How Rhinoplasty ''nose job'' is done?
The incisions for a rhinoplasty are usually placed within the nose. There are many variations of this incision and the selection is based on the fact that what kind of nasal deformity or disfiguration one is dealing with. If an open rhinoplasty is performed there will be an external incision at the base of the columella. I do Open rhinoplasty if I need to do too much work inside right up to the radix of the nose i.e. if I need to change a Roman nose to a British nose or for a severe septal deviation requiring septorhinoplasy..
Scar is typically unnoticeable once the incision is healed. I use closed rhinoplasty if my surgery is limited to tip plasty or just a jump removal. After the procedure there will be some swelling and mucus drainage. Patients tend to have a stuffy nose feeling as they are healing.
Do you do a standard "nose job"?
Definitely not! I strive to make the patient's nose fit their face. Since each patient is uniquely different, each procedure is tailored to the individual patient. Many surgeons, however, perform a routine rhinoplasty.
How do I know who is the best surgeon for my nose job in UNITED ARAB EMIRATES?
The best rhinoplasty specialist in UAE and the best rhinoplasty surgeon in DUBAI is one who performs the operation routinely in his practice. Remember, facial plastic surgery is the specialty that allows rhinoplasty surgeons to focus their talents only on the face. If a patient is looking for DUBAI rhinoplasty specialists, look for a facial plastic surgeon that will perform your procedure in the context of form and function. In order for you to obtain great rhinoplasty results, the cost of rhinoplasty should not be the only determining factor. Look at the surgeon's before and after rhinoplasty photographs and look for the word of mouth.
What is the recovery period like after a Nose Job ?
Patients usually return to school or to sedentary work one week after surgery. You should avoid strenuous activity (any activity which increases your heart rate) for 2 weeks after surgery. After 2 weeks you may gradually increase your activity so that you are back to your regular routine at 3 weeks. Avoid sun exposure by using sun screen, bumping your nose, and do not let your glasses rest on your nose for 8 weeks. Do not engage in fighting and boxing for 6 weeks after surgery.
What percent of your patients need revision surgery?
A small percent of patients need a revision surgery mainly because of very high expectation. While there is no guarantee about the results of your surgery, you can increase your likelihood of success by choosing aboard certified doctor , by seeing his site for before and after pictures and his credentials, licensing and years of experience in the field. There may be some minor adjustments to be made after an initial rhinoplasty and that can require a revision.
Where will the surgery be performed?
I operate in several internationally accredited hospitals (Joint commission International accreditation) in Dubai like Lifeline Hospital and Al Garhoud Private hospital .Each Hospital has different level of facilities and expertise at various levels like anesthesia and nursing. Each hospital has different rates for each activity. Therefore the total package deal will also depend upon which hospital the patient wants me to operate and upon the extent of surgery needed to correct a given deformity.
Where will you see me for first consultation?
I will see you at my clinic in JBR/Dubai Marina area called Life Line Medical center located
Will everyone know that I have had a nose job?
The goal of rhinoplasty is to bring the nose in harmony with the rest of the face. Typically, after rhinoplasty, people will comment on the fact that you look better, but most may not notice that your nose is different. After rhinoplasty, people will tend to notice other features of your face, previously masked by your nose, such as your eyes and your lips.
What is a non-surgical nose job?
Non surgical nose job is correction of deformed shape by using facial fillers or sometimes suspension stitches without surgery. There are basically three types of biodegradable products ( facial fillers)used for this purpose. Those which disappears ( degrade) in 6 months , those which disappear in 18 months ( degrade)those which last for 4 years .Suspension stitches are usually used to lift the nasal tip or to redefine the nasal tip which is too broad
Why should I consider Non-Surgical Nose Job?
It is minimally invasive; therefore there is no much downtime and risks of surgery. 2) It is much more affordable since traditional nose rhinoplasty costs about $5000-8000. 3) Non-surgical nose job is reversible.4) The client has a control over results of the procedure by looking in a hand held mirror and advising the physician of his/her opinion of the progress of work. 5) Results are subtle, therefore you will look better but not like a person who had a nose job.
How do I know if the non-surgical nose job will work for me?
Long lasting facial fillers are effective for many types of nose imperfections. To be certain this procedure is right for you, call us to schedule a consultation with Prof. Dr. Ashok Govila. He will determine if the nonsurgical nose re shaping will give you the results you desire.
I have always felt that the hump on my nose makes my nose look too big for my face. How would I know if I should get a nose job?
