Rhinoplasty is a surgery to make corrections to the shape and size of the nose. The surgical procedures are carried out by an experienced practicing plastic surgeon having years of hands-on experience in nose job.
There are many types of surgeries carried out on the patients world-wide. But the most commonly done are segregated into
- Reduction Rhinoplasty
- Augmentation Rhinoplasty
- Ethnic Rhinoplasty
- Post-traumatic Rhinoplasty
Reduction Rhinoplasty in Kuwait is carried out to reduce the size of the nose which is disproportionately large when compared to the other features. Many people seeking nose job surgery are concerned that their nose is just too large and is causing them embarrassment amongst their friends and colleagues.
The larger appearance of the nose is mainly due to a hump on the bridge of the nose, excessive width of the nasal bridge, larger and longer dorsum and bulbous or excessive width of the nostrils.
When compared to the person who has a got a larger physique a large nose can complement his/her overall appearance. But even a slightly overbuilt nasal structure on a person with tender physique can lead to abnormal facial features causing a lot of embarrassment to that person.
During a reduction Rhinoplasty surgery the surgeon makes assessment of the entire nasal profile and determines which are the areas and parts of the nose which contribute to this enlarged appearance. The idea is to recognize the most significant parts which if corrected can lead to a noticeable change in the structure and looks of the nose.
Reducing the hump
Usually the hump on the nose consists mainly of cartilage and only a small part of nasal bone. About two-thirds part is cartilage which can be operated upon to get a straight nose profile, a slightly concave shape or a convex one depending on the overall facial traits.
The hump gives a sense of protruding nose which is not so bothersome when looked at from the front. But, it is very prominent when looked at from either of the sides. This gives the person an embarrassing feeling when people are standing at his sides and noticing the hump that is created on the nose.
Reducing the tip
Another request that comes for the reduction nose job is the pruning of the tip of the nose which has grown larger than normal. This procedure requires a complex combination of lowering the cartilages and reshaping the nasal structure to give the nose a delicate and defined contour.
This procedure demands an open tip approach as it gives the surgeon a better view of the internal parts of the nose. In order to achieve more significant correction and control of the tip of the nose, the surgeon has to use the reduction procedures along with thinning of the flesh and skin surrounding the nostrils.
Alar base reduction
When the nostrils are relatively wide while the rest of the upper nose is very thin or normal, alar base reduction procedures are carried out. This surgery is capable of achieving a narrowing effect by removing tissues in the area where the nostril meets the cheek. This leads to a sharp scar-type effect making the nostrils small and fit to the aesthetics of the face.
Difficulties in reduction Rhinoplasty
This is a complex surgery with many conflicts testing the limits of the surgeon to the maximum. To achieve satisfactory results the surgeon has to gracefully combine the reduction in the tip projection and narrowing of the tip keeping in mind the context of thick nasal tip skin.
Although the patients with thick skin on the tip of nose can have a more defined appearance, the degree of correction will be limited and achieving prominent changes will take more efforts.
Another factor to consider is that the actual results can vary largely from the computer simulated surgery and probable results shown through 3d imaging technology. The program gives the output what it is programmed to. It cannot take into consideration the unique traits of an individual.
The success of the procedure is largely dependent on the skin’s ability to shrink and fit to the newly carved out nasal features by the surgery. If the elasticity of the skin is insufficient it can lead to wrinkles and other deformities. The thicker the skin, the difficult it is to achieve this result. The process of recovery is also longer for these people.
Augmentation Rhinoplasty in Kuwait is basically done to increase the dimensions of the nose. Some people have a rather under-developed nasal structure making the face look like something is missing. Generally the congenital defects and undernourishment in the childhood can lead to such defects.
Sometimes the primary Rhinoplasty done on the patient can fail and lead to a loss of support to the nose. The tissues and skin sinks too much inside giving the nose a tiny contour. There can also be damages and injuries to the cartilage due to accidents.
The comparison of the nose to the rest of the face is subject to personal perceptions of beauty and perfection. What one person deems to be as beautiful might be below par to other person. Nevertheless, the medical fraternity has developed many standards and benchmarks against which a person’s beauty and facial contour is compared and the degree to which they comply are brought out.
To simulate the changes in shape and size of the nose, the surgeon makes use of 2d and 3d image editing technologies where the patient is made to sit in front cameras which take picture from all directions. The program then takes these images from different angles and combines them to help the surgeon show results of surgery in simulated mode.
Even though computer simulated procedure planning is gaining ground in the main stream Rhinoplasty surgeries around the world, the actual results vary widely and are subjects to many factors. The exact outcome cannot be guaranteed as seen in the computer program. This has lead to a unique approach in the surgical arena of Kuwait called Dimensional approach.
Dimensional Rhinoplasty is a method which helps the surgeon to keep a real-time check on the shape and size of the nose by continuously monitoring the progress. This method measures various parameters related to nasal structure repeatedly during the surgery. The surgeon is capable of making the adjustments in the middle of surgery to achieve the result as close as possible to the projected simulation.
