Rhinoplasty (Nose Surgery)

Nose surgery or also knows as Rhinoplasty in plastic surgery world is the most common of all plastic surgery procedures. Reshaping or improving the appearance of the nose can be done in a number of ways; 1. Reduction Rhinoplasty enhances the shape of the nose by reducing the size, by straightening, lowering, removing bumps, curves or ridges and by contouring the shape of the bridge of the nose in alignment with the tip. This procedure is classified as either a reconstructive or cosmetic surgery. 2. Augmentation Rhinoplasty enhances the shape of the nose by adding height to the nose bridge using a silicone implants to achieve a long lasting results. In performing augmentation rhinoplasty, an implants is needed. The most common materials used for implants include Gortex or soft silicone. Alarplasty (nose wings reshaping) may also be done in conjunction with augmentation rhinoplasty. There is no age limit for Rhinoplasty, however the preferred age is mid-teens when the nose is near full development.

Surgical/Procedure Name

Augmentation Rhinoplasty & Alarplasty Augmentation Rhinoplasty Alarplasty Reduction Rhinoplasty

Common Name

Nose Surgery
Nose Job
Nose Implants

Surgical Procedure

There are several techniques used to perform this procedure. An incision may be made under the rim, or within the nose, and the soft tissue separated.

1. Open or Reduction Rhinoplasty. The bone and cartilage are re-sculpted and the skin sealed with fine sutures to minimize scarring. Patients with a deviated septum may have it corrected during surgery to improve breathing problems. The surgeon may place drops in your nose to eliminate bleeding during surgery and constrict blood vessels.
2. Augmentation Rhinoplasty. The sharp subcutaneous dissection is carried on from the incision to the lower border of the nasal bone to create a symmetrical pocket over the tip and supra-tip area. The sub-periosteal dissection is continued with periosteal elevator from the lower border of the nasal bone. The upper dissection is limited at the marked line for the superior border of the pre-planned prosthesis pocket. The lateral dissection is performed to achieve the adequate pocket space, which depended on the size of the prosthesis. The dissected pocket is irrigated with normal saline and the hemostasis is secured. The custom-made S-shape implant is inserted. Finally, the contour and position are checked by the surgeon.

Hospital Admission

The surgeons recommend atleast one night hospital admission for Reduction Rhinoplasty. Whilst Augmentation Rhinoplasty and Alarplasty are out Patient procedures. Hospital Admission is not necessary.

Duration of Operation

Three to five hours for Reduction Rhinoplasty
Two to three hours for Augmentation Rhinoplasty and Alarplasty

Anaesthetic

Reduction Rhinoplasty is performed under general anaesthetic.
Augmentation Rhinoplasty and Alarplasty are performed under local anaesthetic.

Pre Operative Care

Surgeons advised that patients to do the following prior to the rhinoplasty to avoid post operation bleeding or any complications: • Inform the surgeon of any allergies, all medical conditions, and any medication that the patient are taking (both prescription and non-prescription) • Avoid aspirin and any medication containing aspirin or brufen for two weeks before surgery. • Avoid smoking for two weeks as smoking can affect body’s reaction to the anaesthetic and slow down the healing process. • Checkup for any major medical problems such as diabetes, high blood pressure, heart disease During your consultation, you should discuss your expectations of the outcome of the surgery and listen to the surgeon’s opinion.

Post Operative Care

After nose job, the patient may experience some pain associated with the surgery. When the procedure is completed, a patient is advised of the following:

• Splint and Dressings Following surgery your surgeon may ask you to wear a splint to support the position of the nasal bones. This usually stays in place for about 2 weeks. Gauze packing inside your nose may also be needed to avoid bleeding. This is usually taken out the day after surgery.
• Medications. Prescriptions for pain medication that the patient will take as needed and antibiotics are administered to avoid any potential risks.
• Swelling and bruising. There may be some swelling and bruising around the nose area, but this will generally fade within 2 weeks after the surgery.
• Strenuous Activities. Avoid any strenuous activities that may increase your blood pressure such as running, swimming or bending as this may cause your nose to bleed in the first month. Your surgeon will advise you when you may resume normal activities.
• Nose Care. You should not blow your nose for the first two weeks after surgery and avoid bumping or rubbing your nose for the next 3 months. Glasses should not sit on the bridge of the nose for the first month. Be gentle when washing your face and avoid fragrances that may cause you to sneeze.
• Recovery Most Rhinoplasty patients recover quickly and are able to move around shortly after surgery. You may not wish to return to work for approximately 2 weeks as you may suffer severe bruising and swelling around the eyes.

