Currently, silicone, bone or cartilage grafts are widely used in rhinoplasty. Cartilage materials are the preferred material, being preferably removed from the nasal septum, ear and more rarely, from the ribs.

The purpose of rhinoplasty or surgery of the nose, is to model the nasal pyramid. This is a unique anatomical structure situated in the middle of the face and influencing all the other structures; thus, exercising a fundamental role in, what is known as, the “facial harmony”.

Sometimes small position details such as the nasal angle in relation to the upper lip, the width of the nasal bones, a blunt tip or a small hump (high dorsum), combined or separated, can generate disharmony to the beauty of the face. Thus, when small details are corrected, this procedure can transform an ugly and disproportionate face into an attractive and exuberant one, or at least, more beautiful than before.

It is one of the less invasive surgeries of the plastic surgery arsenal, since it is practiced in a minimum area and interferes very little with the patient’s body. On the other hand, under a technical point of view, it is by far the most sophisticated of all aesthetic surgeries.

It is based on a large number of anatomical and technical variables which can generate a wide range of different options for the surgical program, in order to obtain the maximum possible results from that nose. It is therefore a surgery for experienced doctors dedicated to the subject.

It is necessary to understand that within each case, each type of nose has its maximum potential. Meaning that the results the surgeon can achieve, among other factors, depend fundamentally of the material of the nose he is working on, and not only on his technique and expertise.

This surgery takes place inside the nostrils resulting in no visible scars.

Certain specific circumstances needs external scars that nevertheless are imperceptible. This occurs when it is necessary to reduce the nasal wings, or when the columella requires small cartilage grafts, or still, when the so-called exo-rhinoplasty technique is performed.

In the postoperative period, tampons are not normally placed in the nostrils as was done in the past. Nose surgery may (and should) be associated with correction of nasal septum deviation and this association is made frequently. The plastic surgeon will call an otolaryngologist to accompany the case, if he feels there might be a requirement with the functional deformity.

Although we have seen other specialties announcing professionals who do rhinoplasty, we find this reckless. Plastic surgery should be performed by a plastic surgeon. And in the case of rhinoplasties, one must be a specialized plastic surgeon devoted to the area, and never a specialist from another area.

The postoperative period requires a small plaster molding cast that will remain for 8 to 10 days.

Patients should be informed that this operation, with greater frequency than others, may require some late retouching since the scarring process of the soft tissues may distort the position of the cartilages and the bone scarring may produce small irregularities.

Rhinoplasty is classified as the “queen of surgeries”. Although not invasive, it requires sophisticated knowledge and techniques. Immediate results, even if they are good, may change during the first 14 months, and there may be indication of complementary actions.These distortions come from the very nature of the surgery and the reactions of each individual. This complementary operation is usually small and serves to adjust these possible imperfections in order to come to the best possible result.

It is a beautiful surgery, speaking from a technical point of view, due to the possibility of surprising results and without the disadvantage of apparent scars, which would only occur in cases of repairing surgeries such as trauma or tumors.

Patients are discharged from hospital after 24 postoperative hours and may return to their daily activities (except physical exercises and sun exposure) 8 to 10 days later. Total discharge, including sports and sun exposure, which is allowed 30 days after the operation.

 

 

 

Facial Implants – Nasal