Dr.K.O.Paulose Jubilee Hospital, Trivandrum, South India.
Rhinoplasty like other cosmetic procedure is considered a real art and science. Rhinoplasty is a complicated surgery, the most difficult of all facial plastic surgeries, which requires exceptional skill and know-how. Every patient, every nose and every Rhinoplasty is unique and every procedure should be done meticulously and precisely.
There are many different angles and measurements, but surgeons rarely perform these calculations before taking the knife.
Each Rhinoplasty is like a prayer. One has put lot of mental and physical energy in to it.
While doing intricate work, I sometimes get into trance, enjoying even the most difficult areas of the work. At the end I always feel excited, some sort of adrenaline rush.
There are many factors taken into account when performing a Rhinoplasty. Size and shape of the face and head must be considered, as well as features of the nose such as the width of the tip, the bridge, and the nostrils. All of these factors need to be in balance. There is an artistic component in addition to technical and scientific skill in creating an excellent looking nose that matches and balances with the facial proportions.
As nose is the most prominent part of face one should perform the surgery with utmost care and prayer. You are dealing with some ones face, if things go wrong, it may destroy the moral and life of the patient.
There is also a tremendous amount of experience that goes into planning and executing a Rhinoplasty procedure to create a well-balanced nose that does not look like it has been operated on and fits well with the face.
As Rhinoplasty surgeon, one should spend some time with the patient, sort of counseling, and study them before putting the knife. There may at times see some unstable characters with unrealistic expectations and these cases should be identified before listing them.
There is no tailor made technique which corrects all the complex deformities in any nose. Even after doing Rhinoplasty for three decades, I still come across some surprises in dealing with certain cases. I also carefully select my assistants who can help me and they also put their ideas and I take it with respect.