Classification: plastic; therapeutic
Anesthesia type: General
Duration: 1 – 2 hours with additional 2 hours in the recovery room and one night at the hospital
Rhinoplasty is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose by resolving nasal trauma congenital defect, respiratory impediment, or a failed primary rhinoplasty.
Most patients ask to remove a bump, narrow nostril width, change the angle between the nose and the mouth, as well as correct injuries, birth defects, or other problems that affect breathing, such as deviated nasal septum or a sinus condition and in this case it is called Rhinoseptoplasty and it needs two surgeons to perform one is a plastic surgeon and the other is an ENT surgeon.
The plastic surgical correction of congenital and acquired abnormalities of the nose restores functional and aesthetic properties by the surgeon's manipulations of the nasal skin, the subcutaneous (underlying) cartilage and bone support framework, and the mucous membrane lining. Technically the plastic surgeon's incisional approach classifies the nasal surgery either as an open rhinoplasty or as a closed rhinoplasty procedure. In open rhinoplasty, the surgeon makes a small, irregular incision to the columella (the fleshy, exterior end of the nasal septum) this columellar incision is additional to the usual set of incisions for a nasal correction. In closed rhinoplasty, the surgeon performs every procedural incision endonasally (exclusively within the nose), and does not cut the columella.
In reconstructive rhinoplasty, the defects and deformities that the plastic surgeon encounters, and must restore to normal function, form, and appearance include broken and displaced nasal bones, disrupted and displaced nasal cartilages, a collapsed bridge of the nose, congenital defect, trauma (blunt, penetrating, blast), autoimmune disorder, cancer and failed primary rhinoplasty outcomes. When cartilage is disrupted, suturing for re-suspension (structural support), or the use of cartilage grafts to camouflage a depression allow the re-establishment of the normal nasal contour of the nose for the patient. When the bridge of the nose is collapsed rib cartilage, ear cartilage, or cranial bone grafts can be used to restore its anatomic integrity, and thus the aesthetic continuity of the nose. For augmenting the nasal dorsum, autologous cartilage and bone grafts are preferred to (artificial) prostheses, because of the reduced incidence of histologic rejection and medical Complications.
The rhinoplasty patient returns home after surgery, to rest, and allow the nasal cartilage and bone tissues to heal the effects of having been forcefully cut. Assisted with prescribed medications such as antibiotics, analgesics, steroid to alleviate pain and aid wound healing, the patient convalesces for about 1week and can go outdoors. Postoperatively, external sutures are removed at 4–5 days the external cast is removed at 1week the stents or tubes are removed within 4–14 days and the "panda eyes" (peri-orbital bruising) heal at 2weeks.
Throughout the first year postoperative in the course of the rhinoplastic wounds healing, the tissues will shift moderately as they settle into being a new nose.
Rhinoplasty is safe, yet complications can arise post-operative bleeding is uncommon, but usually resolves without treatment. Infection is rare, but when it does occur it might progress to become an abscess requiring the surgical drainage of the pus.