RHINOPLASTY – COSMETIC NOSE SURGERY, Dubai

nazmi baycin plastic surgeon

Welcome to Dr. Nazmi Baycin’s rhinoplasty page. As a plastic surgeon in Dubai, UAE, here I will share my professional knowledge and personal experience about cosmetic and corrective nose surgery. You will find out the characteristics of ideal candidates, designing the best nose shape, surgical procedure, recovery period, rhinoplasty before and after pictures, tips to avoid unwanted results, risks and more… You will also have an idea regarding the rhinoplasty prices in Dubai.

Details Of Rhinoplasty In Dubai

rhinoplasty in dubai

Cosmetic nose surgery which designs the shape of the nose is rhinoplasty in medical terminology. The procedure is the most ancient one, even a brief history of rhinoplasty takes substantial place in facial plastic surgery history.

Nose, which located in the center of the face, is a prominent structure that affects facial features most. It is also the point of focus at face to face interviews.

While its beauty adds extra value to face beauty, deformities also bother the eyes. Therefore, nowadays cosmetic nose surgery has been widespread plastic surgery procedure more and more every day.

What can rhinoplasty correct?

Rhinoplasty surgery, ensures to reshape over all the nose. It is possible to change the size, to reduce the nostrils, to change the angles between lips and forehead.

Some patients complain breathing problems as well. Rhinoplasty surgery also provides to attempt to improve breathing problems as accompanying with septoplasty surgery. Nasal function, as well as aesthetic appearance, is an important issue that should not be overlooked during the nose surgery.

On the other hand, traumatic nose deformities and congenital malformations are also the subject of the nasal surgery. Most common deformities are cleft lip and cleft palate.

If you plan to have rhinoplasty in Dubai, here, you will find out all the information you need.

Examination Before The Nose Surgery

At this stage, it is necessary to examine in detail the inside and outside of the nasal structure. The internal examination is even more important than the external examination. In terms of diagnosis and treatment, it is the most crucial point before nasal surgery.

A significant number of patients who apply for cosmetic nose surgery have various problems… Not only in shape but also breathing difficulties in their medical history. I often detect cartilage deviation (deviated septum) which separates nostrils in the midline and, turbinate enlargement.

Correction of septal deviations and skews, reduction of the turbinates are indispensable aspects of the rhinoplasty surgery. If there is breathing problem due to the cartilage deviation (septal deviation), if it is not corrected during the procedure, the problem persists after surgery. In such cases, septoplasty surgery combined with rhinoplasty provides both airway relief therefore ease of breathing and improvement of the external view.

After detailed examination, I take pictures from various angles. I use these photos in order to design nose shape beforehand.

What are the success criterions of rhinoplasty?

For that reason, in order nasal surgery to be successful:

  • Nose must be in harmony with the face
  • The changes in the nose structure should not look exaggerated
  • Nose appearance should be natural
  • Patient should not complain breathing problem

The success of nose surgery depends on how correct the person expresses his or her nose complaints and expectations. So explain your problems with detail during the consultation.

Your expectation and explanation will lead me to the proper surgical planning. Expectations aimed at unrealistic or perfection are likely disappoint the person. For this reason, those who are in the expectation of a better and harmonious appearance rather than the perfect appearance will satisfy more.

Are you a suitable candidate for rhinoplasty surgery?

People who are aiming perfection, who are not capable to perceive that “the better is acceptable than the current situation” are not a suitable candidate. A suitable candidate for nose surgery is the one who is able to accept the better than the current one without aiming perfection.

American Society of Plastic Surgeons have a group of SIMON patients who are identified: S = Single, I = Immature, M = Male, O = Overexpectant, N = Narcissistic) are not considered suitable for rhinoplasty.

I think that the people who are:

  • Good medical condition and in appropriate age,
  • Completed personal development,
  • In normal mental health and psychological status,
  • In realistic and reasonable expectation
  • Free of any systemic disease (For example heart disease)

are suitable for rhinoplasty if there is noticeable deformity at first glance or dysfunction.

Generally, plastic surgeons prefer not to perform rhinoplasty on adolescents during mental health development process. The lower limit of the age of nose surgery in young people is 17-18. However there is no upper age limit.

