Category Nose Surgery

An Old Fractured Nose is a break or crack in a bone in your nose, typically above the bridge, caused by a traumatic accident. This can cause breathing issues and a crooked appearance, prompting you to consider rhinoplasty. Surgeons commonly employ this surgery to repair and restore patients’ noses to their original appearance. If you are dissatisfied with the results of your nose surgery, you can request a revision rhinoplasty. This allows the surgeon to correct earlier work and restore your nose to its former appearance.
An incision through the outer nose is rarely necessary because access can be obtained through the nostrils.
However, the septum will be incised to start the reshaping procedure. The septum is straightened by partially removing or adjusting the problematic bone and cartilage. To position the septum in the center of the nasal vault, cartilage is incised, shaved, or sliced. To repair a faulty septum, the cartilage may be weakened before being rebuilt with autologous cartilage from another part of the body. Bone is removed instead of sculpted. The goal is always to rectify the abnormality while maintaining the nasal structure. Sometimes septoplasty is combined with rhinoplasty to reshape the outer nose.

Surgery typically takes around an hour, depending on the level of correction required.

Post-operative care: Recovery requires appropriate rest. A plastic splint contoured to your nose can help preserve alignment. Your airway may be briefly closed with gauze to halt the hemorrhage.
For three weeks, no glasses frames should rest on the bridge of the nose.
Recovery Period:
You should avoid blowing your nose for the first ten days. Cold showers can alleviate edema. During this period, avoid strenuous exercises and sneezing.

Potential risks and complications:
Infection is uncommon, but when it happens, it can cause serious difficulties. Lacerations leave scars. External scars may require surgical revision. Internal nasal scars and abnormalities can increase the risk of nosebleeds. Nerve damage can cause sensory loss or paralysis. Injuries may block the tiny holes that drain your sinuses.
Pressure in the sinuses can cause unpleasant headaches.
The treatment is conducted under local, IV, or general anesthesia.
Hospital admission:
It relies on both your and your surgeon’s preferences. Old cracked noses can be repaired on an outpatient basis, at a hospital, or in an ambulatory surgery suite.
Preparation for surgery:

During consultation, a medical history (including allergies, major medical conditions, and prescriptions) will be assessed, followed by a physical examination and laboratory tests.
Blood and urine samples will be taken for pre-operative laboratory examinations. X-rays may be used to assess bone structure.
 Avoid smoking for 3-4 weeks before surgery as it disrupts circulation and slows healing.
 You may need to abstain from alcohol for a week prior to surgery and during recuperation.
 Avoid using medications including hormones, anticoagulants, anabolic steroids, and vitamins for at least 4-6 weeks to prevent complications before surgery.
Avoid using aspirin, anti-inflammatory medicines, and herbal supplements as they can cause more bleeding.

Deviated Nose (Septoplasty) is a surgical procedure to treat a nasal septum abnormality. The procedure is typically performed to improve nasal airflow, but it can also be used to examine the nose for polyps, inflammation, tumors, or bleeding. Surgery is the sole option for straightening a distorted nasal septum, as there are no other treatments available.
A tiny incision is made within the nose. The septum’s mucosal lining separates from its cartilage and bones. The septum’s deviated parts are either removed or corrected.
The nasal mucous membrane is replaced.
Duration of the operation:
Septoplasty surgery, which straightens the septum or removes obstructive anatomy, typically lasts around an hour.
Post-operative Care:
Splints or packs are inserted into the nose for a few days to allow the septum to recover into its new position.
These splints/packs feature a straw to facilitate nasal breathing and swallowing. The outer nasal bones are not damaged or interfered with during cosmetic nose surgery, resulting in no outward bruises or swelling of the eyes. To avoid infection, strictly adhere to antibiotic prescriptions. Saline irrigation in the nasal cavity promotes faster recovery.

The healing period for septoplasty typically lasts one to three weeks. The patient should blow his nose gently after a day or two. After a week or two, patients are instructed to blow their nostrils normally.

Possible risks and complications include a septum hole, incomplete breathing improvement, minor bleeding, wound infection, nose crusting, and, in rare cases, a change in appearance. There are dangers associated with any surgical treatments. Discuss all hazards with your cosmetic surgeon.
The treatment is conducted under local, IV, or general anesthesia.

