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How is Rhinoplasty performed?

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How is Rhinoplasty performed?

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Usually, Light Sleep Anesthesia is utilized. A Rhinoplasty can also be performed under General Anesthesia. The patient usually arrives early and medications are administered and supplemented with intravenous medication. After you are asleep and your vital signs are determined as safe and stable, local anesthesia is then applied to the nose. Surgery generally lasts about one and a half hours. The patient experiences no pain during the surgery. A splint or cast is applied and will be worn for approximately 7 days. Many patients remember very little about the surgery. After the procedure is completed, the patient then recovers in a relaxed environment and monitored for a couple of hours before being driven home by a companion. You absolutely can not drive yourself home after a ANY procedure.

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Nose reshaping is performed either via an open or closed approach. Closed Rhinoplasty is performed by making incisions on the inside of the nose. The bone and cartilage framework of the nose is modified underneath the skin to give the nose its new shape. Open Rhinoplasty refers to a nose job in which a small incision is made across the narrow column of tissue between the nostrils and connected with incisions on the inside of the nose. This allows the surgeon to directly visualize the nasal framework to ensure that after modification the framework is smooth, symmetric, and stable. There is no right or wrong technique, however, some noses are more easily corrected with one approach versus another. For example, a nose with a slight hump on the bridge is easily corrected by shaving of the bone and cartilage through a closed approach. Other nasal types, such as the deviated nose or a nose with a bulbous tip, often requires more extensive reconstruction that is more easily accomplished under

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Incisions are made on the inside of the nose (endonasal or closed rhinoplasty) or on both the inside of the nose and on the outside of the nose on the skin separating the nostrils (external or open rhinoplasty). The nose is then reshaped by removing, adding to or rearranging certain amounts of bone and cartilage. When the desired shape is achieved, the incisions are closed and a splint is applied to the nose.

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The procedure can be performed through small incisions within the nostrils (closed rhinoplasty) with or without a small incision on the skin of the nose between the nostrils (open rhinoplasty), as necessary. The bone and cartilage framework of the nose is removed or reshaped as needed. Occasionally additional cartilage is taken from the septum of the nose or behind the ear to provide additional framework. Rhinoplasty can be performed under general anesthesia or under sedation with local anesthesia. Rhinoplasty is usually performed as an outpatient procedure, meaning you will go home after the procedure.

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