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San Diego Nose Surgery
Rhinoplasty (surgery to reshape the nose) can change the size of your nose (smaller or bigger), take off a hump, change the shape of the tip, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems by straitening the septum. There are so many possible ways to change the appearance of the nose that it is important that you have a specific idea of what you would like corrected.
In general, the nose takes its shape from the cartilage and bony framework that underlies the skin. This delicate relationship between these structures is what is altered during the reshaping process. Incisions are very well hidden inside the nose, and occasionally, a small incision is made in the shadow line under the nose. By removing, adding, or changing the position of the cartilages, bones and soft tissue, your desired nose shape can be achieved.
Rhinoplasty Introduction:
This word is derived from the language Greek. Greek: rhinos,
(“nose” + plastikos, “to shape”) is a type of plastic surgery that
is used to improve the function or appearance of a person’s nose.
Rhinoplasty is also commonly called a nose job. This
surgery is performed to meet aesthetic goals or for reconstructive
purposes to correct birth defects or breathing problems. It can be
combined with other surgical procedures such as chin augmentation to
enhance the aesthetic results.
History:
The Rhinoplasty was first developed by Sushruta. He was a very
important physician who lived in ancient India circa 500 BC, which he
first described in his book Susrutha Samhita. He had many students and
disciples who later used Rhinoplasty to reconstruct noses that were
amputated as a punishment for crimes. He developed techniques of
forehead Flap Rhinoplasty which
is practiced almost uncha nged to this day. This knowledge of plastic
surgery existed in India up to the late 18th century.
The first intranasal Rhinoplasty in the west was performed by John
Orlando Roe in 1887. In 1898 Jacques joshep used it for cosmetic
purposes to help those who felt that the shape or size of their nose
caused them embarrassment and social discomfort.
Associated health risks:
Because of the special nature of the blood supply to the human nose and
surrounding area it is possible for retrograde infections from the
nasal area to spread to the brain. For this reason, the area from the
corners of the mouth to the bridge of the nose, including the nose and
axilla, is known to doctors as the danger triangle of the face.
How Rhinoplasty is performed:
- It can be performed under a general anesthetic or with local anesthetic, depending on patient or doctor preference.
- Incisions are made inside the nostrils. Sometimes tiny inconspicuous incisions are also made on the columella, the bit of skin that separates the nostrils.
- The surgeon first separates soft tissues of the nose from the underlying structures, then reshapes the cartilage and bone causing the deformity.
- In some cases the surgeon may shape a small piece of the patients own cartilage or bone to strengthen or increase the structure of the nose
- Sometimes this is done for cosmetic reasons
- It can also be done to improve breathing and function of the nose.
- In rarer cases, a synthetic implant may be used to reconstruct the nose if the normal structure of bone and cartilage is badly damaged or weakened.
- Alloplastic synthetic materials are often associated with long-term complications.
- Cartilage from the septum, ear oro rib may be used alternatively.
- To improve nasal breathing function, septoplasty may be performed, with or without cosmetic changes. The cartilage removed may be used as a graft to improve the appearance and structure of the nose.
Entertainment industry:
We all know that the cosmetic surgery is
very common is the
entertainment industry. Rhinoplasty is mostly performed on women.
The Los Angeles examiner of May 5, 1930, stated that:
“Having one’s nose shaped to fit the
talkies is the most popular thing in Hollywood now. Hollywood plastic
surgeons agree that more than 2000 facial beauticians operations have
been performed among film players within the past few years.“
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