THIS HISTORY OF RHINOPLASTY SURGERY:
The operation of rhinoplasty is basically a taking apart of the components of the nose which are bone, cartilage and skin. By remodeling, reshaping or augmenting to the various basic components affect the appearance of the outside of the nose. There are two approaches to rhinoplasty. One is the external procedure in which a small incision is made on the end of the nose and the skin elevated up and the other is the closed procedure. Dr. Dedo is well versed in both of these procedures and depending upon the particular changes required at surgery will dictate what approach is necessary. Frequently when the “closed” procedure is agreed upon, Dr. Dedo will request permission to do the external incision if he is not totally satisfied with the outcome on the operating table.
RHINOPLASTY TODAY...
There is no surgical procedure that is more surgeon-dependent than that of rhinoplasty. There are a myriad of factors involved when planning a nasal surgery. If one starts on the outside of the nose and works inward, the first concern is the skin covering the cartilaginous and bony framework. Thick, oily skin tends to form thick scars and is much more difficult to manage than patients with thin skin. However, thin skin is less forgiving from the standpoint of showing any imperfections in the underlying bone or cartilage.
A rhinoplasty or “nose job” is simply altering the bony and cartilaginous framework to create a more appealing and attractive nose that fits each particular face. The surgical procedure itself is broken down into altering the cartilages of the tip area, lowering the cartilage of the septum and upper lateral cartilages and finally smoothing out irregular bone on the top of the nose and usually fracturing the nasal bone to narrow the nose.
The second part of a rhinoplasty is that which deals with the internal anatomy. This is the septum and turbinates are baffles in the nose that affect one’s ability to breathe through the nose. Probably 95% of the population has a deviated septum that is in reality not related to nose trauma or nasal fracture but simply is genetic in origin and develops at puberty. In order to open up the airway, this piece of bone and cartilage that sits in the middle of the nose needs to be reduced and/or smoothed out to achieve a straight anatomy on the inside of the nose thereby improving the airway. On the sides of the nose, the turbinates are “hotdog” shaped structures that become engorged with blood with change in position, temperature, humidity and in general air quality. Frequently, these need to be surgically reduced in size to open the airway.
Dr. Dedo has been doing nasal surgery for over 35 years. No two surgical procedures are alike and he prides himself on sculpting the nose to fit the particular face. The majority of patients want surgery that corrects minor imperfections in the profile while creating a nose that fits the face. A few patients desire a “operated” look that is obvious that they had surgery. For these, an “overdone” rhinoplasty can be done and agreed upon by the patent and Dr. Dedo.
