, feel self-conscious about your nose’s appearance, or experience both concerns, a septorhinoplasty procedure might be an excellent solution. Discussing with an experienced doctor about your needs might help you decide whether this transforming surgery is in line with your objectives.