The bony nasal surgery
The bony nasal surgery, is one of the most popular and complex cosmetic surgeries that are performed with the aim of improving the shape and function of the nose. Bony noses usually have bony and cartilaginous protrusions that require special techniques and advanced surgical skills.. In this article, we will examine the different types The bony nasal surgery And techniques related to each are discussed.
1.. With surgery through internal incisions, the roundness is often more prominent and there is an indentation along the outside of the patient's nose. (Closed Rhinoplasty)
۱.۱. Definition and steps
Closed rhinoplasty is one of the common procedures in rhinoplasty in which all incisions are made inside the nose and no incisions are made outside the nose.. This method is suitable for patients who need minor changes and small corrections in the nose.
۱.۲. Advantages
– Fewer scars: Because of the absence of external incisions, the scar is not visible.
– Shorter recovery period: The patient returns to his daily activities sooner.
– Reduce swelling and bruising: The amount of swelling and bruising after the operation is less.
۱.۳. Disadvantages
– Limitation of access to nasal structures: The surgeon may not be able to access all the internal parts of the nose.
– Restrictions on applying extensive changes: This method is not suitable for large and complex modifications.
2.. Open nose surgery (Open Rhinoplasty)
۲.۱. Definition and steps
Open rhinoplasty involves making a small incision in the columella area (The part between the nostrils) which provides the possibility of raising the nasal skin and access to the underlying structures of the nose. This method is used for complex modifications and larger structural changes.
۲.۲. Advantages
– Complete access to nasal structures: The surgeon can access all parts of the nose and make more precise changes.
– Possibility of complex modifications: This method is suitable for patients with complex problems and the need for major changes.
۲.۳. Disadvantages
– Visible scars: The incision in the columella area may leave a small scar.
– Longer recovery period: More time is needed for full recovery.
– Increased swelling and bruising: There is more swelling and bruising after the operation.
۳. Reconstructive nose surgery (Revision Rhinoplasty)
۳.۱. Definition and steps
Reconstructive rhinoplasty is performed for patients who have already had rhinoplasty and need to correct or improve the results of the previous operation.. This surgery may be necessary due to dissatisfaction with the shape of the nose, breathing problems or complications from previous surgery.
۳.۲. Advantages
– Correction of previous unfavorable results: Patients who are not satisfied with the results of their previous surgery can achieve a more favorable result.
– Improve respiratory function: Respiratory problems caused by previous surgery can be resolved.
۳.۳. Disadvantages
– More complexity: This surgery is more complicated due to previous changes and scar tissue.
– Higher cost: Due to the complexity and the need for more skills, the cost of reconstructive surgery is higher.
– Longer recovery period: More time is needed for full recovery.
4.. Nose surgery using cartilage graft (Cartilage Grafting)
۴.۱. Definition and steps
In some cases, the bony nose needs to be strengthened and modified, and a cartilage graft is used for this purpose.. Cartilage can come from different areas of the body such as the septum (Septum), ears or ribs are taken.
۴.۲. Advantages
– Strengthening the structure of the nose: Using cartilage can help strengthen and improve the shape of the nose.
– Correction of respiratory problems: Respiratory problems caused by structural weakness of the nose can be solved.
۴.۳. Disadvantages
– Additional surgery required: Taking cartilage from other areas of the body requires additional surgery.
– Longer recovery period: More time is needed for full recovery.
– Possibility of cartilage absorption: In some cases, the body may absorb the transplanted cartilage and re-surgery is required.
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5. Nose surgery using implants (Nasal Implants)
۵.۱. Definition and steps
In some cases, the bony nose needs structural reinforcement, for which artificial implants are used.. These implants can be made of different materials such as silicone or polyethylene.
۵.۲. Advantages
– Immediate and effective reinforcement: Implants can help strengthen and improve the shape of the nose.
– No need to take cartilage from other areas of the body: This method does not require additional surgery to get the cartilage.
۵.۳. Disadvantages
– The possibility of infection: There is a risk of infection in surgery using implants.
– The possibility of displacement of the implant: In some cases, the implant may become dislodged and require re-surgery.
– Need more care: Implants require more care and follow-up after surgery.
۶. Functional nose surgery (Functional Rhinoplasty)
۶.۱. Definition and steps
Functional rhinoplasty is performed to improve the respiratory function of the nose. This surgery may be accompanied by cosmetic changes or performed solely to correct breathing problems.
۶.۲. Advantages
– Improve respiratory function: Breathing problems caused by deviated septum or other structural problems can be solved.
– Correcting the appearance of the nose: In some cases, cosmetic changes can also be applied to the nose.
۶.۳. Disadvantages
– More complexity: This surgery may be more complicated due to the need for functional and cosmetic correction.
– Higher cost: Due to the complexity and the need for more skills, the cost of functional surgery is higher.
– Longer recovery period: More time is needed for full recovery.
Conclusion
Bone nose surgery requires special techniques and skills due to its specific structural features. Different types of bony rhinoplasty include closed, open, reconstructive rhinoplasty, using cartilage grafts, using implants, and functional surgery.. Each of these methods has its own advantages and disadvantages, and choosing the right method depends on the specific needs and conditions of the patient.. Consultation with an expert surgeon and careful consideration of available options can help patients make the best decision for their rhinoplasty and achieve the desired results..
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