Indian Rhinoplasty PicturesIndian Rhinoplasty Pictures25 Cases25 Cases

Dr.K.O.Paulose FRCS DLODr.K.O.Paulose FRCS DLO

Consultant ENT SurgeonConsultant ENT SurgeonJubilee Hospital, Trivandrum, Kerala, India.Jubilee Hospital, Trivandrum, Kerala, India.

www.drpaulose.comwww.drpaulose.com

www.drpaulose.comwww.drpaulose.com

Rhinoplasty in Jubilee HospitalRhinoplasty in Jubilee Hospital

The procedureThe procedure

Types of RhinoplastyTypes of Rhinoplasty

Rhinoplasty can be Rhinoplasty can be done by the Open done by the Open (External) or closed (External) or closed (Internal) (Internal) technique. This will technique. This will depend on where depend on where the incisions are the incisions are made. made.

Reduction and Reduction and AugmentationAugmentation

Open:External RhinoplastyOpen:External Rhinoplasty

IntroductionIntroduction Rhino (Latin for nose) and Rhino (Latin for nose) and

plasty (Greek for molding plasty (Greek for molding or forming)or forming)

Greek word plastikos Greek word plastikos

meaning to give meaning to give something shape or form. something shape or form.

Rhinoplasty is a surgical Rhinoplasty is a surgical procedure used to modify procedure used to modify the size and shape of the the size and shape of the nose in order to give it a nose in order to give it a more pleasant look. more pleasant look. Harmonize your nose and Harmonize your nose and show off a really show off a really proportionate face. proportionate face.

Rhinoplasty in Ancient IndiaRhinoplasty in Ancient India

Noses were symbols of pride Noses were symbols of pride Tempting targets during warfare.Tempting targets during warfare. Amputation of the nose -offenses, Amputation of the nose -offenses,

including adultery. including adultery. Sushrutha, (600 B.C.) Sushrutha, (600 B.C.) ‘‘Sushrutha Samhitha‘-surgery in Sushrutha Samhitha‘-surgery in

detail detail

Sushrutha:RhinoplastySushrutha:Rhinoplasty

External Rhinoplasty ProcedureExternal Rhinoplasty Procedure

External Rhinoplasty:OsteotomyExternal Rhinoplasty:Osteotomy

Surgeons at workSurgeons at work

Local or GALocal or GA

if your nose only if your nose only needs a little needs a little reshaping, you can reshaping, you can probably have local probably have local anesthesia. If you anesthesia. If you need more need more extensive work, extensive work, you will probably you will probably need general need general anesthesia.anesthesia.

External Rhinoplasty ProcedureExternal Rhinoplasty Procedure

Rhinoplasty:ReductionRhinoplasty:Reduction

Rhinoplasty preoperative Rhinoplasty preoperative aesthetic evaluationaesthetic evaluation

The goals of aesthetic surgery are a The goals of aesthetic surgery are a satisfied patient and surgeonsatisfied patient and surgeon

Occasionally, the patient suffers from Occasionally, the patient suffers from a psychiatric illness. a psychiatric illness.

understand the motivation of the understand the motivation of the patient patient

Digital images of nose and faceDigital images of nose and face Step ladder principleStep ladder principle

Step ladder principleStep ladder principle

One cannot climb One cannot climb more than one or more than one or two steps in a two steps in a ladderladder

Ugly nose can be Ugly nose can be made better nosemade better nose

Normal nose can be Normal nose can be made pretty nosemade pretty nose

Ugly nose cannot be Ugly nose cannot be made pretty Nosemade pretty Nose

Nose sculpturing:TypesNose sculpturing:Types

TechniquesTechniques Closed and open RhinoplastyClosed and open Rhinoplasty Open Rhinoplasty betterOpen Rhinoplasty better Dorsal hump reduction Dorsal hump reduction Shortening of lower lateral cartilage Shortening of lower lateral cartilage Sculpture of nasal tip Sculpture of nasal tip

Septoplasty with RhinoplastySeptoplasty with Rhinoplasty

Septal Correction Septal Correction Always done if Always done if neededneeded

Septoplasty Septoplasty corrects the corrects the functional issues of functional issues of nasal airwaynasal airway

Septoplasty pre and post opSeptoplasty pre and post op

Removing Maxillary CrestRemoving Maxillary Crest

Tip SculpturingTip Sculpturing

Making the tip Making the tip shortershorter

Done by External Done by External RhinoplastyRhinoplasty

See pre and post See pre and post op picturesop pictures

Iliac crest and conchal graftIliac crest and conchal graft

Final Suturing and packingFinal Suturing and packing Suturing by5x0 Ethilon and Suturing by5x0 Ethilon and

3x0 catgut3x0 catgut Nasal Packing: Merocel –Nasal Packing: Merocel –

Compressed gel-for Compressed gel-for internal nasal pack. internal nasal pack.

Internal Silastic Splint- This Internal Silastic Splint- This keeps the septum in place, keeps the septum in place, and removed after 5-7 and removed after 5-7 days time.days time.

External Thermpolastic External Thermpolastic Splint.Splint. It will be removed in It will be removed in 7 days time.7 days time.

Final suturing and packingFinal suturing and packing

Surgery overSurgery over

Post op recoveryPost op recovery

Post op wardPost op ward

Pre and Post op picturesPre and Post op pictures

Pre and post op picturesPre and post op pictures

Pre and Post op picturePre and Post op picture

Pre and Post Op picturesPre and Post Op pictures

Pre and Post op picturesPre and Post op pictures

Before and After picturesBefore and After pictures

Hemifacial AtrophyHemifacial Atrophy

Pre and post op picturePre and post op picture

Pre and Post op picturePre and Post op picture

Pre and Post op picturesPre and Post op pictures

Pre and Post Op picturesPre and Post Op pictures

Pre and Post Op picturesPre and Post Op pictures

THANK YOUTHANK YOU

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