Thinking about rhinoplasty?

  • If there is skew or septal deviation to the right or left
  • Seems bigger than normal on your face
  • If the nostrils are wide and/or asymmetric
  • Looks like a hunchback when viewed from the side
  • If the tip of the nose is hanging down or it it is too thick or too wide
  • Looks wider than normal when viewed from the front
  • If you have difficulty on breathing with nose deformity

you are suitable for rhinoplasty.

Outcome of nose surgery depends on:

  • Whether or not the vertical axis is straight
  • Size of the nose
  • Whether or not nose surgery has been performed before
  • Thickness of the nose skin
  • Whether or nor nasal trauma has been exposed before
  • Smoking
  • Whether or not there is inherent wound healing problem
  • Current facial harmony
  • Whether the nasal cartilage is strong or weak
  • The extent to which the doctor has obeyed to his recommendations

How should your nose look after the rhinoplasty?

facial analysis before nose surgeryAt this point, it is a crucial criterion to achieve that being nasal shape is harmonious with the face, facial features, and metrics. To achieve a natural view after rhinoplasty is an important criterion as well.

The nose should be in harmony with chin, forehead, eyebrow, eye, lips, and complement each other. Besides, the parts of the nose that constitute the whole should also be in harmony with each other.

The ideal angle between the nose and upper lip shows a difference for males and females. While 90°-100° angle looks fine in males, 100°-110° angle looks fine in females. Wider than 100° angulation in males leads to feminine appearance. Wider than 110° angle in females leads nostrils looks like pig nose.

The beautiful and aesthetic nose is the one which is proportionate within itself, in harmony with the surrounding structures. And it should reflect its beauty and size outwardly. Ideal nose even after surgery should seem like it has not undergone rhinoplasty, it has not lost its natural appearance.

Rhinoplasty Before and After Pictures

  • nose surgery before after picture
  • rhinoplasty before after picture
  • rhinoplasty before after picture
  • rhinoplasty before after picture
  • nose surgery before after picture

As you can see above patient experiences, all nose shapes I achieved after rhinoplasty surgery are the yield of thorough surgical planning. Facial harmony and gender characteristics are considerations.

Sometimes, hesitant patients ask me, whether or not their facial expression would change after nose job. Of course, your facial expression may change due to nose surgery. Even a minor change on your face may influence your facial expression. However, such changes I will design surely always improve your expression positively. See the rhinoplasty before and after pictures.

How will I design your nose before rhinoplasty surgery?

ideal nose shapeAnalytical metrics are useful in the photographs taken before the rhinoplasty surgery. It helps to determine the ideal nasal shape model for your face.

I design the nose shape to be ideal for you by taking metrics based on specific points on your photographs. It is useful for determining the ideal proportions according to your nose and face. So that, harmonic nose shape with your face is found out.

Ideal nose shape is feasible to design either 2D or 3D with computerized media. The changes between before and after rhinoplasty surgery are possible to see. The latest developments are aiming at perfection, therefore details on the appearance of nose have come into prominence. It is aimed to see the pleasure of fine details in the three-dimensional view. Because the beauty only in the two-dimensional view is not satisfactory.

In other words, the goal of the rhinoplasty is to create a symmetrical and suitable with golden ratios.

How will I reshape your nose during cosmetic nose surgery?

nose reshaping during rhinoplasty

Nasal bone, cartilages and septum that I reshape during the rhinoplasty

The aim of the cosmetic nose surgery is to achieve a nose shape that is harmonic to the other parts of the face. In order to get it, with the guidance of my design, I either reduce or augment the size of the nose. To achieve the tip of the nose harmonious with the entire nose, I change the tip position. Even I reshape it if necessary during the rhinoplasty surgery. Narrowing the tip, rotating, or shortening is possible.

Some noses may need extra tissue support to correct the present nasal shape and fill depressed surface. In such cases, the nose has already redundant tissues that require removal. Instead of wasting those tissues, I use them to put in places that need to add. Thus, in places where fullness is needed, your own tissues will be used which are compatible with your body.

