Rhinoplasty provides facial rejuvenation
The nose is a structure that occupies an important part of the face, because it is located in the center of the face. In addition, it has an aesthetic representativeness, since it usually exhibits traits of heredity and ethnic. Thus, by means of a nasal characteristic, we can often determine to which particular ethnic group a person belongs. But, even before aesthetic factors, the nose has its functional aspect: it is a fundamental organ for breathing.
In the scope of plastic surgery, these are two motivations - functional or aesthetic - that lead the patient to seek help in relation to the body. In the case of correction of functional problems, such as septal deviation or turbinate hypertrophy, there may also be cosmetic discomforts.
Combined surgery is indicated, in which, in a single operative event, both corrections are performed, functional and aesthetic, usually performed by two professionals, the plastic surgeon and the otorhinolaryngologist. However, the presence of septum deviation without functional symptomatology is not indicative of surgery for correction of the deviation.
Deviations such as laterorrinia, in which there is an aesthetic impairment without functional impairment, only require an aesthetic intervention to align the nose.
"Even before the aesthetic factors, the nose has its functional aspect: it is a fundamental organ for breathing."
In the case of aesthetics, the second large group of surgical motifs, it is known that the nose - like other parts of the body and face - undergoes a process of modification over the years, in which nasal growth and the tip of the organ occur. This is how the nose can acquire a new shape, aging the face. Rhinoplasty is one of the surgeries we can do, in the process of facial rejuvenation, to correct these problems, in conjunction with facial rejuvenation surgeries.
In younger patients, where the aesthetic change of shape and contour is desired nasal surgery, there is no need to associate facial rejuvenation surgeries.
Technique emerged just over a century ago and does not stop to evolve
Rhinoplasty is a surgery developed between the late 19th century and the early 20th century The first technical publications for aesthetic nose correction were made by John Orlando Roe in 1887 and 1891. However, even before this period, attempts at nasal correction could be observed in India with the use of ivory prostheses in cases of amputations.
Obviously, in the present day, there is a broad knowledge of nasal physiology as well as the anatomy of the nasal segment. With this, there is a constant evolution of the plastic techniques in this region.
Of the first rhinoplasties - made by endonasal (closed) way? called exorhyoplasties? made directly into the structure of the organ (open) - there was progress not only in relation to the surgical techniques employed, increasingly precise, as for the recovery of patients, faster and faster. In short, the goal is to provide more natural and less traumatic results.
"There is no type of nose that fits all types of faces."
Whatever technique is used, two hours. It can be performed under local anesthesia and anesthetic sedation or general anesthesia.
The choice will depend on the case, the surgeon and the anesthetist. It is a surgery that can allow discharge to the patient on the same day, and nowadays the gypsum is no longer used - it opts for expanded plastic because it is more practical and hygienic.The postoperative is calm and with results that can generate great satisfaction and happiness for patients. From the surgical point of view, there are still some technical considerations.
For example: if during surgery the surgeon should choose whether or not to perform a fracture. In fact, this should be weighed in the preoperative, during the surgical planning, although the "during" may also influence the decision.
For the patient, it is worth the information that surgical fractures do not mean a postoperative with more edema, hematoma or more severe pain. Usually, the postoperative period is painless, there may be only discomfort in the first few days, in addition to the presence of edema.
Each patient should be treated with uniqueness
When a patient wishes to change the shape and style of the nose, we must understand that we deal with singularity. In other words, there is no type of nose that fits all types of faces.
Thus, the ideal is to always customize, rather than "create" a nose that is artificial - when, paradoxically, patient performed a rhinoplasty.
The surgery should give a natural effect, result in a more beautiful and smooth face, and not produce a stigma. Thus, in order for the surgeon to obtain a truly "magical" effect in terms of aesthetic result, it is necessary to understand that the nose is part of the face and is integrated with it and other parts of the region.
To create harmony between all these areas is fundamental so that the aesthetic result is superior. The appropriate professional to operate the aesthetic part of the nose must be a plastic surgeon, who has a specific surgical training.
And when there is a need to perform a functional surgery, to correct deviations of the septum or turbinate hypertrophies,
To perform an esthetic rhinoplasty with professionals who are not plastic surgeons and, therefore, without specific training or training, involves the risk of the result not reaching the expectations.
From there, the secondary and sometimes tertiary corrections resulting from unsuccessful surgeries may be limited or even impaired.
When performing a rhinoplasty, we should result in a nose that matches that face and that personality, which soften the features and provide a more beautiful, young and sophisticated face.
Whenever you choose to perform a pl The patient should consult a plastic surgeon member of the Brazilian Society of Plastic Surgery (SBCP).
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