In nose surgery , partial modifications of the nasal skeleton are introduced, except for the septum or septum, in which case it is defined as rhinoplasty , while when the osteocartilaginous septum is also corrected, it is conceptualized as a septo-rhinoplasty .
When necessary, we also modify turbinates or turbines, in order to improve the passage of the nasal air stream and therefore respiration. A common observation is alternating nostril obstruction, related to organic responses to environmental allergens and nutritional intolerances that exist inadvertently.
What can be improved with Rhinoplasty – Rhinoseptumplastia
From a functional perspective, surgery allows the restoration of respiratory function altered by disorders originating in the septum, nasal leaflets or turbinates, whose origin can be traced to birth, or be secondary to trauma to the nose.
The expected results and results obtained
From the first consultation, the plastic surgeon experienced in facial surgery, must be able to convey to the consultant that he has quickly studied the proportions of his face, and the proposals he offers for a correction, in addition to that, he must demonstrate that that you intend to modify; Using computer programs can be useful, but it is not the program that will modify the nose from the front, nor the facial profile, but rather the surgeon’s hand who already begins to intervene, when he designs in the first consultation, what he offers to achieve.
Open Rhinoplasty vs. Closed Rhinoplasty
Both approaches have their indications, but also promoters and detractors. Undoubtedly, open access has been imposed to significantly facilitate the development of an intervention, such as rhinoplasty , that any honest and experienced surgeon recognizes its complexity. Rhinoplasty, with hundreds of procedures described over the years, constitutes one of the three most demanding sections in plastic surgery , such as supra-microsurgery, hand surgery, and the domain of aesthetic and reconstructive nasal plastic surgery , within a surgical specialty already extremely complex in itself.
The closed technique, more limited in vision, requires from the person who performs it, great knowledge not only of the operative area, but also of the modifications that are obtained during the course of the surgery. In any case, we relegate open accesses to very specific patients who come to us frequently, more than twenty percent have already been operated on by others, secondary, tertiary, quaternary rhinoplasties…, where their complexity is multiplied.
Realities and myths of postoperative convalescence
The fear of an unnatural result is frequent. The ability of the surgeon to make the expectations of the patient’s results come true is very important, considering that the tissues will respond to the modifications made, this is where prudence must precede the audacity of the plastic surgeon. Discretion in the results of any plastic surgery should be the norm, so when the one who intends to operate cannot demonstrate with casuistry and reasonable explanations everything that he says in consultation, the consultant must quickly look for the exit door, before it is too late ; bombast and promises, they are usually fatuous, empty of content but loaded with future complications.