ARtiCLe | RHINOPLASTY |
Figure 2 Tip correction via alar cartilage resection
operating time allows a significant number of cases to be seen, and to actualise an intervention within 30 minutes.
Indications The mini-rhinoplasty procedure is indicated in patients who need reduction rhinoplasty, or have minor deformities, particularly in those with nasal hump or hyper-projected noses, with no deviation. The nasal tip should be normal or only slightly drooping.
Technique The surgical steps of this procedure are outlined in Figures 1–4: ■ Incisions using the endonasal transcartilaginous approach ■ Tip correction via alar cartilage resection ■ Septum shortening and hump resection ■ Lateral osteotomy ■ Fracture ■ Nasal base adjustment and suture.
Figure 3 Septum shortening and hump resection
Results The surgical technique of the mini-rhinoplasty is safe and reproducible; aesthetic outcomes are excellent (Figure 5 — overleaf). This technique is also indicated in older patients who require facial rejuvenation. Indeed, this surgical technique is a minimally-invasive
procedure with minimal to zero complications in the postoperative period. The postoperative management of patients undergoing this procedure is of paramount importance to maintain the results.
The medical rhinoplasty The non-surgical treatment of the nose, or medical rhinoplasty, has become one of the prime procedures in the aesthetic treatment of the face5
. The absence of
important mechanical constraints associated with the stability of the support of the nasal pyramid (cartilage and bone) provide a particularly favourable ‘bed’ for fillers in this area. The duration of filling is more important here than on
any other area of the face because of the immobility of the nasal zone and the solid supports (bone and cartilages). Initially reserved for the correction of surgical
imperfections post-surgery, the indications of treatment are very wide today, including: ■ All camouflage procedures ■ In older people (general anaesthetic not possible) ■ In minimal abnormalities ■ When the patient wants to try the procedure before undergoing ‘classic’ surgery (like ‘medical morphing’). In many cases, in the first instance it is possible to offer
treatment of poor cosmetic procedures in the nasal area, either associated or otherwise with botulinum toxin injections in the event of hyperactivity of the muscles (i.e. depressor septi nasi muscle). Furthermore, these combinations of treatment can
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serve as true medical ‘morphing’ for patients who will then take the plunge and undergo more invasive surgery. However, it should be remembered that these techniques
September 2011 |
prime-journal.com
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