Introduction Rhino (Latin for nose) and plasty (Greek for molding or forming) Greek word plastikos meaning to give something shape or form. Rhinoplasty is a surgical procedure used to modify the size and shape of the nose in order to give it a more pleasant look. Harmonize your nose and show off a really proportionate face.
Rhinoplasty in Ancient India Noses were symbols of pride Tempting targets during warfare. Amputation of the nose -offenses, including adultery. Sushrutha, (600 B.C.) ‘Sushrutha Samhitha‘-surgery in detail
Local or GA if your nose only needs a little reshaping, you can probably have local anesthesia. If you need more extensive work, you will probably need general anesthesia.
Post op period Recovery may not be comfortable. Pain Bruising-swelling-edema Black eye Nasal blockage Blood stained nasal discharge
Complications Infection-Signs of an infection include redness, severe swelling, discharge, a foul smell, severe pain or a fever over 100.5º F. Bleeding ,hematoma ,seroma . Numbness Anosmia-temporary General Dissatisfaction
Rhinoplasty preoperative aesthetic evaluation The goals of aesthetic surgery are a satisfied patient and surgeon Occasionally, the patient suffers from a psychiatric illness. understand the motivation of the patient Digital images of nose and face Step ladder principle
Step ladder principle One cannot climb more than one or two steps in a ladder Ugly nose can be made better nose Normal nose can be made pretty nose Ugly nose cannot be made pretty Nose
Nose sculpturing:Types Techniques Closed and open Rhinoplasty Open Rhinoplasty better Dorsal hump reduction Shortening of lower lateral cartilage Sculpture of nasal tip
Septoplasty with Rhinoplasty Septal Correction Always done if needed Septoplasty corrects the functional issues of nasal airway
Final Suturing and packing Suturing by5x0 Ethilon and 3x0 catgut Nasal Packing: Merocel – Compressed gel-for internal nasal pack. Internal Silastic Splint- This keeps the septum in place, and removed after 5-7 days time. External Thermpolastic Splint. It will be removed in 7 days time.
Best Candidates for Rhinoplasty Those looking for improvement, not perfection Those that are physically healthy, psychologically stable, and have realistic expectations Age -not to operate on teenagers until after they have completed their growth spurt.
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