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tip plasty : In some people,
all that is needed to improve the appearance of the
nose is surgery on the tip only. This is referred to
as a "tip plasty". A tip plasty may be performed
to reduce a large, square, or bulbous nasal tip, to
treat an upturned or sagging nasal tip, or just to refine
the tip of the nose.
Although this may seem like a simple
operation because it involves such a small area, a tip
plasty may be one of the most challenging aspects of
nose surgery. Disruption of the cartilage that supports
the tip of the nose can cause the tip to collapse, rotate
or lose projection, therefore tip plasty should be performed
by an experienced rhinoplasty surgeon.
ethnic rhinoplasty (including
asian rhinoplasty and african american rhinoplasty)
: While most caucasians require the removal of cartilage
or bone for a more aesthetically desirable nose, those
of asian and african descent typically will require
that the nose be built up in order to be more desirable
to the patient. This can be achieved with grafts of
synthetic material or from the patients own cartilage,
such as from the ear or the nasal septum. (Learn
more about grafts). In addition to increasing the
bridge of the nose, it may be desirable to also reduce
the nostrils and the cartilage on the sides or tip of
the nose. Care should be taken to maintain the ethnic
identity of the nose and not simply create a caucasian
appearing nose. Risks are the same as with any nose
surgery involving grafts: infection, scarring, asymmetry,
and visibility or extrusion of the implant.
septoplasty : A septoplasty
is nose surgery performed on the cartilage, mucous memranes,
and bone that separate the left and ride sides of the
nose. When the septum is deviated, it shifts to one
side or the other. Although very common, a deviated
septum can obstruct airflow and impede breathing through
the nose. This can be the result of trauma (a broken
nose) or can occur naturally as the nose develops. Septoplasty
surgery to straighten the septum or remove the obstructing
anatomy takes about an hour and is performed with local,
IV sedation, or general anesthesia. Packing or internal
splints will be placed and remain in the nose for a
few days to help the septum to heal into its new position.
Usually there is little to no visible bruising since
the surgery takes place in the center of the nose. Possible
risks include infection, failure to improve breathing,
perforation (a hole) in the septum, or possibly an unintended
change in the appearance of the nose.
turbinoplasty : Swollen mucous
membranes or overgrown bones deep inside the nose may
also contribute to breathing problems. A turbinoplasty
or turbinate reduction removes bone and/or soft tissue
from the cavities where air is humidified and warmed
before going to the lungs. In addition to improving
nasal breathing, a turbinectomy or turbinoplasty may
also decrease snoring and obstructive sleep apnea (periods
when one stops breathing during the night). Instead
of cutting, the mucosa (mucous membranes) can sometimes
be reduced with laser, cautery, or radiofrequency treatments.
Risks of surgery on the turbinates includes bleeding,
dryness, crusting, infection, and failure to improve
breathing.
revision
rhinoplasty : Revision rhinoplasty is any surgery
that is performed to correct or improve the results
of previous surgery. Revision rhinoplasty is technically
a very difficult operation and shoud be performed only
by an expert rhinoplasty surgeon. Click on the link
to learn more...
functional rhinoplasty : One
of the most common reasons that people go to an ear,
nose, and throat specialist (otorhinolaryngologist)
is to improve breathing through the nose. To do this
, a functional rhinoplasty may be performed to improve
the breathing ability through the nose. A functional
rhinoplasty may involve surgery of the septum (the divider
between the left and right sides of the nose) or on
the turbinates (the shell shaped area of bone and mucosa
in the nose where inhaled air is warmed and humidified).
If breathing is significantly obstructed, insurance
may reimburse some of the cost of septoplasty or turbinectomy.
A septoplaty may be performed in conjunction with a
turbinectomy and/or cosmetic rhinoplasty.
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