The Procedure

What is the procedure ?

For both of the man and woman, the nose in the center feature of the face which can effect to the whole surface which can separate in 3 parts , nose bridge, the tip of nose, and alar(the both outer side of nose). And nowadays, many peoples who don’t satisfy with the nose shape which may cause from birth, or have been the result of trauma, previous surgery, an injury may have distorted the nose, or the goal may be improved breathing or etc. And for the Orientals who have a wide flat and short nose are wish to correct this part of the face which differently from the western peoples who have quite big size of the nose, reduction rhynoplasty with dorsal hump rasping and lower lateral cartilage resection is classic.

For a nose augmentation is very common procedure facial plastic surgery which is for making the volume of the nose bride higher with the medical material, Silicon implant which have 2 types of this , the instant block (the implant is created with the standard block nose ) and The big piece silicone(the surgeon need to shape it to be fit with the nose structure) or with the cartilage (the soft bone behind the ear)and Goretex (The materials look like silicone with many small holes which is better to be attached to the nose and tissue on that area, it’s developed from original silicone nose implant)
For the perfect consequence of nose surgery, sometimes nose augmentation can be done combining to another type of nose surgery such as Alarplasty (smaller the nostril or the angle between the nose and the upper lip) or Tipoplasty to correct the specific part of the nose (shaping of the nose tip).

 

The Method

How the procedure is performed ?

Before the surgery, the surgeon will have a consultation with you, checking the structure of your nasal to see that your expected result is possible to make it real or not. And after that, preparing the silicone by shaving the big piece to become the size as the patient wants, unless the surgeon will use the instant block silicone (already shaved).

And the surgery will be started with applying the local Anastasia (LA) on the patients to reduce the pain during the surgery. And the surgeon will make an incision at the skin under between the mouth and nose to insert the material underneath the skin to raise and straighten the bridge-line. The volume of implant silicone is depending on what the client requires for (the consequent of nose implant surgery). And after that the incision will be closed with the suture and put the gauze over your nose. Some surgeons may recommend the client to put the nose block after the surgery to keep the new shape of the nose in the good position and support the surgery area in ordered to get better more sooner.

For the people who undergo the surgery with the cartilage, the surgeon will take out the cartilage either from the crest of the hip, from a rib, from the back of the elbow or both ears (one of these areas) before the surgery is started and do the same method with nose augmentation by silicone implant. 

What type of Anastasia is necessary for the procedure ?

Local Anastasia 

How will the incision look like ?

The incision of nose implant will be hidden inside the nostril at the edge of the nostrils which is about 1 cm. length, can be either one side or both sides, and depends on the surgeon’s individual. So, the incision is invisible inside the nose. 

Ideal Candidates

Is this procedure suitable for the candidate?

  • The best candidate for nose augmentations can be both of man and woman but should be healthy non-diabetic as priority important
  • Over the age 16 years old. Because before this time, the nasal structure still can developing. So, it’s can’t be the last result of the surgery 
  • Don’t happy with the shape of the nose since born such as flat nose especially in Asian and African peoples with completely flat nose and have a thick nose skin
  • The peoples who want to improve the face appearance, make the higher nose bridge which can make the face looks more natural balance and harmony
  • The peoples who need to restore symmetry with the face 
  • Increasing the self-confident 

What are the results the candidate can expect?

  • The nose bride is higher and also look more straighter
  • You can enhance facial harmony and the proportions of your nose
  • The size of your new nose (Nose Bridge) can make your facial more balance
  • Make the narrow nostrils that flares, defines and sharpen the nasal trip and
  • The face looks more natural beautiful, or we can say that after nose augmentation, 80% of the face is improved.
  • More self-confident can get the better lift opportunity 
  • Remove the flaw point of the face

Recover/Post-Operative

Length of stay at the hospital and in Thailand

Out-patient, recommends 7 days in Thailand

Pre-operative care

  • Before the surgery can happen, you need to have a consultation with the surgeon and inform them all information about your medical problem, your allergies, medication you are taking at the moment
  • If you know that you have problems with your blood pressure, your heart, or your lungs, asks your family doctor to check that these are under control
  • The surgeon will ask you for the expected result of your surgery, how higher of the nose bridge you desire. Because the surgeon need to provide the silicone implant which can fit to your nose structure in order to give you the same amount of the nose bridge volume as you requested for
  • If you are having a combination of plastic surgery procedures, the surgeon will explain you about this and the surgery will take longer recovery time. You can make a decision to do it or not 
  • You will be asked to stop taking Aspirin, ibuprofen, and products containing aspirin and ibuprofen including anti-inflammatory medication , high dosing any multivitamins/herbal remedies/teas etc before and surgery for 2 weeks , this may inhibit blood clotting and cause bleeding problems during and after surgery
  • Stop drinking alcohol or smoking before and after the surgery 2 weeks, that’s effect to delay wound healing

On the surgery date

  • Take a bath and wash your hair wash your hair and clean inside your ears with the cotton bud. But do not apply the lotion and cream on the body including no makeup
  • Take out all accessories, such as earring and also remove the nail polish before getting the operation room
  • Wear the loose cloths or comfortable, If possible take the shirt with the button in front. 
  • Sleep well before the surgery
  • Make a physical checking up to be sure that you have the normal level of your blood pressure or any disease come up which can’t undergo the surgery or not

