Abstract

Rhinoplasty: Art and Science of the â??Nose Job".

Rhinoplasty, commonly referred to as a “nose job,” is surgery to change the shape of the nose by modifying the bone, cartilage and skin of the nose. It is one of the most commonly performed aesthetic surgical procedures in the field of facial plastic surgery. People get rhinoplasty to repair their nose after a birth defect, an injury, to correct breathing problems or because they are unhappy with the appearance of their nose. Possible changes that the rhinoplasty can make to a nose include: change in size, a change in angle (fronto-nasal and naso- labial), straightening of the bridge, reshaping of the tip, shaping the nostrils and most importantly make the nose in balance with the face and body. Preoperatively, accurate nasal and facial analysis, evaluation of the nasal airway, along with identification of the patient's expectations and the surgeon's goals, form the foundation for success. Intraoperatively, adequate anatomical exposure of the nasal deformity; preservation and restoration of the normal anatomy; correction of the deformity using incremental control, maintenance, and restoration of the nasal airway; and recognition of the dynamic interplays among the composite of maneuvers are required. Postoperatively, adequate care and reassurance combined with an ability to recognize and manage complications early lead to successful outcomes following rhinoplasty.Like any other surgery, the techniques involving in the rhinoplasty are constantly undergoing change. These changes are brought about by accumulated experience, improved instrumentation, and development of medical products / devices and by the pressure of changing cultural and social requirements. It also noted that non-surgical techniques in shaping the nose have been introduced in the recent past and getting popularity. This presentation will focus on common indications, preparation and the surgical and non-surgical techniques involving the Rhinoplasty.


Author(s): T. Sabesan 

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