This technique depending on the wedge removed can reduce either the width or length of nostrils and natural creases of the nose hides the scars from this incision can be invisible or barely invisible after fully healed. Another surgical technique involved reducing the size or flare of nostrils is called nostril sill incisions. Both this technique is called alar reduction, where at the base of the nose small incisions are made inside the nostril.
What Can Be Achieved By Undergoing This Surgery?
Reshaping The Septum
The dividing wall between two sides of nose is called the septum, and it can be commonly contoured during Rhinoplasty. The surgeon can contour the portion of the septum or even remove it near the base to shorten it for the patients who has long nose.
Correcting A Deviated Septum
This surgery is done to correct the crooked portion of the nose which is blocking the airway by simply removing that portion of the obstructing septum. Small cuts or fractures are done in the septum and realigned accordingly to make it straight, and this procedure is called Septoplasty.
The traditional way to dress the nose after surgery was where the nose was packed by either long strips of gauze coated with antibiotic ointment or petroleum jelly to minimize bleeding and support the surgery, but this has been stopped using by the surgeons as it increases discomfort, prolongs the recovery period and contributes to added swelling and bruising. Instead of this, the surgeon uses surgical techniques to control bleeding and provide nasal support.
Sometimes, in addition to Rhinoplasty, the surgeons perform Chin Augmentation which helps in achieving a good balanced profile and this done at the time of surgery where this implant takes about thirty minutes. In this chin augmentation, small incisions are done either underneath chin or inside chin where the implants are inserted and close the incision with fine or non-absorbable sutures.
Cartilages are grafted if the nose lacks in adequate cartilage to achieve satisfactory outcome.
In this case, the surgeon uses the patient’s own cartilage from the septum to contour the bridge of the nose or tip of the nose. This cartilages are taken from the patient’s own ear, and in rare instances, the cartilages are taken from rib or even come from donor tissue. There will be no scar or hearing problem faced if the cartilages are taken from ears as the scars are well hidden in the back of the ear.
During Rhinoplasty, when there are some patients who prefer not using their own cartilages or soft tissue and instead they opt for this pliable and easy to mold implants, alloplastic implants which can be mold to the desired shape. These are used in revision of the nose job surgery, but however they have a higher infection rate rather than using own tissue.