Our Summary

This research paper discusses a common type of nose surgery (rhinoplasty) where the nasal hump is reduced and the base of the nose is narrowed. The hardest part of this procedure is making sure the breaks in the bone are stable, the nose looks natural and attractive, and there are no visible or noticeable abnormalities, especially as time goes on. Surgeons aim to achieve a method that can be easily repeated and seems more achievable with machine-operated bone cutting (powered or piezoelectric osteotomies) rather than traditional hand-operated ones. The goal of this article is to provide a detailed guide for surgeons on how to perform this machine-operated bone cutting in nose surgeries.

FAQs

  1. What are the common steps during a primary rhinoplasty procedure?
  2. What are the difficulties faced during a rhinoplasty procedure and how are they overcome?
  3. What is the purpose of powered osteotomy in a rhinoplasty procedure?

Doctor’s Tip

One helpful tip a doctor might tell a patient about rhinoplasty is to follow post-operative care instructions carefully to ensure proper healing and optimal results. This may include avoiding strenuous activities, keeping the head elevated, and taking prescribed medications as directed. It is also important to attend all follow-up appointments with the surgeon to monitor progress and address any concerns.

Suitable For

Patients who are typically recommended for rhinoplasty include those with:

  1. Nasal humps or bumps: Patients who have a prominent hump on the bridge of their nose may benefit from rhinoplasty to reduce or remove it.

  2. Wide nasal bases: Patients with wide nasal bases may choose to undergo rhinoplasty to narrow the width of their nose.

  3. Crooked or asymmetrical noses: Rhinoplasty can help correct a crooked or asymmetrical nose, improving overall facial symmetry.

  4. Breathing difficulties: Some patients may have structural issues in their nose that impact their ability to breathe properly. Rhinoplasty can help correct these issues and improve breathing function.

  5. Desire for cosmetic enhancement: Many patients choose to undergo rhinoplasty for cosmetic reasons, wanting to improve the appearance of their nose and overall facial harmony.

  6. Revision rhinoplasty: Patients who have had a previous rhinoplasty and are unhappy with the results may opt for revision rhinoplasty to correct any issues or improve the outcome.

It is important for patients considering rhinoplasty to have realistic expectations and to consult with a qualified and experienced plastic surgeon to discuss their goals and concerns.

Timeline

Before Rhinoplasty:

  1. Initial consultation with a plastic surgeon to discuss goals and expectations.
  2. Pre-operative appointments for medical evaluations and discussions about the procedure.
  3. Surgical planning and discussion of potential outcomes.
  4. Day of surgery preparation, including fasting and anesthesia administration.

After Rhinoplasty:

  1. Recovery period with swelling, bruising, and discomfort.
  2. Follow-up appointments with the surgeon for monitoring healing progress.
  3. Gradual improvement in nasal appearance as swelling subsides.
  4. Final results become more apparent after several months.
  5. Potential revision surgery for touch-ups or corrections if needed.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with rhinoplasty?
  2. What is the recovery process like after rhinoplasty surgery?
  3. How long will it take to see the final results of the rhinoplasty procedure?
  4. What type of anesthesia will be used during the surgery?
  5. Will I need to have any follow-up appointments after the surgery?
  6. How experienced are you in performing rhinoplasty procedures?
  7. Can I see before and after photos of previous rhinoplasty patients you have treated?
  8. Will I need any additional procedures or treatments in conjunction with the rhinoplasty?
  9. How long have you been performing rhinoplasty surgeries?
  10. What can I do to ensure the best possible outcome from my rhinoplasty surgery?

Reference

Authors: Racy E, Fanous A, Benmoussa N. Journal: Plast Reconstr Surg. 2021 Jan 1;147(1):65-67. doi: 10.1097/PRS.0000000000007505. PMID: 33370051