In most of the people, upper lip angle improves after the nasal hump removal. It is better to cut the nasal hump rather than to break the bones. Therefore, the bone is not exposed trauma which may likely damage to it. This maneuver also shortens the post-operative recovery time after rhinoplasty.

How long will your nose surgery take?

Nasal surgery requires general anesthesia in a medical center or health care facility for patient safety.

Surgical time of the rhinoplasty varies 1 to 3 hours depending on the severity of the problem and surgeon’s practice. In my practice, average time is 1,5-2 hours.

Open Rhinoplasty Vs Closed Rhinoplasty

There are two main techniques for cosmetic nose surgery: Closed rhinoplasty and open rhinoplasty. While some surgeons feel more confident themselves in closed rhinoplasty, others feel more confident themselves in open rhinoplasty. That is just a personal preference and confidence issue.

In the first 5 years of my career, I used the closed rhinoplasty which I practiced first. Then I started to practice open rhinoplasty and have been still using open technique.

The superiority of one to other has always been a controversy among plastic surgeons. All surgeons claim that the one which they are used to do is the best. However, in fact, the underlying reason is that they feel more confident themselves in which rhinoplasty technique they are already used to do. As a matter of fact, there is no significant superiority of one to other. The best technique is the one which the surgeon is used to practice. So, I advise you to leave the selection of the technique to your surgeon.

If you would like me to carry out your surgery, I would prefer the open rhinoplasty technique to give you a more precise result.

What are the pros and cons of open rhinoplasty?

In open rhinoplasty technique, nasal skin is elevated. Entire bone and cartilages are exposed. Therefore the procedure is carried out under direct vision.

Since the surgeon can see all cartilages and bony structures, even 1-millimeter asymmetries can be corrected. So, open rhinoplasty provides more precise result. This is the advantages of this technique.

Open rhinoplasty also provides more versatility to carry out the various intra-operative maneuvers. Therefore the surgeon feels free to perform whatsoever he or she plans to do. Namely, open rhinoplasty provides an unlimited option to the surgeon for grafting and reshaping of both cartilage and bone. That is why the majority of plastic surgeons prefers open rhinoplasty.

The surgeons who are used to practice closed rhinoplasty claim that the open rhinoplasty leaves an incision mark on the columella (the skin between the nostrils). However, in my professional life, no one among my thousands of open rhinoplasty patient complained regarding the surgical mark so far. Because, the incision mark that they claim already disappears 1-2 months after nose surgery.

What are the pros and cons of closed rhinoplasty?

In closed rhinoplasty technique nasal skin is not elevated. That may seem an advantage. Because of the bone and cartilage are not exposed, the integrity of the skin, bone and cartilage is preserved more as compared to open rhinoplasty. However, the preservation of tissue integrity is not an issue in terms of the result and the final nose shape.

Closed rhinoplasty is not carried out under direct vision. The surgeon tries to feel the shape and size of the bones and cartilages as touching the skin surface. According to my experience, open rhinoplasty provides finer and more precise result than the closed rhinoplasty does.

Additionally, since the structures are not exposed entirely, intra-operative maneuvers are limited. However, some surgeons who became a master of closed rhinoplasty in worldwide achieve such good results as well.

What is secondary rhinoplasty (Corrective nose surgery)?

In recent years, in the cosmetic surgery world, how to increase the success rate in the first nose surgery, how to reduce the need for corrective secondary rhinoplasty issues are being discussed.

Instead of removing as much bone and cartilage as it used to be, it is now looking for ways to shape the basic skeleton and supporting structures without disrupting the present structure as much as possible. It is not proper to remove the cartilage from the nasal septum unless it is mandatory. If necessary, it is more proper to remove as limited a quantity as possible. Thus, the supporting structure that holds the nose does not weaken, and possible deformities are preventable.

The aim is to achieve the desired result in the primary rhinoplasty… Not to leave the work to the second and third corrective operations. However, the desired result may not show up in the primary rhinoplasty at all the time.

In such cases, either revision rhinoplasty or secondary rhinoplasty even nasal reconstruction is necessary to correct the deformity. While revision can correct the minor deformities, secondary rhinoplasty is necessary for major deformities.

