What is Rhinoplasty?
The nose is one of the most important parts of our face. Nose aesthetic changes are hard to hide, it is a relatively frequent point in surgery cosmetic surgery consultation. Rhinoplasty is the surgery that aims to change the shape of the nose to improve its appearance or correct congenital and traumatic changes. It is certainly a surgery of too much responsibility for the surgeon. Any error is always very evident and should be made a good planning of the surgery. The patient must be aware that there is no absolute perfection and before the surgery should remove all your doubts with the surgeon.
There are two basic types of surgery:
1. Open Rhinoplasty: an incision is made in the nasal columella to reverse the tip and have a good exposure of the bulkhead and nasal tip.
2. Closed Rhinoplasty: a few small incisions are made inside the nostrils. Usually use this approach in simple primary Rhinoplasty. The main points to discuss are: nasal dorsum, nose and nasal wings. All aspects should be considered: bones, cartilage and skin. The surgeon should be conservative and go removing the material gradually until it reaches the desired shape. At the end there is a patch of plaster or plastic material and a seal inside the holes.
ANESTHESIA AND SURGERY DURATION
The surgery can be performed under local anesthesia, local anesthesia with sedation or general anesthesia. The election of one or other technique depends on the experience of the medical team and the complexity of the operation. In our experience the intervention lasts between 90 to 120 minutes. There are two basic types of surgery.
To achieve a good result must follow correctly all as advised by your Doctor. In facial surgeries, it’s normal to be a slight depression in the days following the surgery due to bad aspect is that in the early days. The final result could take several months.
To obtain the coveted outcome or to correct some small imperfection, a second intervention may be required. This can be done after 5-6 months.
CARE IN THE POSTOPERATIVE PERIOD
During the first few days there is a slight swelling. The hematoma may be reduced if infiltrate before surgery. Generally, the nose goes to normal after 2 weeks. In the early hours can also happen a small drainage serosanguinolenta. In our clinic we put a tamponade that pulled in 12:0 am. After 7-10 days are removed the stitches and the dressing with plaster or plastic. In a few days you can recover most of the activities.
WHAT ARE THE MOST FREQUENT PROBLEMS THAT CAN APPEAR IN A RHINOPLASTY?
The complications are infrequent, but they can happen and it is the duty of the physician to inform about them: infection, nasal bleeding, reactions to anesthesia. Over time can appear Telangiectasia (small red vessels) in the nasal wings. Laser correction is usually easy. In severe cases may appear severe dismorfias such as bulkhead losses or very small noses or little provided. These cases usually have to do with inexperience of the surgeon. Whatever the type of complication, it’s important to be calm and understanding, trusting the doctor the res-responsibility of the solution to the problem.
Comments with friends or family members, in addition to not help, may create a situation of unrest and des-crédito. The emergence of some of the problems mentioned above is part of the so-called “calculated risk”, which applies to any type of surgery. Their occurrence, fortunately, is not common and usually does not compromise the results definitely.
WHAT SHOULD ASK THE DOCTOR?
It is very important to know the experience of the surgeon, trying to see if it uses the open or closed technique, which the complications that have been (don’t believe those who tell you that no complications) and how they were resolved. Ask to see pictures of noses similar to yours. And try to get an idea even though approximately how will stay.
1. What are the advantages of the open technique?
Allows a better view of the operative field and therefore safer results. Should be used in on-rizes more complicated and in re-interventions.
2. What are the disadvantages of the open technique?
Leaves a small scar on the columella although barely visible.
3. What are the advantages of the closed technique?
Don’t leave scars and should be reserved for surgical interventions.
4. What are the disadvantages of closed technique?
Gives insight more distorted the operative field.Surgery