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M.Ch. Plastic Surgery · Nagpur

Rhinoplasty Procedure in Nagpur — From Admission to the First Review.

This is the detailed surgery-day guide: how preparation is checked, when markings are made, how anaesthesia and open or closed access are selected, how the framework is corrected, what dressings are used, and what must happen before you go home.

Preparation Admission & markings Anaesthesia & access Structural correction Recovery & review
Dr. Pawan Shahane, M.Ch. Plastic Surgeon in Nagpur
Reviewed by Dr. Pawan Shahane, M.Ch. Plastic Surgery 21+ years surgical practice · Ex-Asst. Prof. GMC Nagpur · IAAPS Member · 9 yrs ThreeBestRated Nagpur
Dr. Pawan Shahane explaining rhinoplasty planning to a patient at Mayflower Clinic Nagpur
The final operative plan is reconfirmed before anaesthesia. Procedure order is individualized, not copied from a standard checklist.
21+Years surgical practice
M.Ch.Plastic Surgery qualification
9 yrsThreeBestRated Nagpur
0Surgical delegation
Quick clinical answer:

A typical rhinoplasty day moves through five safety gates: the plan is reconfirmed before anaesthesia; the patient and procedure are checked at admission; access and correction are individualized; dressings are selected rather than automatic; and discharge occurs only after recovery criteria and written aftercare are understood. The operation commonly takes about 1–3 hours, but complex functional, grafting or revision work may take longer.

Page Guide

Quick Answer

Ask this page about the procedure day. The guide matches your words to prewritten, medically reviewed information already visible below.

● Private · On-page · No login

This guide cannot examine you, diagnose a problem, recommend surgery, calculate candidacy or replace a consultation. Do not enter personal medical details.

Admission

Identity, consent, health changes, medicines, fasting, reports, vital signs and escort arrangements are checked. See the journey.

Markings

The plan is reviewed before anaesthesia, often with the patient upright, because position and infiltration can change appearances. Read more.

Anaesthesia

General anaesthesia is common for detailed surgery; selected limited cases may use sedation. See selection factors.

Open or closed

The access is chosen for the required visibility and work, not because one is always superior. Compare approaches.

Correction order

Septum, bridge, bones, middle vault, tip and nostrils are addressed in an individualized sequence. See the sequence.

Discharge

Home is considered only after breathing, vital signs, comfort, bleeding and nausea are appropriately controlled. See criteria.

First review

Healing, breathing, wounds, splints, sutures and aftercare are checked; it is not the final-result visit. See the first week.

Surgical Philosophy

The first incision is not the first step.

“A well-run rhinoplasty day is a series of safety pauses: confirm the plan before anaesthesia, protect breathing while reshaping, and discharge only when the patient is stable and understands the first week.”
— Dr. Pawan Shahane, M.Ch. Plastic Surgery / Founder, Mayflower Clinic, Nagpur
What This Page Covers

Procedure-day detail without pretending every operation follows the same script.

Rhinoplasty is planned before the day of surgery, but the operative day brings together several separate decisions: medical fitness, informed consent, anaesthesia, surgical access, the structural sequence, dressing selection and safe discharge. The patient should understand each stage before arriving.

This page does not replace the broader Rhinoplasty in Nagpur overview, the technique-focused Rhinoplasty Surgery in Nagpur page, or the separate Rhinoplasty Recovery Time guide. Its purpose is the narrow interval from final preparation to the first postoperative review.

At Mayflower Clinic, the planned operation is personally performed by Dr. Pawan Shahane. Anaesthesia, nursing and facility care are provided by the relevant qualified team. No website can state the exact operative order, discharge time or dressing for an individual patient before examination and anaesthetic assessment.

Important: a “typical journey” is educational, not a promise of clock times. Emergencies, complex anatomy, additional airway work, graft harvest or slower recovery from anaesthesia can change the schedule.
Before Admission

A safe surgery day is prepared in stages.

Follow the written instructions issued for your operation; do not substitute generic online advice.

