Rhinoplasty is usually performed under IV sedation , general anesthesia or local anesthesia.
Below are the different types of Rhinoplasty Procedures
– In open rhinoplasty, it permits the surgeon the least restricted access to the cartilage and bone of the nose but is also more likely to cause scarring. The incision across the columella makes it achievable for the doctor to lift the skin off the tip of the nose and have a better view of the nasal structures, make a wide variety of corrections including repositioning and reshape the cartilage very precisely according to what the patient and the surgeon have agreed upon. During the healing process, the incision leaves a very small, almost unnoticeable scar on the underside of the nose.
– Closed Rhinoplasty is also called the endonasal rhinoplasty. This technique is called “closed” in a sense that the nose does not need to be opened using an external incision to access internal structure. The main advantage of having a closed rhinoplasty technique is that there is no visible scarring after the surgery since the incisions are made inside the nose and is totally invisible after the procedure which makes it more favorable for the patient to have this as an option.
– Incisions in this operation are made inside the nostril, while it may not offer quite as much freedom to the surgeon; the closed rhinoplasty surgery still allows plenty of reshaping potential. In other cases, an artificial implant is the best way to give the patient the nose appearance he or she desires.
Rhinoplasty with Alarplasty
– Alarplasty is the procedure to reduce the width of nostrils and alar base to match proportionally with the overall contour of the nose and be in perfect symmetry. The surgical technique varies on the shape of the nostrils and nasal proportion to the whole face.
– Alarplasty is a conventional procedure that is performed in the same time as rhinoplasty if the alar of the patient is so much wide and needs reduction, the doctor will consider that which case needs to be performed or not.
Alarplasty / Alar Trimming
– The type of procedure for the aesthetic significance of the nose that the patient will require varies and depends on the size of the nose is a great concern for the patient. Alar trimming is usually performed on a patient with a wide nostril and flaring alar lobule. This procedure will improve the contour and definition of your nasal alar lobule area and alar trimming is frequently requested by oriental patients.
– In open rhinoplasty, it permits the surgeon the least restricted access to the cartilage and bone of the nose but is also more likely to cause scarring. The incision across the columella makes it achievable for the doctor to lift the skin off the tip of the nose and have a better view of the nasal structures, make a wide variety of corrections including repositioning and reshape the cartilage very precisely according to what the patient and the surgeon have agreed upon.
During the healing process, the incision leaves a very small, almost unnoticeable scar on the underside of the nose.
Rhinoplasty with GORE-TEX Implant
– GORE-TEX implants are highly recommended for rhinoplasty operations. GORE-TEX implant is an advanced subcutaneous augmentation material (SAM) made of microporous ePTFE (expanded polytetraflouroethylene). It was discovered in 1958 and approved by the Food and Drug Authority (FDA) in 1975; this was initially and effectively used for heart and pulmonary valve operations for its strength and biocompatibility.
– Professionals say that, these GORE-TEX implants are highly recommended for any minor or major nasal correction operation or surgery. If required, revision rhinoplasty became an easy task with GORE-TEX implants. The procedure for the GORE-TEX implants is same as natural tissue grafting. After giving anesthesia, a small incision is made to the nose to reach underlying cartilage and bones. Then according to the requirements of the patient, the surgeon will reshape your nose by removing part of cartilage, or by removing bones, or by adding bridge or tip implants. After rhinoplasty operation, the patients are allowed to go home. Their nose is given a protective covering by support. This whole covering will help the patient in getting new shape, and therefore, improves the recovery process. You might have to keep a nasal support or some gauze to give support to your weak nose.
– Oftentimes reviewed as the best and the finest implant by many nasal surgery experts, GORE-TEX’s soft consistency allows it to blend well to the contours of the nose thus providing a natural-looking nose lift as if one is born with it. More important, it is safe with nil case of rejection. The patient usually resumes its normal activities without any worry of the implant as this maintains the flexibility of the nose. Once healed, few months after the operation, the patient can still engage in contact sports such as volleyball, scuba diving, and the likes. Aside from that, the patient doesn’t have to worry of heat exposure since GORE-TEX implant can stand a wide range of temperature.
– GORETEX permits growth of human tissues into its empty spaces within it helping fasten the implant in the treated area. This natural and hasty growth of tissues within and through the implant allows our bodies to heal it as something not foreign, something which a hard implant like silicone is not capable of. The good information is that GORE-TEX implant’s pliability and durability makes it suitable and effective even for complicated reconstructions and corrections of damages caused by surgery using silicone implant.
– Implants are classified by their source of origin; autologous grafts or autografts are harvested from the same patient, homografts derive from a donor within the same species, xenografts originate from another species, and alloplasts are manufactured from synthetic or semisynthetic materials.
– Autografts gratify many of the requirements of the ideal nasal implant. Their advantages are several: No disease transmission or biocompatibility issues, low rates of infection, resorption, rejection, and extrusion, favorable graft–host interactions, and minimal inflammatory response elicited. The greatest restrictions of autografts hinge on the limited quantity of available tissue and the morbidity associated with tissue harvest.
– Regardless of their limitations, autografts continue the gold-standard material for nasal implantation and the one against which all other materials are measured. Cartilage, bone, fascia, and skin may be harvested and used as autografts. Each of these tissues exhibits unique characteristics that may be applied favorably, depending on the needs of the nasal surgeon in a given reconstructive case.