The rhinoplasty consultation is an extremely exciting opportunity to discover what changes can be predictably brought about to the nose, possibly even improving breathing. Following a detailed discussion and physical exam, many patients find video imaging educational and helpful for decision making. Patients are surprised that there are many hundreds of surgical procedures that can be performed on the nose to bring about refinement and nice aesthetic changes.
How to Prepare for Surgery:
To prepare for surgery both physically and mentally, consult Professor Dr. Ashok Govila so you will know what to expect before the operation, the day of the surgery, and afterward:
1. Surgical consultation.
You meet with the Professor Dr. Ashok Govila to discuss your medical history and the procedure. If you have any questions, ask at this time so you understand what the procedure will entail and what to expect from the recovery period. A medical examination may also be performed at this visit, and preliminary tests may be ordered.
2. Pre-surgical visit.
Professor Dr. Ashok Govila will go over the final surgery details with you and give you instructions to follow (fasting - nil through your mouth for 8 hours before surgery) the night before your surgery. Inform him the medications you are taking in case you need to stop taking any of them prior to surgery.
3. Day of surgery.
You will meet with your medical team to go over your medical history and the procedure. The anesthesiologist will explain how the anesthesia works and what effect it will have on you. Double-check that the information on your hospital bracelet is accurate. And if you have prosthetics, wear dentures, or use a hearing aid, be sure to inform your medical team. Inform the team of any drug allergies if you have, if you are diabetic, if you have thyroid problems, if you smoke, if you have hypertension.
4. Discharge after surgery.
You will receive instructions on how to take care of yourself, when to have a post-operative appointment, and what prescriptions you may need. You will be provided with medications to be taken for 3 - 5 days after the surgery by the hospital pharmacy. You will need to arrange to have a family member or friend take you home after surgery. Within first 24 hours after surgery one is not allowed to drive.
Prepare for Surgery: Improving Your Outcome
To best prepare for surgery, take these steps in the weeks and days leading up to it:
5. If you smoke, stop.
It's best to stop smoking at least two weeks before your procedure, but even a few days ahead will help. Inpatient surgery usually requires general anesthesia, and if you stop smoking your lungs will adjust better to the anesthesia. Quitting will also help reduce your risk of infection.
Carefully follow all of your surgeon’s instructions regarding if and when you need to stop taking any of your regular medication prior to surgery. People who take blood thinners such as warfarin (sold under Coumadin and other brand names) will likely have to stop before surgery.
7. Control your blood pressure.
Surgery will be less risky if your blood pressure is at a healthy level. This can be a particular concern for overweight patients. If you are able to lose weight before your surgery, it may help reduce your blood pressure and make the surgery easier, says Professor Ashok.
8 Take it easy.
Relax and try not to overdo it in the days before your surgery. It’s hard not to be anxious, but if you are well rested and in good shape, you will be better able to withstand the physical toll of surgery. Make sure to sleep well on the night before surgery even if it means taking a small dose 5 mg of tablet valium.
After Surgery: Guidelines
You will be encouraged by Professor Dr. Ashok Govila to get out of bed and move around as soon as you can, since being immobilized can be a cause of deep vein thrombosis.
Be sure you know when to resume taking medications that you discontinued prior to surgery, and confirm that they won’t cause a negative interaction with any pain killers you might have been prescribed. Follow all of your doctor`s instructions about what you can or can’t do whether the advice is about having sex, driving a car, taking a bath, or walking up and down stairs. Understand that it may take some time before you can get back to all your normal activities. Continue to watch your diet and keep your weight and your blood pressure in check until you can return to your regular exercise routine. Remember, the better you prepare for surgery, the easier the procedure and your recovery will be.
After care Rhinoplasty Surgery
When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Professor Dr. Ashok Govila uses special techniques to minimize the need for nasal packing. Small pack limited to the nostrils will be left overnight. Occasionally soft rubber internal splints are placed inside the nose to stabilize the dividing wall between the air passages septum, specifically for septoplasty patients. A splint made thermoplastic plastic material is fixed with tapes (if need be) to help the bone and cartilage of the nose maintain their new shape.
After your surgery
After surgery-particularly during the first twenty-four hours-your face will feel puffy, your nose may ache, and you may have a dull headache. You can control any discomfort with the pain medication prescribed by Professor Dr. Ashok Govila. You are advised to stay in bed with your head elevated (except for going to the bathroom) for the first day.
You'll notice that the swelling and bruising around your eyes will increase at first, reaching a peak after two or three days. Applying cold compresses will reduce this swelling and make you feel a bit better. I use a cool gel mask to gently cool the tissues. In any case, you'll feel a lot better than you look. Most of the swelling and bruising should disappear within two weeks or so. Some subtle swelling-unnoticeable to most will remain for several months. Permanent shape lasting for life will be seen only after one year.
