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Rhinoplasty, A Common Procedure … But Complex


After the virtualized creativity in 2016, which made reference to all the interventions related to Plastic Surgery, this one of 2017 focuses on one of them, rhinoplasty, for being among the most demanded and for covering certain surgical complexity, which requires, precisely, specific training such as that received by plastic surgeons.

According to the statistics of the Secpre, rhinoplasty is the fifth most performed Aesthetic Plastic Surgery intervention in our country, since about 1 in 10,000 Spaniards undergo it annually, the most common patients being those aged between 18 and 45 years.

Although the number of rhinoplasties performed on women almost triples those performed on men (about 3,200 vs. 1,100), in percentage terms, it is an intervention more in demand by them than by them. Of all the cosmetic plastic surgery operations that Spanish men undergo, around 14% correspond to rhinoplasties; on the contrary, of the total of interventions to female patients, the rhinoplasties do not reach 6%.

Rhinoplasty refers to surgery that modifies the shape of the nose, either by increasing or decreasing its size, changing the configuration of the tip or the back, narrowing the nostrils, or reshaping the angle between the nose and the upper lip. It also corrects congenital malformations, trauma, and some respiratory problems.

"Rhinoplasty is a surgery that modifies the shape of the nose, either by increasing or decreasing the size or by changing the configuration of the tip."
- Dr. Kim Patrick Murray, Miami rhinoplasty specialist

During rhinoplasty, the skin of the nose is separated from its support, made up of bone and cartilage, which is sculpted with the desired shape; later, the skin is redistributed on the new support. Sometimes the procedure is performed from inside the nose, making small incisions inside the nostrils; other times, open rhinoplasty is chosen, especially in the most complex cases, in which a small incision is made in the columella.

Furthermore, to help shape or support the nasal pyramid, different tissues from the patient's own (cartilage, bone) or, more rarely, synthetic materials are used as grafts. At the end of the surgery, a plaster cast or other material is placed, which helps maintain the new shape of the nose, as well as nasal plugs in both holes to prevent bleeding and stabilize the septum.

For all this, in addition to the convenience of going to a Medical Specialist in Plastic, Aesthetic and Reconstructive Surgery for a rhinoplasty, the Ministry of Health advises checking that the place where this will take place in an approved operating room of a hospital center with the adequate safety conditions for an intervention that requires, in most cases, general anesthesia.

First of all, the patient and the nose job doctor must jointly assess the objectives of the intervention, taking into account the first that the "perfect nose" does not exist, since fashions and beauty standards change over time, and prioritizing both, for, Therefore, the natural results, that is, provided with the rest of the facial anatomical structure.