Nose Implant / Augmentation Rhinoplasty

in Bangkok, Thailand

 

           Nose Implant or Augmentation Rhinoplasty is a popular cosmetic surgery because the nose is one of the most important features of an attractive face. A nose that suits the owner's face creates beauty and that helps boost confidence and self-esteem.
           Nasal implants are a common surgery on Asian noses as Asian’s tend to have wide, flat noses with a large disproportionate nostril size. Augmentation rhinoplasty and alarplasty may be considered to help lift the ridge of the nose and make it more attractive. There are numerous safe methods of augmentation rhinoplasty surgery such as using a silicone implant, which is not only permanent and will not disintegrate over time but it can also be completely removed without causing any injury. A skilled and professional surgeon with years of experience can adjust the nose shape to suit the face, personality, gender and age of the individual.     

   

                

What can Rhinoplasty treat?

• Noses with humps or depressions on the bridge.
• Nose tips that are bulbous, hooked, upturned and drooping.
• Reducing the nose size to be in relation with the rest of the face.
• Nostrils that are wide, upturned and overly large.
• Noses that are too big or too small.

 

Consultations with the Surgeon

           In the first instance it’s important to speak to the surgeons and to explain your goals and to get the expert advice you need in order to make the correct decisions. During the consultation the surgeon will suggest procedures that should be performed to get you the nose that you want and deserve.

I. Nose Implant / Augmentation Rhinoplasty:

 

Figure 1. Nose Implant /  Augmentation Rhinoplasty

 

 

 

Open and closed Rhinoplasty what's the difference?

Open Rhinoplasty:

           Open rhinoplasty surgery is a procedure in which the incision used to access the structures of the nose results in broad exposure of the underlying cartilage and bone. Typically, a small incision is made across the underside of the nose that is then connected to incisions made within both nostrils. The skin overlying the nose is reflected up and off of the structural framework of the nose. This allows the surgeon to have broad visibility of all the components of the nose.

 

Closed Rhinoplasty

           During a closed rhinoplasty the surgeon makes all the incisions within the nose itself leaving no visible scars. Corrections made to the nasal cartilage, bone, and septum are all possible through the closed technique. The closed rhinoplasty method also has the advantage of a slightly reduced recovery time.

 

Which is better?

           The closed technique allows for a slightly faster operation and less swelling during the recovery period. On the other hand, an open rhinoplasty allows for more precision for difficult noses and when altering the nasal structures for more complex cases. There is no “better” procedure. Each has its own merits and the surgeon will use whichever technique is necessary for you. The differences are not big enough to make any real bearing on recovery or scaring.

 

Summary of augmentative Rhinoplasty

           Rhinoplasty is the most performed plastic surgery in the world. It is however a complicated surgery and the right surgeon with the experience and track record should be chosen to avoid complications. We perform thousands of rhinoplasties a year and have one of the most enviable reputations in the industry. We are experts on all nose types and ethnicities.

           Of all facial surgeries rhinoplasty has the most noticeable effect on the face. It can make the difference between attractive and unattractive. It can make an attractive person beautiful. A beautiful nose affects confidence self esteem and can improve quality of life substantially.

 

The material used in Nose Implant:

• Soft silicone
• e-PTFE sheet
• Body tissue such as bone cartilage
• PMMA Customized Implant  

 

 

A good candidate for a Nose Implant

You will be the right candidate if you have

• A flat nose or sadden nose
• Physically healthy
• Realistic expectations
• Knows the risks and complications involved.

 

Preparation for Nose Implant

Before augmentation rhinoplasty or nose implant you must meet with the surgeon to discuss procedures and your goals and other important factors including:

• Consult with the surgeon to discuss procedures and your goals.
• Discuss medical history
• Physical examination and lab test. 
• Avoid medications containing aspirin or ibuprofen for two weeks before and after surgery as these medications may increase bleeding. Avoid herbal remedies and over-the-counter supplements.
• Stop smoking and drinking alcohol for 2 weeks before the surgery and for weeks after the surgery as smoking seriously impairs healing.

