The Dr. Uribe Garcia Top Doctors plastic surgeon, talk to us about Rhinoplasty.
¿What types of aesthetic and functional problems can be addressed by rhinoplasty?
Well almost everyone, the truth is that the aesthetic problems, depend on each particular case¿, no ? Typically just deviations or deformities or noses that are too large, or noses that are too small or consequences of other procedures: from surgeries or accidents. Usually they go also accompanied by functional problems, or difficulty breathing when this deviated septum or internal valve problems, meaning that almost all problems. Now, after and the complexity of the solutions depends somewhat on the particular case, especially in the case of former proceedings or consequences of accidents.
¿That anatomical considerations must be taken into account before performing a rhinoplasty?
Well anatomically, which is set for ourselves in everything, in the face in general, because the nose is integrated into a face and that face is the one that has to have harmony and proportion. So we can not only looking for the nose is pretty structurally or measures, but if it is not well integrated into the facial harmony it will not catch. We also have to look for in the race, in ethnicity, in like the faces of different people by lands and according to the races.
¿, consisting in the intervention?
Well basically consists of changing structures, which are what really give the shape of the nose, and the skin will adapt to the new contour that we have created. That is, we modify through rhinoplasty bones, the cartilage modify, modify structures and then what will make the skin is adapting to these new contours. In cases of functional surgery, ie, to improve the function, what we do is also modifying internal structures such as the nasal septum.
¿How long it takes the patient to resume normal activity?
As usual activity, the truth is that normally could be done immediately, what happens is that the appearance, such as the nose is in the middle of the face and is what is more, it is usually the first week so we advise because the patient does not have significant activities because you have to carry a plate, a splint on the nose which is what usually makes the postoperative is a little showy, but is neither painful nor precludes any kind of regular physical activity.
¿remains some kind of mark or scar after the intervention?
Usually no. In general terms there are two types of techniques which are: the closed technique that operates from inside the nostrils and then open technique in which a small cut is given here in the columella and there is a small mark. Then, some surgeons are more accustomed to the closed technique and others are more accustomed to the open technique. So I think it's a process that usually leaves very little sequelae level than they are scars.
¿What types of results can be obtained using this technique?
Good types of results depend on two types depends on two things best said. First as each case and then second patient expectations, it is very important. So talk to the patient and talk to her or the patient is very important to know which aims to know that expectations have. And then as the kind of results always depend on each case, because what we do is to individualize the technique in each case, ie, there is no catalog where you select&ldquo, I want this nose&rdquo ;, but what we do is advise after listening to the patient on what you would like;we will have to recommend what is best for their factions.
¿, The TAKE appreciate the patient?
Well usually appreciate quickly, since the first week when the splint is removed, but the small details are seen as more time passes. I always say that a month or so of operation, the nose and it looks pretty good, but the final outcome usually advise patients six months or a year because the average nose millimeter matters, half millimeter account. Then a nose that is slightly inflamed will improve when you remove that bit of inflammation that maybe takes a few weeks or a few months more, but usually looks good from the 15 days or a month.