What are the steps of a rhinoplasty procedure?
Rhinoplasty is one of the complex surgeries and requires high precision. The nose surgeon follows specific steps to perform this surgery. A person who intends to perform this surgery wants to know the steps of this surgery. For this reason, we refer to these steps in the rest of the article.
In rhinoplasty surgery, an incision is made inside the nostrils. In some cases, this incision is made outside the nose and below the nose. In some cases, it is necessary to transplant cartilage to the nose tip or change the shape of nose tip. If there is a need to narrow the nose, an incision is made on the sides of the nose. By making small incisions around the nose, the nasal bone is broken and the nose is reshaped.
After the surgery, in some cases, a metal or plastic splint or cast is placed on the nose. In this way, the nose is protected against impact. Also, tampons or plastic splints are placed inside the nostrils to fix the nasal wall or septum in place and keep the nasal passages separate from each other. In the following, we show the steps of nose surgery schematically:
Step 1 : Anesthesia
Before rhinoplasty, the person is anesthetized to feel comfortable during the procedure.
one of the question that people usually ask is : "Is anesthesia safe in rhinoplasty?"
This operation is performed after receiving anesthesia by an anesthesiologist. These medications may cause side effects after surgery or the patient may have an allergic reaction to these medications. It should be noted that allergy to anesthetic drugs is one of the possible complications after rhinoplasty that may occur for some patients.
Step 2 : Make a cut
Rhinoplasty is done in two ways; open and close. In the closed method, the incisions made are inside the nose and are hidden.
But in the open method, the incisions are made under the nasal septum. During this procedure, the skin stretched over the nasal bone and nasal cartilage is gently removed and the nasal structure is reshaped.
Open vs Closed Rhinoplasty، which is better ? this is one the popular question about rhinoplasty surgery.
Step 3 : Changing the structure of the nose
A part of the bones and cartilage of the nose is removed in noses that have other sizes. Sometimes during rhinoplasty, a cartilage graft is needed.
To shape the structure of the nose , in most cases, the cartilage of the nasal septum is used.
In some cases, if the patient's nose does not have suitable cartilage, ear cartilage or even rib cartilage is used.
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Step 4 : Correction of nasal septum
If the nasal septum is crooked, it will be corrected during the surgery which is called "Septoplasty".
Septoplasty is a corrective surgical procedure done to straighten a deviated nasal septum – the nasal septum being the partition between the two nasal cavities. Ideally, the septum should run down the center of the nose.
In this way, after surgery and full recovery, the person's breathing improves.
Step 5 : Correction of the nose tip
If the nasal tip is large and droopy, it is necessary to correct the nasal tip at this stage.
The most important complication of rhinoplasty is swelling of the nose, and in this swelling, usually nose tip is the last part of the nose where the swelling disappears.
In this way, the tip of the nose finds a suitable angle with the upper lip and becomes well-shaped.
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Step 6 : Suturing the nose after surgery
When the structure of the nose is formed and the defects are removed, the skin of the nose is placed on the nose and the incisions are closed and sutured.
How many months does it take for the stitches to disappear?
The fact is that the answers to these questions were different for each patient; Because several factors affect the outcome of each patient’s surgery, which is mainly derived from the patient’s physical condition. However, the choice of a competent physician also plays an important role in this regard.
Step 7 : Placing a splint on the nose
For the first few days after rhinoplasty, a nasal splint or cast is placed on the nose to protect the nose.
This period is very important and a person should take certain measures during the recovery period.
During this period, sports and heavy activities should be strictly avoided. Also, as long as the plaster is on the nose, this plaster should be kept dry and preferably not bathed.
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Nose surgery can be done with local anesthesia or with general anesthesia. The choice of this item depends on the preference of the surgeon and the complexity of the surgery. In local anesthesia, as the name suggests, an anesthetic shot is injected into the surgical area and makes the person a little weak. But it does not make the patient sleep. General anesthesia, on the other hand, is done by injecting anesthetic through a vein and provides temporary unconsciousness. After surgery, the patient is transferred to the recovery room and is monitored.
source : drzafarmand.com
