Our Summary

This research paper is about the development of rhinoplasty, or nose job surgery. The authors explain that as techniques have become more precise, the results have improved. They’re constantly looking for the best method to provide consistent, accurate, and long-lasting outcomes for patients.

The paper discusses conservative rhinoplasty techniques, which have been around for over 100 years and are once again becoming popular. These methods are an alternative to more invasive surgeries that remove parts of the nose.

The authors share their thought process when it comes to reshaping the nose, taking into account the different parts of the nose and their specific physical characteristics and surgical needs. They talk about their own technique, called the “intermediate septal strip approach”, the “intermediate split” and the “Tetris concept”. The paper also discusses the pros and cons of these methods.

FAQs

  1. What is the ideal technique for achieving predictable and long-term results in rhinoplasty?
  2. What is the Tetris concept in rhinoplasty and what are its advantages and limitations?
  3. What are conservative rhinoplasty techniques and how do they differ from dorsal resective surgeries?

Doctor’s Tip

One helpful tip a doctor might tell a patient about rhinoplasty is to choose a surgeon who practices conservative rhinoplasty techniques. These techniques focus on preserving as much of the natural anatomy of the nose as possible, resulting in more predictable and accurate long-term results. By opting for a surgeon who uses these techniques, patients can achieve the desired aesthetic outcome while minimizing the risk of complications.

Suitable For

Rhinoplasty is typically recommended for patients who are unhappy with the appearance of their nose and wish to improve its shape, size, or overall aesthetics. Common reasons for seeking rhinoplasty include a hump on the nasal bridge, a bulbous or drooping tip, a crooked nose, or breathing difficulties due to a deviated septum.

Patients who are good candidates for rhinoplasty are generally in good overall health and have realistic expectations about the outcomes of the surgery. It is important for patients to have a thorough consultation with a qualified plastic surgeon to discuss their goals, concerns, and potential risks before undergoing the procedure.

In recent years, preservation rhinoplasty techniques have gained popularity among surgeons as they aim to achieve more natural and long-lasting results with minimal trauma to the nasal structures. These techniques focus on preserving as much of the patient’s natural anatomy as possible, while still making subtle adjustments to improve the overall appearance of the nose.

Overall, the decision to undergo rhinoplasty should be made carefully and with the guidance of a skilled and experienced plastic surgeon. By understanding the specific anatomic aspects and surgical demands of the nasal dorsum, patients can achieve the desired results and improve their overall satisfaction with their appearance.

Timeline

  • Initial consultation: The patient meets with the surgeon to discuss their goals, concerns, and medical history. The surgeon evaluates the patient’s nasal anatomy and discusses potential surgical options.
  • Pre-operative preparation: The patient undergoes pre-operative testing and instructions are given on how to prepare for surgery, including avoiding certain medications and foods.
  • Surgery: The rhinoplasty procedure is performed, which may involve reshaping the nasal bones, cartilage, and/or soft tissue to achieve the desired aesthetic result.
  • Post-operative recovery: The patient experiences swelling, bruising, and discomfort in the days following surgery. Pain medication and ice packs may be used to manage discomfort.
  • Follow-up appointments: The patient meets with the surgeon for post-operative check-ups to monitor healing and address any concerns. Instructions on post-operative care, such as avoiding strenuous activities and wearing a splint, are given.
  • Long-term results: Over the following weeks and months, the swelling gradually subsides and the final results of the rhinoplasty become apparent. The patient may need to wait several months to see the full results of the surgery.

What to Ask Your Doctor

  1. What specific techniques do you use for rhinoplasty to achieve the best results?
  2. Can you explain the intermediate septal strip approach, intermediate split, and Tetris concept in more detail?
  3. How do you ensure that the results of rhinoplasty are predictable and long-lasting?
  4. What are the advantages and limitations of preservation rhinoplasty compared to dorsal resective surgeries?
  5. Can you show me before and after photos of patients who have undergone rhinoplasty with your technique?
  6. What is the recovery process like after rhinoplasty and how long can I expect it to take?
  7. What are the potential risks and complications associated with rhinoplasty and how do you address them?
  8. How many rhinoplasty procedures have you performed and what is your success rate?
  9. Can you provide me with references or testimonials from previous rhinoplasty patients?
  10. What are the costs associated with rhinoplasty and are there any financing options available?

Reference

Authors: Neves JC, Tagle DA, Dewes W, Ferraz M. Journal: Facial Plast Surg Clin North Am. 2021 Feb;29(1):85-99. doi: 10.1016/j.fsc.2020.09.010. PMID: 33220847