Face · Gurugram
Rhinoplasty
The most technically unforgiving operation in facial surgery, and the one where restraint matters most. A nose that announces it has been operated on is a failed result, however neat the work.
01 · Understanding the concern
Why patients consider this
People rarely want a different nose. They want their nose, without the particular feature that draws their eye every time they see a photograph — a dorsal hump, a drooping tip, a deviation, a width that does not sit with the rest of the face. A significant proportion also have a breathing problem they have stopped noticing.
02 · The procedure
What rhinoplasty involves
Rhinoplasty reshapes the bone and cartilage framework of the nose and redrapes the skin over it. Access is either closed, entirely inside the nostrils, or open, through a small incision across the columella which allows direct vision of the framework. Functional work on the septum or turbinates is frequently performed at the same time where breathing is affected. Modern technique is largely about preserving and repositioning structure rather than simply removing it.
03 · Candidacy
Who may be considered
This is general guidance rather than a diagnosis. Suitability is decided by examination.
- A specific concern about nasal appearance, function or both
- Facial growth complete
- Realistic expectations, including about the long revision timeline
- Non-smokers or able to stop as advised
- Medically fit for anaesthesia
What it can address
Concerns it is used for
- A dorsal hump
- Tip shape, projection or droop
- Nostril width and asymmetry
- Deviation of the nose
- Breathing obstruction, where a septal component is present
- Changes following previous surgery or injury
04 · Planning
Why the planning matters more than the technique
Skin thickness governs how much definition is achievable, and it is not negotiable. Thick skin conceals fine work; thin skin shows every irregularity. Planning also weighs the nose against the chin and the rest of the face, because a nose that is technically improved but out of proportion with the profile has not solved the problem.
05 · How it works
Step by step
- 01
Assessment
Examination inside and outside the nose, airway assessment, and photographic analysis.
- 02
Planning
Discussion of what is achievable given skin thickness and existing structure.
- 03
Access
Open or closed approach depending on what needs to be done.
- 04
Framework work
Bone and cartilage reshaped, repositioned or grafted as planned.
- 05
Functional correction
Septal or turbinate work where the airway is affected.
- 06
Splinting
External splint applied; internal splints where used.
06 · The procedure journey
Before, during and after
Before
Investigations, anaesthetic assessment, stopping smoking as advised, and photographs for planning.
During
General anaesthetic. Usually a day case or single overnight stay.
After
An external splint for about a week, swelling around the eyes and nose, and nasal congestion. Bruising is common and settles over two weeks.
07 · Recovery
What recovery generally involves
The splint is removed at around a week, which is when most people return to work. Bruising resolves over two to three weeks. The nose at splint removal is not the result: significant swelling remains and the tip in particular refines slowly, often over a year or more. Glasses, contact sport and nose-blowing are restricted for specified periods.
Recovery times are general ranges. Your own timeline depends on the extent of treatment, your health and your work, and is given at consultation.
- Sleep elevated for the first week
- No glasses resting on the nose until cleared
- No contact sport for the period specified
- Sun protection while swelling persists
- Do not judge the result before a year
08 · Outcomes
What to expect from the result
Improvement in shape and, where addressed, in breathing. Swelling resolution is slow and uneven, and the final shape takes a year or more to emerge. Revision surgery is sometimes required, which is a recognised part of rhinoplasty practice rather than an unusual event. Results vary and cannot be guaranteed.
09 · Safety
Risks and considerations
Risks include bleeding, infection, persistent swelling, asymmetry, breathing difficulty, irregularity of the dorsum or tip, altered sensation, and the need for revision. Revision surgery, if considered, is generally not undertaken until the tissues have settled, usually at least a year.
No procedure is risk-free. A full, individual discussion of risk forms part of consent and takes place before any decision is made.
10 · The surgeon
Why Dr. Swikriti Raniwala
The surgeon who assesses you performs the procedure and reviews you afterwards. Surgical work takes place in accredited surgical facilities with board-certified anaesthesiologists, and you leave the consultation with the plan and the costs in writing.
In Gurugram
Rhinoplasty is performed at SWI Infinity in Gurugram, with patients travelling from across Gurugram and Delhi NCR, including Golf Course Road, Sushant Lok, the DLF Phases and the surrounding sectors. If you are travelling from further afield, say so when booking so consultation and follow-up can be scheduled together.
Dr. Swikriti Raniwala
Questions patients ask
Rhinoplasty: common questions
Open or closed rhinoplasty — which is better?
Neither in the abstract. Open access gives direct vision for complex tip or revision work; closed avoids the columellar scar for simpler cases. The choice follows what needs doing.
How long is the swelling?
Most obvious swelling settles in weeks, but tip refinement continues for a year or more. This is the single most common surprise for patients.
Can breathing be corrected at the same time?
Yes. Septal and turbinate work is commonly combined with cosmetic rhinoplasty where the airway is affected.
Will there be a visible scar?
Closed rhinoplasty leaves no external scar. Open leaves a small scar across the columella that usually becomes inconspicuous.
When can I wear glasses again?
Not until cleared, as pressure on healing nasal bones can affect the result. Your aftercare specifies timing.
How common is revision?
Revision is a recognised part of rhinoplasty practice. Where it is considered, it is generally delayed until tissues have fully settled.
Consultation
Discuss rhinoplasty
Consultations are with Dr. Raniwala. You will leave with a written plan, including the alternatives considered and the costs involved.
Or WhatsApp the clinic on +91 7017193675 · info@swiinfinity.com
