Nose Implant

Nose Implant surgery / Augmentation Rhinoplasty in Bangkok, Thailand

     Rhinoplasty is one of the most popular plastic surgeries performed worldwide. However, it is a complex procedure and requires an experienced and skilled surgeon to minimize the risk of complications. Choosing a surgeon with a proven track record and a reputation in the industry is crucial. Our Hospital is renowned for performing thousands of successful rhinoplasties each year, and our surgeons are experts in working with all types of noses and ethnicities.

      Rhinoplasty, also known as a nose implant or augmentation, is a popular cosmetic surgery that aims to enhance the appearance of the nose. The nose is considered to be a key feature in determining facial attractiveness, and a nose that is well-proportioned to the face can improve confidence and self-esteem. In particular, rhinoplasty is commonly performed on Asian noses, which tend to be wide and flat with large nostrils.

      The procedure can involve using silicone implants to lift the ridge of the nose and make it more attractive, as well as alarplasty to adjust the size of the nostrils. It is important to choose a skilled and experienced surgeon who can tailor the surgery to suit the individual's face, personality, gender, and age.     

What conditions can be addressed with Rhinoplasty?

           Rhinoplasty, also known as a nose job, is a surgical procedure that can be used to address a variety of concerns related to the nose. Some common conditions that can be treated with rhinoplasty include:

• Nasal asymmetry: correcting a crooked or uneven nose
• Nasal obstruction: improving breathing by addressing issues such as a deviated septum
• Nasal tip issues: reshaping the tip of the nose to make it more proportionate to the rest of the face
• Nasal hump: removing a bump or hump on the bridge of the nose
• Nostril size: reducing the size of the nostrils to create a more balanced look
• Rhinophyma: treating an enlarged nose caused by rosacea.

It's important to note that each individual's case is unique and some of these conditions may require a different approach and technique. Therefore, it's recommended to consult with a board-certified plastic surgeon who can evaluate your case and recommend the best course of treatment.

Consultations with the Surgeon

           It's crucial to have initial conversations with the surgeon to clearly express your desired outcomes and receive professional guidance in making informed decisions. During the consultation, the surgeon will suggest appropriate procedures to achieve the desired nose shape and appearance.

I. Nose Implant / Augmentation Rhinoplasty:

Picture 1: The  differences between open and closed techniques in Rhinoplasty

What are the  differences between open and closed techniques in Rhinoplasty?

Open and closed rhinoplasty are two different surgical techniques used to perform a nose job.

1. Open rhinoplasty involves making an incision across the columella (the area between the nostrils) to access the internal structures of the nose. This allows for greater visibility of the underlying cartilage and bone, and enables the surgeon to make more extensive adjustments to the nose.
2. Closed rhinoplasty, on the other hand, uses incisions made inside the nose, leaving no visible scars. The closed technique is used to correct nasal cartilage, bone, and septum. It has the benefit of a slightly shorter recovery time compared to open rhinoplasty.

Both techniques have their own advantages and disadvantages, and the choice of which one to use depends on the specific case, and the surgeon's preference. It is important to discuss the options with a board-certified plastic surgeon to determine which technique is best for you.

Which procedure is better?

Closed rhinoplasty may have a slightly shorter recovery time and less swelling, but open rhinoplasty may be more suitable for complex cases that require more precision and visibility of the underlying structures.

It's important to note that the decision about which technique to use is made by the surgeon based on the individual case and the desired outcome. The differences between the two techniques are not significant enough to make a significant impact on the recovery process or scarring.

Rhinoplasty is one of the most popular plastic surgeries performed worldwide. However, it is a complex procedure and requires an experienced and skilled surgeon to minimize the risk of complications. Choosing a surgeon with a proven track record and a reputation in the industry is crucial. Our Hospital is renowned for performing thousands of successful rhinoplasties each year, and our surgeons are experts in working with all types of noses and ethnicities.

Out of all facial surgeries, rhinoplasty has the most significant impact on the overall appearance of the face. It can greatly enhance the attractiveness of the nose and, in turn, positively impact self-confidence and self-esteem, leading to an overall improvement in quality of life.

Materials used in Nose Implant:

Some of the commonly used materials in rhinoplasty implant include:

• Soft silicone: Soft silicone is a popular choice for rhinoplasty implants as it is soft, pliable, and conforms to the natural contours of the nose. It is also biocompatible and non-reactive, which makes it safe to use in the body.
• e-PTFE (Expanded Polytetrafluoroethylene) sheet: e-PTFE is a synthetic material that is lightweight, flexible, and strong. It is commonly used for nasal dorsum (bridge) augmentation in Asian rhinoplasty.
• Body tissue such as bone and cartilage: In some cases, a patient's own body tissue may be used for the implant. Bone and cartilage can be taken from other areas of the body, such as the rib or ear, and used to shape and enhance the nose. This is a more natural option as it is the patient's own tissue and the risk of rejection is lower.
• PMMA (Polymethyl methacrylate) Customized Implant: PMMA is a synthetic polymer that is commonly used in medical and dental applications. It is a strong and durable material that can be customized to suit the individual's needs. It is also a good option for patients who want a long-lasting result.