In augmentation nose job the things to consider are the height of the bridge, the projection of the tip and whether lengthening of the nose is required. Since this procedure involves adding grafts and tissues to increase the size of the nose harvesting the cartilage graft becomes a concern for the surgeon.
The surgeon has to decide whether there is enough cartilage graft within the nose to use where it is required or should he go for harvesting the graft from either of the ears or from the right rib. If the procedure requires more than 50% of the correction, the entire part of the nasal structure is replaced by a new one.
The surgeon can also resort to implants which can be artificial or biological. Although some implants can trigger defense mechanism of the body for foreign objects and reject it, most are safe to use and the surgeon will consult the patient and also other top surgeons in the field before opting for this route.
The recovery depends on the skin’s ability to stretch and build new tissues to fill in the gaps created by this new structure. Thick skins can find it difficult to adjust and may chafe causing irritation. The patient will be required to apply ample amount of moisturizers and ointments until the skin settles on the new shape and new skin tissues have grown considerably.
Every nose job is a an ethnic nose job as it takes into consideration the facial characteristics, the ethnic background, nasal shape, size, skin type and facial proportions. However, ethnic nose job in Kuwait is a term commonly used for people of African or Eastern origin.
The patients with African or Eastern ethnicity have a soft tissue support to the nasal tip and bulbous nostrils. This gives a not-so beautiful look to the face. The nose looks distorted and swollen or at the least improperly developed. Other features include a lower and wider bridge, wider nasal tip and nostrils, tender support to the tip of the nose and thicker nasal tip with thick skin.
The patients of ethnic rhinoplasty in Kuwait usually ask for a more defined nose with proportionate nostrils and nasal bridge. The patients who want just a small change in their nasal structure, usually a small degree of narrowing of nostrils, can opt for alar base reduction and achieve satisfactory results.
The procedures and expectations of the surgery are pretty much the same when compared to other Rhinoplasty surgeries in Kuwait. But usually the demand is more for changes in width and height of the nasal bridge and also reduction in the width of the nostrils.
The cartilage grafts are harvested just like any other nose job or implants are used after due consideration. The rib is preferred to harvest the graft from as it gives more room for the surgeon to create a perfect graft to place in nasal structure. The implants like silicone can sometimes cause infection and start extruding through the skin if they do fit well with the overall nasal contour.
This is a nose job carried out to correct the damage done to the nasal bone and cartilage. When there is injury to the nose it leads to damage to the nasal bone and cartilage support. This changes the appearance of the nose. There will be deviations, asymmetries and breathing problems.
Most of such cases can be handled with high success rate if the operation is carried within the first 10 days of the injury. If the patient delays surgical procedures after the injury, the internal structure will start adjusting to the distorted figure and cause more damage to already damaged cartilage and nasal bone.
Computer simulated 3d view of the nose can help immense during such cases. The program can help the surgeon in deciding the course of action to be taken and what is possible to be achieved with a particular case.
Unlike normal nose job, this procedure requires more precaution to be taken by the doctors in Kuwait. The injury can cause bleeding internally in the nasal septum and also fill in the nasal cavities. Once this blood starts clotting around the cartilage it will block out blood supply to the cartilage leading to its death.
This situation is called as septal hematoma where the blood starts leaking into the internal structure of the nose. If this is treated with emergency and the hematoma is removed promptly, the cartilage in the septum will remain undamaged.
Loss of cartilage support from the septum under the bridge of the nose can lead to saddle nose or boxer nose. This is a typical case where the nose seems to be punched from the outside. The shape is flat rather than curvy on the tip.
When the case is that of a failed primary Rhinoplasty, the surgeon has to wait for at least six months before operating again on the nose. The tissues settle in by this time and become softer. It is then safe to undertake a corrective surgery.
When the nose is evaluated after an injury, the surgeon usually has to give equal importance to the shape of the nose and also the airway. Septo Rhinoplasty may be opted for to achieve improvements in all areas (externally and internally)
Sometimes the surgeon may deliberately damage (fracture) the bones and re-align the cartilages to restore a straighter nose. This becomes necessary where the corrective procedures are delayed by the patient and the internal structures have gotten distorted permanently to a large extent.
The recovery may take longer period as the body adjusts itself to the new contours of the nose. Also, since the nasal structure has undergone stress again it will slowly heal and settle in. The patient is required to take lot of care and not indulge in any strenuous activities for a few months.
Read more on the recovery phase
Final words on the procedures
Although these procedures slightly vary from each other they all have the same basic tenets of surgery. The initial assessment with the help of simulated programs can help to a great extent but cannot fool-proof the surgery.
The patient has to be aware that there will be many factors which may cause the results to digress from the originally decided ones. Having reasonable expectations for the nose job is the key to satisfaction and living a confident and joyous life.
Rhinoplasty surgeons in Kuwait are the best when it comes to secondary nose job. They can handle the case with grace and professionalism and bring back the lost confidence in the person.