Our Summary

The research paper discusses a new trend in nose surgery, called preservation rhinoplasty, which focuses on keeping the original structure of the nose intact as much as possible while reshaping it to look more aesthetically pleasing or function better. This new approach is gaining popularity because it theoretically benefits both the function and look of the nose by preserving crucial areas of the nose’s structure.

This type of surgery is made easier through an open approach, which allows the surgeon to clearly see the nose’s structure from the tip to the top. It also allows for easier use of powered instruments. One such instrument is the Piezo-electric device, which comes with various inserts specifically designed for nose surgery. This device makes handling the hard and soft parts of the nose more accurate and precise, reduces the risk of any surface irregularities, and improves the overall results of the surgery.

FAQs

  1. What is preservation rhinoplasty and why is it gaining popularity?
  2. What benefits does the open approach provide in preservation rhinoplasty?
  3. How does the use of a Piezo-electric device improve the outcomes of preservation rhinoplasty?

Doctor’s Tip

A doctor might advise a patient considering rhinoplasty to choose a preservation technique, which involves reshaping existing nasal structures rather than removing them. This technique can help preserve the structural integrity of the nose and achieve more natural-looking results. Additionally, using a Piezo-electric device during surgery can provide more precise and accurate results with reduced risk of surface irregularities. Be sure to discuss these options with your surgeon to determine the best approach for your individual needs.

Suitable For

Patients who are typically recommended rhinoplasty include those who have:

  • Nasal deformities such as a crooked or deviated nose
  • Nasal humps or bumps on the bridge of the nose
  • Wide or flared nostrils
  • Drooping or enlarged nasal tip
  • Breathing difficulties due to a deviated septum or other structural issues in the nose

Preservation rhinoplasty, specifically, may be recommended for patients who are looking to preserve their natural nasal anatomy while achieving esthetic and functional improvements. This technique is especially beneficial for those who want to maintain the strength and structure of their nasal dorsum and keystone area.

Timeline

Before rhinoplasty:

  1. Initial consultation with a board-certified plastic surgeon to discuss goals and expectations
  2. Pre-operative evaluation to assess overall health and suitability for surgery
  3. Planning and discussion of the surgical technique, potential risks, and expected outcomes
  4. Pre-operative instructions, including cessation of certain medications and preparation for the procedure

After rhinoplasty:

  1. Recovery period, which typically involves wearing a nasal splint and possibly packing for a few days
  2. Swelling and bruising around the nose and eyes, which gradually improve over the following weeks
  3. Follow-up appointments with the surgeon to monitor healing and address any concerns
  4. Gradual return to normal activities and exercise, with full results becoming apparent after several months
  5. Continued maintenance and care of the nose to ensure long-term results and satisfaction.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with rhinoplasty surgery?
  2. What are the expected outcomes and results of the procedure?
  3. How long is the recovery period and what can I expect during the healing process?
  4. Will I need to wear a splint or bandages after the surgery, and for how long?
  5. How will my nasal function be affected after rhinoplasty, and will there be any changes to my breathing?
  6. What specific techniques will be used during the surgery to achieve the desired results?
  7. How many rhinoplasty procedures have you performed, and what is your success rate?
  8. Are there any alternative treatments or non-surgical options that I should consider before undergoing rhinoplasty?
  9. Will I need any additional procedures or touch-ups in the future to maintain the results of the rhinoplasty?
  10. What can I do to prepare for the surgery and optimize my recovery process?

Reference

Authors: Goksel A, Tran KN. Journal: Facial Plast Surg Clin North Am. 2023 Feb;31(1):59-71. doi: 10.1016/j.fsc.2022.08.007. PMID: 36396289