Rhinoplasty: Method, Intervention and Postoperative
Rhinoplasty surgery is a very complex operation and the preoperative visit with the patient is very important, in order to understand what his reasons are.
6 COMMON CONCERNS BEFORE RHINOPLASTY | Plastic Surgeon undergoing Plastic Surgery Part II | Dr. Rojo
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Rhinoplasty: Method, Intervention and Postoperative
Rhinoplasty surgery is a very complex operation and the preoperative visit with the patient is very important, in order to understand what his reasons are. The patient who wants to undergo a rhinoplasty must be very motivated.
During the visit we will also take pictures of the patient’s profiles and three-quarters to then simulate the final result of the surgery.
We must also evaluate the position of the chin in relation to the nose because, many times, it would be necessary to apply a chin prosthesis, to improve the profile.
The noses can be many:
- Hyperconvex, that of Dante;
- Convex;
- Exclusively bone;
- Diverted;
- With the globular tip.
The intervention can be divided into two categories: OPEN and CLOSED.
The anesthesia used is general, but it is always combined with local anesthesia to reduce bleeding and swelling during surgery and in the postoperative period.
Rhinoplasty begins with a thorough local anesthesia of the nose. Generally, local anesthesia is enriched with a little adrenaline to reduce bleeding.
Let’s start by making the first internal incisions. The first is a trans cartilage incision, through which, by means of a periosteum scraper, we get to isolate the part of the hump well. By introducing a suitable stonemason we are going to perform a guided fracture and remove the part of the hump.
With two other stonecutters, one for the right side and another for the left side, introduced inside the nostril, we go to perform the two lateral fractures.
After that, the bony part is finished and we are going to close the roof of the nose. At this point we are going to lower to unstick the mucosa that covers the quadrangular (septal) cartilage, which is lowered according to the height of the hump.
Using a maneuver called delivery, we extrude the two alar cartilages, which are reduced in their cranial part. We can then join the domes of these cartilages. through Butterfly-type sutures.
Carry out all the maneuvers and put the nose back together well, let’s see the final effect of the nose. If we like the result and if there are no other changes to be made, such as some bone edge that is rasped with a diamond rasp, we are going to apply absorbable sutures to close the breaches we have created.
At the end of the surgery, the necessary dressings and the metal split (chalk) are applied, which will be removed after 10/12 days. The patient will be discharged the same day, after an observation period. The internal swabs will be removed after a couple of days.
It is necessary to make the patient who wants to undergo Rhinoplasty surgery understand what are the possibilities and limits of the intervention itself. The whole operation must be adapted to the starting situation, so it is not possible to trace the nose of a famous actor or actress, whom we may have seen in a magazine.
The results of the Rhinoplasty surgery are seen slowly, the healing and adaptation times of the structures are quite long. Already after the first 6 months we can see strengths and possible defects. One year is the time we have to wait for the final result.
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