Rhinoplasty is one of the most highly performed plastic surgeries here in Beverly Hills. You may have wondered what is involved, what the steps are and how the procedure is performed. While every surgery is unique and individual, below is a brief run-through of the basic steps that can be expected. Of course your surgeon will discuss your exact needs and there may be slight variations of the below but this can give you a sense of what to expect.
This is the first step. You will meet and chat with your anesthesiologist, often for the first time, while on the gurney in the pre-op holding area. They will explain to you everything about the medicine that will be administered so that your are asleep and feeling nothing during your procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Incisions are made
Rhinoplasty is performed using an open or closed procedure. In the closed procedure, incisions are hidden inside the nose. The open procedure is where the incision is made across the strip of tissue that separates the nostrils called the columella. In this case the tissues are lifted in order for structural reshaping to take place.
This can be done in several ways depending on the degree of deformation or misshaping. Nasal structures can be reduced or in some cases augmented with cartilage harvested from other areas of the body. Often septum, ear or rib cartilage is used.
Deviated Septum Correction
Obstructed airways require careful evaluation of the nasal structure. Correction of a deviated septum, to produce better alignment and address breathing impairment, is achieved by adjusting the nasal structure. Misshaped projections are corrected allowing for better airflow and improved breathing. If the septum is deviated, it is now straightened and the projections inside the nose are reduced to improve breathing.
Skin redraping and Incision Closure
When the structure sculpting is complete, the surgeon re-drapes the skin and closes the incisions. Nostril size may be reduced during this stage by making incisions in the natural creases.
Splints and Tubes
Splints are places and internal tubes to help with support as the nose heals for the next week. The swelling will subsides over the next few weeks. It is important to know that your new nose will fully reveal itself over the next year. Swelling reduction is gradual and changes and refinement happen slowly over time.
Are you considering a rhinoplasty and want to know more? Please call or office and set up a consultation with Dr. Honrado today to discuss all your questions and concerns. 310. 286. 0043