Rhinoplasty Surgery Evaluation
However, on latera views nasofrontal angle, nasal length, dorsum, supratip break, tip projection, tip rotation, ala columella relationship, and lip chin relationship also assesses. Moreover, On basal view nasal projection, nostril symmetry, Columella, alar base, alar flaring also assesses. Overall patients suitability for surgery, the expectation of patient, post-op care and recovery, complications, medical issues also discuss and informed.
After evaluation Nose Job surgery also performed under general anesthesia or local anesthesia with sedation. So Rhinoplasty Surgery can perform with the close approach and open tip incision approach. During, close approach no incision gives over columella, rather an incision gives on the inner side of ala or behind columella. On the other hand, Nasal dorsum, tip, hump, and lower lateral cartilages can address with this approach. This approach is good for mild to moderate deformity of these areas with quick postoperative recovery. It needs good expertise to be performed.
In addition to open approach, different incisions can give on columella like a stair step, v shape or inverted v shape incision given.
1) Cartilages separated from each other.
2) Septoplasty is done, hump correction was done. If needed osteotomy done for nasal bones.
3) Spreader grafts also place if needed and spetum scoring can also be performed then work is done for tip correction.
After all hemostasis skin closes and splints applied and also dressing done.
Close Approach Rhinoplasty Surgery
Further following are some close approaches as
1)No scar over collumela,
2)Early post-op recovery,
6)Good for moderate to mild deformity
Open Approach Rhinoplasty Surgery
There are different approach to Rhinoplasty Surgery:
1) visualization of all structure
2) analysis of deformity
3) correction of problems
4) Good for moderate to severe deformity
5) All components are addressed properly
6) Septal cartilage can be easily harvested
7 Better results overall than the close approach
Rhinoplasty Surgery Complications
There is some complication in Rhinoplasty:
4) Wound dehiscence
5) Edema formation
6) Septal perforation
8) Nasal airway obstruction
11) Deformity and deviation
However, but with careful patient selection, proper evaluation, intra op care and postoperative care complication of Nose Reshaping Rhinoplasty deal conservatively with good results. So the complication rate of rhinoplasty surgery in Islamabad is variable in between 5-15 percent.