Rhinoplasty information

Rhinoplasty or nose surgery is a very individualised procedure and requires a thorough evaluation of the bones and cartilages that make up the skeleton of your nose.

Dr.Chettawut's goals for feminizing rhinoplasty focuses on how to achieve maximum improvement in the most natural-looking manner.

The structures on the inside of the nose are carefully assessed and the relationship of the nose to your overall facial structure is evaluated.

Most people having rhinoplasty surgery are concerned about the size of the nasal hump (bridge or bump) or the shape of the nasal tip (pointy end of the nose).

Dr.Chettawut's Feminizing Rhinoplasty is typically performed by standard open technique which provide a better approach (compared with the close technique rhinoplasty) to reduce the height of nasal bridge as well as the base of nasal bone for achieving of smaller nose with slight concave profile.

The tip-plasty by carving & modification of lower cartilage structure will be also included to provide a slight upturn & smaller nose tip.

The procedure can be summarized in 3 steps as following:

1. Skeletonization:

Exposing the underlying skeleton of bone and cartilage from the overlying skin.

2. Osteotomies are usually required when reducing the nasal hump and are also often used to improve a twisted nose.

If the bridge of the nose is wide, I will can make it narrow by fracturing (cutting) the bone on each side and moving it closer to the center. 3. Refining the tip:

A resection of a portion of the tip cartilage can be undertaken to help achieve refinement or 'narrowing' of the nasal tip.

The common procedures done together with rhinoplasty is Alarplasty procedure. The Alarplasty is small surgical procedure for narrowing the base of nose and the flared nostrils by removing a small wedge of tissue from the base of the nose.

The procedure can be done as standalone surgery or done at the same setting of rhinoplasty.

Anesthesia for your rhinoplasty

Since the nature of surgery commonly involved with bone narrowing or reshaping work, Dr.Chettawut prefers general anesthesia as he believes the patients should feel more comfortable to be totally asleep during operation.

After your surgery

A splint (cast) is usually applied to the nose to maintain the shape.

Nasal packs also may be placed in the nostrils to stabilize the modified bone and cartilage.

The nasal packs will be removed at the second post operative day and the case will be removed at the seventh postoperative day.

After surgery, your nose and eyes will be swollen and bruised, and your face may look puffy. The swelling and discoloration increase in the first few days and then will subside after the first week or so.