Rhinoplasty Of Then And Now

In cosmetic surgery, rhinoplasty, or more commonly known as nose job, has been considered as one of the oldest forms of cosmetic surgery in the world. It is believed to have been developed by an Indian physician called Sushruta during hat the procedure has already been in practice since 500 BC, in which , have first developed the method. Sushruta and his later students and disciples first used rhinoplasty to reconstruct noses that were amputated as a punishment for crimes. The techniques of forehead flap rhinoplasty he developed are practiced almost unchanged to this day.

Methods of applying Rhinoplasty

Rhinoplasty is usually accomplished under general anesthetic, sedation, or with local anesthetic. According to cosmetic surgery rancho cucamonga centers, the first step involves injecting local anesthesia, which is usually a mixture of lidocaine and epinephrine, to numb the area, as well as temporarily reduce vascularity. After this is done, surgeons would then choose from two possible approaches of rhinoplasty, the closed approach and open approach.

* In closed rhinoplasty, incisions are made inside the nostrils.

* In open rhynoplasty, an additional inconspicuous incision is made across the columella, the bit of skin that separates the nostrils.

After deciding on what approach the surgeon would take, the actual surgery will then begin. The surgeon first separates the skin and soft tissues of the nose from the underlying structures. Reshapes the cartilage and bone, and then sutures the incisions closed. Some surgeons use a stent or packin inside the nose, followed by tape or stent on the outside.

In some cases, according to cosmetic surgery rancho cucamonga centers, the surgeon may shape a small piece of the patient's own cartilage or bone, as a graft, to strengthen or change the shape of the nose. Usually the cartilage is harvested from the septum. If there isn't enough septum cartilage, which can occur in revision rhinoplasty, cartilage can be harvested from the concha of the ear or the ribs. In the rare case where bone is required, it is harvested from the cranium, the hip, or the ribs. Sometimes a synthetic implant may be used to augment the bridge of the nose.

Complications of the procedure

Although surgeons have been certain that rhinoplasty is usually considered to be safe and successful, several complications can arise. According to cosmetic surgery rancho cucamonga centers, some of these complications may include:

* Post operative bleeding. Post operative bleeding is uncommon and often resolves without needing treatment.

* Infections. Infections is rare and can occasionally progress to an abscess that requires surgical drainage under general anesthetic.

* Adhesions. Adhesions are scars that form to bridge across the nasal cavity from the septum to the turbinates, are also rare but cause nasal obstruction to breathing and usually need to be cut away.

* Septal perforation. Septal perforation is a hole that can be inadvertently made at the time of surgery in the septum. This can cause chronic nose bleeding, crusting, difficult breathing and whistling with breathing.

* Polly beak deformity. If too much of the underlying structure of the nose (cartilage and/or bone) is removed, this can cause the overlying nasal skin to have little shape resulting in a "polly beak" deformity.

* Saddle nose deformity. If the septum is not supported, the bridge of the nose can sink resulting in a "saddle nose" deformity.

* Pig-like nose. The tip of the nose can be over-rotated causing the nostrils to be too visible and creating a pig-like look.

* Numbness. If an incision is made across the collumella (open approach rhinoplasty) there can be variable degree of numbness to the nose that may take months to resolve.