What not to do in the first week after surgery ?
Not to expect your dream nose at this stage. It’s too soon. In the first week you nose may look the same or even worst. However Professor Dr. Ashok Govila can show you pictures taken inside the operation theater before fixing the plaster cover to stabilize the tissue in position to reassure you that in days to come finally you will have a nose like the picture shown to you. A little drainage is common during the first few days following surgery, and you may continue to feel some stuffiness for several weeks. Professor Dr. Ashok Govila will ask you not to blow your nose for a week or so, while the tissues heal. By the end of one week all dressings, splints, and stitches will be removed.
Getting back to normal
Most rhinoplasty patients are up and about within two days and able to return to school or sedentary work a few days to a week or so following surgery. Professor Dr. Ashok Govila will give you more specific guidelines for gradually resuming your normal activities. They're likely to include these suggestions: Avoid strenuous activity (jogging, swimming, and bending) for two to three weeks. Avoid hitting or rubbing your nose, or getting it sunburned, for eight weeks. Be gentle when washing your face and hair or using cosmetics.
Professor Dr. Ashok Govila will schedule frequent follow-up visits in the months after surgery, to check on the progress of your healing.
Your new look
In the days following surgery, when your face is bruised and swollen, it's easy to forget that you will be looking better. In fact, many patients feel depressed for a while after plastic surgery-it's quite normal and understandable. Rest assured that this stage will pass. Day by day, your nose will begin to look better and your spirits will improve. Within a week or two, you'll no longer look as if you've just had surgery. Still, healing is a slow and gradual process. Some subtle swelling may be present for months, especially in the tip. The final results of rhinoplasty may not be apparent for a year or more. In the meantime, you might experience some unexpected reactions from family and friends. They may say they don't see a major difference in your nose. Or they may act resentful, especially if you've changed something they view as a family or ethnic trait. If that happens, try to keep in mind why you decided to have this surgery in the first place. If you've met your goals, then your surgery is a success.
What are the complications of Nose Job?
The list is too long and can discourage any one to undertake such a surgery but this list in meant to cover the skin of the surgeon and normally 99 % may not undergo any one of these out of the list below. Abnormal shape of nose (pinched tip, polly beak, pug nose, scooped out nose; corrected by secondary surgery, often with an implant) airway obstruction, anesthesia reaction, asymmetry, bleeding (may require nasal packing to control it) burst blood vessels, depression, discoloration, extrusion (implants) Infection (risk is less than 1%) Signs of infection: pain, swelling, warmth, redness internal scar/adhesions keloid (heavy scar) loss of smell, loss of structural support, nerve damage, numbness, pain, perforation of septum.
Permanent numbness (risk is less than 1%) reactions to medications, septal hematoma ,sinusitis (treated with antibiotics and medications that shrink the nasal lining) skin irregularities. skin necrosis or skin death (1500% more likely with smokers) slow healing, swelling, toxic shock syndrome, wound infection and a visible scar .
How Can I book a date for surgery staying outside Dubai and without consultation?
Yes it's possible provided you have sent detailed information about yourself along with pictures of the given problem to Prof. Dr. Ashok Govila. And once a package deal has been agreed upon the professional fees that is 50 % of the package deal is to be sent by money transfer of some kind to book a date for surgery. Money can be transferred directly to the Bank account of Prof. Dr. Ashok Govila, or by western Union Money transfer or using any other exchange facility. If there is enough time between the decision making and date for surgery and which means enough time for the clearance of the cheque then a cheque can be sent by courier service. The details of these methods can be directly communicated on emails (send mail) to Professor Ashok.
What is the cost of a Nose Job?
The cost of surgery including pre-operative consultation , pre-operative anesthesia work up, surgical fees , anesthetist fees, pre -operative investigations , operation theater, room rent , hospital fees , post-operative follow up doctors visit and your visit to clinic after surgery until the wound heals will be $ 5000 to $9000 depending upon which hospital surgery is conducted and the extent of surgery.
What is the cost of Non-surgical Rhinoplasty?
Cost of non-surgical rhinoplasty depends upon the severity of the deformity of nose and the type of filler used to correct the shape. There are basically three types of biodegradable products used for this purpose. Those which disappear ( degrade) in 6 months, the cost for them could be as low as 700 USD and those which disappear in 18 months they are charged for 1200 USD and those which last for 4 years they cost about 2000 USD.