Hospital admission: The patient might be discharged on the same day after surgery.
Preparation for surgery involves a medical history assessment (including allergies, major medical conditions, and medications), physical examination, and laboratory tests during consultation.
 Avoid smoking for 3-4 weeks before surgery as it disrupts circulation and slows healing.
 You may need to abstain from alcohol for a week prior to surgery and during recuperation.
 Avoid using medications including hormones, anticoagulants, anabolic steroids, and vitamins for at least 4-6 weeks to prevent complications before surgery.
Avoid using aspirin, anti-inflammatory medicines, and herbal supplements as they can cause more bleeding.

Tip Plasty and Tip Graft can be used to minimize a big, square, or bulbous nasal tip, cure an upturned or sagging tip, or just alter the look of the nasal tip.
The procedure involves realigning the alar cartilage by excision and suture, fibroareolar andSubcutaneous tissue, tip grafts, and columellar struts. Techniques including cartilage suture, grafting, and septum blockage are used to elevate the nose tip and provide an exquisite appearance.
The operation typically lasts around an hour, depending on the surgical therapy and contouring required.
Post-operative Care:
During the first days after surgery, you may have pain and discomfort around the nasal area, which can be managed with recommended drugs. Bruising and swelling may be present for the first few days, but typically resolve within a week.
Recovery typically takes 3 weeks. Sutures are removed within 10 days following the operation.

Possible dangers and hazards: There are no complications. However, all grafts have the potential for asymmetry and migration.
A tip plasty may appear straightforward because to its small size, yet it can be one of the more demanding procedures in nose surgery. An expert rhinoplasty surgeon should conduct tip plasty to prevent collapse, rotation, or loss of projection due to cartilage disruption.

Anesthesia use:

This technique is typically performed under local or general anesthesia.

Hospital admission: The patient might be discharged on the same day after surgery.
Preparation for surgery includes a medical history assessment (including allergies, significant conditions, and medications), physical examination, and laboratory testing during consultation.
 Avoid smoking for 3-4 weeks before surgery as it disrupts circulation and slows healing.
 You may need to abstain from alcohol for a week prior to surgery and during recuperation.
 Avoid using medications including hormones, anticoagulants, anabolic steroids, and vitamins for at least 4-6 weeks to prevent complications before surgery.
Avoid using aspirin, anti-inflammatory medicines, and herbal supplements as they can cause more bleeding.

Alarplasty is a cosmetic surgical operation that reduces the size of the nasal nostrils.
To achieve equilibrium between nasal tip and alar, the alar of the nose is shortened and sutured in place.
The operation typically lasts around an hour.
Post-operative Care
Splint the nasal tip with 3-4 mm thin waterproof tape. Steri-strips can also be utilized. Wrap the strips around the tip of the nose and along both sides. All sutures are absorbable and do not require removal. Revision surgery should not be considered until at least 6 months have passed from the initial operation.

During the recovery time, you may have pain and discomfort in the nose area. However, drugs can help ease this. After 2-3 days, there will be no pain, but swelling in the nose and eyelid area will remain. Swelling and bruising around the eyes will subside within a week and last approximately 2 weeks. After 1-2 weeks, you can return to work. However, avoid intense activities that may cause swelling and bruising for the next 2-3 weeks. After removing the bandage and stitches, patients should take care not to damage their nose until it heals fully. Avoid placing glasses frames on the nose bridge for three weeks. During the first few days after surgery, patients may experience minor bleeding and discomfort that may last for weeks. To allow tissues to recover, patients should refrain from blowing their nose for about a week.

Possible dangers and problems: Serious complications are uncommon. The most common complication is patient unhappiness. Other concerns include hematoma, breathing obstruction, nasal damage, infection, edema, and bleeding.
Anesthesia includes IV sedation and local anesthesia (numbing medicines injected in the operative region).
Hospital admission: The patient might be discharged on the same day after surgery.
Preparation for surgery involves a medical history assessment (including allergies, major medical conditions, and medications), physical examination, and laboratory tests during consultation.
 Avoid smoking for 3-4 weeks before surgery as it disrupts circulation and slows healing.
 You may need to abstain from alcohol for a week prior to surgery and during recuperation.
 Avoid using medications including hormones, anticoagulants, anabolic steroids, and vitamins for at least 4-6 weeks to prevent complications before surgery.
Avoid using aspirin, anti-inflammatory medicines, and herbal supplements as they can cause more bleeding.

