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What is Rhinoplasty?



Rhinoplasty is the surgery that repairs or improves the nose. It is normally done inside the nose, to modify the nasal septum and improve the passage of air and breath, or on the outside to improve its appearance. Both operations can be combined. Normally the size of the nose is increased or reduced, the angle of the nose bridge is modified, the nasal septum corrected, or nostril openings are narrowed.

If it is an open rhinoplasty, the surgeon separates skin from bone and cartilage to work on bones and cartilages. Minimal scarring will remain. If the surgery is closed, the surgeon will work on the bones of the nose through the nostrils. In this case there will be no visible scar. It is done under local or general anesthetics and must be done in an operating room.



The procedure that is followed in each case is a little different. Thus, when in order to enhance the appearance of the nose, rhinoplasty is performed from the outside; and when you want to modify the nasal septum and improve the flow of air in order to facilitate breathing operation, it takes place on the inside of the nose, so there is no visible scar. In any case, both operations can be reconciled without any problem, so if a respiratory obstruction is due to a deviation of the septum as a result of trauma, both problems can be treated together.

If it is an open rhinoplasty, the surgeon works directly on bone and cartilage separating the skin in them with a minimal incision in the section between the nostrils, which will leave a barely noticeable scar and will disappear over time. It is the only type of nose surgery which requires a hospital stay of 24 hours. However, open rhinoplasties are performed in the most complex cases and are not too common.

Regarding the type of anesthesia usually employed, general anesthesia is used although in very specific cases, it is possible to use only local anesthesia and sedation. In any case, the operation must be performed in a proper operating room, with the corresponding asepsis measures.

After the intervention, the surgeon will apply a tamponade that will be removed after 2 or 3 days and a plaster cast which the patient must carry during, at least, one week. After removing the cast, it is completely normal for the nose to look a bit swollen, and show several bruises. These signs will disappear over time.

Of course, the results of the operation will be life-long, so, unless it is so desired, there will be no need to undergo this kind of intervention again.


Treatment of Rhinoplasty in Valencia

• Dr. Severiano Marín

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