Exploring Rhinoplasty: Understanding the Procedure, Types, Process, and Risks
Rhinoplasty, commonly known as a “nose job”, is one of the most commonly performed cosmetic surgical procedures. It allows patients to reshape and enhance the appearance of their nose for both aesthetic and functional reasons. In this article, we will explore the rhinoplasty procedure in depth.
Types of Rhinoplasty Procedures
There are two main categories of rhinoplasty procedures — open rhinoplasty and closed (endonasal) rhinoplasty.
Open Rhinoplasty
An open rhinoplasty involves making an incision across the columella (the skin between the nostrils) as well as small, hidden incisions inside each nostril. This provides direct access to the nasal bone and nasal cartilage that needs to be reshaped. Open rhinoplasty allows for more extensive manipulation of the underlying structures for better accuracy. However, it leaves a visible scar and has a longer recovery time compared to closed rhinoplasty.
Closed (Endonasal) Rhinoplasty
In a closed rhinoplasty, all incisions are made inside the nostrils to avoid external scarring. While this technique leaves no visible scars, it provides less visibility and maneuverability compared to open rhinoplasty. As a result, closed rhinoplasty is generally better suited for minor reshaping procedures rather than major reconstruction cases.
Determining the Right Procedure
Your surgeon will examine your nose and discuss your goals to determine whether open or closed rhinoplasty would yield the best results. Factors like the extent of required correction and a patient’s healing abilities are considered. In some cases, a combination of both open and closed techniques may be used.
Rhinoplasty Process
Pre-Operative Consultation
The first step is a comprehensive consultation with your surgeon. They will evaluate your medical history, discuss your aesthetic goals, and address any functional issues. You will also receive details on the surgery, recovery period and realistic expectations.
Performing the Surgery
On the day of surgery, anesthesia is administered. Then incisions are made according to the open or closed technique planned. The nasal bone and nasal cartilage structures are carefully sculpted and reshaped. Broken or severely deviated bones may be rebuilt or grafted. The surgery typically takes 1–3 hours.
Immediate Post-Op
After surgery, patients are monitored for bleeding or other complications. Steri-strips, splints and bandages are used to support the healing nose. Mild pain and swelling are common in the first week though medications help manage discomfort.
Healing and Follow Up Visits
It takes 6–12 months for the final shape and appearance to emerge as swelling resolves. Stitches and splints are removed after 1 week. Patients return for follow up visits so the surgeon can assess healing progression. Touch ups may be done if needed.
Potential Risks and Complications of Rhinoplasty
As with any surgery, Rhinoplasty does carry risks. However, when performed by an experienced board-certified facial plastic surgeon, complications are generally minor and rare. Some potential risks include:
- Bleeding
- Infection
- Asymmetry
- Unsatisfactory Appearance
- Airway/Breathing Issues
Taking proper precautions and following post-op care instructions helps minimize complications. It’s important to choose a surgeon wisely and understand all potential risks involved before undergoing rhinoplasty.
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