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What is Rhinoplasty?
Rhinoplasty, or nose job, is a medical procedure of reshaping the nose. This surgery involves sculpting the cartilage, bones, and skin of the nose to achieve a balanced facial symmetry. An accredited plastic surgeon is recommended to perform this surgery, who is not only concerned with the augmentation of the nose but also enhancing its function.
Reasons for Rhinoplasty
The surgical operation can either be a cosmetic or corrective procedure. Patients undergo Rhinoplasty for the following reasons:
- Augmentation of nose bridge
- Narrowing and/or increase in projection of nose tip
- Alar trimming
- Dorsal hump reduction
- Nasal bone in fracture
- Fix disruption of breathing
- Correct facial birth defects
- Cure chronic sinusitis, nasal congestion
- Repair nasal fractures resulting from injury or trauma
- Revision of unsuccessful nose surgery
Surgical Techniques in Rhinoplasty
The surgical procedure for Rhinoplasty can be done using two (2) methods. It can either be through implant-based surgery or an autologous surgery. In an implant-based surgery, the plastic surgeon uses a silicone implant or Gore-tex implant applied on the nose cartilage combined with the patient’s own cartilage for the nasal tip. However, the Gore-tex implant is highly recommended for Rhinoplasty procedures because it provides a more natural look and has a lower complication rate compared to the silicone implant. On the other hand, in an autologous surgery only the tissues coming from the patient are used for the enhancement of the nose.
In Closed or Endonasal Rhinoplasty, all the incisions are placed inside the nostrils. This surgical procedure is performed within the nose leaving no visible scars and also reducing surgery time. One disadvantage of Closed Rhinoplasty is that it has limited visualization and surgical access. The good thing about it, however, is it causes less swelling after recovery compared to other surgical procedures.
In Open or External Rhinoplasty, only a few internal incisions are used. The surgeon also makes a small cut across the soft tissue between the nostrils called the columella. Afterwards, the nasal skin will be folded upward in order for the surgeon to get a direct visibility and access to the nasal framework.
Rhinoplasty is an outpatient procedure commonly done under local anesthesia wherein the patient does not need an overnight stay. The procedure may be performed under sedation or general anesthesia so the patient will be asleep throughout the surgery. The duration of the procedure depends on the complexity of the surgery. It usually ranges between 30 to 120 minutes.
After the surgery, the patient uses a nose splint. Some post-operative discomfort may occur on the first week. The patient may experience possible swelling and bruising around the eyes and nose that eventually subsides within a few days. Recovery time highly depends on the complexity of the procedure. Between open and closed Rhinoplasty, the latter usually has the faster recovery time which last for only about 10 days. Plus, it also doesn’t show any visible scars.
Book for an Appointment
At Megaesthetics Center, we strive to provide the best medical outcomes for our patients in the Philippines. Speak to our professionals to learn more about the procedure of Rhinoplasty today! Call us at 637-9661 to 68 local 120.
FREQUENTLY ASKED QUESTIONS
Most rhinoplasty procedures, uses implant materials to augment the bridge and tip area. Nowadays we have more choices for augmentation using silicon, gore-tex and cartilage. All of these materials have proved their good use for rhinoplasty. However, choosing the perfect implant will depend on your lifestyle, budget, and skin or body sensitivity. Silicone implant is the oldest and cheapest material among the three. The only risk is that if you have sensitivity to this, your body might reject this foreign body. Implant extrusion is a common problem in silicone implants. Gore tex is another synthetic material like silicone. Gore tex is a pervious material, and the tissues can grow inside and around it. Thisimplant has high tissue compatibility and has a low complication rate. It is easier to mold and very flexible. Among the materials available for nasal augmentation, Cartilage is the most natural material since it is part of your body. This is safe, because the material that will be used will be coming from your ears, rib cartlage or septum, depending on the preference and expertise of your plastic surgeon. It is always better to use your own cartilage because it provides a lower rate of infection and complication and better adaptability. Some plastic surgeon combines the 3 materials. Other uses silicone with cartilage or gore-tex with cartilage. The cartilage is placed on the tip to prevent the pressure necrosis on the skin caused by the synthetic implants.
One of the most debated topics in rhinoplasty is the choice between doing an “Open versus Closed” Rhinoplasty. Unfortunately, there is not a simple answer to this question. However, gaining a better understanding of what is involved with each technique and becoming familiar with the advantages and potential disadvantages of each is the first step.
Closed Rhinoplasty refers to a nose job that is performed via internal incisions (no external scars). The surgeon makes one or more incisions along the inside of the nose and lifts the skin up from the nasal framework. The Advantages of this technique are potentially shorter operative time and no external scars.
Open Rhinoplasty, on the other hand, uses the same incisions as a closed rhinoplasty with the addition of an incision on the columella. This incision is usually well hidden and hardly noticeable if done exemptionally well. The advantages are better visualization for the surgeon, direct exposure of the anatomic structures, less distortion of the nasal framework from intraoperative retraction and are the best for achieving a detailed refinement of the nasal tip.
How do you know which is "best" for you? While you may have a preference for one or the other, your surgeon will recommend the approach that he or she feels is most appropriate, and the surgical technique employed depends primarily on the goals established by you and your surgeon. Some surgeons perform exclusively closed rhinoplasty while others prefer open rhinoplasty. There are surgeons who perform both types of rhinoplasty depending on the patient's needs. The skill of your surgeon is the most important factor in achieving a good result.