The Nose JobWhile most people have heard of rhinoplasty or nose surgery, most do not know what the procedure actually entails once you enter the hospital operating room. Rhinoplasty is one of the most common cosmetic surgery procedures. Once you are in the operating room, the anesthesia will be administered. Before any incisions are made, before any intrusive procedures begin, the nose is anesthetized with a local anesthesia. This is used to numb the tissue, the surrounding cartilage, and facial bones. This also helps to further protect the patient from feeling any of the surgery. There are two basic approaches to rhinoplasty, and depending on the artistry and sophistication of the surgeon and the type of work required, either approach may be used depending on the surgeon's preference. Internal rhinoplasty-in this sort of nose job, the surgeon makes incisions only on the inside of the nose, opens the skin and proceeds to do his work without making any incisions on the external face. Internal rhinoplasty requires more skill and artistry to perform and can only be properly employed in cases where the amount of surgery being performed is minimal or at least of such a nature that all of the work can be reached from the interior. External rhinoplasty, or open-tip rhinoplasty, means the doctor is making incisions on the outside of the nose, at the crease where the nose joins the face so that there is no discernible scarring after the procedure has been completed. Open-tip rhinoplasty is usually used when the surgery requires more extensive removal or manipulation of the skin and cartilage. Knowing that appearance is the point, the doctor will frequently refer to photographs and notes he has made prior to the procedure. He will carefully check the symmetry of the shape of the nose and make sure that the changes made correspond with the desired result. Very small alterations, incisions as small as a millimeter or two, can make huge differences after the swelling has gone down in the overall appearance and balance of the finished look. When the surgeon has completed the sculpting process, he will carefully check all the necessary signs to insure that everything is acting as it should be. Small sutures will be used to close the incisions made during the procedure whether internal or external. These incisions are similar in size and form to the ones employed by heart surgeons when they are closing up small veins and arteries after cardiovascular surgery. Finally, a small protective splint is placed around the nose. This should fit perfectly, and after two days, we be removed. From their just wait for recovery and enjoy the results. |