Rhinoplasty (Nasal Reshaping) Surgery:
Rhinoplasty could be performed with an open or
closed technique. A closed technique would allow all
the incision be performed inside the nose, for open
technique, a small incision is placed across the
bottom (columella) of the nose leaving a well healed
almost imperceptible mini scar.
After the initial incisions are made, the bone and
cartilage framework of the nose are exposed. Next
either bone or cartilage or both are removed,
replaced, reshaped, or grafted to achieve the
desired nasal shape. The tip can be rotated upward
or downward, thinned, broadened, or with improved
definition. It is sometimes necessary to use
cartilage grafts to define a certain area of the
nose and these grafts are usually taken from with
the nose itself. The nostrilc could be narrowed if
necessary, all adding to the overall balance of the
nose and proportions of the face itself. The
tissues are redraped, incisions are closed, a cast
is placed over the nose.
Recovery:
The cast placed over the external portion of the
nose is removed in one week, along with any non-aborbable
sutures. One can expect the area under the eyes to
be bruised with black and blue and swelling.
Usually the nose is not packed, but crusting can
develop. Once the cast is removed, swelling could
ensue, that would resolve in one week to one month,
or sometimes longer.
The
Doctor’s Idealogy:
Rhinoplasty is one of the most complex operations
done on the face, it involves artistry, attention to
detail and most of all an understanding of the
patients desires and expectations. Dr. Schwarcz
dedicated one year of his training to perfecting the
art of Rhinoplasty from one of the field experts in
Beverly Hills, CA. There are not two noses that are
the same and thus all rhinoplasties should be
treated differently and should match the
proportions of the patients face, body and sex. The
nose of the nineties seemed to frequently have the
similar ski slope appearance, this no longer is
acceptable and the rhinoplasty operation now should
achieve harmony with the face, as its most central
figure.
Before & After Photos:
