Our Summary

This research paper discusses a specific type of nose surgery called dorsal preservation rhinoplasty. This surgery requires careful handling of the nasal structure made of bone and cartilage, also known as the osseocartilaginous vault. The study highlights the use of ultrasonic tools, which are more advantageous compared to traditional surgical tools like hand saws, rasps, and small chisels. It emphasizes that knowledge about how to maneuver the nasal structure, the anatomy of the nose, and the correct surgical technique are critical for this procedure.

FAQs

  1. What is dorsal preservation rhinoplasty and how does it differ from traditional rhinoplasty?
  2. What are the advantages of using ultrasonic piezo instruments in dorsal preservation rhinoplasty compared to traditional tools?
  3. What factors are crucial to understand for successful dorsal preservation rhinoplasty?

Doctor’s Tip

One helpful tip a doctor might tell a patient about rhinoplasty is to follow all post-operative care instructions carefully to ensure proper healing and optimal results. This may include avoiding strenuous activities, keeping the nasal area clean and protected, and attending follow-up appointments as scheduled. Adhering to these guidelines can help minimize complications and enhance the overall outcome of the surgery.

Suitable For

Patients who may benefit from rhinoplasty include those with:

  • Nasal deformities or abnormalities such as a crooked nose, hump on the bridge of the nose, wide nasal tip, or asymmetry
  • Breathing difficulties due to a deviated septum or other structural issues within the nose
  • Desire for cosmetic enhancement to improve the overall appearance of the nose
  • Previous nasal trauma or injury leading to deformity or functional issues

It is important for patients considering rhinoplasty to have realistic expectations and to consult with a qualified and experienced plastic surgeon to determine if they are a good candidate for the procedure.

Timeline

Before Rhinoplasty:

  1. Consultation with a plastic surgeon to discuss goals, expectations, and potential risks of the procedure.
  2. Pre-operative assessment and planning, including taking measurements and photographs of the nose.
  3. Pre-operative instructions such as avoiding certain medications and arranging for transportation to and from the surgery.
  4. Anesthesia is administered before the surgery begins.

During Rhinoplasty:

  1. Incisions are made either inside the nose (closed rhinoplasty) or across the columella (open rhinoplasty).
  2. The nasal bones and cartilage are reshaped to achieve the desired aesthetic outcome.
  3. The incisions are closed with sutures, and a splint is placed on the nose to support the new shape.
  4. The patient is monitored in the recovery room before being discharged home.

After Rhinoplasty:

  1. The patient may experience pain, swelling, and bruising in the days following surgery.
  2. Follow-up appointments with the surgeon are scheduled to monitor healing and remove any sutures or splints.
  3. It may take several weeks to months for the final results of the rhinoplasty to become apparent.
  4. The patient should follow post-operative instructions such as avoiding strenuous activities and protecting the nose from injury.
  5. The patient can expect to see gradual improvement in the appearance of their nose as swelling decreases and tissues settle into place.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with rhinoplasty surgery?

  2. How experienced are you in performing dorsal preservation rhinoplasty procedures?

  3. Can you show me before and after photos of previous patients who have undergone dorsal preservation rhinoplasty?

  4. What can I expect in terms of recovery time and post-operative care?

  5. How will my nose look and function after the surgery?

  6. What are the limitations of dorsal preservation rhinoplasty in terms of achieving my desired outcome?

  7. Will I need any additional procedures or touch-ups in the future?

  8. How much pain and discomfort should I expect during the recovery process?

  9. Are there any non-surgical alternatives to achieve my desired results?

  10. What is the cost of the procedure and will it be covered by insurance?

Reference

Authors: Göksel A, Patel PN, Most SP. Journal: Facial Plast Surg Clin North Am. 2021 Feb;29(1):77-84. doi: 10.1016/j.fsc.2020.09.004. PMID: 33220846