¿kind of aesthetic and functional problems can be resolved by That rhinoplasty?
The difficulty of passing air through the nose may be due, in addition to some sort of functional problem like rhinitis, a deviation of the nasal septum or increased size of the inferior turbinates. The septoplasty can correct the deviation of the septum and turbinoplasty by the size of the turbinates is reduced. When there is respiratory distress, some of these techniques are practiced in conjunction with the Rhinoplasty aesthetics.
From the aesthetic point of view, rhinoplasty can solve almost any defect of the nose. With it we can eliminate the existence of a hump (or stand) on the back, rotate the top up or down, fix a back off target, narrowing the tip or the base of the wings, increasing the projection of the tip, etc.
¿That anatomical considerations must be taken into account before making a rhinoplasty?
The major limiting factor for modifying the appearance of the nose is the thickness of leather. The presence of a thick skin prevents, for example, reduce the projection of the tip ( what often refer patients as&ldquo, I have a very large&rdquo nose.) Or get a fine tip
Besides this there is another factor that should exclude certain persons as candidates for rhinoplasty, more important even than the last and that has nothing to do with the type of tissue that has the patient: this has expectations regarding intervention.
As with any intervention of Cosmetic Surgery, any patient should undergo a rhinoplasty if the surgeon attends doubt that having realistic expectations. To avoid this, never Operate to any patient without having done it before Simulation on your computer on your own photograph in which I show you what you can expect from the intervention in the individual case. On that simulation will ask the patient to tell me what you would like to change and I explain what can and can not achieve and what should or should not get ( not all the patient wants may be desirable from the point of view aesthetic ). If the patient expects something unattainable (because, for example, the thickness of the skin) or unconvinced that&ldquo,&rdquo perfect result;I've simulated on the computer, I never will because I operate is not likely to be satisfied with the result.
¿, consisting in the intervention?
The goal of rhinoplasty is to alter the shape and / or size of the nose through the remodeling of bone and cartilage structure. This can be done through incisions inside the nose, in the nasal mucosa, in which case there is no scar visible ( is what's called Rhinoplasty closed ) or by adding to the above a small incision across the columella ( the tissue that separates the two nostrils, the entry of nostrils ). This last technique is known as open rhinoplasty and leaves a small scar on the skin of the columella, almost imperceptible past few weeks. Both techniques have their advantages and disadvantages and none is better than the other in all cases.
¿How long it takes the patient to resume normal activity ?¿remains some kind of mark or scar after intervention?
Recovery time depends on the type of business carried out and the particular evolution of each patient. The i nflamacion more evident and the Cardinals in the eyelids and / or cheeks tend to have disappeared at 10-12 days after the intervention (a sometimes even before).
The patient can perform activities that require little physical exertion (such as computer work from home) almost from the day following the intervention. To appear in public without a very obvious deformity is necessary to wait about two weeks. For more energetic activities (including the physical exercise strong) the patient must wait out one month after the intervention.
As scars, for rhinoplasty closed they do not exist in the skin. In the case of the open technique, the minimum scar left in the columella is barely noticeable after a few weeks. Besides this, and whether it was closed rhinoplasty or open, when you have to narrow the base of the wings remain a small scar in the area, also barely noticeable after a few months. Finally, in more complex cases of deformity of the nose may be necessary to remove tissue from other areas of the body to achieve the desired goal (such as the head, Ear or costal region). In such cases scars remain, more or less visible in these areas. What is important is that the patient knows the possibility of scarring and what type will be after intervention and accept before undergoing it.
¿What kind of results can be obtained using this technique ?¿, The TAKE appreciate the patient?
The first change after rhinoplasty is observed when we remove the splint of the nose ( after 7-9 days of the intervention ) or sometimes even before removal ( eg rotation the tip can be determined with the splint in place ). Begin to check the result of the intervention about a month, but at that time there is still too much swelling in the nose to make a final valuation. The final result will not be seen until after 10-12 months of rhinoplasty, once the swelling disappeared completely.
As for the type of results to be expected with the intervention, we must bear in mind that the goal of rhinoplasty, as any intervention in aesthetic surgery is to get the patient to feel better about yourself and improve your esteem. It is increasing quality of life patient through psychological well. If the patient is well informed before the intervention, in the great majority of cases you will feel satisfied with the result.
It is worth remembering that rhinoplasty is considered in all texts as a Cosmetic Surgery interventions more difficult ( if not the most ). For this reason, the patient to be subjected to it should know that the intervention is most likely to be necessary to make some kind of retouching ( usually small ) to achieve the desired by the patient as a result of the surgeon.