It's worth noting that the choice of implant material depends on the patient's individual case, the surgeon's preference and expertise, as well as the desired outcome. Consultation with a board-certified plastic surgeon is crucial to determine the best implant material for you.

A good candidate for a Nose Implant:

You will be the right candidate if you are:

• Having a flat or drooping nose shape that you wish to improve.
• Being in good overall physical health.
• Having realistic expectations about the results of the surgery.
• Understanding the risks and potential complications associated with the procedure and willing to accept them.
• Being at an age where the nose has finished growing, usually around the age of 14 for girls and 16 for boys.
• Being emotionally stable and having a positive outlook.

Preparations for a Nose Implant:

Before undergoing augmentation rhinoplasty or a nose implant, it's important to schedule a consultation with the surgeon to discuss the procedure, your goals, and other important factors. The surgeon will also assess your medical history, conduct a physical examination, and may ask for lab tests to determine your eligibility for the surgery.

It's crucial to follow the surgeon's instructions and guidelines for preparation, including:

1. Avoiding medications containing aspirin or ibuprofen for at least two weeks before and after the surgery as they may increase bleeding.
2. Avoiding herbal remedies and over-the-counter supplements.
3. Ceasing smoking and drinking alcohol for at least two weeks before and after the surgery as they can impede the healing process.
4. Following any additional instructions provided by the surgeon regarding diet, exercise, and skincare leading up to the surgery.

It's important to be transparent with your surgeon about any medications you are taking, any underlying medical conditions, or any allergies you have, so the surgeon can take that into consideration when planning your surgery.

Picture 2:Process of Nose  AugmentationRhinoplasty

Nose Implant Procedure:

The nose implant procedure is typically performed using either local anesthesia or general anesthesia depending on the surgeon's recommendation.

The incision used in the procedure will depend on the type of surgery chosen and the surgeon's preference. The closed technique is used to make incisions inside the nose, resulting in hidden scars, while the open technique uses an incision across the columella (the area between the nostrils) and the scar will be difficult to notice.

Once the incision is made, the implant will be placed on the dorsal bone. The shape of the implant will be adjusted to ensure it is balanced and looks natural with the face. The incision is then closed, and the duration of the surgery is typically between 45 minutes to one hour under local anesthesia or general anesthesia.

It's important to note that the actual procedure may vary depending on the individual case and the surgeon's preference and expertise.

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.

It's important to follow your surgeon's instructions and guidelines for post-operative care to ensure a successful outcome.

Risks and complications associated with Nose Implants:

• Scarring: Scarring is a potential risk of any surgical procedure, but the risk of visible scarring is usually minimal with a nose implant procedure.
• Bleeding: Some bleeding is normal after surgery, but excessive bleeding can lead to a hematoma (blood clot) and may require further surgery.
• Infection: An infection can occur at the incision site or around the implant. Antibiotics may be prescribed to prevent or treat an infection.
• Swelling, bruising, pain: These are common after a nose implant procedure and usually subside within a few weeks.
• Healing problems: Some patients may experience delayed healing or other issues with the healing process, which may require additional treatment.
• Extrusion of the implant: In rare cases, the implant may shift or become displaced, which may require further surgery to correct.
• Asymmetry: The nose may appear asymmetrical after the procedure, which may require additional surgery to correct.
• Unsatisfactory results: Some patients may be unhappy with the final results of the surgery, which may require additional surgery to correct.
• Allergic reaction from the implant: In rare cases, the patient may develop an allergic reaction to the implant material, which may require the implant to be removed.

It's important to note that the risks and complications may vary depending on the individual case and the surgeon's preference and expertise.

Recovery Timeline for Nose Implants and Rhinoplasty:

The recovery process following a nose implant or rhinoplasty procedure varies for each individual. However, a general timeline can be as follows:

• The first week: patients may experience swelling, bruising, and discomfort, and they will need to wear a cast or splint to protect the nose.
• The first two weeks: the cast is usually removed, and any non-dissolvable stitches used will be removed. Patients may still experience some swelling and bruising, but it should start to subside.
• The first month: the majority of swelling and bruising should have dissipated, and patients can start to see the initial results of the surgery.
• Two to six months: the final results of the surgery will become apparent as the remaining swelling dissipates.

It's recommended to take at least one to two weeks off work for recovery and avoid strenuous activities such as sports and heavy lifting for at least 4-6 weeks post-surgery.

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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.