Rhinoplasty (Greek: Rhinos, "Nose" + Plastikos, "to shape") is a cosmetic surgical procedure erformed by an oral and maxillofacial surgeon, plastic surgeon, or ENT surgeon, in order to improve the function (reconstructive surgery) and/or the appearance (cosmetic surgery) of a person's nose. Rhinoplasty is also commonly called a "nose job". Rhinoplasty can be performed to meet aesthetic goals or for reconstructive purposes to correct birth defects or breathing problems. It can be combined with other surgical procedures such as chin augmentation to enhance the aesthetic results.
** How rhinoplasty is performed
It can be performed under a general anesthetic or with local anesthetic, depending on patient or doctor preference. Incisions are made inside the nostrils (closed rhinoplasty). Sometimes, tiny, inconspicuous incisions are also made on the columella, the bit of skin that separates the nostrils (open rhinoplasty). The surgeon first separates soft tissues of the nose from the underlying structures, then reshapes the cartilage and bone causing the deformity.
In some cases, the surgeon may shape a small piece of the patient's own cartilage or bone to strengthen or increase the structure of the nose. Sometimes this is done for cosmetic reasons (to improve the shape of the nasal tip, for example), or it may be done to improve breathing and function of the nose.
In rarer cases, a synthetic implant may be used to reconstruct the nose if the normal structure of bone and cartilage is badly damaged or weakened. Alloplastic synthetic materials are often associated with long-term complications such as migration and extrusion. Alternatively, cartilage from the septum, ear or rib may be used.
To improve nasal breathing function, a septoplasty may be performed, with or without cosmetic changes. The cartilage that is removed may be used as a graft to improve the appearance and structure of the nose.
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