In this operation the aim is to alter the shape of the tip of the nose only. No bony work or fracturing is undertaken.
In this operation the shape of the whole nose is altered via an open approach (the incisions are placed along the inside of the nostril rims and across the base of the columella allowing full exposure of the bony cartilaginous framework of the nose). The bone and cartilaginous elements are reshaped using a variety of techniques and a new nose shape is created.
This is a procedure whereby a portion of the nasal septum is removed in order to improve the nasal passages. This is a procedure that is undertaken when there is a nasal obstruction as a result of septal deviation and can be undertaken at the same time as an open septorhinoplasty.
The secondary rhinoplasty is an operation in which patients who have previously undergone rhinoplasty surgery wish to have further alteration in the nose shape. This is a procedure that is frequently more difficult as a result of previous surgery and scarring that will inevitably have ensued.
This form of rhinoplasty is used when the nose is unduly small either as a result of a congenital anomaly, trauma, racial characteristics or substance abuse. The nose is reconstructed either using cartilage obtained from the septum, ear or in many cases from the rib.
The aims and expectations of surgery and exactly what will be required will be discussed at the initial consultation. Patients are advised to have a clear idea as to the shape and type of nose that they would like to achieve. Smoking in the pre- and postoperative period is discouraged as complication rates are increased. Aspirin and related anti-inflammatories should be avoided for one week before and one following surgery as they may promote bleeding.
The operation takes anywhere between one and two and a half hours to undertake depending on exactly what is required. Most of the rhinoplasties are undertaken in an open manner using an incision just inside the nostril rim and across the base of the columella (this is the small bridge of tissue between the nostrils). The bony cartilaginous skeleton of the nose is exposed and corrective surgery undertaken. At the end of surgery sutures are applied, most of these being self-dissolving. In most cases a plaster of Paris is applied to the nose and a Vaseline impregnated Jelonet pack is inserted into the nasal passages.
www.medical-devices.gov.uk www.baaps.org.ukwww.bapras.org.uk Pre-op/ Discharge Advice
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