Risks and Complications

Risks are inherent to any surgical procedure. But do not worry, all precautions are taken by Plastic Surgery Phuket’s surgeons to avoid these risks.

Complications are very rare. However, here are the most common risks of this surgery:
• Swelling
• Bruising
• Bleeding
• Infection
• Small blood vessels may appear on the skin’s surface

As for scarring, there is no visible scarring at all when Rhinoplasty is performed from inside the nose. When an “open” technique is used, or when the procedure calls for the narrowing of flared nostrils, the small scars on the base of the nose are usually not visible.

Results

After 2 weeks your bruising and swelling should have subsided and no one will be able to tell that you have had surgery. The result is a natural appearance with your nose more in proportion to the rest of your face. It may take up to 12 months before you see your final result.

Procedure Overview (PDF)

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Pricing Table

Currency:

Phuket

Procedure Price
Alarplasty (L.A.) (L.A.)
Op. Time: 1 - 2 hours, Stay: ≥ 5 days
THB 20,000  Get Quote
Augmentation Rhinoplasty (L.A.) (L.A.)
Op. Time: 1 - 2 hours, Stay: ≥ 5 days
THB 30,000  Get Quote
Alarplasty (G.A.) (G.A.)
Op. Time: 1 - 2 hours, Hospital: 1 nights, Stay: ≥ 5 days
THB 45,000  Get Quote
Augmentation Rhinoplasty (G.A.) (G.A.)
Op. Time: 1 - 2 hours, Hospital: 1 nights, Stay: ≥ 5 days
THB 50,000  Get Quote
Asian Rhinoplasty with Augmentation (Augmentation with tip-plasty) (G.A.)
Op. Time: 3 - 4 hours, Hospital: 1 nights, Stay: ≥ 10 days
THB 130,000  Get Quote
Reduction Rhinoplasty & Septoplasty (G.A.)
Op. Time: 4 - 5 hours, Hospital: 1 - 2 nights, Stay: ≥ 10 days
THB 180,000  Get Quote
Revision Reduction Rhinoplasty (Redo) (G.A.)
Op. Time: 6 - 8 hours, Hospital: 1 - 2 nights, Stay: ≥ 10 days
THB 250,000  Get Quote

Bangkok

Procedure Price
Alarplasty (L.A.)
Op. Time: 1-2 hours, Stay: ≥ 5 days
THB 20,000  Get Quote
Alarplasty (G.A.)
Op. Time: 1-2 hours, Hospital: 1 nights, Stay: ≥ 5 days
THB 45,000  Get Quote
Asian Rhinoplasty with Augmentation (Augmentation with tip-plasty) (G.A.)
Op. Time: 3-4 hours, Stay: ≥ 10 days
THB 130,000  Get Quote
Augmentation Rhinoplasty (L.A.)
Op. Time: 1-2 hours, Stay: ≥ 5 days
THB 30,000  Get Quote
Augmentation Rhinoplasty (G.A.)
Op. Time: 1-2 hours, Hospital: 1 nights, Stay: ≥ 5 days
THB 50,000  Get Quote
Reduction Rhinoplasty & Septoplasty (G.A.)
Op. Time: 4-5 hours, Hospital: 1 nights, Stay: ≥ 10 days
THB 142,000  Get Quote
Revison Reduction Rhinoplasty (Redo) (G.A.)
Op. Time: 6-8 hours, Hospital: 1 nights, Stay: ≥ 10 days
THB 262,000  Get Quote

L.A.= Local Anesthetic  G.A.= General Anesthetic

Note:

  • Prices are quoted and charged in Thai Baht currency.
  • All other prices in foreign currency are according to prevailing currency exchange rates.
  • Prices are indicative only, can change without notice and are not confirmed until after a surgeon’s consultation.
  • Anesthesia. G.A. means General Anaesthesia. L.A. means local anaesthesia.
  • Duration (HR) means the approximate time in hours to complete the procedure in the operating room.
  • Days Admitted means the approximate number of days a patient is admitted to the hospital. If no days admitted are indicated, the patient is not admitted and is treated as an out patient.
  • Recommended Stay in Phuket means the usual minimum number of days that a patient is usually required to stay in Phuket. It includes an arrival day, an appointment with the surgeon’s day, admission and surgery, recovery days as well as a final appointment day prior to patients returning home.

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Other plastic surgery procedures performed at Phuket Plastic Surgery Institute (PPSI).

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