Daily Medical Records

A nose may show that has been operated is not in line with the rest of the face or if you have imbalance in any of its components.

Depending on the case, it may be possible to modify the shape of a nose only with the removal of small amounts of bone and cartilage, but at other times, to increase the size of a nose too small, to fill areas or to support, it is necessary the use of cartilage grafts from the patient, which may be taken from the nasal septum, the ear through an incision in the fold, or in some cases of nasal reconstruction, bone grafts from the rib, pelvis or skull.

In the East (Japan, Taiwan, etc …) is very common the use of silicone implants to increase the hump or back of the nose, but often this type of implant may have problems during the post-operative and can externalize .

There are several techniques of rhinoplasty (nose surgery), which can be grouped into two groups:

* closed rhinoplasty, where incisions are placed inside the nostrils (nares) and some phases of the operation is performed without directly view the structures.

* open rhinoplasty, in which an incision is made in the skin that separates the two nostrils (columella), to visualize how these are the tissues and treated under direct vision.

At a general level, it is possible to separate the nose areas, each of which must be in perfect relationship with others:

Upper zone: the birth of the nose between the eyebrows is the angle fronto-nasal, which is the angle of the forehead and nose, and is formed by the nasal bones and frontal bone and maxilla. It may be too prominent (Greek nose) or too collapsed.

Zone: It consists of the nasal bones, cartilage Triangular and nasal septum. In the profile view of the nasal dorsum is the most prominent in the middle of the nose and may need to decrease or increase. In the front view, the nose may be too wide or too narrow, because it may be necessary to amend it by osteotomies.

Lower zone: the tip of the nose is formed by the alar cartilages, which are shaped like butterfly. They may be poorly placed or too wide to produce a tip bifida or may be too large caused one end globular.

The basis of the nose is the most bottom of the nose, bounded laterally by the cheeks, may be too wide (it is possible to effect a reduction of the nostrils, through two small incisions in the skin at the base of the nose , which are inapparent), or it may be too narrow.

Rhinoplasty (nose surgery) can be done under general anesthesia or local anesthesia and sedation, and may require admission to the clinic for several hours or a day. It is an intervention that is not at all painful, but often appear bruising and swelling in the area around the eyes for a few days.

Often makes a clogged nose for several hours or days, which may bother the patient, and need to breathe temporarily by mouth. Usually applies a splint or bandage rigid moldable plastic or plaster, which was withdrawn a week, to prevent swelling change the result, and it should be noted that after the withdrawal of the dressing, the nose will still be slightly swollen and must be necessary to wait some time, which can vary from patient to patient, to see the final result.

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