The Surgery
Rhinoplasty is a common procedure and thousands of individuals undergo the procedure. However, the surgery is technically demanding and requires a lot of surgical skill and judgment. Most of the surgery is done by a sense of feeling-which is acquired only by experience. There are two main techniques used: closed and open rhinoplasty.
In closed rhinoplasty, the incision is located in the inside of the nose. There is minimal swelling and the post operative course is generally easier. However, the surgeon must be excellent to perform this type of surgery.
In open rhinoplasty, the incision is located just below the nose and provides greater access for surgery. The swelling is more and the post operative course is a little difficult. The recovery period after surgery is also slightly longer. The surgery is either done in a clinic or the hospital. Once anesthesia is induced –either general or local, the surgery is performed. The incisions are usually made on the inside of the nose and are not visible from the outside. Some bone and cartilage is removed and rarely extra tissue is added to reshape the nose. One the surgery is done, a nose guard/splint is placed to support and protect the nose. Some surgeons also place nasal packing inside the nose to support the nasal surgery.
The procedure takes about 2 hrs to complete. With newer versions of rhinoplasty, the post operative course is less troublesome. The pain is significantly less and the nose may not have any packing (it is the nose packing that most individuals hate about the procedure).
The results of the surgery are obvious immediately after surgery.
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