What You Need to Know with Glaimhor

Rhinoplasty : Dr.Putt said, “I want everyone to fully understand the nose surgery process and feel comfortable from the very beginning, even before your procedure." At Glaimhor would like to share some basic knowledge about rhinoplasty, also known as a nose job. This information is for anyone in Hat Yai who is considering getting a nose job to better suit their facial features. We want to ensure that patients have enough information about rhinoplasty, including the different types of procedures and precautions to take. It is crucial to research and choose an experienced plastic surgeon who uses high-quality materials to achieve a satisfying result after the surgery and to avoid future complications.

Rhinoplasty

Rhinoplasty is a surgical procedure to reshape the nose for a more beautiful and harmonious appearance with the rest of the face. The surgery may involve modifying both the internal and external structures of the nose, such as the nasal bridge, tip, or nostrils. Rhinoplasty is a highly popular cosmetic surgery today because it is a way to make the face stand out and boost a person's confidence.

Types of Rhinoplasty Procedures

There are 2 main types of rhinoplasty

• Surgery Rhinoplasty This procedure involves inserting an implant into the nose to make it taller, longer, or to make the tip smaller. There are several types of implants used for surgery rhinoplasty, such as medical-grade silicone, ear cartilage, or costal cartilage.

•  Functional Rhinoplasty This surgery corrects the structural issues of the nose, such as a crooked nasal bridge, a large tip, or wide nostrils. This type of surgery may be performed for cosmetic reasons, to preserve the nasal structure, or to address breathing problems.

How Many Types of Rhinoplasty Are There ?

CLOSED RHINOPLASTY

Closed rhinoplasty involves making an incision inside one of the nostrils. There are no visible scars on the outside of the nose. With this type of incision, the surgeon cannot see the entire internal structure of the nose, but only a limited part. The surgeon then inserts a silicone implant that has been carved into a suitable shape or according to the patient's preference into the nasal bridge. The internal structure is more difficult and limited to adjust with closed rhinoplasty.

The advantages are that the surgical incision is small and almost invisible as it is entirely inside the nostril. There is less swelling and bruising because there is less tissue dissection. The recovery time is shorter, and the surgery only takes about 1-2 hours on average.

However, there are some risks with this method. Because the surgeon rhinoplasty has limited visibility of the nasal structure, it can be more challenging to make precise adjustments. This may lead to asymmetry, less predictable results, or the need for a revision surgery in the future. In addition,implant placement must be very careful to avoid shifting or unnatural appearance. Patients should discuss these risks carefully with their surgeon before choosing closed rhinoplasty.

This is suitable for patients with minor nasal structural issues who only need a silicone implant.

OPEN RHINOPLASTY 

Open rhinoplasty is a surgical technique where the surgeon makes an incision to expose the entire nasal structure. This is considered major surgery that provides a clear view of the internal structure, making it easier to adjust and modify. Open rhinoplasty can therefore address all internal structural problems. Open rhinoplasty involves incisions inside the nostrils and an incision on the columella, the central area between the two nostrils. The average surgery time is more than 4 hours for each patient.

This is suitable for patients who need a revision rhinoplasty or those with significant nasal structural problems, such as a crooked nose, a dorsal hump, or a short upturned nose. Open rhinoplasty can use either a silicone implant or cartilage from the patient's own body. However, there are some risks with open rhinoplasty. Because it is a more invasive procedure, patients may experience greater swelling, bruising, and longer recovery times compared to closed rhinoplasty. There is also a risk of visible scarring at the columella incision, infection, bleeding, or complications related to cartilage grafts. As with any major surgery, precise technique is essential, and there is a possibility that additional revision surgery may be needed if the desired results are not fully achieved. Patients should discuss these risks thoroughly with their surgeon before proceeding.

SEMI-OPEN RHINOPLASTY

Semi-open rhinoplasty is the method used at Glaimhor Clinic Hat Yai by Dr. Putt, and it is a popular procedure. This technique allows the surgeon to see more of the internal structure than closed rhinoplasty, but not as much as open rhinoplasty. The surgeon makes an incision inside both nostrils. The semi-open technique is also faster than the open method.

This is suitable for patients with less complex nasal structural issues who want to correct or reshape their nose to be longer and more slender, or those who wish to raise the nasal tip with the interdome suturing technique.

General Steps of a Rhinoplasty Procedure

1. Rhinoplasty, or a nose job, is a surgery to improve the shape, appearance, and function of the nose. Before deciding, it’s important to choose a trusted clinic with an experienced surgeon. Understanding the surgeon’s experience and the materials used helps ensure good results and reduces complications.

2. The first step is a consultation. The surgeon reviews your medical history, examines your nose, and discusses your goals. They explain the techniques, possible outcomes, and risks to help you make an informed decision.

3. Preparation includes following the doctor’s instructions, such as avoiding smoking, alcohol, certain medications, and getting enough rest before surgery.

4. After surgery, follow the doctor’s care instructions and avoid activities that may impact the nose. Taking medications as prescribed and resting properly helps achieve the best results.

Choosing an experienced surgeon, understanding the procedure, and following all guidelines ensures a safer surgery and a confident, harmonious outcome rhinoplasty.

Post-Rhinoplasty Care Instructions

• Get enough rest rhinoplasty.

• Refrain from smoking and drinking alcohol.

• Avoid certain medications that may affect the surgery.

• Take your prescribed medication as instructed.

• Use a cold compress on the nose to reduce swelling.

• Avoid touching the nose aggressively.

• Attend follow-up appointments as scheduled.

Typically, the nose will achieve its desired shape within 1-2 months after the surgery, but it may take up to a year for the nose to fully settle. During this time, you may experience swelling, bruising, or pain in the nasal area, but these symptoms will gradually improve over time.

Rhinoplasty is a surgery with risks, so you should choose an experienced surgeon, research the information thoroughly, and strictly follow the doctor's instructions to get the best results. In the next article, Glaimhor Clinic Hat Yai by Dr. Putt will dive deeper into various topics about rhinoplasty to provide everyone with more knowledge.

Confident with every answer... Glaimhor is close to you.

Assoc. Prof. Puttisak Phutthawiboon, M.D. -