Rhinoplasty
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.
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