Kamol Hospital - Thailand Cosmetic & Plastic Surgery

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Facial Surgery @ Kamol Hospital - Thailand Cosmetic & Plastic Surgery


Revision Rhinoplasty



Rhinoplasty / Nose Job

in Bangkok, Thailand

         Each person's nose shape varies depending on ethnicity, gender and genes. Some people have a big nose, a hump, crooked nose, etc and this makes them feel insecure and affects their confidence. The nose takes a central position in the face and of all facial surgeries, a rhinoplasty makes a huge difference making it the most popular aesthetic surgery in the world. The surgeons at Kamol Hospital have decades of experience and adjust the nose to suit each individual.

 

Shows anatomy of the nose

Picture 1. Shows anatomy of the nose

 

         Rhinoplasty is a surgical procedure that adjusts the shape, size, and appearance of the nose. It can also improve breathing. Rhinoplasty has many facets such as changing bone, cartilage, and skin. There are many techniques for rhinoplasty. 


It is important to pick the right surgeon for a Rhinoplasty because although it is the most common surgery performed around the world, it is also extremely technical and difficult. Many people using inexperienced surgeons are unhappy with their results and often need expensive revisions. Our Surgeons have decades of experience and perform thousands of surgeries a year on every type and ethnicity of nose from around the world.  

 

 

A Good Candidate for Rhinoplasty

  • Wants to improve the nose appearance.
  • Physically healthy.
  • Realistic expectations.
  • Doesn't smoke.
  • Knows the risk and complication of rhinoplasty well.

 

Rhinoplasty techniques

         The surgeon will examine your nose and then structure, design and create a new shape that is in keeping with the whole face to create beauty and achieve the patients goals.

At Kamol cosmetic hospital We offer various types of rhinoplasty as follows:

 

1. Rhinoplasty to reduce the height of the bridge of the nose

         Under general anesthesia the nasal bone is cut to reduce the slant of the nose. This is done where it was previously too big, too high or not properly curved. This surgery reduces height of the nose making the nose fit the face better and improving overall looks. The scars will be inside the nostrils and are invisible. The operation takes about 2-3 hours. Overnight hospital admission is required. The recovery period is approximately one week.

Shows before and after rhinoplasty by reducing the height of the nose bridge

Picture 2. Shows before and after rhinoplasty by reducing the height of the nose bridge

 

2. Rhinoplasty by reducing nasal hump

         Some patients have a masculine nasal hump. The procedure to correct this leaves the scars hidden inside the nostrils if the hump is not too large and may be done using only local anesthesia. If however the hump is very large, the surgeon will need specialized equipment and general anesthesia will be required. The surgery takes about 1-2 hours. One night in the hospital is required and it has a recovery period of about 1 week.

Shows before and after rhinoplasty by reducing nasal hump

Picture 3. Shows before and after rhinoplasty by reducing nasal hump

 

3.  Rhinoplasty, by adjustment to the length of the nasal tip

         This procedure reduces the length of the nasal tip. The incision will be from inside the nostrils so no scars will be visible. The surgery takes about one hour and is done under local anesthesia. The patient can return home immediately after the surgery.  The recovery period is a week.

Shows before and after rhinoplasty by reducing the length of the nasal tip

Picture 4. Shows before and after rhinoplasty by reducing the length of the nasal tip

 

4. Rhinoplasty to correct the nasal tip

         This is a procedure to modify large, wide, flat nostrils to make them look smaller, more attractive and feminine. The surgeon makes adjustments to the nose tip, making it slimmer and slightly lifted. This procedure can be performed under local anesthesia. The surgery takes about one hour. The patient may return home immediately after the surgery with a recovery period of a week.

Shows before and after rhinoplasty by nose tip correction

Picture 5. Shows before and after rhinoplasty by nose tip correction

 

5. Rhinoplasty by lateral Osteotomy

          This is a procedure to narrow the lateral wall of the nose, close an open-roof deformity after nasal hump reduction, and create symmetry by allowing straightening of the nasal bone framework.       