2–4 weeks before

Medical readiness

  • Share medical conditions, allergies, previous anaesthesia problems and all medicines or supplements.
  • Complete requested tests or specialist clearance.
  • Stop smoking or nicotine as advised.
  • Plan leave, transport and home support.
About 1 week before

Confirm the plan

  • Review the exact goals, limits, risks and whether functional work is included.
  • Clarify which medicines to continue, pause or replace.
  • Fill prescriptions if instructed.
  • Report fever, cough, infection, pregnancy possibility or any health change.
Night before

Prepare, do not improvise

  • Follow the exact food and fluid cut-off from the anaesthesia team.
  • Avoid alcohol and non-approved medicines.
  • Shower as instructed; do not apply facial oils or heavy products.
  • Pack reports, identification, medicines and front-opening clothing.
Morning of surgery

Arrive as instructed

  • Do not drive yourself.
  • Remove jewellery, contact lenses and valuables.
  • Take only medicines specifically approved for that morning.
  • Bring a responsible adult for discharge and the first night when advised.
Procedure-Day Journey

From the admission desk to the recovery room.

The phases below are in a common order. The exact timing and sequence may change.

1
Arrival · before surgery

Admission and identity checks

The team confirms your identity, procedure, surgeon, consent status and accompanying adult. Vital signs are recorded, reports are reviewed and the fasting history is checked.

  • Medicine and allergy reconciliation
  • Change into surgical clothing
  • Secure storage of valuables
  • IV line and other preparation when indicated
2
Pre-operative pause

Consent, goals and “no last-minute surprise” review

Consent is not merely a signature. The agreed plan, alternatives, limits, scars, graft possibilities, airway considerations and important risks are reconfirmed. A new cosmetic goal should not be added casually on the morning of surgery.

3
Before anaesthesia

Markings and final photographs

The nose and face are reviewed in natural posture. Markings may identify bridge, bony sidewalls, tip, alar-base or asymmetry reference points. Photographs and markings help communication; they do not represent a guaranteed outline of the final nose.

4
Operating room

Anaesthesia and safety monitoring

The anaesthesia team reconfirms fasting, health status and airway plan. General anaesthesia is common for detailed rhinoplasty; selected limited cases may be performed with intravenous sedation and local anaesthesia. Monitoring continues throughout.

  • Choice based on procedure complexity and medical fitness
  • Local anaesthetic may also be used for comfort and bleeding control
  • Antibiotics, anti-nausea measures or other medicines are individualized
5
Surgical access

Open or closed entry to the framework

Closed rhinoplasty uses incisions within the nostrils. Open rhinoplasty adds a small incision across the columella and lifts the soft tissue for wider exposure. The chosen access must serve the correction rather than a marketing preference.

6
Core operation · often 1–3 hours

Individualized structural correction

Bone, cartilage, septum, middle vault, nasal valves, tip and nostril structures are addressed according to the diagnosis. The surgeon repeatedly checks balance, support, symmetry and the relationship between appearance and breathing.

See the detailed structural sequence below ↓
7
End of operation

Closure, tape, splint and selective internal support

Incisions are closed and the skin is redraped. Tape and an external splint are commonly applied. Internal splints, soft packing or a small drip pad are used only when the operative plan requires them.

8
After anaesthesia

Recovery-room monitoring

You are observed while waking. The team monitors breathing, oxygenation, blood pressure, pulse, comfort, nausea, bleeding and drainage. A blocked or tight nose and mouth breathing can be expected early, especially with swelling or internal supports.

9
Same day or short stay

Discharge only after criteria are met

Discharge is considered when you are awake, stable, able to drink as permitted, reasonably comfortable and not having concerning bleeding or vomiting. The responsible adult receives instructions, prescriptions, emergency contact details and the review plan.

10
Commonly during first week

The first postoperative review

The surgeon checks external and internal healing, swelling, wounds, splints, sutures and breathing. Packing or external sutures may be removed according to the plan; the external splint is often reviewed or removed around one week. This is a healing checkpoint—not the final-result assessment.

Open vs Closed Access

Access is a route to the work—not the result itself.

The same visible concern can require different access in different noses.

