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Dr William Portuese

1101 Madison St #1280

Seattle WA 98104 USA

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Rhinoplasty Surgery

Rhinoplasty, colloquially known as a "nose job", is a surgical procedure that reshapes or refines the nose. This procedure can be performed for both cosmetic and functional reasons and is one of the most commonly performed plastic surgeries globally.

Types of Rhinoplasty:

• Cosmetic Rhinoplasty: Primarily aimed at enhancing the aesthetic appeal of the nose. It can address various concerns like a hump on the nasal bridge, a bulbous tip, or a nose that's too wide or too long.

• Functional Rhinoplasty: Focuses on rectifying internal structures of the nose that can impede breathing, such as a deviated septum. This procedure often provides both a functional benefit and an improved aesthetic outcome.

• Revision Rhinoplasty: A corrective procedure for patients who have previously undergone a nose surgery but are unsatisfied with the results or have faced complications. This surgery can be more challenging due to changes in anatomy and potential scar tissue.

Procedure:

Rhinoplasty can be performed under local or general anesthesia, depending on the complexity of the surgery and the surgeon's preferences. There are two main surgical approaches:

• Open Rhinoplasty: A small external incision is made on the tissue separating the nostrils (columella). This allows for a wider view of the nasal structure and is often used for more intricate changes.

• Closed Rhinoplasty: All incisions are made inside the nostrils, making post-operative scarring virtually invisible. This technique might be suitable for less extensive modifications.

The surgeon will then reshape the bone, cartilage, and soft tissues to achieve the desired result. The skin is then redraped over the new framework, and the incisions are closed.

Recovery:

Post-operative swelling and bruising are common, and patients are often advised to keep their head elevated, even during sleep, for the first few days. External splints or casts may be applied to protect the nose and maintain its new shape while healing. These are typically removed after a week.

Most people can return to work or daily activities within two weeks, but strenuous activities and exercises should be avoided for at least six weeks. While much of the swelling subsides within the first few months, minor swelling can persist for up to a year, and the final result may not be fully apparent until then.

Risks and Considerations:

Like all surgeries, rhinoplasty carries certain risks including bleeding, infection, anesthesia complications, and unsatisfactory results. It's imperative for anyone considering rhinoplasty to consult with a board-certified plastic surgeon, thoroughly discuss desired outcomes, and set realistic expectations.

In conclusion, rhinoplasty is a sophisticated procedure that can offer significant improvements in both form and function of the nose. The key to a successful outcome lies in clear communication between the patient and surgeon, and a well-planned surgical approach tailored to individual needs.