Ideal Timing For Secondary Rhinoplasty

If you experienced unsuccessful nose surgery, secondary rhinoplasty may solve the problem. Secondary rhinoplasty is feasible minimum 6 months, but preferably 1 year after the first nose surgery.

Since the bones and cartilages lost their originality in the first nose surgery, secondary rhinoplasty is always much more challenging procedure than the primary rhinoplasty. In addition to this difficulty, the loss of elasticity and quality of the tissues due to the previous nose surgery is another problem.

Each nose surgery makes subsequent surgery more difficult. Therefore the success rate of secondary rhinoplasty may be lower than the general success rate of primary rhinoplasty.

Depending on the severity of the problem and the difficulty of the solution, although there is no guarantee of perfect result, secondary rhinoplasty can provide significant improvement. At least you can get rid of bad appearance and have a more acceptable nose shape.

Who should perform your secondary rhinoplasty?

If you are not satisfied with the nose surgery, if you need a secondary rhinoplasty, the first doctor you to go should be the surgeon who performed your first surgery. This is really very important.

Discuss your problems with your surgeon then try to sort out mutually. Your doctor, because he or she did the rhinoplasty surgery first, knows the changes in your nose, the problems and the solutions of these problems much better than any other surgeon. I am sure, he or she will help you as much as can be. Do not forget that, of course your surgeon either would not have wanted to achieve such a result.

If you do not reconcile with your doctor and find out a solution mutually, only then look for the solution as a plan B at another surgeon.

What is revision rhinoplasty?

The minor deformities can be corrected by touch-up procedures even under local anesthesia, which we call revision rhinoplasty.

Less than 10% of my patients needed revision rhinoplasty, no secondary rhinoplasty in my career so far.

How will you recover after rhinoplasty?

recovery after rhinoplasty

A patient with crooked nose and severe deviated septum. 2 days after septorhinoplasty including bone reshaping and correction of deviated septum, minimal swelling and bruising around the eye during the recovery.

If you feel enough good after surgery, you can leave the hospital on the same day. If you need rest, you can stay in the hospital overnight.

At the end of the rhinoplasty surgery, I will place a plastic splint to keep the shape I gave and a nasal pack into the airway.

After the surgery, slight swelling around the eyes and bruising occur. I reshape your nasal bones without breaking during the rhinoplasty. Therefore swelling and bruising will be minimal.

Ice pack application on the first day reduces swelling and bruising relatively. It is better to put ice pack around the eyes until you sleep at night. In the first few days, concomitant blood oozing from nostrils occurs.

You will feel mild pain 1-2 days after rhinoplasty surgery. Pain medication that I will prescribe will alleviate the pain.

I will remove the nasal pack 1-2 days after surgery and plastic splint on the 7th day.

Bruising usually disappears within 5 days. Most of the swelling reduces quickly in the first week. Then the shape shows itself. Now you can return to your usual life and physical activities. You need minimum 6 months period following the rhinoplasty to vanish the rest of the swelling, to become skin softer, to settle down the overlying tissues, to see the actual shape.

Sun exposure after rhinoplasty

You should protect yourself from trauma and sunlight minimum 2 months after nose surgery. If you have surgery in the summer, surely use sunscreen creams.

You should not wear sunglasses or eyeglasses for 2-3 months following rhinoplasty. Alternatively, you can use contact lenses.

emotional changes during the recovery period

Diagram shows, how you will feel yourself emotionally during the recovery period. The effect of the surgery may impair your emotional status. However, as time goes on, you will recover and get rid of surgical effects; and eventually, you will gain your confidence back.

