Rhinoplasty, or nose reshaping, is usually performed to improve the appearance of the nose but may be performed to improve breathing. Septal surgery corrects crookedness of the nasal septum, the dividing wall between the left and right sides of the nasal interior. Surgery of the external nose can be done with internal nasal incisions, or sometimes with similar internal incisions connected to an incision on the columella, the tissue below the nasal tip. This “external” approach allows for an unparalleled opportunity to diagnose and treat the problems of the nasal tip, and the scar fades rapidly in a few weeks.
Regardless of the incisions, the tip can be made narrower or more refined, can be turned upward or downward or displaced forward or backward, depending on the individual needs of the patient. The tip is made of small cartilages, the lower lateral cartilages. These can be modified by removing portions, augmenting them (with cartilage from the septum, for example) or by sewing them in precise ways with sutures.
The nasal bridge can be narrowed, straightened or widened as needed. The nasal profile can be raised or lowered, as appropriate. The exact techniques used during a particular nasal operation depend on the individual needs for the patient. No two surgeries are alike, as each nasal operation is tailored to the specific needs of the patient. Nasal surgery demands careful analysis, a thorough understanding of the anatomy and physiology of the nose and an artistic understanding of the interrelation of the nose with the rest of the face.
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