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Rhinoplasty

Rhinoplasty is a common surgical procedure that aims to modify the appearance of the nose. Numerous literature is available in the internet and more often that not, patients come to see their plastic surgeons knowing more than usual. I firmly believe that there are numerous ways to achieve an aesthetic goal. Whats more important in this day and age is safety and proper informed consent.


The best way to do rhinoplasty is the surgical way. Non surgical approaches are often temporary and can can make a future surgical rhinoplasty difficult. Aside from that, non-FDA approved injectables can lead to unwanted complications that can result to permanent deformities. Surgical rhinoplasty can be done by a closed or open approach, the choice of which depends on the surgeons expertise and comfort, and the aesthetic goals set by the patient.


When it comes to aesthetic goals, the usual goal for the filipino or south east asian nose is the dorsal augmentation or adding to the nasal bridge. This is easily achieved by placing an implant. Implant choices may be autologous cartilage, or synthetic silicone or Goretex. The FQL Clinic prefers the use of a soft-gel, liquid-molded silicone implant. It is a preformed implant that comes in different sizes which is matched according to the patient's features. It is also advisable to always put autologous cartilage as a shield between the skin and the implant to prevent any unwanted foreign body reaction. This cartilage is usually taken from the ear or from excess cartilage from the nose. All our rhinoplasties involve a shield cartilage graft.


Most of the time, alar and tip work are requested from the patient. Alar trimming is a surgical technique that involves partial removal of the alar skin to reduce the alar thickness. This also elevates the ala to some extent, to correct alar overhang. A scar is inevitable in this area but usually heals after 2 weeks with a very fine, inconspicuous scar. Basal resection is also considered alar work and it involves repositioning the ala to make the nose look narrower. Tip-plasty is the surgical correction of the nasal tip. In south east asian noses, a boxy or bulbous tip is common. This is brought about by either excessive subcutaneous fat under the nasal tip skin, or a thick lower lateral cartilage. Both can be modified or corrected through an open rhinoplasty approach.


The most important part of a rhinoplasty is the preservation of the function. A rhinoplasty should never compromise the breathing of the patient. Botched surgeries are usually the result of over resection of alar tissue and also the improper fitment of the implant. Fully trained plastic surgeons know the limits are less likely to encounter problems. If you are considering to have a rhinoplasty, consult with a fully trained PAPRAS Plastic Surgeon, ask all of the questions you want on your first consultation. Don't be afraid to consult multiple plastic surgeons if needed.


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