Rhinoplasty, commonly known as a "nose job," is a surgical procedure aimed at reshaping or reconstructing the nose. It is one of the most popular cosmetic surgeries globally, sought after for both aesthetic and functional reasons. The procedure is meticulous, requiring a skilled surgeon to balance the patient's desires with anatomical considerations.
Preoperative Preparation:
Before the surgery, a comprehensive consultation takes place between the patient and the surgeon. During this session, the surgeon assesses the patient's nasal structure, discusses expectations, and explains the surgical process. Detailed medical history, including any previous nasal surgeries or breathing issues, is crucial for a safe procedure. Preoperative photographs may be taken for reference during and after the surgery.
Anesthesia and Incision:
Rhinoplasty can be performed under either local or general anesthesia, depending on the complexity of the surgery. Once the patient is comfortable, the surgeon makes incisions. There are two primary techniques: the open and closed approaches. The open approach involves a small incision on the columella (the strip of skin between the nostrils), providing better visibility. The closed approach involves incisions made inside the nostrils, leaving no external scars.
Reshaping the Nose:
After making the incisions, the surgeon carefully lifts the skin to access the underlying bone and cartilage. The specifics of reshaping depend on the patient's goals. Common adjustments include reducing or augmenting the nasal bridge, refining the tip, or altering the nostrils' size. In cases of functional rhinoplasty, where breathing issues are addressed, the surgeon may straighten a deviated septum or adjust nasal passages.
Grafting and Support:
In some cases, additional support or volume may be needed. Surgeons use grafts, which can be harvested from the patient's septum or other areas, or synthetic materials. Grafts help maintain the desired shape and structural integrity of the nose. They are especially crucial when correcting issues like a collapsed nasal bridge or asymmetry.
Closing Incisions:
Once the necessary adjustments are made, the surgeon meticulously closes the incisions using dissolvable or removable sutures. If the closed approach was employed, there are no visible external sutures. The surgeon then applies a splint to support the new nasal structure during the initial healing phase.
Recovery and Postoperative Care:
Recovery from rhinoplasty varies from person to person but generally involves swelling and bruising around the nose and eyes. Pain is usually manageable with prescribed medication. Patients are advised to keep their head elevated, avoid strenuous activities, and follow all postoperative care instructions diligently. Follow-up appointments with the surgeon are crucial to monitor progress and address any concerns.
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