Rhinoplasty - information, surgeons, prices

Browse the site to learn more about rhinoplasty surgery, including how to find the nose surgery who offer the guaranteed lowest price for all your nose reshaping surgery needs.

Rhinoplasty can be performed under a general anesthetic or with local anesthetic, depending on the extent of the procedure, the patient's preference, and what the patient and surgeon agree upon. Rhinoplasty may be performed in a surgeon's office, a hospital, or an outpatient surgery center. Rhinoplasty usually takes an hour or two, but may take longer. Complex procedures may require a short inpatient stay.

With local anesthesia, the nose and the surrounding area are numbed. The patient is usually lightly sedated, but awake, relaxed, and insensitive to pain during the surgery. General anesthesia allows the patient to sleep through the operation, and is typically used in children.

Incisions are typically made inside the rim of the nostrils, however, it is sometimes necessary for tiny, inconspicuous incisions to be made on the rim of the nose. The soft tissues of the nose are then separated from the underlying structures, and the cartilage and bone causing the deformity are reshaped. In the event that a rhinoplasty is being performed in order to straighten a nose, the surgeon may incorporate nasal cartilage to reshape the nose.

The two major ways to perform a rhinoplasty are the closed and the open techniques. The open technique involves making an incision across the colummella, the small skin between the two nostrils. One major advantage of this technique is being able to completely visualize the internal structures of the nose, and place sutures precisely where they may be required. With the open technique, the swelling takes significantly longer to subside and some of the tissues may be unnecessarily disrupted, though the scar is generally quite small and fades rapidly. The closed technique does not require an external incision, heals more quickly and does not disturb the tissues as much as the open technique.

The exact nature of the sculpting depends on the particular problem, and will be discussed at the consultation. When the nose is being reduced in size, the nasal bones are carefully fractured toward the end of the procedure. Breathing problems may be improved by a procedure called septoplasty, in which the obstructions are removed. Another type of soft-tissue surgery, alar narrowing, is used to adjust the width of the nostrils.

The operation procedure depends on factors such as the reasons for the surgery, but can include:

• Anesthesia – Patient is given a general or local anesthetic.
  
• Post trauma – Used to repair a broken nose, slender instruments are inserted into each nostril to gently push the bones back into their proper alignment. Bad breaks may require a small incision, so that the surgeon can see properly in order to arrange the bone fragments correctly.
  
• Cosmetic surgery - Rhinoplasty for cosmetic reasons can include 'open' or 'closed' techniques.
  
• 'Open' technique - Involves accessing the nasal bones via incisions inside the nostrils and through the columella (the skin that separates the nostrils).
  
• 'Closed' technique - Involves accessing the nasal bones via incisions inside the nostrils. The skin is then lifted away from the underlying bones and cartilages.
  
• Surgical procedures - Depends on the reshaping required. Nasal bones may be chiseled, broken and realigned, or cartilage may be trimmed back.
  
• Stitches - Incisions are closed with dissolving stitches

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