Rhinoplasty is a surgical procedure to change the shape of the nose. It can be performed for aesthetic or functional reasons. The surgeon creates an incision on the skin of the nose or through a nostril. The bone and cartilage are then reshaped. The result is a nose that is more balanced and proportional to other facial features. Rhinoplasty can also improve a deviated septum, which causes nasal obstruction and whistling breathing.
The operation is performed on an outpatient basis in an ambulatory surgery center or hospital. Patients go home after a period of observation to ensure that they are safe to be out and about. Patients should arrange to have someone drive them home and stay with them for the first night.
During the procedure, local anesthesia is administered. The nose and surrounding area are numbed with a 1 to 1 mix of 1% lidocaine with 1 per 100000 epinephrine. The surgeon marks the desired rhinoplasty changes on a wound template, and a nasolabial fold (skin and subcutaneous fat) flap is raised. A Burrow’s triangle of tissue is cut out of the pedicle base to permit moving the graft without buckling the adjacent tissues.
Rhinoplasty can be difficult to perform, as the nose is delicate and is made up of multiple structures. It’s important to have a skilled rhinoplasty surgeon who understands facial anatomy, is meticulous in his/her approach to the nose, and respects critical structures. Having a good understanding of patient expectations, especially those related to aesthetic outcomes, is essential for high rhinoplasty satisfaction rates. rhinoplasty nose surgery
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