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Nose definition (rhinoplasty) is to change its shape, or size, or both. The nose is a a big feature of the face; so all operations to change the nose in any way or form must be looked at in detail keeping in mind what effect it has on other facial features in order to achieve facial perfection.
To understand what can be done surgically, it is a good idea to have an understanding of the basic anatomy of your nose. The bony part of the nose (the upper third, nearest to the forehead) is much like the sloping roof of a house, with two bony sides and a central vertical sheet called the septum (made up of bone and cartilage). The end tip of the nose is mostly cartilage. These parts of the nose exist in a complex arrangement which maintains the integrity of the structure and allows the nostrils to flare during the intake of breath without collapsing.
Surgical procedures are very varied. Internal nose surgery consists of making all incisions inside the nasal cavity. The open or external method uses a skin incision across the base of the nasal columella. Tthe surgeon does an external incision which allows to expose the bone and cartilage more fully and is most often used for more complex procedures. During surgery, the surgeon will separate the skin from the bone and cartilage support. The structure of the nose is then reshaped in the required form. The shape of the nose can be changed by removing bone, cartilage, or skin. The skin that is left is then placed over the new framework. If adding to the structure of the nose is required they would use donated bone, cartilage, or skin can come from the patient or from a synthetic source.
After the operation the surgeon will apply a splint to help the nose bones maintain their new shape.
Simple nose surgery can be performed in an outpatient surgery center or even in the surgeon's office. Most procedures take only around 1 or 2 hours and patients can go home right away.
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