Best Rhinoplasty: Practical Guidelines for Surgeons

Any direction of modern surgery – this is very hard work, the result of which is almost always quite difficult to predict. Before performing surgery, the doctor pays a lot of attention to preoperative planning, which includes taking an anamnesis, examining the patient and using various diagnostic methods, as well as assessing the risks and predicting the results of the operation.

But anything can happen during the intervention, and any unforeseen situation can affect the outcome of the operation and its results. Practical recommendations for plastic surgeons will help you perform the best rhinoplasty and achieve the best possible results for the patient.

Simple tips for a better rhinoplasty

Rhinoplasty can only be performed by highly qualified surgeons who have sufficient knowledge and skills for such a technically complex surgical intervention. Many factors affect the final result of the operation, which must be taken into account by the operating surgeon.

The best rhinoplasty can only be performed if the surgeon takes into account even the smallest nuances of the operation.

Practical recommendations for the best rhinoplasty:

The profile view is the basis for a correct assessment of the appearance of the nose and, accordingly, the scope of the surgical intervention. It is especially important to evaluate long hooked noses in profile.
In order to prevent blood from entering the patient's trachea and lungs from vessels damaged during the operation, the operation must be performed under endotracheal anesthesia.
An important point for the best rhinoplasty is the lengthening of the shortened frenulum of the upper lip, which is necessary to give the transition "columella-upper lip" more aesthetically pleasing.
It is important to minimize the number of incisions inside the nose, as this shortens the rehabilitation period and reduces possible breathing problems.
Removal of deviated sections of the nasal septum must be carried out conservatively, keeping a strip of cartilage tissue at least 10 mm wide in the area of ​​the nasal dorsum and the caudal part of the septum. This reduces the risk of bleeding in the postoperative period and reduces the duration of the recovery period.
The caudal part of the nasal septum should be conservatively corrected and a small amount of tissue removed to help prevent excessive rotation of the nasal tip in the postoperative period.
When correcting alar cartilages, it is necessary to maintain an intact band of at least 4 mm wide, as well as arches and cartilage continuity.
Sutures at the tip of the nose must be performed with absorbable material, as otherwise excessive scar tissue may form.
For the best rhinoplasty, it is important to evaluate the amount of tissue removal on the back of the nose only after rotating and shaping the tip.
Working on the bridge of the nose can only be started after the tip of the nose has been formed.
Exostoses can be caused by working with a rasp, which leaves a lot of fragments of the periosteum and remnants of bone tissue, so work with this tool should be limited. A clean cut of tissues is left with an osteom or a scalpel.
Narrowing the dorsum of the nose does not require a medial osteotomy, a lateral osteotomy followed by an infrastructure is sufficient.
For maximum naturalness of the result, do not make the profile line of the nose perfectly straight, it is much better to make a slight accent in the area of ​​the tip of the nose.
Any sharp corners on cartilage and bone tissue should be avoided as they may be visible under the skin in the postoperative period.
When applying a plaster bandage, it is important to place a layer of tissue or paper patch between it and the skin of the nose.

Follow these simple guidelines for the best rhinoplasty and the best possible outcome for your patient.

Such simple but important tips should always remain in the memory of any, even the most experienced plastic surgeon performing rhinoplasty.

Read also:

Nose diagnosis: how to assess the condition of the nasal cavity and sinuses