What is it and how is it done?
Rhinoplasty groups various surgical techniques to change nasal morphology.
When it is extended to the nasal septum to restore respiratory function, it is
called septumplasty .
Basically, modifications are made to cartilaginous and skeletal nasal skeleton, to harmonize facial proportions. It is thus possible to modify or eliminate the back rail, reduce or project the tip, narrow base and holes, in addition to their relationships and angle with upper lip. It also allows to enlarge the nose in ethnic modifications, or with reparative intention in congenital disorders and sequelae of accidents.
What are the requirements for this improvement?
From a functional perspective, surgery allows restoring a respiratory function altered by disorders originated in the septum, nasal leaflets or turbinates, whose origin can be traced back to birth, or be secondary to trauma to the nose. With regard to surgery of the nasal appearance, its fundamental objective is to achieve the appropriate proportion to the facial profile, oblivious to artificial designs.
It is therefore a very individualized process. Any motivation must be exposed with absolute sincerity to the plastic surgeon.
Adulthood must coincide with stable emotional development and expectations
consistent with the starting point, which is the original nose.
To improve the facial profile, the chin can also be modified simultaneously.
Ways to perform nasal surgery
We always perform it in the operating room of an approved hospital, under general anesthesia, and occasionally local anesthesia with sedoanalgesia .
In closed rhinoplasty we access through internal nasal incisions without visible scar. The procedure is variable depending on each particular case, but in general the skin and soft tissue coverage is separated from its support structure for timely osteocartilaginous remodeling , until desired shapes and proportions are obtained. They are often highlighted and maintained by using grafts from the nose itself, avoiding synthetic materials.
When an open rhinoplasty technique is advisable, an external scar is added in the middle portion or columella. If narrowing of nostrils is necessary, external incisions are also made.
There is also a third type of “open unopened” rhinoplasty: without external skin
incisions that are therefore not visible and that allows highly appreciated results.
When it is also intended to restore respiratory function, we can reshape septal
cartilage, widen the nasal vault with expansive cartilage grafts, and treat
Finally, adhesive strips are applied that redistribute the skin on the new support, in
addition to a thermoplastic splint. There is hardly any nosebleed with the LESS
INVASIVE CURRENT TECHNIQUES that we use, therefore for years, WE DO NOT APPLY STUFFINGS, avoiding having to breathe through the mouth, when proper breathing must be nasal, and more especially after rinoseptoplastia.