Bulbous nose surgery is a special rhinoplasty procedure that involves reshaping a bulbous, round, or wide tip nose to a more defined nose complimentary to ones face. The bulbosity of the nasal tip is typically due to excessive width to the cartilage, excessive “spring” to the cartilage making them bowed, or cartilages that are spaced to far apart or don’t have definition. Sometimes a bulbous tip can be due to thick nasal tip skin. This, in addition to the cartilage, is frequently seen in ethnic noses.
Correcting a bulbous nose is one of the most challenging procedures in the already difficult field of rhinoplasty. Refining a bulbous nose requires an experienced surgeon with both artistic sense and technical precision.
If you decide to have a Bulbous Nose Surgery in Iran or Bulbous Rhinoplasty , reading this article can improve your knowledge about cost of Bulbous Nose Surgery in Iran to a great extent and help you to choose the best city and hospital to undergo Bulbous Nose Surgery in Iran.
In this article we provide you with a comprehensive description of Bulbous Nose Surgery in Iran, the cost of Bulbous Nose Surgery in Iran and the best Iranian Bulbous rhinoplasty surgeons.
Further, this article will explain the cost of the best Bulbous Nose job surgeons in Iran and the cost of Bulbous Nose Surgery in Iran Tehran, cost of Bulbous Nose Surgery in Iran Shiraz and cost of Bulbous Nose Surgery in Iran Mashhad.
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The following table describes general information about Bulbous Nose Surgery in Iran including Bulbous Nose Surgery cost in Iran, recovery time, and to name but a few.
Back to Work
1 to 2 Weeks
Duration of Operation
Minimum Stay in Iran
Preparing for Bulbous Nose Surgery in Iran
Before scheduling Bulbous Nose Surgery in Iran, you should send your medical records to your surgeon in Iran. The most important question your doctor will definitely ask you is about your motivation and goals of surgery. Your doctor will also ask questions about your medical history — including a history of nasal obstruction, surgeries and any medications you take. If you have a bleeding disorder, such as hemophilia, you may not be a proper candidate for Bulbous Nose Surgery in Iran.
What important factors should I notice before doing Bulbous Nose Surgery in Iran?
There are a few common factors that can create tip bulbosity.
. The first is the nasal tip skin itself. Patients with thicker nasal skin tend to have more roundedness to the tip. In some patients the skin can be thinned conservatively. This is more common in non-Caucasian noses where additional fibro fatty tissue can be removed.
. The second common cause is the tip cartilages themselves. The lower lateral cartilages may be too wide, convex, or both.
Bulbous Nose Surgery risks include:
. Anesthesia risks
. Poor wound healing or scarring
. Change in skin sensation (numbness or pain)
. Nasal septal perforation (a hole in the nasal septum) is rare. Additional surgical treatment may be necessary to repair the septum but it may be impossible to correct this complication.
. Difficulty breathing
. Unsatisfactory nasal appearance
. Skin discoloration and swelling
. Possibility of revisional surgery
During Bulbous Nose Surgery
The cephalic trim technique has been used for several decades as a method of reducing tip bulbosity. In the past surgeons tended to be quite zealous in their resection of the lower lateral cartilage in their attempt to refine the nose. They realized that as the nose healed the internal scarring would lead to a flatter cartilage shape. In some instances they would leave only a width of 3 to 4 millimeters of cartilage still in place!
With time and experience rhinoplasty surgeons have realized that it is usually best to leave significantly more cartilage so as to maintain adequate structural support and prevent delayed tip pinching or alar retraction. As the nose heals after aggressive cephalic trimming the scar contracture process causes the alar cartilages to elevate and in many cases to collapse inward. This can result in both excessive columellar show and an over rotated tip.
Dome binding sutures, like the name suggests, involve placing a suture above and below the actual tip defining point to cinch the cartilage. This leads to a more sharply-defined tip. In some cases (depending on the cartilage strength) this maneuver also pulls the lower lateral cartilages downward to help flatten them. This results in a less bulbous, rounded nasal tip.
A very powerful method of modifying tip shape and reducing tip bulbosity is by using lower lateral crural (LLC) strut grafts. It turns out that lower lateral cartilage orientation plays an important role in how the nasal tip will ultimately look and function. If the LLCs are convex the tip will have a more full or bulbous appearance. If these cartilages are concave the tip will appear more pinched. Ideally, the lower lateral cartilages have an essentially straight appearance. The ability to reliably change lower lateral crural shape is key to obtaining consistent rhinoplasty results.
Lower lateral crural overlay involves incising each lower lateral cartilage across its short axis. The underlying skin lining is then detached from the LLCs for a few millimeters and then the cartilages are overlapped. The LLCs are secured in place with several sutures. This overlay maneuver not only shortens a too long lower lateral crural but it also causes the cartilages to become more flat as they are sutured together. Another effect of shortening overly long LLCs is that a droopy, under-rotated tip can be lifted.
Some patients' full tips are due to an overly prominent fibrofatty fat pad located between the skin and underlying tip cartilages. This is encountered more often in patients with thick skin. This fibro-fatty pad can be trimmed during rhinoplasty to further refine the nose.
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Flying after Bulbous Nose Surgery
A patient must not fly for at least 5 days after the surgery. While unlikely, the possibility that you will have a nosebleed during the flight, which could be an emergency situation, is avoided. It is still not recommended to fly for an additional week (in total 2 weeks), but many patients cannot stay in town for that long of a period. If you must fly during the second week of your recovery, it is important to take Sudafed and spray a nasal decongestant (Afrin or other) prior to taking off. If not, the pressure changes during the flight may be very painful. It is also typical to have renewed swelling after the flight, which will last about 1-2 days. All of these issues are not concerning if you are planning to travel by car or train.
Out of town patients should plan to stay a few days after the surgery at a hotel. They can travel and fly back home after splint removal at 5-7 days. Physical activity should be limited for 10-14 days. It usually takes about 6 weeks before the patient can exercise again without discomfort. High-risk contact sports should be avoided for 3 months.
4 Ways to clean your nose after Bulbous Nose Surgery are as follows:
. Q-tip and hydrogen peroxide
. Saline rinse
. Removing blockages
. Use a moist towelette
Approximate recovery after Bulbous Nose Surgery is as follows:
. Day 1 Return home. Use cool compresses for 24 hours. Some swelling and bruising, mild discomfort. Change mustache dressing as needed (often 10 to 20 times).
. Day 2-3 maximum bruising and swelling.
. Days 5-14 External stitches removed or dissolving. Internal and external nasal dressings removed by Doctor. Bruising going away.
. Week 2-4 much of swelling has begun to go away. Breathing better.
. 1 Year Enjoy your final result
In most cases, stitches on your nose will be removed 7 days after your Bulbous Nose Surgery. However, it doesn't mean that your nose will be back to completely normal and natural condition after 7 days. Bulbous Rhinoplasty surgeons in Iran highly recommend you to stay at least 1-2 more days in Iran in order to double-check the result.