Rhinoplasty Procedure :Rhinoplasty can be performed under local anesthesia or general anesthesia. When Rhinoplasty is done under general anesthesia, it requires one day hospital stay. Where as no hospital stay is required for rhinoplasty under local anesthesia. Rhinoplasty procedure is performed by facial plastic surgeon to achieve facial harmony / balance. The approach method for rhinoplasty depends on type of nose deformity. Incisions are made at the base of the nose (columella and inside of the nose). Skin flap is raised and the underlying tissues, bone and cartilages are manipulated and repositioned to achieve a cosmetically acceptable and symmetrical nose.
Cosmetic Rhinoplasty procedure helps in correcting the imperfections of the nose like hump nose, deviated nose, depressed nose, bulbous nose, big nose and Nose tip. Cosmetic Rhinoplasty / Nose Surgery helps to bring a new Facial look for a person thus helping the person to boost his self confidence and self esteem.
Open Rhinoplasty :The first step is preparation of the nose. The nose is cleaned with antiseptic solution and nasal hairs are trimmed. The incision is marked with a marker. External nose incisions are marked at columella between upper and lower ends of columella followed by marking internal incisions for exposure of lower lateral cartilage. Typically the incision is not straight at columella (V incision). The incisions are placed only at skin and mucosa. Elevation of columella flap is carried out carefully without damaging skin and cartilage.
Elevation of flap is further carried out to expose the upper and lower lateral cartilages. Skin and perichondrium are elevated over upper and lower cartilages. Once this has been done columella skin is separated from the lower lateral cartilages and caudal end of septal cartilage. The septal cartilage is present between the medical aspects of two lower lateral cartilages. The septrumis exposed by seperatinglower lateral cartilages in the middle. Once the septum is identified muco pericondrium is elevated from the septum. Finally nasal bone is exposed by further raising the flap subcutaneously. Once the nasal bone is identified periosteum is elevated from nasal bone. Finally desirable corrections are performed where ever required and incisions are closed with absorbable sutures inside and skin suture outside.