Difficult cleft rhinoplasty

Rhinoplasty is the surgery performed to modify the shape of the nose. It is one of the most frequently performed surgical procedures in the field of Plastic Surgery.

This type of Facial Surgery is used to reduce or increase the size of the nose, change the shape of the tip or the dorsum, narrow the nostrils or change the angle between the nose and the upper lip. It also allows the correction of trauma, congenital problems and some respiratory problems.

Facial rhinoplasty, the most frequent aesthetic operation

Rhinoplasty is a very frequent and difficult operation, so that any patient who wants to undergo rhinoplasty is always a great challenge for the plastic surgeon.

The technique used can be open or closed, depending on the type of nose. However, the open technique is usually used in cases of secondary or primary rhinoplasty with a very difficult tip. In any case, the scars disappear almost completely.

Specialists in performing rhinoplasties must offer the necessary guarantee to obtain good results. To offer this guarantee the specialist needs

  • Knowledge of the techniques
  • Experience
  • Artistic sense
  • Manual dexterity
  • Sensitivity
  • Perfectionism
  • Illusion

The expert must strive for perfection in order to achieve the best result, characterized by a natural nose, exclusively adapted to that face and fully accepted by the patient. It is very important to avoid artificial, orthopedic and surgical nose.

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Aspects to take into account before planning a rhinoplasty

When a patient wants to undergo rhinoplasty, it is important that the plastic surgeon takes into account a number of aspects before the intervention:

  • Patient selection: The selection of the patient is made taking into account a series of aspects such as the appropriate age, logical and reasonable pretensions, and the absence of important physical and psychic pathology. With regard to age, the appropriate age to undergo rhinoplasty is 16-17 years in men and from three years after the appearance of the first period in women.
  • Exhaustive information of everything related to the operation
  • Previous cardio-respiratory check-up and blood analysis.
  • Photographic study
  • Exploration
  • Treatment plan

Steps to be taken to prepare for rhinoplasty

A rhinoplasty involves a series of steps that must be strictly followed so that the results achieved are favorable for the patient. These steps are as follows:

  • Select the patient well
  • Correctly diagnose the defect in the face
  • Choose the appropriate rhinoplasty technique.
  • Select the appropriate type of anesthesia, which can be general or local anesthesia.
  • Perform the procedure with precision, thoroughness, perfectionism and sensitivity.
  • Do not neglect postoperative details, including ongoing psychological support.
  • Periodically review the patient for a year and as often as each case requires.

Although the plastic surgeon follows this strict procedure, he cannot promise a perfect result. However, a good plastic surgeon should guarantee a good result in more than 95% of the cases, in a single operation, although a touch-up does not mean a failure.

Technique for total resection of the alar cartilages and temporal fascia

Dr. Rodriguez-Camps, in his plastic and aesthetic surgery clinic in Valencia, has brought to rhinoplasty a new technique for extremely difficult nasal tip noses that has achieved worldwide recognition: total resection technique of the alar cartilages and temporal fascia.