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Nose Surgery
Rhinoplasty is the surgery of the nose to define,
reshape or create symmetry through out the face with the
nose as the center of attention. This procedure is a
very delicate and difficult operation and one should not
rush into this surgery without fully preparing
themselves, emotionally and mentally for it. Plus, not
all surgeons are capable of giving you a wonderful nasal
result.
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After Surgery |
What is Rhinoplasty?
Rhinoplasty is the surgery of the nose to either thin,
turn up, augment, shorten, elongate or otherwise bring
balance to the face through its alteration. It is also
known as a "nose job" and may include It also and more
than likely will include Tiplasty to refine and define
the tip of the nose as well.
Tiplasty is normally the surgery of the nose involving
only the cartilages of the nose. Septoplasty, to restore
or otherwise introduce functionality as far as ease of
breathing to the individual. All three of these can be
performed together, but for cosmetic reasons only many
patients seek the full rhinoplasty which include the
alteration of the bone and cartilage of the nose and not
the septoplasty.
Are you a Candidate For Rhinoplasty?
If you are in great physical and emotional health as
well as have reasonable expectations, elastic skin and
no previous existing medical conditions or bone
disorders, are not or have not been on Accutane for the
last 6 months (it causes keloid like scar formation
(especially transdermal incisions) and although rare,
can cause excessive facial bone growth) you may be a
good candidate for Rhinoplasty. Only a qualified plastic
surgeon can determine this after speaking to you as well
as going over your medical history, examining your
facial structure and skin. You must realize that no
doctor can perform miracles but a highly skilled surgeon
can transform what you do have into a more balanced look
altogether.
Open vs. Closed Rhinoplasty?
The difference between an open or closed technique is
the opening of the nose by external, visible incisions
that allow the surgeon to literally see the cartilages
and tissues of the nose. Closed is of course done
"blindly" although it is my personal belief that both
are fine and if you're good - you're good. My surgery
was closed. Although some may argue that for extensive
reconstructive surgeries, open is better. I have seen
some truly, almost miraculous surgeries performed with a
closed technique so, no I do not think it is necessary
if a surgeon is highly skilled. Not all surgeons do both
so consult with several surgeons to find which suits you
best. It is the end result and the longevity of the
result that matters. The end justifies the means.
The open technique usually takes longer and allows for
scrutinizing and meticulous work although it truly
depends upon the skill of the surgeon. There are highly
skilled surgeons who perform and prefer either and less
than average surgeons who do the same. Just choose your
surgeon wisely and your odds of a better result are
increased. However, sometimes the open technique will be
better for one's needs. It truly depends.
The difference between an open or closed technique is
the opening of the nose by external, visible incisions
that allow the surgeon to literally see the cartilages
and tissues of the nose. Closed is of course done
"blindly" although it is my personal belief that both
are fine and if you're good - you're good. My surgery
was closed. Although some may argue that for extensive
reconstructive surgeries, open is better. I have seen
some truly, almost miraculous surgeries performed with a
closed technique so, no I do not think it is necessary
if a surgeon is highly skilled. Not all surgeons do both
so consult with several surgeons to find which suits you
best. It is the end result and the longevity of the
result that matters. The end justifies the means.
The open technique usually takes longer and allows for
scrutinizing and meticulous work although it truly
depends upon the skill of the surgeon. There are highly
skilled surgeons who perform and prefer either and less
than average surgeons who do the same. Just choose your
surgeon wisely and your odds of a better result are
increased. However, sometimes the open technique will be
better for one's needs. It truly depends.
Risks & Complications Associated With Rhinoplasty
It is possible to develop tiny red marks and "spots",
this can be the result of blood vessels that may have
burst under the skin's surface during the surgery.
Although this is extremely infrequent it can happen and
the "spots" may not ever go away. Scarring is minimal if
the incisions are made inside of the nose, however when
an "open" technique is used, or if extensive narrowing
of the nostrils is desired the scars made on the outside
of the nose may be quite visible for an undetermined
amount of time (Usually until maturation). Even when a
highly skilled surgeon performs your surgery, sometimes
your body may not heal "correctly" or have adverse
reactions causing undesired results. If so it is quite
possible that additional surgeries may be needed. Some
patients will lose their sense of smell, temporarily.
Your nose may be swollen and for up to a year - and in
some patients over that period. In rare cases, the scar
tissue may heal in a way that may cause a "whistling"
sound to be heard when you breathe in and out.
This surgery has the highest rate of revisions. This
surgery is considered to be a type-changing surgery. It
seems that some patients, especially mature patients,
may not readily accept the new look. Being accustomed to
their "old" nose they just can't seem to comfortably
make the transition.
Although there are a few rhinoplasties that just don't
heal right, due to something as serious as human error
(the doctor's) or as simple as not having your head
elevated enough or sleeping on one side a lot without a
proper cast. The nose can "pull" to one side if the cast
does not support it properly in the first week or two.
Or quite simply, your body may just heal that way.
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