Rhinoplasty Surgery Can Help You
Rhinoplasty is used to repair a number of different problems and in various ways. The way we live just does not bode well for a soft fleshy protuberance on the face. It is easily elbowed playing basketball or hit playing baseball. It tends to be the first thing hit by stray Frisbees and angry fists. Growing up this leads to most people having some sort of irregularity by the time they reach adulthood. For men it is less of an issue because it seems sort of rugged in our society. But if a woman had a nose like Owen Wilson she would be discriminated against. Today even many men are more focused on having an excellent symmetry to their face. The pursuit of beauty for one’s own sake is a great reason to have rhinoplasty. It can create an even, symmetrical and beautiful nose that will really look fantastic.
Rhinoplasty, commonly referred to as a “nose job”, is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose, by resolving nasal trauma (blunt, penetrating, blast), congenital defect, respiratory impediment, and a failed primary rhinoplasty. In the surgeries, ‘closed rhinoplasty’ and ‘open rhinoplasty’, an otolaryngologist (ear, nose, and throat specialist), a maxillofacial surgeon (jaw, face, and neck specialist), or a plastic surgeon, creates a functional, aesthetic, and facially proportionate nose by separating the nasal skin and the soft tissues from the osseo cartilaginous nasal framework, correcting them as required for form and function, suturing the incisions, and applying either a package or a stent, or both, to maximize the effects of proper healing of the incised area by immobilizing the surgically altered nose.
Types of Rhinoplasty Procedures
A rhinoplasty can be performed in one of two ways. The preferred approach is the “Closed” approach in which no external incisions are made. All incisions are made ‘inside’ the nose. The advantage of this approach is that no external scars are created. All scars remain hidden with this technique. The rhinoplasty patient is then afforded the opportunity to go home for the rest needed to allow healing of the nasal cartilage and bone tissues. Prescribed medications including antibiotics, analgesics, steroids to alleviate pain and aid wound healing, allows the patient to convalesce for about one week. Post operatively, external sutures are removed at four to five days; the external cast is removed at one week; the stents are removed within four days to two weeks; and the periorbital bruising (“panda eyes”) heals at two weeks. Throughout the first year post-operative, in the course of the rhinoplastic healing, the tissues will shift moderately as they settle into being a new nose.
The “Open” rhinoplasty approach affords the plastic surgeon the advantages of ease in securing the grafts (skin, cartilage, bone) and, most important, in seeing the nasal cartilages proper, and so make the appropriate diagnosis. This procedural aspect can be especially difficult in revision surgery, and in rhinoplastic corrections of the thick skinned “ethnic nose” of the black male or female. The study, Ethnic Rhinoplasty: a Universal Preoperative Classification System for the Nasal Tip (2009), reports that a nasal tip classification system, based upon skin thickness, has been proposed to aid the surgeon in determining if an open rhinoplasty or a closed rhinoplasty shall best correct the defect or deformity afflicting the patient’s nose.
A successful rhinoplasty requires careful preoperative planning. Each part of the nose, including the dorsum (or “bridge” of the nose), the tip, the nostrils and their relationship and proportions to each other must be carefully analyzed. The effect that a manipulation of one part will have on the appearance of another must be predicted and calculated. Rhinoplasty is truly a combination of art and science.
In primary rhinoplasty surgery, the keys to preventing complications are prediagnosis of potential anatomical and functional abnormalities. For example, a patient desires a dorsal hump reduction and the doctor identifies short nasal bones and a narrow middle vault. A thorough evaluation will provide the physician with a warning that the patient may be at risk for upper lateral cartilage subluxation from the nasal bones (inverted V deformity) and internal valve collapse. Revision nasal surgery may be needed to correct various types of post-operative complications and conditions caused by the failure of the surgeon to identify the telltale potential anatomical abnormalities. The surgeon should always perform a detailed anatomical and functional evaluation of the nose followed by a diagnosis of the postoperative nasal deformities and/or nasal obstruction. The incidence of postoperative nasal obstruction is approximately 10%. After the potential complications are identified, the surgeon should create a surgical plan while studying the preoperative photographs.
What is Non-surgical Rhinoplasty?
Non-surgical rhinoplasty is a medical procedure in which injectable fillers, such as collagen, are used to alter and shape a person’s nose without invasive surgery. The procedure fills in depressed areas on the nose, lifting the angle of the tip or smoothing the appearance of bumps on the bridge. This non-surgical procedure will not change the size of the nose, but it can be used to correct some minor birth defects. The injectable fillers commonly include hyaluronic acid types like Restylane and Juvederm or calcium hydroxyapatite (Radiesse) which are used to alter and shape a person’s nose without invasive surgery. Non-surgical rhinoplasty is an augmentation procedure, so it cannot reduce the size of someone’s nose. It is a cosmetic procedure and is used sometimes to correct functional problems with the nose, such as breathing difficulties.
Can Reconstruction Rhinoplasty Help You?
Reconstruction rhinoplasty can also include the repair of an extensive heminasal defect or of a total nasal defect. It is an extension of the plastic surgical principles applied to resolving the loss of a regional aesthetic subunit. The skin layers are replaced with a paramedian forehead flap, but, if forehead skin is unavailable, the alternative corrections include the Washio retroauricular temporal flap and the Tagliacozzi flap. The nasal skeleton is replaced with a rib graft nasal dorsum and lateral nasal wall; septal cartilage grafts and conchal cartilage grafts are applied to correct defects of the nasal tip and of the alar lobules.
Ethnic Rhinoplasty follows the basic principles of other types of surgery on the nose. A small incision at the base of the nose allows the surgeon to lift the skin off the nose. Thereby the bone and cartilage structure can be altered, which is what will change the shape of the nose.
Revision rhinoplasty surgery is the most challenging, and often, ungratifying procedure that facial and general plastic surgeons perform. This is often seen in rhinoplasty patients having postoperative nasal obstruction and obvious iatrogenic external valve collapse. This can perplex the surgeon especially when the patient’s procedure was a rather simple procedure. This can happen when the doctor fails to diagnose the flaccid, weak lateral crura. As a result, and manipulation of the cartilage without placement of lateral crural strut grafts might cause this easily preventable mishap.
Cost of Rhinoplasty
The average cost of rhinoplasty is $4,545, according to 2013 statistics from the American Society of Plastic Surgeons which states:
“Rhinoplasty surgery costs can vary widely. The average fee referenced above does not include anesthesia, operating room facilities or other related expenses. A surgeon’s fee will be based on his or her experience and geographic office location.”
Rhinoplasty cost may include:
Hospital or surgical facility costs
Prescriptions for medication
Finding the Best Rhinoplasty Doctors
There are many good doctors who perform rhinoplasty procedures. If you live in South Carolina, check the other pages on our site to locate the best rhinoplasty surgeons in Charleston, SC and the top Mt. Pleasant rhinoplasty surgeons.