Considering Rhinoplasty Surgery - The Different Procedures
March 10th, 2010 | 
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Birth defect or accidents may unfortunately leave you with a rather unshapely nose that does not match your face well in shape or size. Rhinoplasty surgery, which is a branch of plastic surgery, was developed initially for corrective surgery on the nose to fit in better proportion to the face. This surgery was also intended to correct the shape of the nose to eliminate the problem of constricted breathing. Apart from these benefits from corrective surgery, rhinoplasty in recent years is increasingly being viewed as a way to bring aesthetic changes to the face.
Rhinoplasty is one of the most common cosmetic procedures today, with hundreds of thousands of patients undergoing rhinoplasty surgery each year. Despite its popularity, rhinoplasty is viewed as one of the most difficult cosmetic procedures. Motives for having rhinoplasty surgery may differ, be it improvement in the breathing process, reduction or enhancement in the nose size, or eradication of injury marks. Depending on the patient’s condition the rhinoplasty surgeon can use local or general anesthesia. This nose reshaping procedure generally does not take more than two hours in most of the cases.
There are two main techniques involved in the procedure of rhinoplasty, namely closed and open rhinoplasty.
Closed Rhinoplasty
If a minor reshaping is required, most rhinoplasty surgeons prefer to make incisions within the nose and then to insert an instrument that separates the skin of the nose from the bone and cartilage. After being exposed in this manner, the bone and cartilage are removed. They are then reshaped and rearranged to give the nose the desired shape. After the rearrangement is complete, the nose tissues are spread over the newly shaped structures. Towards the end of the procedure the original incisions are closed up.
Open Rhinoplasty
When it involves a major nose reshaping job, rhinoplasty surgeons prefer not to make incisions inside the nose. In case of a major reshaping, the incisions are made over an area of the nose called the columella which is a vertical strip of skin that separates the nostrils. This is a comparatively more complex procedure and referred to as “open” rhinoplasty.
After the reshaping of the nose is complete, incisions are closed up immediately in both the cases. Some puffy materials are used inside the nose to support the renewed structure along the nasal air passages. In addition to that, an external splint is also applied to the nose for at least six to eight days to help the nose keep its new shape. This splint also helps the nose through the healing process.
Susan Jan
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Posted in face plastic surgery
3 Responses to “Considering Rhinoplasty Surgery - The Different Procedures”
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March 10th, 2010 1:46 am
Need help choosing a surgeon for rhinoplasty! Advice/tips please!?
Hi there. I’m 17 years old and am planning on getting a rhinoplasty this summer. I’ve already researched numerous plastic surgeons in my area and some away from my area (50-60 miles farther) and I have come across about 4 surgeons I am considering to go to for my procedure (nose job).
My question is…what’s the most important factor in choosing a plastic surgeon? I know all of the ones I looked at are board certified and ALL of that (I’ve researched A LOT) and members of the different medical/plastic surgery societies and all of that. Now I am looking beyond that/to the next level. Two of the surgeons have before and after photos on their website. The other two don’t and have the philosophy that showing patients those pictures gives them unrealistic expectations. I’m so confused now! One of the surgeons has AWESOME before and after photos/results for his patients with the rhinoplasty procedure specifically, however, he has been board-certified since 2004 so he hasn’t been practicing for that long. Another surgeon has been practicing for 3 decades (board certified since 1977-forever lol). So should I rely on that one surgeon’s before and after pictures of the other surgeon who has MORE experience and no before or after pictures? and the consultations cost money so I don’t wanna waste money, you know?
Thanks for reading all this. I really need advice here!!!
March 10th, 2010 6:48 am
The new guy can have pros and cons just like the old.
New - might have newer techniques that work better, but inexperience could be a drawback.
Old - knows exactly what he’s doing, but might not be in on what works the best nowadays.
I’d suggest getting together with your normal doctor and asking him these things, he’d have an unbiased opinion on who to go to and can also help you with health questions.
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March 10th, 2010 6:50 am
Dr. Nicolas Tabbal is known throughout the states and especially the East Coast (he’s in Manhattan) and by far one of the best
Truly an artist and has been practicing for decades
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