How Is A Rhinoplasty Performed

If you are going to have a rhinoplasty, you should know that it will require your hospital admission for one day. It is normally carried out under general anesthesia or at least localized anesthesia in the area and sedation. You can rest easy, since it is an intervention with many years of experience, and the new techniques used, minimally invasive, allow the postoperative to be more bearable, reducing possible pain, while minimizing the appearance of edema and bruising. In fact, you can get back to your normal routine in just seven days.

The surgeon’s objective should be to ensure that the result is natural, integrated into the face, and individualized for each patient. For this, on the first visit to the consultation, the role of computer prediction programs is fundamental, which helps both the specialist and the patient himself to visualize the final result, with very high precision. It is at that moment when it is made very clear to the patient that the result must be individualized: each person must have a nose with their own personality, knowing the changes that the intervention will exert on the shape of their nose and bearing in mind the conditions such as the rest of its physiognomy, the characteristics of its skin … It is not about following a model, nor that all patients leave the intervention with “the same nose.”

The patient receives local or general anesthesia. This is decided based on the complexity of the intervention and other factors such as the general condition of the patient, his predisposition to the operation, etc. In any case, it should be noted that during rhinoplasty, the patient does not feel any pain.

Regarding the technique, there are two main types of rhinoplasty: open or closed. In the first, a minimal incision is made in the part of the skin located between the tip and the base of the nose; It is separated from the bone structure, and once the procedure has been performed, it is replaced by making a small suture. The brand is imperceptible. In the second type, the closed one, the intervention is carried out inside the nostrils themselves, without any trace of the operation.

Goals Sought When Performing A Rhinoplasty

Aesthetic changes determine the rhinoplasty itself. In some cases, the goal is to end the curve of the nose (the so-called ‘ aquiline noses ‘). In this case, the main function, through specific instruments, is none other than to file the bone to reduce this curve.

In other cases, the aesthetic problem is in the width of the nose. When what is intended is to tune it, work should be done on the bones of the nose, which are first broken and later rebuilt, achieving a narrower structure.

The last step of a rhinoplasty procedure consists of placing a splint to protect the nose and ensure the support of the new structure after the procedure. In a few days, the bones will be welded and can be removed. It is common to accompany the splint with other elements such as gauze or cotton to reduce bleeding and help in this stabilization phase.

What Happens During Nose Surgery?

Step 1: Anesthesia

You are given medications for your well-being during the surgical procedure. Options available include intravenous sedatives and general anesthesia. Your doctor will recommend the best one for you.

Step 2: The incision

Nose surgery can be performed using a closed procedure, in which the incisions are hidden inside the nose, or an open procedure, in which an incision is made along the columella, which is the narrow strip of tissue that separates the nostrils.

Step 3: New shape for the nose structure

Fragments of septum cartilage, the division in the middle of the nose, are usually used for this. Occasionally a fragment of cartilage is taken from the ear and, very rarely, a section of rib cartilage.

Step 4: Correction of a deviated septum

If the nasal septum deviates, it straightens at this time, and the internal protrusions of the nose are reduced to improve breathing.

Step 5: Closing the incision

Once the structure of the nose has been sculpted to the desired shape, the skin and nasal tissue are put back in place, and the incisions are closed. Additional incisions can be made in the natural folds of the nostrils to resize it.

Step 6: See the results

The nose will probably be supported by splints and internal tubes in the first stage of healing, for about a week. Although the initial swelling subsides in a few weeks, it can take up to a year for your new nasal contour to be definitively cleansed. During this period, you will notice gradual changes in the appearance of your nose as a more permanent result takes shape. The swelling can come and go and even get worse in the morning for the first year after surgery.

Nose surgery aimed at correcting a blocked nasal passage requires careful evaluation of the nasal structure due to its relationship to airflow and respiration. Correction of a deviated septum, one of the most common causes of respiratory distress, is accomplished by adjusting the nasal structure so that it is better aligned.

How Ancient People Fixed Their Noses

The 16th century was a dangerous moment in history for the nose and ears, and even for the lips.

All knights carried swords, and although it was not always legal, they often resolved their differences with a duel … and those body parts often suffered in defense of honor.

Eccentric Danish astronomer Tycho Brahe, for example, wore a prosthetic nose made of copper in the place of which he lost when he was 20 years old in a duel against another Danish nobleman over a disagreement in mathematics.

Fortunately, by the end of that century, the art of surgery had developed to the point that it was able to supply artificial, but living, noses, ears, and lips to gentlemen, particularly those passing through northern Italy.

It was there where Gaspare Tagliacozzi, the professor at the University of Bologna, one of the great medical centers of the time, worked.

Tagliacozzi (1545-1599) published a book in 1597 under the title: ” U a new surgery in art, so far Unknown or all, to repair the lack of noses, ears, and lips, by skin graft arm “

There the childhood of plastic surgery was captured.

The face, reflection of the soul

It was the first and, for connoisseurs, perhaps one of the best books dedicated exclusively to plastic surgery.

He wrote it under the impulse of the Renaissance – which emerged from Italy in the fourteenth century and reached its peak during the fifteenth and sixteenth centuries – which marked a transition in civilization, and in medicine established the basis of modern anatomical studies.

Previously, methods of repairing the damaged nose in duels or other forms of combat were kept secret in the families of “barber-surgeons”, who treated facial defects or injuries, something crucial in an age when disfigurements were believed to be on the face they reflected the disfigurements of the soul.

And, although other writers had discussed aspects of plastic surgery operations, Tagliacozzi was the first to establish its scientific validity and improve techniques in light of advances in medical knowledge at the time.

In addition to rhinoplasty, he detailed reconstructive lip and ear surgery procedures.

Tagliacozzi’s skill was famous throughout Europe, and his treatise, summarizing his life’s work, details the theory behind the procedure, describes the instrumentation and progressive steps for the operation, as well as the post-operative dressing and care.