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Rhinoplasty : know your nose

What is Rhinoplasty?

Rhinoplasty is the nose surgery performed to improve facial features or to correct nose issues related to birth defect or injury. It is a cosmetic reshaping surgery that is often referred to a “nose job”, “nose reshaping” or “nose refinement”.

Most often, people decide for rhinoplasty for the purpose of reshaping and resizing their nose in order to improve appearance of their nose. However, many functions of the nose such as passage of air while breathing can be improved too with this surgery.

Why is Rhinoplasty Performed?

Rhinoplasty is a form of plastic surgery procedure that is most commonly done in cosmetic purposes. People frequently undergo rhinoplasty to correct nose bridge bump, change the shape or lift the tip of the nose. The surgery is also often performed to change the size of the nose, to narrow the span of the nostrils as well as to correct the angle between the nose and upper lip. Structural abnormalities such as deviated septum that can cause difficulty in breathing are also successfully treated with rhinoplasty.

Rhinoplasty is a very precise and the most challenging procedure that is often referred to as “surgery of millimeters”. It is because even the most minor changes can result in a significant alteration in appearance and function of the nose. Rhinoplasty can correct different structures of the nose by trimming, shaving, moving, removing, adding or suturing.

These structures include:

  • The nasal bones, which are elongated hard parts of the nose that form the bridge of the nose
  • The upper and lower lateral cartilages, which represent flexible but solid bottom of two thirds of the nose
  • The septum, which is the wall between the nostrils made up of cartilage
  • The skin and fat of the nose that are covering the nose

Rhinoplasty Techniques

There are numerous variations and techniques of rhinoplasty. However, there are two major techniques of the surgery: open rhinoplasty and closed rhinoplasty.

In a closed rhinoplasty all of the incisions are made inside the nose. Advantage of closed rhinoplasty is that it does not produce external, visible scarring.

An open rhinoplasty involves external incisions that are made to lift off the skin of the tip of the nose. In this procedure the incision is made in columella that separates the nostrils at the bottom.

Regardless of the technique used, rhinoplasty is done under either general anesthesia where a patient is completely unconscious during operation or regional anesthesia where the nose of a patient is numbed.
      

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