FeatureClosed rhinoplastyOpen rhinoplasty
IncisionsInside the nostrilsInside the nostrils plus a small columellar incision
ExposureMore limited but sufficient for selected correctionsWider direct exposure of tip and framework
May suitSelected bridge, limited tip or less complex primary correctionsComplex tip work, crooked noses, major grafting, revision or reconstructive work
Visible scarNo external columellar incisionA small external scar that generally matures over time; individual healing varies
Key limitationLess exposure for complex structural workMore dissection and early swelling can occur
Correct conclusionNeither is automatically better. The correct approach is the least access that reliably permits the planned correction and safety checks.
Inside the Operation

A common structural sequence—and why it is not rigid.

Rhinoplasty has no universal set order. The surgeon may move between zones and re-check earlier work.

1

Expose only what is needed

The soft-tissue envelope is elevated through the planned open or closed access while protecting skin, lining and blood supply.

2

Septum, airway and graft source

When indicated, septal deviation is corrected and septal cartilage is preserved or harvested carefully for structural grafts. Valves and turbinates are considered separately.

3

Bridge and dorsal contour

A hump may be reduced, a low bridge augmented or a preservation method used in selected anatomy. Smooth dorsal lines and appropriate height are checked from several views.

4

Bony vault and osteotomies

Controlled bone mobilization may narrow a broad bridge, close an open roof or correct deviation. Osteotomies are not automatically needed in every rhinoplasty.

5

Middle-vault support

Spreader grafts, spreader flaps or other support may be used when needed to maintain dorsal lines and protect the internal nasal valve.

6

Tip support and shape

Tip projection, rotation, width and support are refined using sutures, conservative cartilage modification and selected grafts. Mayflower MX Lift Rhinoplasty is a clinic-specific planning framework for selected tip-support or smiling-tip concerns—not a standard manoeuvre for every patient.

7

Alar base or nostril work

Alar-base reduction or nostril adjustment is performed only when specifically planned. Over-reduction can create visible scars, distortion or breathing problems.

8

Repeated checks and closure

Symmetry, support, contour, skin tension and airway are reassessed. The skin is redraped, incisions closed and dressings selected for the completed work.

Why the order changes: swelling, local anaesthetic, an unexpected scar, cartilage strength, fracture pattern or the effect of one correction on another may require the surgeon to pause, reassess and alter the sequence.
Educational rhinoplasty diagram showing hump, wide nose, crooked nose and nasal tip correction concepts

The operation is a multi-zone plan

Bridge, bones, middle vault, septum, valves, tip and nostrils interact. Correcting one zone can change the appearance or function of another.

Rhinoplasty side profile planning diagram showing bridge, tip projection and facial balance

Markings translate a pre-agreed plan

Profile lines, tip projection and facial balance are discussed before surgery. Markings guide orientation; they cannot predict healing to the millimetre.

Waking Up

What you may notice in recovery.

Feeling blocked can be more noticeable than pain during the first hours.

👃

Nasal blockage

Swelling, dried blood and internal supports can make nasal breathing limited. Do not remove or adjust splints yourself.

💧

Drainage

A small amount of blood-stained fluid can occur early. A drip pad may be changed as instructed without pressing tightly on the nose.

🛏️

Head elevation

The head is kept raised to help limit swelling and bleeding. Continue the advised sleeping position at home.

🤢

Nausea and thirst

Fluids and medicines are introduced according to recovery and anaesthesia instructions. Repeated vomiting needs attention because it can increase pressure and bleeding.

🩹

Tape and splint

The external splint protects the early framework. Keep it dry and do not press, lift or re-tape it unless specifically instructed.

🗣️

Written handover

Instructions should cover medicines, food, sleep, nasal care, bathing, glasses, activity limits, emergency contact and review timing.

Before Leaving

Discharge is a clinical decision, not a fixed appointment time.