Post-operative care

  • After the surgery, the small splint will be placed over your nose to support the new shape of nose and you will be recommended to sleep with the high pillow (in the possible of the head higher than the chest) to reduce the swollen and bruising from the operation
  • Understand that it is not only your nose which is swollen and bruising; your face also will be puffy, especially the first day after the surgery
  • If you still have strong pains, the painkiller pill and antibiotics medication is recommended if the pain is extremely and for preventing to get infection during the healing process and continue taking them until they are all gone
  • But be careful not to take the aspirin or some combination procure may contain aspirin or other non-steroidal anti-inflammatory drugs that increase bleeding.
  • And cool pack, frozen peas is required to apply on your nose. This can reduce the swelling and stop bleeding (especially, the first few days is recommended to keep cool pack on your surgery area all the time) and including vitamin A and C is also can help
  • During this time, its very importance to keep you wound dry and clean. You can clean your face with the wet towel but if you really want to take a shower to wash your face, you can do it with gently and dry it up as soon as possible. 
  • Use the Q-tip (cotton bud) with sterile water to clean your nose both inside and outside and change the bandage on both inside and outside your nose as often as possible to prevent growing up of bacteria 
  • Don’t worry if there is some bleeding or oozing from the incision, that’s normal and will resolve within 2 days
  • About 7 days after the surgery, you have to come back to see the surgeon again for follow up checking to be sure that the incision go well, no side-effect or complication 
  • Just to be informed, during this time , you face will be bruised and don’t get too panic or frightened when you look at yourself in the mirror(but it doesn’t happen to every patients ), your face maybe get some shades of the purple, green and yellow before the face completely ( around 10 days).
  • Do not blow your nose but if you sneeze, open your mouth to divert the airflow away from the nose or avoid any pressure on your nose
  • If you have nose implant with the cartilage, you may have the incision behind the ear also. It will be covered with the plaster and try to keep the plaster on your ears in the first few days after the surgery 
  • During the recovery time, the incision can be itching, try to not scratch it. Apply the moisturizer, oily lotion on the nose are recommended
  • Avoid extreme activities or strenuous sport at least 3 weeks because of the rising high blood bending over or lifting heavy things or any activities which risk knocking your nose 
  • Don’t move your nose from side to side by your fingers including move your nose from side to side by your fingers. Due to the implant is not attached to your nose bone yet 
  • And should avoid stooping, straining, bending and coughing if possible
  • Be careful to the children and pet that can attack your nose and it may move suddenly and also can cause of bleeding inside your nose 
  • And if you wear glasses, don’t wear it for the first 3 weeks; contact lenses are OK immediately after nose surgery
  • The nose skin after Nose implant is very sensitive to the sun. It is important to wear strong sunscreen and a hat for at least six months
  • The nose may feel a little stiff and numb for up to three months, particularly around the tip. And it’s normal if you feel loss of the smell after the surgery, and including the numbness of the nose. It will almost always temporary and can last 6-12 months

What are the possible risks and complications involved?

Common symptoms

For the common symptoms after nose augmentation done such as swelling and bruising, unfavorable, painful but these will fade away over the time.

Infection

Normally, the surgeon will ask you to take the oral anti-biotic both of before and after the surgery to prevent getting infection from the surgery. But it’s potential can happen if the bacteria are so strong and go deep to the wound , particularly in heavy smokers Very occasionally, the operation can be complicated by heavy nose bleeding either shortly afterwards. The first sigh to know that you get injection is the fever, if it keeps rising up and including you have strong pain around the wound and feel the heat inside. You should go back to meet your surgeon immediately.

Silicone ben left or right

The silicone ben left or right after it was placed over your real nose bone. It caused of your body anti the adulterated thing which is inserted to your body. This you must to go back to see the surgeons may select another types of silicon to revision the surgery for you.

Silicone moving

The silicone is moved after it is placed over your nose bone. This normally found in the peoples who have done the surgery more than 10 years.

The declension of the cartilage

The peoples who have Nose implant with cartilage will be more risky to get the complication after the surgery than the one with incision implant such as , The cartilage can be dissolved, the cartilage can become black over the time. And it can be visible especially in the peoples with very thin skin. Due to this kind of implant is the real bone of the human.So, this is the reason why the surgeons recommend nose implant with silicone more than cartilage.

The effect of taking out the cartilage from some part of the body

Nose implant with cartilage is suitable for the people who would like to segment the nose only come part of the nose such as nose tip or Nose Bridge with low volume. Due to if you would like to have high volume of nose, you must need big part of your cartilage ( the ear bone) . So, it can make your ears change the shape. Although, it’s natural material which is from your body, but we find that it can be moved under the skin if it doesn’t fit with your one bone. And compare to silicone implant, it’s less flexibility and less looks natural

The implant comes out from the nose

The material implant can come out through the nose after the surgery, this cause from the surgeon shape the silicone too sharp and also too high. And it’s risky more when you have very thin skin compare to the normal peoples. And it’s can happen in with the peoples who have a surgery with both of silicone and cartilage implant