Nose Surgery: A Common Procedure

The Importance of the Nose in Facial Appearance

A well-proportioned nose is crucial to the overall complexity and beauty of the face, both in literature and popular imagination. A disfigured nose can be a significant source of discomfort. While there's no single ideal nose, there is a nose that harmonizes perfectly with each individual face. A skilled cosmetic surgeon understands this, and from the preoperative phase, will demonstrate how rhinoplasty will change the face, often using software for photographic retouching to show the most suitable shape.

The nose is a three-dimensional structure composed of cartilage, bone, mucosa, and skin. Each element requires careful consideration and treatment, both aesthetically and functionally. Its primary function is to filter, clean, warm, and regulate the airflow. It significantly impacts well-being, influencing breathing capacity and consequently, social interactions and athletic performance.

Rhinoplasty: The Most Common Cosmetic Procedure

Rhinoplasty is the most common cosmetic surgical procedure. It can reduce or increase the size of the nose, modify the shape of the dorsum and tip, or narrow the nostrils. It aims to restore the overall facial harmony. The nose is aesthetically the most important feature of the central face. Proportional harmony of shapes and volumes is a key element of facial attractiveness. Rhinoplasty can correct and reshape the nose to achieve facial harmony.

The Most Common Rhinoplasty Techniques

Closed Rhinoplasty

In closed rhinoplasty, there are no external incisions. Access to the bone and cartilage is from inside the nose. While variations exist, involving incisions along the inner edge of the nasal wings or deeper, all incisions are hidden.

Open Rhinoplasty

Open rhinoplasty involves an incision on the columella to sculpt the dorsum and directly remodel internal structures. The difference between open and closed techniques lies in the surgical approach. Experienced surgeons can use both, achieving optimal results. The open technique might be preferred for revision surgeries, allowing precise placement of cartilage grafts and sutures.

For primary rhinoplasties, an approach without external scarring is often preferred. However, both techniques can address functional aspects.

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Types of Rhinoplasty According to Their Functionality

Purely Aesthetic Rhinoplasty

Aesthetic rhinoplasty is a common procedure performed by cosmetic and maxillofacial surgeons. It adheres to aesthetic canons, partly based on the principles of Leonardo da Vinci, aiming for overall nasal harmony and balance. The nose must complement the facial features, not dominate them.

Functional Rhinoplasty

The nose's ability to filter, clean, warm, and humidify air is essential for breathing. The turbinates, bony structures covered in mucosa, play a crucial role in filtering and regulating airflow. Septal deviation can disrupt this, impacting mucosal health. Functional rhinoplasty addresses these issues, preserving and improving respiratory function.

A skilled surgeon will assess breathing capacity, tissue elasticity, and plan the procedure to maintain or improve respiratory dynamics. Functional rhinoplasty can be combined with aesthetic rhinoplasty, utilizing the same incisions.

In Conclusion

Restoring harmonious balance between the nose and the rest of the face requires significant experience. Rhinoplasty specialists must remodel the profile according to the patient's morphology and expectations. Consult a maxillofacial surgeon, cosmetic surgeon, cosmetic doctor, or ENT doctor for rhinoplasty.

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