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Rhinoplasty2013

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From Jubilee Hospital, Trivandrum, Kerala, South India.

Here I present few of my Rhinoplasty (Pre and Post Op Pictures) done in Jubilee Hospital Trivandrum, Kerala in South India. The Jubilee Hospital is a Christian Mission Hospital in the city of Trivandrum giving affordable treatment to everyone. Please note, the pictures are taken after the sutures are removed after 7 days and long term follow up is not practical in this part of the world.

Published in: Health & Medicine

Rhinoplasty2013

  1. 1. Indian Rhinoplasty Pictures 25 Cases Dr.K.O.Paulose FRCS DLO Consultant ENT SurgeonJubilee Hospital, Trivandrum, Kerala, India. www.drpaulose.com
  2. 2. www.drpaulose.com
  3. 3. Rhinoplasty in Jubilee Hospital
  4. 4. The procedure
  5. 5. Types of Rhinoplasty Rhinoplasty can be done by the Open (External) or closed (Internal) technique. This will depend on where the incisions are made. Reduction and Augmentation
  6. 6. Open:External Rhinoplasty
  7. 7. Introduction Rhino (Latin for nose) and plasty (Greek for molding or forming) Greek word plastikos meaning to give something shape or form. Rhinoplasty is a surgical procedure used to modify the size and shape of the nose in order to give it a more pleasant look. Harmonize your nose and show off a really proportionate face.
  8. 8. Rhinoplasty in Ancient India Noses were symbols of pride Tempting targets during warfare. Amputation of the nose -offenses, including adultery. Sushrutha, (600 B.C.) ‘Sushrutha Samhitha‘-surgery in detail
  9. 9. Sushrutha:Rhinoplasty
  10. 10. External Rhinoplasty Procedure
  11. 11. External Rhinoplasty:Osteotomy
  12. 12. Surgeons at work
  13. 13. Local or GA if your nose only needs a little reshaping, you can probably have local anesthesia. If you need more extensive work, you will probably need general anesthesia.
  14. 14. External Rhinoplasty Procedure
  15. 15. Rhinoplasty:Reduction
  16. 16. Rhinoplasty preoperative aesthetic evaluation The goals of aesthetic surgery are a satisfied patient and surgeon Occasionally, the patient suffers from a psychiatric illness. understand the motivation of the patient Digital images of nose and face Step ladder principle
  17. 17. Step ladder principle One cannot climb more than one or two steps in a ladder Ugly nose can be made better nose Normal nose can be made pretty nose Ugly nose cannot be made pretty Nose
  18. 18. Nose sculpturing:Types Techniques Closed and open Rhinoplasty Open Rhinoplasty better Dorsal hump reduction Shortening of lower lateral cartilage Sculpture of nasal tip
  19. 19. Septoplasty with Rhinoplasty Septal Correction Always done if needed Septoplasty corrects the functional issues of nasal airway
  20. 20. Septoplasty pre and post op
  21. 21. Removing Maxillary Crest
  22. 22. Tip Sculpturing Making the tip shorter Done by External Rhinoplasty See pre and post op pictures
  23. 23. Iliac crest and conchal graft
  24. 24. Final Suturing and packing Suturing by5x0 Ethilon and 3x0 catgut Nasal Packing: Merocel – Compressed gel-for internal nasal pack. Internal Silastic Splint- This keeps the septum in place, and removed after 5-7 days time. External Thermpolastic Splint. It will be removed in 7 days time.
  25. 25. Final suturing and packing
  26. 26. Surgery over
  27. 27. Post op recovery
  28. 28. Post op ward
  29. 29. Pre and Post op pictures
  30. 30. Pre and post op pictures
  31. 31. Pre and Post op picture
  32. 32. Pre and Post Op pictures
  33. 33. Pre and Post op pictures
  34. 34. Before and After pictures
  35. 35. Hemifacial Atrophy
  36. 36. Pre and post op picture
  37. 37. Pre and Post op picture
  38. 38. Pre and Post op pictures
  39. 39. Pre and Post Op pictures
  40. 40. Pre and Post Op pictures
  41. 41. THANK YOU For Rhinoplasty Videos, Please visit:http://www.youtube.com/user/drpaulose1

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