What Is Rhinoplasty?
Rhinoplasty refers to surgery to the nose to change its shape, size and improve function. During this procedure, various deformities can be corrected.
Who needs it?
- difficulty breathing due to various functional problems of the nose
- Nasal septum deviation (when the thin wall between your nasal passages is displaced to one side)
- flat/shallow nasal dorsum (flat/shallow nose bridge)
- prominent dorsal hump (prominent hump on the nose bridge)
- wide nasal tip
- upturned nose
- droopy nasal tip
- cleft lip nasal deformities
How is it done?
If Rhinoplasty is done for cosmetic reasons, we start off with a consultation appointment to get to know you and what you would like for a satisfactory outcome.
There are two approaches to rhinoplasty; closed rhinoplasty (also known as the endonasal technique) and open rhinoplasty. The approach chosen for you is dependent on the complexity of the surgeries.
In closed rhinoplasty, incisions are made in the nasal mucosa within the nose to gain access to the underlying nasal cartilage and nasal bone. This approach can only be done for limited nasal cosmetic deformities.
In Open rhinoplasty, a skin incision is made at the narrowest point of the columella, the bridge of tissue that separates the nostrils at the nasal base. This incision is extended to the nasal mucosa allowing good access to the underlying structures for its correction.
For those with a prominent dorsal hump, nasal cartilage or bone may be reduced to the appropriate size and shape to fit your facial features.
If you have a flat or shallow nose bridge, we can augment your nose bridge with a variety of autoplastic/autogenous grafts that are available. We will discuss the pros and cons of each type of implant material with you. In general, we do not graft alloplastic materials (biological materials either manufactured synthetically or materials derived from other species) at the nasal tip region due to the risk of perforation. Instead, for those with a poorly defined nasal tip, wide nasal tip or poor nasal projection, we go for various top grafting techniques using your own autogenous grafts from other areas of your own body.
Postoperatively, nasal dressing will be placed in the nasal passage and a nasal splint and tapes will be placed on the nose. You will be placed on soft diet for the first few days and prescribed antibiotic and painkillers.