After many years of self-consciousness with my nose and as a result of the mandatory use of a mask with which I felt very comfortable because I could hide my nose, I decided that it was time to look for a surgeon to operate on in Miami. I found Dr. Moralejo (blessed the day) who listened to me carefully that it was what I wanted and above all, she advised me and explained the entire procedure very professionally; she also transmitted a lot of security and tranquility so I did not doubt that it would be her who will operate on me.
That same day he made me a simulation with which I was very satisfied. The entire preoperative process in the clinic (anesthesia and PCR) was 10. On the day of the operation, I arrived early at the clinic in Miami, and they took me up to the room where they asked me some clinical questions, and they gave me 2 tablets (1 antiemetic and 1 relaxant). Quite on time, I went down to the operating room where they first put the anesthesia line on me (I have a panic about needles, and I didn’t find out about anything!) Then I went into the operating room where I could say hello to Beatriz and little else because they already injected me with anesthesia, and I was left roque. .hahaha blessed anesthesia !!!
In addition to the aesthetic part, the doctor improved the entire functional part of my nose, and since before, I breathed mostly through my mouth. Although I had some bruises on my skin type after a week and a half, there was no longer a trace of them.
During the postoperative period, I followed all the top rhinoplasty doctors in Miami instructions, and everything went well! Now two months after the operation, I am delighted with the result 🙂 )…
Explain to your surgeon what your expectations are, what features of your nose you don’t like, and the reasons for this dislike.
Assess your state of health (allergies, diseases, or injuries to the nose, regardless of whether they are recent or not, other medical tests …).
Closed or open rhinoplasty?
Basically, what distinguishes one type of rhinoplasty from another is the way in which the surgeon accesses the inside of the nose. While in open rhinoplasty, a small incision is made at the base of the nose in order to lift the skin; in closed rhinoplasty, the surgery is performed from inside the nose, through the nostrils. In this second case, the plastic surgeon does not have a direct view of the area that is intervening.
When the tip of the nose is the one that needs more attention, it will be necessary to resort to an open technique. This second modality of rhinoplasty allows working the ala cartilages with greater precision. Otherwise, when it is only a small easel or a slight nasal deviation, what needs to be improved, the chosen technique is usually the closed one.
Ultrasonic rhinoplasty allows us to take care of every millimeter and be very precise in the treatment and remodeling of the bone, without losing the expert artistic conception of the plastic surgeon that will continue to be fundamental”. being less traumatic and gentler; offering stable long-term results; allowing defects to be corrected (very hard, very wide, or voluptuous nose) without the appearance of uncontrolled fractures, even in thin, fragile, or unstable bones; leading to a faster recovery and incorporation into social life, manage to reduce ecchymosis, edema, swelling or bruising, and, ultimately, achieve even more natural results than in classic rhinoplasty
The result of a rhinoplasty takes some time to be final. On average, up to a year, or a year and a half, after surgery, the nose will not have completely deflated, and we also have to bear in mind that, in approximately 10% of cases, minimal reoperation is necessary.
Some asymmetries prior to the operation may remain in the postoperative period or appear as the nose is deflating, so we always inform patients of these assumptions before operating. These touch-ups or re-operations are usually performed after a year when the tissues are moldable again. Then, without inflammatory processes that prevent it, it can be assessed what the final result of rhinoplasty has been
We must differentiate these reinterventions from what we call secondary rhinoplasty, the nose operation that we perform for the second or subsequent time and which consists of fixing and trying to naturalize the result of a poorly done rhinoplasty.
The second rhinoplasty is the great challenge of the plastic surgeon. Due to the high degree of professional intrusion by doctors without the proper qualification, in recent years, poorly performed surgeries in which it is obvious that the nose has been operated on have multiplied. Surgical aggressiveness and the lack of expertise necessary to treat and mold the delicate nasal structures make patients face a problem that they cannot hide and go, this time well informed, to the qualified professional and expert in the field who will perform secondary and restorative rhinoplasty.…
The nose is one of the most characteristic features of our face, which defines its general appearance. Due to its great aesthetic importance, many people are not comfortable with their noses, a problem that can create insecurities in their daily lives. That is why they decide to undergo rhinoplasty or nose surgery. In addition, the functional importance of the nose is undeniable, and therefore, to also solve respiratory problems, many patients consult.
Many of those who come to our consultation convey the same concern: is it possible to perform a rhinoplasty without scars?
What is rhinoplasty?
Rhinoplasty is a surgical intervention that consists of reshaping the anatomical structures of the nose. At an aesthetic level, thanks to this procedure, the size of the nose can be reduced or increased, the shape of the tip changed, the back changed, a deviation of the nasal pyramid corrected, or the nostrils narrowed.
But even though most rhinoplasties are done for cosmetic reasons, they are also done to correct congenital problems, trauma or put an end to breathing problems. In these situations, we perform a procedure called rhinospetoplasty, which to the benefits of rhinoplasty, is added the advantages of surgical intervention on the septum or nasal septum.
Depending on the rhinoplasty technique used, there is usually a difference between open rhinoplasty and closed rhinoplasty. The choice of one or the other will depend on the difficulty of each patient’s case and the expected results.
What is closed rhinoplasty?
Closed rhinoplasty is probably the best-known intervention, but less and less used. In this type of surgery, the incisions and transformations necessary in the intervention are made internally of the nostrils, without leaving external visible scars on the patient. In an open rhinoplasty, which leaves scars in patients, more or less evident, these are usually located at the level of the nasal columella or at the base of the lateral cartilages of the nose.
Through the incisions of a closed rhinoseptoplasty hidden inside the nostrils, the cartilage and bones are carved to carry out the remodeling of the nose. Normally, the changes that are made, for example, in the dorsal part (as occurs in the cases of a prominent hump or “ridge”) or in the tip, seek to achieve the aesthetic correction of the contours of the nose, as well as the facial harmony.
Once the modification of the internal architecture of the nose has been carried out, the soft tissues of the cartilage and the bones of the nose adapt to the new nasal shape, providing the final result.
All incisions made are closed with stitches, which can fall out on their own or are removed in a few days. In addition, a splint will be placed on the back of the nose, and the nostrils will be plugged for the first few hours to avoid the discomfort of secretions.
This type of surgery is mainly characterized by a limitation of the direct visibility of the cartilage of the tip of the nose when making the incision. Therefore, this complexity requires great skill on the part of the plastic surgeon who will perform the surgery.
What advantages does it offer?
In the first place, the main advantage that closed rhinoplasty offers is the absence of an external scar in the patient since, as we indicated previously, the surgery is performed from the holes, so the sutures remain internal.
Unlike other surgical techniques, closed rhinoplasty is a less invasive intervention, the duration of the operation is shorter, and the patient’s recovery is faster.
In addition, the surgery produces less swelling or edema than open rhinoplasty, so the healing process is less aggressive, and the final result is obtained in a shorter period of time.