Rhinoplasty

Do you have a saddle nose ? Some people are born with a slight upturn on the tip of their nose that is natural and attractive. However when this appearance becomes more pronounced, it may be described as “pug nose” or “ boxer’s nose”. The first question to ask is : "Do you have a saddle nose ? ". The nose bridge is supported by paired nasal bones and an underlying vertical cartilage known as the nasal septum. If you press on the middle part of you nose and it is very soft and collapsible, then you might have a saddle nose deformity. What is a saddle nose ?

I completely understand the consideration of costs and as consumers in this era of connectivity, it is so much easier to search online, compare prices and look for something that is more "cost-effective". Certainly the old adage “you get what you pay for” still holds true and for a surgery as delicate as rhinoplasty, it’s often important to make sure you get it right the first time. Much more will be spent on revisions if the initial surgery is not done well.

Understanding the difference between a rhinoplasty and a septoplasty is key to help you to choose the best treatment to fix a crooked nose. Both surgical procedures are meant to target issues with the nose but they have different objectives. RHINOPLASTY. WHAT IS IT? A rhinoplasty or nose job is a general all-encompassing term for a surgical procedure that enables patients to correct the shape, size, symmetry of their nose. The term is more commonly associated with cosmetic concerns - a rhinoplasty is able to correct a nasal hump, or a bulbous tip or large and wide nostrils.

Thanks for your question. This is a commonly asked question and I would like to break it down into : Pre-Surgery Consult, Surgery and Post-Surgery Recovery. Pre-Surgery Consultation 1. It is important to know why you are going for a rhinoplasty and what changes you want to achieve from the surgery. The motivation for a rhinoplasty should be self-driven and not for other reasons. 2. Make the most of your consultation. Being able to identify what changes you would like to achieve will enable the surgeon to discuss with you the various possibilities of what can be achieve. a.

This is a common question that I get asked all the time. It is good that you are asking these questions ahead of your surgery to prep properly. Plastic surgery is a journey and part of it requires you to be patient to give the body time to heal. Every surgery goes through the same stages of healing - hemostasis, followed by inflammation then proliferation and finally maturation.

Thank you for your question. I'm not exactly sure what you are referring to when you mention a huge dent in the nose. As you rightly pointed out, one of the common causes for depressions in the nose is from traumatic injury to the nasal bone. If you are sure that there is no previous trauma to the nose, the other possibility is acne scars. Depending on the severity this can be treated with CO2 lasers, fillers or fat grafts.

Thank you for your question on deviated nose with difficulty breathing after a basketball injury. The nose is one of the most commonly fractured bone in the face. This is often as a result of road traffic accidents, accidental falls or from altercations. In your case its is probably from an elbow or being hit by a ball during basketball. The severity of the injuries to the nose can also vary from simple contusions to complex fractures. Not all broken noses will require surgery.

Congratulations on your rhinoplasty and I am glad that you are happy with the results. Before you proceed with the HA nose fillers, you should check back in with your rhinoplasty surgeon to see if he has any other solutions for you. Fortunately, one of the advantages of a total autologous rhinoplasty, of which I am a strong advocate of, is that in comparison with an implant rhinoplasty, the nasal dorsum is made of your own tissue. Hence, there is a lower risk of the HA filler injection causing an infection if done properly, and no risk of rejection of the nasal implant or capsular contracture.

Thanks for your question. I echo some of the sentiments of the doctors who replied. Whilst threads and fillers can be efficacious to effect a change in the nasal dorsum and improve tip projection, it may at best camouflage it, but it would not reduce bulbosity of the tip. One of the reasons why patients undergo an open rhinoplasty is to create a more refined tip. This is done with careful debulking of the nasal tip, while preserving blood supply to the nose and using well placed sutures to manipulate the nasal cartilages to create a refined and projected nasal tip.