The method of rhinoplasty

Rhinoplasty surgery
Rhinoplasty surgery
January 20, 2019
After Rhinoplasty
After Rhinoplasty
January 22, 2019

The method of rhinoplasty

The method of rhinoplasty

All rhinoplasty procedures are not created equal. This is to say that the procedure differs depending upon your needs as a patient. After the initial decision to undergo a nose job surgery, the next step involves the help of your plastic surgeon to evaluate which type of rhinoplasty procedure is best for you.

There are four types of rhinoplasty procedures. Read below for an overview of each. When your doctor has decided which type of rhinoplasty best suits your needs, be sure to access plastic surgeons Rhinoplasty articles to read an in-depth explanation of each of the procedures that will help prepare you for your surgery.

 

Closed Rhinoplasty

A closed rhinoplasty is the most common type of rhinoplasty and the one that Dr. Bennett chooses most often. All incisions are hidden inside the nose with no external scars.  Lifting the soft tissue slightly upward, the bone and cartilage is accessible to perform the necessary changes.

The technical methods, once the inside structure of the nose is visualized for an open or closed rhinoplasty, are similar.  There are several advantages to having a closed rhinoplasty, due to its less-invasive nature:

  • Reduced nasal tissue irritation (due to the lack of a columellar incision)
  • Reduced likelihood of the nasal-tip support reduction
  • Smaller likelihood of post-operative edema
  • Lessened detectable scarring
  • Less time spent in the operating room
  • Faster post-operative patient recovery

Open Rhinoplasty

An open rhinoplasty has historically been the rhinoplasty for patients who need extensive work done to the nose. Your surgeon will make incisions in the skin between your nostrils underneath your nose. This area is called the columella. Next, the skin is lifted to reveal the inside of the nasal cavity, giving your rhinoplasty surgeon access to perform the necessary reshaping.

Where extensive grafting or when revision surgery is needed, you may require an open rhinoplasty. Some surgeons will choose open rhinoplasty as their primary method of surgery depending on the training and skill of the physician. Open rhinoplasty procedures are best for patients with the following issues:

  • Collapsed valves from previous hump removal
  • Genetic, structural deformities in the nose (i.e. cleft lip palate)
  • Acquired deformities in the nose (i.e. severe trauma requiring grafting)
  • Dissatisfaction with the cosmetic appearance of the nose after previous nasal surgery

After a surgeon performs an open rhinoplasty, the columella is sutured and the nose is taped for stabilization purposes. After the taping, a nasal split that has been sculpted especially for the nose is placed over the tape. The splint will help protect the delicate tissues of your new nose during the healing process. It will be removed approximately one week after the surgery. 

Filler Rhinoplasty

Filler Rhinoplasty in iran

Filler Rhinoplasty through Injection

A filler rhinoplasty is a less common type of nose surgery. It is non-surgical in nature and can be done by dermatologists, cosmetic surgeons, physician assistants as well as general plastic surgeons. No incisions are made, but rather, the injectable filler is used to correct minor imperfections in the nose. For example, a filler rhinoplasty is an option for those who desire minimal change to the nose. The most common types of “fillers” are Juvederm and Restylane. A drawback to choosing a filler rhinoplasty is that the results are not permanent. Scarring from fillers can be permanent and vessels can be obstructed causing necrosis of the nasal skin. Over time, the filler eventually absorbs back into the skin, effectively erasing the changes and requiring an additional procedure.

Revision Rhinoplasty

Revision rhinoplasty is a subsequent surgery after a primary rhinoplasty.  Typically patients opt for a revision rhinoplasty if they are unhappy with the results of the primary rhinoplasty or if they seek further changes not originally desired in the primary rhinoplasty. Breathing difficulties uncovered or created by the primary surgery are fairly common.  For most, a revision rhinoplasty is an option for those who desire a “touch-up.” Most surgeons have a revision rate of around 10-15%. If a doctor has no revision rate the patients are likely having another physician perform subsequent surgeries. The main reason for revision surgery is breathing difficulty or a bump or irregularity of the bridge of the nose.

1What types of nose jobs are there?
What are the different types of cosmetic nose surgery (rhinoplasty)? Open Rhinoplasty is used for major nose reshaping. Incisions are made in the vertical strip of skin separating the nostrils, called the columella. ... Closed Rhinoplasty is used for minor nose reshaping. ... Secondary Rhinoplasty. ... Filler Rhinoplasty.
2How long does Closed rhinoplasty take to heal?
five to six days In terms of recovery, it largely depends on the type of rhinoplasty, but for both open and closed procedures, downtime is typically a one- to two-week period. "Most patients have a rapid recovery within five to six days [for closed procedures]," says Dugar.
3Can a 13 year old get a nose job?
Surgeons used to wait until patients reached age 17 or 18 before reshaping a nose for fear that if they did it any younger, the child's nose would keep growing and end up in an odd shape. But they have found that nose growth ends earlier, and now do nose jobs, known as rhinoplasty, on girls at age 13 and boys at 14.Sep
4How long does it take to recover from a nose job?
Nose Job Recovery. After a nose job, people usually wear a nasal splint for the first week. You can expect swelling and some bruising around the eyes after surgery that will begin to improve after the third day. It can, though, last up to two weeks.
5How do I prepare for a nose job?
In general, some of the most important steps that are involved in preparing for rhinoplasty surgery include: Researching Your Surgeon. Scheduling a Consultation. ... Post-Operative Care Stay hydrated. Use cold compresses to reduce swelling. Rest as often as possible. Avoid strenuous activities and exercise.
6Is open rhinoplasty better than closed?
Closed vs Open Rhinoplasty. Closed rhinoplasty is an approach to nasal surgery where all the incisions are hidden within the nose. ... For patients desiring reduction of the nasal hump and tip refinement, this is an excellent approach and can give excellent results. Closed rhinoplasty is more difficult to perform and learn ..
7How long after septoplasty Can I breathe?
1–2 days Your nose will feel sore, and much more stuffy than it did before the operation. Once the dressings are removed from your nose, you may still need to breathe through your mouth for a week or so.
8What is open Septorhinoplasty?
Together in health. Open Septorhinoplasty Post-Operative Instructions. An open septorhinoplasty (OSR) is performed to correct not only the deviated septum and to improve airflow, but also to improve the appearance of the nose.
9Is deviated septum surgery dangerous?
As with any major surgery, septoplasty carries risks, such as bleeding, infection and an adverse reaction to the anesthetic. Other possible risks specific to septoplasty include: Persistence in previous symptoms, such as nasal obstruction, despite surgery. Excessive bleeding
10Does septoplasty change your nose shape?
The nasal septum contributes to the shape of the nose in many ways like it's height, length and position in the midline. And if septoplasty is extended to vary its' dimensions it can grossly contribute to the improvement of the shape of the nose and would truly be called septo-rhinoplasty.

 

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