Through these incisions, the skin that covers the nasal bones and cartilages is gently raised, allowing access to reshape the structure of the nose. An overly large nose may be reduced by removing bone or cartilage. Sometimes surgery of the nose may require the addition of cartilage grafts. Most commonly, cartilage from the septum, the partition in the middle of the nose, is used for this purpose. Occasionally cartilage from the ear or rarely a section of rib cartilage can be used.
If the septum is deviated, it can be straightened and the projections inside the nose reduced to improve breathing. Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed. For a few days, splints and gauze packing may support the nose as it begins to heal. While surgical techniques are advanced, there are limitations as to how much the nose can be altered.
Outcomes depend on the size of the nose, the condition of the skin and the age of the patient. The most important thing is that there is clear communication between a patient and a surgeon about what is wanted and what is achievable.
Patients should also bear in mind that surgery alone will not solve any emotional or social problems they may attribute to their nose or to their appearance generally What are the most common reasons for people wanting nose operations? What surgery is available, and what techniques are involved? Is this surgery available on the NHS? Who will I see as a patient? What should I expect in terms of treatment, procedures and outcomes?
What are the most common reasons for people wanting nose operations? Cosmetic reasons Most people who dislike their nose have concerns about the bridge or the tip. At the bridge, or dorsum, people often complain about having a hump.
Meanwhile, people who want to change the tip often see this part of the nose as being too wide, round, blobby, beaked or lacking in definition. Some people also dislike the length of their nose. Medical reasons Other patients may opt for a rhinoplasty because of an injury to the nose, whereby the nose may be broken or bent following an accident of some kind. Others may have functional breathing problems relating to the nasal airways.
In these cases, surgical interventions would be considered reconstructive, whereas for the majority of nose operations the surgery is classed as cosmetic. They will ask you to sign a consent form for taking, storing and using the photographs. You may also be asked to talk to other members of the team, such as a psychologist. The surgeon will measure your height and weight to make sure that it is safe to do an operation.
If you are overweight, or planning to become pregnant, your surgeon may suggest delaying your operation. Rhinoplasty to change the shape of the nose is performed either from inside the nostrils called closed rhinoplasty or by making a small cut between the nostrils and lifting the skin, as shown opposite this is called open rhinoplasty. The precise nature of the operation will depend on the area of the nose that is being treated.
The scar may be straight, V-shaped or zigzag. The nose may then be broken so the remaining pieces of bone can be moved closer together to narrow the nose. If the tip of the nose is being operated on, the cartilage that makes up the support under the tip needs to be partly removed or reshaped. You can apply cold compresses or ice packs to decrease discoloration and swelling. Follow-up care is important after rhinoplasty. Although rhinoplasty is a relatively safe and easy procedure, healing from it can take a while.
The tip of your nose is especially sensitive and can remain numb and swollen for months. You might be fully recovered in a few weeks, but some effects can linger for months. It could be a whole year before you can fully appreciate the end result of your surgery.
A closed rhinoplasty is a type of cosmetic surgery to change the appearance of the nose. It's less invasive than an open rhinoplasty. A bullhorn lip lift is a type of cosmetic surgery that involves making the lips appear fuller without filler.
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