Rhinoplasty is the procedure in which the shape of the nose is changed by modifying its bone and cartilage components, correcting defects and making the nose more harmonious with the rest of the face. Rhinoplasty can be closed or open (usually when the patient has already had a previous rhinoplasty or when the defect to be corrected is of the post-traumatic type). Under general anaesthetic (rarely under local anaesthetic with medical sedation), two incisions are made inside the nostrils (in open rhinoplasty these incisions are connected by a third and external incision across the columella). Through these incisions, both the external nasal skin and the inner mucous membranes are detached from the osseo-cartilaginous framework. The framework is then modified to correct the defects (dorsum removal, cartilage removal, reduction of the tip through cartilage removal or modification of the tip through cartilage grafting or suturing etc.). Any deviation in the nasal septum can be corrected at the same time. When the structural modifications are concluded, the incisions are sutured. A rigid metal splint, shaped to the patient, is applied to the nose and 2 plugs of medicated gauze are inserted into the nostrils. This keeps the new structural modifications in line and in position. Severe alterations in respiratory function requre screening exams (CAT) before carrying out the procedure. The result is permanent.
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