Los Angeles Rhinoplasty in Beverly Hills - Revision Rhinoplasty
|
Cartilage Grafts If your nose lacks adequate cartilage to achieve a satisfactory outcome, a cartilage graft may be necessary. When cartilage in the bridge of your nose or in the tip of your nose needs to be built up, your surgeon will most commonly use cartilage from your own septum. Cartilage is also commonly taken from your own ear. In rare instances,cartilage may be harvested from a rib, or it may come from donor tissue. When taking cartilage from the septum, the surgeon removes a portion of your septum that doesn't affect the overall support of your nose. To take cartilage from your ear, the surgeon will make a well-hidden incision in the back of your ear, and remove a portion of the cartilage within. Removing cartilage from the ear may cause your ear to lie closer to your head, but will have no effect on your hearing. Taking cartilage from a rib requires an incision in the rib cage. The harvested cartilage is shaped and sutured strategically into your nose to achieve the desired result. When the cartilage comes from your own body, there's no risk of rejection. In the rare instance that the cartilage comes from donor tissue, there is some Soft-Tissue Grafts
When augmentation is required in a rhinoplasty procedure, a surgeon may use soft-tissue grafts in lieu of or in addition to cartilage grafts and alloplastic implants. When cartilage grafts are added, there's a possibility that these structures may eventually become visible under the skin, especially if you have thin to medium skin, or if you're having ethnic rhinoplasty or revision rhinoplasty, a follow-up procedure to refine a previous nose surgery. Revision rhinoplasty can cause the skin to thin and to contract more tightly around the underlying structures, creating a "shrink wrap" effect that can make the underlying cartilage grafts visible. By covering the cartilage grafts with soft tissue, a surgeon can often Soft-tissue can be harvested from the nasal tip or from the deep temporalis fascia, which cover the mastication (chewing) muscles on the side of the skull. When deep temporalis fascia is used, the incisions are hidden within the hairline. Alloplastic Implants In some instances, alloplastic implants may be used in addition to or in place of cartilage grafts and soft-tissue grafts. For instance, if you would prefer not to use your own cartilage or soft tissue, your surgeon may use an alloplastic implant instead. These implants are pliable and easy to mold to the desired shape. However, the implants have been Reshaping the Nostrils
Reshaping the Septum The septum, the dividing wall between the two sides of your nose, is commonly reshaped during rhinoplasty. For instance, if you have a long nose, the surgeon may remove a portion of the septum near the base of your nose to shorten it. Correcting a Deviated Septum There are a number of ways to correct a crooked or deviated septum. Your surgeon may simply remove the portion of the septum that is crooked and blocking the airway. If that isn't the best option, your surgeon may make small cuts or fractures in the septum and realign it to make it straighter. When this procedure is performed alone without any cosmetic reshaping of the nose, it's called septoplasty. Other Functional Improvements If necessary, your surgeon may make additional functional improvements to other tissues within the nose. These improvements are made using a variety of surgical techniques.
|
During your rhinoplasty procedure, your surgeon can change the shape or size of your nostrils. If your nostrils are too large or too wide, your surgeon can remove a wedge of tissue where your nostrils join your face. This technique, in which small incisions are made in the natural creases where the nose joins the face, is known as a Weir excision.|
| ||
 |
||
