Plastic Surgery of the Nose
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As a craniofacial surgeon I often use rhinoplasty (nose reshaping)
techniques during nasal reconstruction for congenital deformities
The figures below shows a cosmetic rhinoplasty and the effect of
advancing the chin while concurrently reducing the dorsal hump of
Rhinoplasty is performed to improve the nasal function,
nasal aesthetics or both.
Nasal function includes airflow through the nose and may be altered
by manipulating the internal nasal valve, the alar, the nasal septum
or the turbinates. The ways in which the nasal appearance may be
altered are limitless (but have limits!) Altering the shape of a
twisted nose usually involves manipulating the septum (septorhinoplasty)
as its elastic nature may twist the nose again postoperatively.
Ways in which the nose may be altered include;
-reduction of a dorsal hump (often combined with chin augmentation-see
-creating a supratip break point –a curve near the nasal tip
-lengthening or shortening the nose
-decreasing the width of the nasal bones
-refining the cartilage structure of the tip
-correcting a hanging collumella
Reconstruction of parts of the nose or an entire nose is
performed following trauma, burns, cancer and some birth defects.
Different tissues are used to form the outside of the nose, the
skeleton framework and the internal lining.
Rhinophyma is an overgrowth of sebaceous glands
and may cause grotesque distortions.
The overgrowth is pared down and the nose allowed to reepithelialize
over a period of 7-10 days.
Some Asian races have a flat central nasal root and request
augmentation of the entire nasal projection. This is typically done
using a silastic implant which may be placed through an intraoral
incision. It is critical not to have the implant under any tension
as possible complications include having the implant erode through
the skin of the nose.