  

Nose Implant Procedure

1. Local anesthesia or general anaesthetic may be used subject to your surgeon's recommendations.
2. The incision is made according to the particular nature and type of surgery - usually either open or closed techniques. The closed technique can hide the scar whereas with the open technique, the incision is made across the columella (the bottom part of the nose facing the ground) and the scar will be virtually invisible.
3. The implant will be placed on the dorsal bone, its shape will be adjusted to  be balanced and look natural with the face.
4. The incision is closed.

      The duration of the surgery is about 45 minutes to one hour under local anesthesia or General anaesthetic. 

 

Recovery Timeline for Nose Implants and Rhinoplasty

It can take up to 6 months for all the swelling to completely dissipate but a good impression of the final result can be seen after 2 months.

It's recommended that up to two weeks is taken off work for recovery.

At one week the cast can come off the nose and if any non-dissolvable stitches were used they can be removed.

At around 3 weeks bruises and redness in the face will mostly have disappeared.

At around 4-6 weeks strenuous exercise can be resumed.

 

Tips to help speed up recovery for nose implants and Rhinoplasty

• Keep your head elevated above your chest when in bed to reduce bleeding and swelling.
• Avoid strenuous activities such as aerobics and jogging.
• Take baths instead of showers while you have bandages on your nose.
• Do not blow your nose.
• Avoid extreme facial expressions, 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 the surgery, to prevent pressure on your nose.
• Limiting your dietary sodium will help the swelling go away faster.
• 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.

 

Post-operative care for Nose Implant:

• Stitches inside the nose are absorbable sutures which will dissolve on their own. Stitches on the outside have to be removed after 5-7 days after surgery.
• Keep your head elevated above your chest when in bed to reduce bleeding and swelling. The surgeon will tape a splint to your nose for protection and support for about one week.
• Avoid strenuous activities such as aerobics and jogging.
• Take baths instead of showers while you have bandages on your nose.
• Do not blow your nose.
• Avoid extreme facial expressions, such as smiling or laughing.
• Brush your teeth gently to limit movement of your upper lip.
• Don't rest eyeglasses or sunglasses on your nose for at least four weeks after the surgery, to prevent pressure on your nose
• Swelling or bruising of your eyelids can occur for two to three weeks after surgery.
• Limiting your dietary sodium (salt) intake will help the swelling go away faster.
• 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.

 

Risks and complications for Nose Implants

• Scarring
• Bleeding
• Infection
• Swelling, bruising, pain
• Healing problem
• Extrusion of the implant
• Asymmetry
• Unsatisfactory result
• Allergic reaction from the implant 

 

Recovery

          Plan to take a week off from work. You will feel progressively better each day during the first week. One week after surgery, patients usually feel like themselves again. People are usually back to performing normal activities after a week.

 

Why Thailand is a plastic surgery destination?

          Thailand is a top destination for plastic and cosmetic surgery, as it is the high quality and specialist skills of the surgeons, they provide  the first class hospital treatments and the affordable cost all add up to a satisfying all-around package. There is also the added temptation to recover post-procedure in luxury hotels or recovery service apartments.

 

Why Kamol Cosmetic Hospital, Thailand, is a global COSMETIC SURGERY destination?

Kamol Cosmetic Hospital, one of the world’s best destinations for gender confirmation surgery.

Kamol Cosmetic Hospital is where dreams become reality. Accredited by the Joint Commission International (JCI), the gold standard in global healthcare, our surgeons have been recognized as the most skilled and experienced in the industry since our opening in 2012.

We aim to make your difficult transformation process as comfortable as possible.

 

Video : Introduce Kamol Cosmetic Hospital

 

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Augmentation Rhinoplasty / Nose Job Surgery Before & After