✓ Common discharge checks

  • Awake and orientated after anaesthesia
  • Breathing and oxygenation satisfactory
  • Blood pressure and pulse stable
  • Pain and nausea reasonably controlled
  • No concerning or uncontrolled bleeding
  • Able to drink or mobilize as permitted
  • Responsible adult present
  • Medicines, instructions and contact numbers understood

Why a short stay may be advised

  • Complex or prolonged operation
  • Additional functional or reconstructive work
  • Slower recovery from anaesthesia
  • Repeated vomiting or difficulty taking fluids
  • Bleeding requiring observation
  • Medical conditions needing monitoring
  • Long-distance travel or inadequate home support
First Postoperative Review

The first review checks healing—not the final shape.

The exact review date depends on the operation and dressings. Some patients need early removal of packing or an earlier wound check. A routine first review commonly falls within the first postoperative week, with the external splint often assessed or removed at about one week.

What is usually checked

  • External incision and nostril wounds
  • Internal splints, packing, septum and nasal lining
  • Swelling, bruising, drainage and skin condition
  • Breathing and any new obstruction
  • External splint position and tape condition
  • Whether sutures or supports are ready for removal
  • Adherence to medicines, sleep position and activity restrictions
  • Next review timing and return-to-work guidance

Early asymmetry often reflects uneven swelling. The nose should not be judged, pinched, massaged or compared obsessively during this phase unless the surgeon has given a specific instruction.

Rhinoplasty recovery timeline from splint care through long-term refinement

One review is only the beginning

Splint removal reveals an early, swollen shape. Definition continues to change over weeks and months. Read the dedicated Rhinoplasty Recovery Time page for the full timeline.

Normal vs Urgent

Know what can be expected—and what should trigger a call.

Often expected early

  • Blocked or congested nose
  • Pressure, tightness or mild-to-moderate discomfort
  • Bruising around the eyelids
  • Swelling that differs from side to side
  • Small blood-stained drainage
  • Mouth dryness from mouth breathing
  • Temporary reduced smell

Expected does not mean “ignore.” Follow the written instructions and report anything outside the pattern explained for your operation.

Contact the team urgently

  • Uncontrolled or heavy bleeding
  • Increasing breathing difficulty
  • Severe or rapidly worsening pain
  • Repeated vomiting or inability to keep fluids down
  • Fever, spreading redness or concerning discharge
  • Fainting, chest pain or marked weakness
  • New visual disturbance, severe eye pain or sudden swelling
  • Any rapid deterioration or concern named in your discharge sheet
Verified Google Reviews

Patients frequently mention explanation and postoperative support.

Excerpts are reproduced from the clinic’s verified review inventory. Individual experiences vary and do not guarantee outcomes.

★★★★★
“Hi I am from Pune and recently had nose surgery performed by Dr. Pawan Shahane, and I am absolutely thrilled with the results! From the initial consultation to the post-operative care, Dr. Shahane demonstrated exceptional skill, professionalism...”
Nishant MenghareGoogle review · rhinoplasty
★★★★★
“Best experience of rhinoplasty, my sister was having depressed nose and broad nose. We met with Dr. Shahane and discussed the issue. We got best result. Thanks to Dr. Shahane. He is innovative and intelligent.”
Ratnesh MudgalGoogle review · rhinoplasty
★★★★★
“Rhinoplasty, nose surgery done for my sister. We are very happy with results and strongly recommend Dr. Pawan Shahane sir for anyone seeking rhinoplasty. He explains everything and how to take care. He support at every stage...”
Kunal ThakurGoogle review · rhinoplasty
Patient Questions

Rhinoplasty procedure FAQs

What happens on the day of rhinoplasty?

The usual journey includes admission and safety checks, review of consent and the surgical plan, markings and photographs, anaesthesia, open or closed access, individualized structural correction, dressings, recovery-room monitoring and discharge when clinically stable.

How should I prepare the night before rhinoplasty?

Follow the written fasting and medication instructions from the surgeon and anaesthesia team, avoid smoking and alcohol as advised, remove jewellery and nail products if requested, pack reports and medicines, and confirm that a responsible adult will take you home.

Is fasting required before rhinoplasty?

Fasting is commonly required when general anaesthesia or intravenous sedation is planned. The exact cut-off for food, water and regular medicines must come from the treating anaesthesia team; do not apply a generic internet rule to your case.

What should I bring for admission?

