What is Rhinoplasty?
Rhinoplasty is a surgical procedure designed to reshape the nose. Sometimes referred to as a “nose job”. It is done to correct a structural deformity (such as a bump or hook), to improve your appearance by making subtle changes to nose size and shape, or to correct a functional problem (such as difficulty breathing cause of a deviated septum).
The septum composed of cartilage and bone, is the wall between the two nostrils, it divides the nasal cavity into halves. The ideal nasal septum is straight, separating the nose into passageways of equal size. A deviated septum occurs when the septum is shifted away from the midline. A severe deviated septum may cause difficulty breathing through the nose.
What are different types of Rhinoplasty?
For major nose reshaping, the incisions are made in the vertical strip of skin separating the nostrils.The skin and soft tissue are then elevated off the underlying structures of the nose so the surgeon can see the nasal anatomy.
For minor reshaping, incisions are made within the nose. The skin of the nose is then separated from the bone and cartilage. Once exposed, bone and cartilage can be removed, reshaped, augmented or rearranged to achieve the desired new shape.
Also called revision rhinoplasty, this is performed to correct problems that persist or develop after a previous rhinoplasty. Although the problems may be minor and easily corrected, often the problems are major, which makes the secondary rhinoplasty more difficult. Revision rhinoplasty can be done as an open or closed procedure.
This involves the use of injectable fillers to fill depressions, smooth out sharp angles or change the angle of the tip of the nose, restoring symmetry and making your nose appear smaller and more attractive. Instead of removing a bump, a surgeon would use an injectable filler to even it out. The results are not permanent.
What is the Rhinoplasty procedure?
Exactly how long the procedure takes depends on the type of rhinoplasty. A primary surgery normally requires one to three hours in surgery, while a revision one can take much longer. A filler procedure can take just 15 minutes.
Your surgeon will likely recommend local anesthesia with some sedation or general anesthesia for your primary surgery. A secondary surgery may involve general anesthesia due to the complexity of the procedure. A filler procedure requires just local anesthesia.
Your surgeon can reduce or augment nasal structures with cartilage grafted from other areas of your body. These pieces of cartilage can come from the septum or occasionally from the ear or the rib cartilage. If the septum was deviated, this should straighten it. In addition, any projections inside the nose will be reduced to improve breathing.
Closing the incision
Once the underlying structure of the nose is sculpted, the nasal skin and tissue are red raped and the incisions closed. A splint may also be applied.