Rhinoplasty (Nasal Surgery)

Rhinoplasty is a nasal surgery that is done to enhance the appearance and / or to rectify deformation in the structure of the nose, which might be causing respiratory problems. It may be essential to either add or remove some parts of the bone and cartilage. Today, graft is utilized to add mass to the nose, and bring about the desired results.

Grafts are beneficial to expand the narrow air passage that causes breathing difficulties; these are also used to reshape the nasal tip to provide a better appearance. The conventional method which removed cartilage used to result in a pinched tip for the nose. This can now be avoided by implanting grafts. The nasal septum and the back of the ear are the sources for graft material.

Traditional Rhinoplasty : Best Procedure

Traditional rhinoplasty is the best procedure for the modification of the nasal tip, removal of bump, and for correction of breathing problems. In this method, the incision is made inside the nostrils. Swelling arising from this procedure is minimal.

The modern “open” method provides greater flexibility to the surgeon. Internal changes can be corrected with ease and precision. The nostrils are separated by an incision made across the skin, and this exposes the interior of the nose. Subtle alterations such as tip shaping, tip reconstructing to cure deformity caused by previous surgery, and cartilage drafting, demand this modern approach. Compared to the traditional method, swelling of the tip may take a longer time to be treated, and this is the only major disadvantage.

Deformities arising from a previous nasal surgery can be corrected by the open method. This is known as the secondary nasal surgery and generally requires the use of cartilage grafts to reconstruct the regions where excess cartilage was removed earlier. Cartilage grafts could help in reshaping the nose tip which has been pinched too much, or add mass to a nose that has been made too narrow.

For some individuals, breathing may be restricted due to the slanting angle of the septum; grafts can straighten this deformation. Grafts also open up a narrow airway and widen a narrow nose.

The internal anatomy of the nasal septum as well as the adjacent nasal walls determines how well one breathes. Surgery is an option to be considered only if there is a significant amount of deformity in the structures. The end result of rhinoplasty is determined by some crucial factors. The thickness of the nasal skin is of utmost importance, a surgeon doesn’t have any influence upon it. Fine sculpting of the nasal tip could be difficult if the skin is thick. Strongly bent, thin or weak cartilage can further limit surgical intervention. Needless to say, a surgeon’s skill is also a major factor.

Effective Chin Implants with Nasal Surgery

Chin implant can also be performed in conjunction with rhinoplasty. The procedure is carried out in case the chin is weak or recessive in relation to the cheekbones. General anesthesia is usually administered; however, the matter can be discussed with the anesthesiologist. A breathing tube is used to prevent secretion from the nose entering the airway during surgery. The rhinoplasty surgery usually lasts for less than two hours. But, in the case of multiple deformations from an earlier rhinoplasty, the surgery may extend to three hours.

The nose is taped and a plastic splint is applied to it at the end of the surgery. It is removed after a period of five to six days. Small gauze is packed inside each of the nostrils and is removed the following day. The nose is not deeply packed. Skin stitches are removed after five to six days if these are between the nostrils. Stitches inside the nostrils dissolve, and do not require removal.

At bodySCULPT®, nasal surgery is performed on an outpatient basis at our AAAASF accredited plastic surgery practice in Manhattan, New York City (NYC). Pain medication is generally not required, but if needed, oral medication can be administered. Nasal pain is mild and lasts for less than twenty four hours.

Bruising around the eyes and swelling of the nose is common after nasal surgery and gradually subsides after two days. Normal activities can be resumed ten days after the surgery. Ball sports should be restricted for at least six weeks.

Complications arising from nasal surgery are rare. Infection is a possibility, but occurs only rarely. Bleeding is a common problem after nose surgery but it tends to stop spontaneously. If not, the nose must be packed for a few days but this again is rare.

Minor changes such as irregularity in shape or feature may arise months after the surgery is performed. In such cases, a touch-up procedure might be necessary one year after the surgery. This is because the original surgery requires complete healing and softening of tissues before any further medical revisions are opted. Most of the revisions are short procedures and do not cause prolonged swelling or discoloration.