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– Open rhinoplasty: To narrow the tip of a too-wide nose, the surgeon first determines the cause of the excess nasal width. The suture being emplaced will narrow the tip of the nose. The red delineation indicates the edge of the nose-tip cartilage, which is narrowed when the surgeon tightens the folded cartilage apex.
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
Before surgery all important landmarks and reference points must be identified and marked. Important landmarks are the hairline, frown lines, location of the supratrochlear vessels, outline of the defect, nasal and lip subunits. [1] Then templates are made using the intact side of the nose to make a precise symmetric reconstruction of the nose.
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Because the nose is the anchor-feature of the face, an aesthetically proportionate nose balances the physiognomic features of a person. Non-surgical correction is considered for patients with a treatment-suitable aesthetic defect, or a defect resulting from a surgical rhinoplasty (either primary or secondary).
Temporary numbness of the front upper teeth after surgery is common. [5] Sometimes the numbness extends to the upper jaw and the tip of the nose. This almost always resolves within several months. The nasal tissues should mostly stabilize within 3-6 months post-surgery, although shifting is still possible for up to and over a year afterwards. [6]
A nose prosthesis is only required if the nose cannot be repaired, and there are a variety of reasons this may occur. A benign tumor or a malignant neoplasm forms within the nasal cavity. Threatening or not, it's too dangerous to leave cancerous tissue in the body, and the safest thing to do is to completely remove it.
Respiratory issues usually occur in more severe cases, requiring surgery to repair. [11] Surgery is also permitted to individuals that seek cosmetic changes due to moderate cases of a deviated septum. Surgery may require a surgeon to cut and remove parts of the septal nasal cartilages, replacing them later in a reconstructed format.