Shows before and after rhinoplasty by lateral Osteotomy

Picture 6. Shows before and after rhinoplasty by lateral Osteotomy

 

6. Rhinoplasty to correct nose tip rotation, drooping nose tip and nasal tip ptosis.

        This is a procedure to adjust the tip of the nose upward, increasing the angle between the upper lip and edge of the nose

Shows before and after rhinoplasty by drooping nose tip correction

Picture 7. Shows before and after rhinoplasty by drooping nose tip correction

 

7.  Rhinoplasty by using a spreading graft

         This is a procedure to use alar cartilages as a spreader graft to improve endo- nasal function deficiencies.

Shows before and after rhinoplasty by using a spreading graft

Picture 8. Shows before and after rhinoplasty by using a spreading graft

 

 8.  Rhinoplasty by septoplasty

         This is a surgical procedure to correct a deviated septum. Septoplasty straightens the septum, allowing for better airflow of breath.

Shows before and after rhinoplasty by septoplasty

Picture 9. Shows before and after rhinoplasty by septoplasty

 

9.  Rhinoplasty by Perinasal augmentation 

         This is a surgical procedure that raises the upper nasolabial line. The incision scar is inside the mouth and is approximately 1cm. An implant is inserted in the sunken area around the side nostrils to relieve sunken wrinkles and improve looks.

Shows before and after rhinoplasty by using perinasal implant

Picture 10. Shows before and after rhinoplasty by using perinasal implant

 

10. Alarplasty 

         This is the rectification and modification of the nose of those who have unusually wide nostrils. This procedure can be performed under local anesthesia. The surgery takes around 30 minutes. The patient may leave immediately after the surgery with a one week recovery period.    (see more)

Shows before and after rhinoplasty by alarplasty

Picture 11. Shows before and after rhinoplasty by alarplasty

 

Preparing for Rhinoplasty

  • You need to have consulted with your surgeon about whether rhinoplasty is appropriate for you and what it can achieve in relation to your goals..
  • Physical examination, blood test, chest X-ray, electrolytes, HIV test.
  • CT scan.
  • Stop smoking and drinking alcohol for at least one week.
  • Stop some medicines, vitamins, or herbs that interfere with blood clotting, such as aspirin.

 

Post-operative Care for Rhinoplasty

 After surgery, you will need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. In some cases, the surgeon also tapes a splint to your nose for protection and support. The splint is usually kept in place for just one week.

  • Take baths instead of showers while you have bandages on your nose.
  • Avoid strenuous activities for at least two weeks.
  • Avoid extreme facial expression, such as smiling or laughing.
  • Brush your teeth gently to limit movement of your upper lip.
  • Do not rest eyeglasses or sunglasses on your nose for at least four weeks after surgery.
  • Temporary swelling or bruising can occur for two to three weeks after nasal surgery.
  • Do not put anything such as ice or cold packs on your nose after surgery.
  • Follow all post-operative instructions and attend all post-operative appointments.

 

Risk and Complication of Rhinoplasty:

Like any major surgery there are risks associated with Rhinoplasty. Although very rare risks include:

  • Infection.
  • Damage to forehead bone structures.
  •  Facial asymmetry.
  • Adverse reaction to anesthesia. 
  • Suture rupture along an incision line.
  • Visible scarring.
  • Fluid accumulation beneath the skin (seroma).
  • A substantial swelling of clotted blood within your tissues (hematoma).
  • Dissatisfaction with appearance after surgery.
  • Facial nerve injury.

 

Recovery:

         You will likely have a nasal splint for a few days after surgery. You can expect swelling and some bruising around the eyes after surgery. This will clear up after a week. A two week break from work is advised. Avoid strenuous exercise for at least two weeks. A good idea of the final result may be seen within 4 months but for the final result a full year is needed. The reshaping in the nasal structure makes a significant difference to a person's face and overall beauty but it does take some time for swelling to settle. This is particularly true for revision rhinoplasty which is why it's so important to pick a surgeon who can get it right the first time. 


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