| RHINOPLASTY…
Cleopatra's nose, had it been shorter,
the face of the whole world might have changed |
The nose is the centerpiece of the face, the
most exposed and visible part of our body. If it does not harmonize
with the rest of our facial features, if it is disproportionate
or deformed, this may become a major issue in our lives. Even
a minor defect can sometimes be the only thing we see when we
look in the mirror, and this can negatively affect our self-confidence
and self-esteem. For many, plastic surgery is the solution.
Rhinoplasty can be performed once bone growth in the nose has
ceased, usually towards the end of adolescence. It can be performed
for reconstructive purposes or to correct breathing problems.
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| THE
NOSE … Cosmetic
and physiological impact |
The nose is a unique organ with many functions and a unique
structure. Anatomically, it is made of bone, cartilage, mucous
membrane and skin.
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Aesthetically speaking ...
Can character and personality be judged
by a nose? Many would say yes. If a nose flatters the face,
it can signify beauty, sensuality or authority. However, if
it is disproportionate or deformed, it can evoke a feeling
of distaste, ridicule or even ugliness.
Rhinoplasty can correct most cosmetic problems of the nose:
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Nose too large or
too small in proportion to the face
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Hump visible from
profile
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Tip too long or
too short
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- Angle of nose too high (turned up) or too low (beaked)
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Etc.
Physiologically speaking ...
The nose is above all a functional organ. Physiologically,
it is used for breathing and smelling. Performing a rhinoplasty
can correct most breathing problems.
Nasal obstruction can result from:
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Deviated septum
(wall separating nostrils and dividing inside of nose)
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Hypertrophy of inferior
nasal concha (fibromucous structure of nasal fossae too
thick)
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Obstruction of internal
or external valve
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Benign or malignant
tumour
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| SURGERY
… The importance of
expertise |
An examination of the face and nose
is necessary for an exact evaluation of surgical possibilities.
Many factors come into play when determining the most appropriate
surgical technique. Among these:
- Bone and cartilage structure of nose
- Shape of face
- Delicacy of skin
- Character, personality and gender
- Age
- Ethnic group
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| Given
the expert skills required when remodelling such a small organ,
rhinoplasty is rightly considered one of the most intricate of
aesthetic surgical procedures.
Rhinoplasty can be performed in two different ways, either from
inside the nose (endonasal) or from the outside.
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Endonasal approach |
Exterior approach |
| Technique |
• Closed
• Incisions made inside nostrils |
• Open
• Incisions made inside nostrils + one small incision
at base of nose between nostrils (columella) |
| Indication |
• Slightly deviated septum*
• Deformation of nose
* Nasal partition |
• Heavily deviated septum
• Congenital deformity
• Deformity of nasal tip
• Secondary surgery for endonasal rhinoplasty |
| Advantages |
• No scarring at columella |
• Precision surgery
• Good vision of septonasal deviation
• Cartilaginous grafts easily put into place
• Better control over placement of nasal tip cartilage
with sutures |
| Disadvantages |
• Poor vision of septonasal deviation
• Cartilaginous grafts not easily put into place
• Lack of control over placement of nasal tip cartilage |
• Scar at columella (5 mm long,
almost invisible)
• Prolonged edema |
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