Nose reshaping (nose reduction) is a cosmetic surgery performed on patients with conspicuous big noses, enormous bridges, and depressed nasal tips. It seeks to provide a symmetrical nose by minimizing the dorsal hump, narrowing the bridge, and increasing nasal tip projection and definition. The incisions are made on the rim of the nose’s alar. After separating the soft tissues of the nose from the underlying structures, the bone and cartilage are reshaped, and the skin is redraped over the surface. Patients with a deviated septum may benefit from having this condition corrected via surgery.

Operation Time: The operation typically takes 1-2 hours.
Anesthesia methods include general anesthesia.
1 night in the hospital or clinic
Stay in Thailand for 7 days.

Complications and risks:
Complications are uncommon and usually modest when Nose Reduction is performed by a trained plastic surgeon. However, problems such as infection, nosebleed, or anesthetic reaction are always a possibility. You can lower your risks by carefully following your surgeon’s recommendations before and after surgery. Small burst blood vessels on the skin’s surface may emerge after surgery as tiny red spots; these are typically modest but may be permanent. Scarring is minimal when Nose Reduction is performed from within the nose; when a “open” technique is employed, or when the treatment requires the narrowing of flared nostrils, the small scars on the base of the nose are usually not noticeable.

Recovery Time:

You can return to work or school within 2 days of surgery and it will take about 1-2 weeks for you to be entirely healed.

Preparation for Surgery:

• During the consultation, a medical history evaluation (any allergies, major medical conditions, and all medications taken, both prescribed and non-prescribed), physical examination, and laboratory testing will be done.
• Avoid smoking for around 3-4 weeks before surgery, since nicotine interferes with circulation and has a negative impact on the healing process.
• Stop consuming alcohol a week before surgery and for the duration of your recuperation.
• Hormones, anticoagulants, anabolic steroids, and supplements should be avoided for at least 4-6 weeks before to surgery to avoid complicating medical concerns, and aspirin, anti-inflammatory drugs, and herbal supplements should also be avoided since they can increase bleeding.

Rhinoplasty Augmentation (nose augmentation) is a type of cosmetic operation used to address a flat nose with a round bulbous tip and flaring nostrils in Asians and non-Caucasians. The goal is to create an aesthetically acceptable nasal bridge with an elegant projection and a well-defined nasal tip while also narrowing the flaring nostril base. Typically, an implant is used. The substance used in the implant is biocompatible and exceedingly safe. Incisions are done inside the nostril rims. The soft tissues of the nose are then removed from the underlying structure to make room for a nose implant that projects the nasal tip and increases the height of the nose.

Operation Time required: 1-2 hours.
IV sedation (medicine provided through an IV) and local anesthesia (numbing medication administered in the surgical area) are the two types of anesthesia used.
Hospitalization or clinic stay: None. After surgery, the patient can return to the hotel.
Stay in Thailand for 7 days.
Complications and risks:
Rhinoplasty will improve the look of the nose for the vast majority of patients, while in rare circumstances, a secondary correction may be required. All surgical procedures carry risks, such as infection, nose bleeding, and anesthetic reaction.
Recovery Time: Most nose augmentation patients are able to return to school or work after two days of surgery. However, you will be completely recovered in around 2 weeks.

• Medical history evaluation (any allergies, major medical conditions, and all medications taken, both prescribed and non-prescribed), physical examination, and laboratory testing will be done during consultation.
• Avoid smoking for around 3-4 weeks before surgery, since nicotine interferes with circulation and has a negative impact on the healing process.
• Stop consuming alcohol a week before surgery and for the duration of your recuperation.
• Hormones, anticoagulants, anabolic steroids, and supplements should be avoided for at least 4-6 weeks before to surgery to avoid complicating medical concerns, and aspirin, anti-inflammatory drugs, and herbal supplements should also be avoided since they can increase bleeding.