WHAT ARE THE PREVAILING RHINOPLASTY PHILOSOPHIES?
In the field of rhinoplasty, two broad surgical philosophies guide surgeons in achieving successful outcomes. These philosophies encompass various principles and considerations to meet the diverse needs and expectations of patients.
STRUCTURAL RHINOPLASTY
Refers to a surgical approach that focuses on reshaping the underlying framework of the nose to achieve both functional and aesthetic improvements. The term “structural” emphasizes the manipulation of the nose’s foundational elements, such as the bone, cartilage, and soft tissues. The primary goal is to create a strong and stable nasal framework. This is achieved by reshaping or reinforcing the nasal bones and cartilages. Structural rhinoplasty is a comprehensive approach to nasal surgery that addresses both the form and function of the nose. By focusing on the foundational elements of the nose, this procedure can provide lasting and natural-looking results.
- Functional Improvements: Structural rhinoplasty can address breathing issues caused by a deviated septum, valve collapse, or other internal obstructions.
- Aesthetic Improvements: By altering the underlying structure, the surgeon can address various cosmetic concerns, such as a hump on the bridge, a drooping tip, or wide nostrils.
TECHNIQUES
- Cartilage grafts: Often, cartilage from the patient’s septum, ear, or rib is used to reinforce or reshape parts of the nose. These grafts can be used to straighten the septum, support the nasal tip, or fill depressions.
- Osteotomies: Controlled breaks in the nasal bones to narrow the nose or correct a crooked nose.
- Suture techniques: Used to reshape the nasal cartilages without removing them.
PRESERVATION RHINOPLASTY
Preservation rhinoplasty offers an alternative approach to traditional nasal surgery, focusing on conserving and repositioning the existing nasal structures. Preservation rhinoplasty is a relatively newer approach to nasal surgery that has gained attention in recent years. It represents a shift from the traditional “reductive” techniques commonly used in rhinoplasty, where cartilage and bone are often removed or significantly altered. Instead, preservation rhinoplasty focuses on conserving and repositioning the existing nasal structures. While it offers several potential advantages, preservation rhinoplasty might not be suitable for all patients or all nasal concerns. Some cases may still require traditional or reductive techniques. It’s essential to consult with Dr Sandeep to determine the best approach for your individual needs and goals.
KEY CONCEPTS OF PRESERVATION RHINOPLASTY
- Conservation: The primary philosophy behind preservation rhinoplasty is to maintain as much of the patient’s native nasal tissues as possible. This can lead to more natural results and potentially a quicker recovery.
- Dorsal Hump Management: Instead of removing the dorsal hump (the bump on the bridge of the nose), the surgeon repositions the nasal bones or reshapes them, preserving the natural anatomy.
- Ligament Preservation: By conserving the natural ligaments of the nose, the surgery can result in less post-operative oedema (swelling) and a more predictable healing process.
- Tip Preservation: Instead of significant cartilage removal or grafting, the natural tip cartilages are repositioned or reshaped to achieve the desired look.
- Functional Benefits: By preserving the natural structures, there’s often less disruption to the internal nasal valves, which can reduce the risk of post-operative breathing issues.
ADVANTAGES OF PRESERVATION RHINOPLASTY
- Natural Results: By conserving the native structures, the results often appear more natural and less “surgical.”
- Reduced Swelling: Preservation techniques may lead to less trauma, which can result in reduced post-operative swelling.
- Quicker Recovery: Some patients may experience a quicker recovery compared to traditional methods.