Rhinoplasty is a plastic surgery procedure for correcting and reconstructing the form of the nose. It can serve to both restore the functions and aesthetically enhance the nasal region by resolving existing trauma (blunt, penetrating, blast), a congenital defect, respiratory impediment, or a failed primary rhinoplasty. So, it is safe to conclude that this procedure is done for both aesthetic and medical purposes.
Both types of rhinoplasty – closed rhinoplasty and open rhinoplasty – are typically performed by an otolaryngologist (ENT specialist), a maxillofacial surgeon (jaw, face, and neck specialist), or an experienced plastic surgeon. The treatment aims to create a functional, aesthetic, and facially proportionate nose. It starts by separating the nasal skin and the soft tissues from the osseo-cartilaginous nasal framework and correcting them as required for form and function.
Next up, the incisions are closed with sutures. The specialist finishes off by applying either a package or a stent, or both, to immobilize the corrected nose. This ensures the proper healing of the surgical incision.
The non-surgical rhinoplasty procedure corrects and modifies slight defects of the nose by means of subcutaneous injections of biologically inert nose fillers. As compared with those of nose surgery, the results of dermal fillers tend to be relatively transitory.
For correction via plastic surgery, the structural anatomy of the nose comprehends the following: the nasal soft tissues, the aesthetic subunits and segments, the blood supply arteries and veins, the nasal lymphatic system, the facial and nasal nerves, the nasal bones and the nasal cartilages. If the nose bridge needs to be built up, ear cartilage grafts may be used to do the trick. The tip is narrowed by suturing the lateral cartilages.
Rhinoplasty is a day surgery procedure, meaning patients are free to go home on the same day. Revision rhinoplasty can be performed on patients who have poor rhinoplasty outcomes from previous surgery.
Dr Shens will need to assess the structure and the profile of the patient’s face before he can decide if a closed or open rhinoplasty is suitable for them.
With functional rhinoplasty, the alterations on the nose are made with the purpose of addressing physical issues like allergic rhinitis, nasal obstruction, and valve problems. Alongside the medical procedure, changes can be made to the structure to get a more beautiful nose.
Physical issues are fixed through plastic surgery. They do not respond to nose filler treatment (dermal fillers) or nose threads.
Dermal fillers can camouflage a bump on the bridge or a crooked nose (correction of the nasal hump), but they cannot fix nasal function. The nose filler injections work by inserting a liquid substance into different nose regions to augment and reshape the nose. The changes are not structural but rather visual.
There are different types of fillers. Some are temporary, others are semi-permanent. They typically last anywhere from a few months to a year or two and have to be repeated over time to sustain the results. The most common filler types are hyaluronic acid fillers.
This is a substance that is naturally found in the body, and as such, it doesn’t cause any side effects or complications. Another type of fillers is calcium hydroxyapatite fillers. They are less aggressive than invasive surgery.
Nose thread lifts are exactly what their name suggests – thin threads that are inserted into the skin. This treatment allows plastic surgeons to elevate the nose tip and bridge, all the while shaping the entire structure. It also triggers the body to produce more collagen. With repeated treatments, nose thread lifts can last a long time.
People who are likely to request dermal fillers, nose threadlift or rhinoplasty in Singapore typically have one or more conditions of the nose. This might be some form of asymmetries like a deviated or twisted nose (which can also create breathing issues) or a dropping of the nasal tip that alters the angle between the lower nose and the upper lip.
Individuals with a dorsal hump and those with post-traumatic deformities that ruin the aesthetics and the functions of the nose are also eligible for this type of aesthetic procedures.
Another issue that can help you qualify for nose enhancement cosmetic surgery is a nose that is too wide, bulbous, round or fatty, which creates an imbalance with the rest of the face.
That being said, patients should be in a good physical state with no existing medical issues that may add to the risk.
At Shens Clinic, we also make sure the person requesting our rhinoplasty service is of legal age so that they are able to make sound decisions about themselves. Another reason why age is important is that the organ has to be fully developed in order for the nose shape to be altered. This happens around the age of 15-16.
It has to be said that Asian rhinoplasty is not the same as Caucasian rhinoplasty, the reason being Asian noses are different from those of other nations. Caucasians are more likely to have a hooked nose bridge, but with Asians, that is almost never the case.
An Asian normally has a flat nose bridge with a well-projected bulbous nose tip, which may call for nose augmentation rhinoplasty. The columella (where the nasal septum ends) is shorter, and the ala is wider. So, the main goal of aesthetic doctors is to build the nose up, so it appears taller and narrower. Both the bone and cartilage (lateral cartilages) may have to be changed. A sharper nose tip is also coveted.
Every specialist should consider facial anatomy when going for a surgical or non-surgical procedure. It helps to figure out the objectives of the treatment, irrespective of the method used, whether nose filler augmentation or actual surgery.
The consultation is a crucial part of the process as it allows patients to come to terms with the benefits and limitations of the cosmetic procedure. We like to chat with them to understand their vision about the outcome and to improve their understanding of the matter.
An exam is also performed. It enables our experienced surgeon to check for any issues that may be problematic. Photographs are made too. At the same time, people are shown pictures of previous patients with noses similar to theirs. This helps to create the right expectations.
To many patients’ dismay, open rhinoplasty rarely comes along with obvious scarring. With closed rhinoplasty, there are no external scars, as incisions are made inside the nostrils. As for non-surgical nose fillers in Singapore, they do not typically leave a visible scar either, regardless of whether we are talking about temporary filler treatment (like hyaluronic acid fillers) or semi-permanent fillers (calcium hydroxyapatite fillers). The same goes for nose thread lifts. And as long as you go to certified aesthetic clinics for your procedure, there is nothing to worry about.
Rhinoplasty surgery gives long-lasting results that you can enjoy in the years to come. As far as facial fillers and nose thread lift treatment are concerned, the outcome is visible for 6 to 12 months, and in some cases – up to 2 years, after which the nose returns to its original state.
The outcome becomes apparent three months after the aesthetic services have been used. By this time, the incisions will have healed, and most of the swelling will be gone. With some patients, the swelling can last up to a year.
In addition to the results, patients are also curious about the recovery process. In the first days post-op, you will have to wear a nasal splint that will hold everything together and keep your nose still to heal properly. There will be bruising around the nose and, sometimes, around the eyes. The latter could be more prominent if the surgery required breaking the nasal bone.
We always provide our rhinoplasty patients with aftercare tips to ensure they have a faster recovery time without undoing the surgeon’s work.
So, how long does it take to recuperate from a nose job procedure? The answer to that question is around 6 weeks overall. But it depends on the particular case, the type of surgery performed, and some other factors like individual healing times. If you want to go back to your daily routine and work, you need to give it two weeks or so.
After the treatment, there will be some dull ache around the area of the incisions, which is normal. It may persist for a couple of days. An ice pack might be able to alleviate it. For more information about your recovery period, talk to a specialist at Shens Clinic.
Months with multiple festive celebrations are not the best time of year to schedule a rhinoplasty treatment, be it nose fillers, open rhinoplasty, or a thread lift procedure. It is wiser to pick a period in which your social activities will be limited.
If you want to have a more aesthetically pleasing nose appearance, book a consultation with our rhinoplasty surgeons and check out your options.