Bring identification, medical reports, investigation results, a current medicine and allergy list, prescribed medicines, comfortable front-opening clothing, an eyeglass or contact-lens case if relevant, and the contact details of the adult accompanying you.

When are surgical markings made?

Markings and a final visual review are usually completed before anaesthesia while the patient is awake and, when useful, upright. They help confirm the agreed areas of work; they are not a drawing of a guaranteed final result.

Is rhinoplasty done under general anaesthesia?

Many detailed rhinoplasty operations are performed under general anaesthesia. Selected limited procedures may use intravenous sedation with local anaesthesia. The choice depends on the operation, health assessment, airway considerations and anaesthetist’s advice.

How does the surgeon choose open or closed rhinoplasty?

Closed rhinoplasty uses incisions inside the nostrils, while open rhinoplasty adds a small columellar incision for wider exposure. The choice depends on the correction required, previous surgery, grafting, tip work and the visibility needed—not on one approach being universally better.

What is corrected first during rhinoplasty?

There is no fixed order for every nose. A common structural sequence may address the septum and graft source, bridge and bony vault, middle-vault support, tip framework, nostril or alar-base changes, and repeated symmetry and airway checks, but the plan is individualized.

Will cartilage grafts always be needed?

No. Grafts are used only when support, contour, airway stability or augmentation requires them. Septal cartilage is often considered first; ear or rib cartilage may be discussed in selected complex or revision cases.

Are nasal packs always used?

No. Some patients have no packing, while others may have temporary gauze, soft internal splints or silicone supports according to bleeding control, septal work and the surgeon’s plan.

What dressings are applied after rhinoplasty?

The nose may have skin tape and an external splint. Internal splints or packing are selective, and a small gauze drip pad may be placed under the nostrils for early drainage. The exact dressing depends on the operation.

How long do I stay in the recovery room?

You remain in recovery until you are awake, breathing safely, haemodynamically stable and comfortable enough, with nausea and bleeding appropriately controlled. The duration varies with anaesthesia, procedure length and individual recovery.

Can I go home the same day?

Many rhinoplasty patients can leave the surgical facility the same day with a responsible adult after discharge criteria are met. A short stay may be advised for complex surgery, significant medical needs, late recovery or other clinical reasons.

What happens at the first postoperative review?

The first review commonly occurs during the first postoperative week, with earlier contact when internal packing or a specific concern requires it. The surgeon checks wounds, swelling, breathing, splints and sutures, reinforces aftercare and explains the next stage of healing.

Which symptoms need urgent medical review after discharge?

Seek urgent advice for uncontrolled bleeding, increasing breathing difficulty, severe or rapidly worsening pain, repeated vomiting, fever or concerning discharge, fainting, chest pain, new visual symptoms or any deterioration that worries you. Follow the clinic’s written emergency instructions.

Medical References

Sources used for the general educational pathway

Clinic-specific timing, anaesthesia and aftercare always override general web information.

American Society of Plastic Surgeons — Rhinoplasty procedure steps: anaesthesia, open/closed incisions, reshaping, septal correction, closure and splints.
Mayo Clinic — Rhinoplasty: preparation, photographs, individualized planning, surgery and early dressings.
Cleveland Clinic — Rhinoplasty: operative duration, splints, packing, recovery and warning signs.
Cleveland Clinic — Pre- and postoperative checklist: transport, fasting, medicines, recovery area, instructions and follow-up.

Drafted 20 July 2026 · Medical review required before publication and whenever the clinic’s protocol changes.

Plan Before the Procedure Day

Book a rhinoplasty consultation with Dr. Pawan Shahane.

Bring your main appearance or breathing concern, previous nasal records and a full medicine list. The consultation should define the operation before the day of admission—not create the plan after you arrive.

Medical Disclaimer: All surgical procedures carry inherent risks, and individual outcomes vary based on anatomy, skin type and healing biology. Surgical results are not guaranteed. Formal in-person consultation with Dr. Pawan Shahane is required before any surgical decision. The preparation, anaesthesia, operative sequence, dressings, discharge and review described here are general educational pathways and may differ for an individual patient. This page does not constitute medical advice or a treatment recommendation.