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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.

Before Surgery 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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Cosmetic-Surgery Blog by Dr A. Mounir

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