Rhinoplasty involves surgical changes
to the nasal skeleton to improve function and form.
It is a complex operation that requires a thorough
knowledge of the variability in anatomy, facial harmony,
healing and changes in tissue over time.
Although this operation is done by many surgeons in
varying specialties frequently it is difficult to
get consistent results.
My philosophy involves open repositioning and stabilizing
of existing structures as opposed to an excisional
closed technique. Nearly all of my rhinoplasty surgeries
involve a technique known as open or external rhinoplasty.
This allows better diagnosis of the deformity and
gives me a better idea of the tissue I leave behind
and how it might change over time.
The most common functional complaint
I see is obstruction of the nose. There are various
techniques from simple airway widening procedures
such as septoplasty and turbinoplasty to more intricate
nasal valve surgery.
Common cosmetic complaints are a
dorsal nasal hump or a broad or poorly defined nasal
tip. I often perform reconstructive surgery for trauma
to the nose done under ACC elective contract. Revision
rhinoplasty is also performed where the results of
previous surgery elsewhere has not adequately dealt
with the problem, this is the most difficult of rhinoplasty
surgeries.
|