The tips you should care after rhinoplasty procedure

  • Ice pack application helps to reduce swelling and bruising. Put the ice pack with 10-15 minutes intervals until the night.
  • If you are a smoker, do not smoke at least 1 week after rhinoplasty.
  • You may see a bloody leakage coming from the nostrils after nose surgery. Blood oozing is normal and lasts 1-2 days. Gently clean the blood smear around the nostrils with wet wipes. You can use wet cotton swabs to clean inside the nostril.
  • Take a shower with not too hot water after 2 days. Hot water dilates the vessels and may cause bleeding.
  • I will remove the splint on 7th day. After splint removal, you should massage over the nose. Massaging helps for both reducing the swelling and settling down the skin on the nose. I will show you how the rhinoplasty massage is.
  • Since bone was reshaped during the procedure, even any minor trauma may cause a deformity at your nose. Therefore you should protect your nose against trauma for 3 months.
  • You should avoid wearing eyeglasses for a couple of months. The pressure of the eyeglasses over the nose may deform your nose. Instead, you may use contact lenses.
  • The skin of the nose becomes more sensitive to UV after rhinoplasty surgery. I advise you to use sun blocker to avoid sun exposure for a couple of months.

What are the risks and complications of rhinoplasty?

patient satisfaction rate after rhinoplasty

Patient satisfaction rate after rhinoplasty

The complication rates of rhinoplasty are the compilation of medical literature data. The rates may vary depending on the severity of the nose deformity, nose skin characteristics and surgeon’s experience.

Rhinoplasty is the procedure in which the complication rate is highly correlated with the surgeon’s experience. The majority of the complications are related to the surgeon’s skill and experience. While some surgeon’s complication rate may be 5%, some surgeons’ may even be 50%.

Therefore there is no standard data regarding the complication rates in medical literature. The data of numerous review studies upon the rhinoplasty complications shows a wide range of diversity.

Such complications are the deformities that need revision or secondary rhinoplasty surgery. It is normal that the necessity of revision or secondary rhinoplasty in 5-10% of patients according to world standards.

On the other hand, unobtrusive mild flaws arising from wound healing, cartilage memory or skin characteristics that doctor cannot control may occur after any surgery.

I advise you not to dwell on such possible negligible flaws and to assume them normal. If you are nitpicking and you spend hours in front of the mirror, you would see a flaw certainly. To be happy after rhinoplasty, try to deal with your new nose and ignore such minor flaws.

Although the risk is not so high, do not forget that the necessity for additional nose surgery if unexpected results is achieved. Those includes vaguely deformations and deviations from the intended shape.

Checklist Before Having Rhinoplasty Surgery

IMPORTANT ! Before getting the appointment, check your medical conditions yourself.

 


 

How much does rhinoplasty cost in Dubai?

Rhinoplasty costs in Dubai vary from clinic to clinic and depend on the severity of the nose deformity and presence of breathing problems. Therefore the price is variable, in my practice:

Rhinoplasty price: 25.000 AED ($6.800)

Septorhinoplasty price: 30.000 AED ($8.200)

Secondary rhinoplasty price: 30.000 AED ($8.200)

The price includes surgeon fee, blood tests, hospitalization expenses, medicines and consumables used in the hospital. Additional overnight stay are subject to extra payment. The price may rise depending on the complexity of the procedure.

Full list of plastic surgery prices

 


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Useful links:

New Technologies in Rhinoplasty: A Comprehensive Workflow for Computer-assisted Planning and Execution

Plastic Surgery in Dubai


2 Responses to RHINOPLASTY – COSMETIC NOSE SURGERY, Dubai
  1. Mohammad Ali K. Reply

    Dr Nazmi, i have big trouble. My nose was broken because of the traffic accident two years ago.. I had two operations for correction of the bones in US.. But were unsuccessful.. The shape still looks horrible.. My right nostril is closed, i am disable to take breath.. Last month i visited a doctor in Germany who is one of the best.. He literally discouraged me.. I hesitate to have an operation once more, however, i actually need it.. I seek a remedy to get rid of the problem.. Recently another doctor referred your name for the solution and told that you can accomplish it.. Now you have become an hope light for me.. If you sort out this problem hopefully, pls, money is not issue, i will do my best for you as well.. I can also send my pictures. Pls contact me as soon as possible.. Cause i plan to travel to Dubai to visit you….

    • Randy Alshan Reply

      Hello Mr Mohammad, before visiting this doctor, I have a suggestion for you. Our clinic is on a prime location in Dubai and provides excellent patient service and hospitality. Our philosophy is based on patient safety and satisfaction. I would like to invite you to meet with our best rhinoplasty surgeon in Dubai first. Please reply to this message to contact me.


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