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What is Rhinoplasty/Nasal Reconstruction (Nose Job)?

Rhinoplasty, is any procedure that changes the appearance of the nose. This is an operation that can be done in both adult and pediatric patients. Rhinoplasty is performed to address common complaints with the shape of the nose and even small changes can have large effects on the shape of the nose.

Causes

There are many reasons for patients to consider an evaluation for rhinoplasty. In pediatric patients, they can be due to a child being born with a congenital abnormality such as a clef lip. Complex pediatric rhinoplasty should be performed by plastic surgeon with additional pediatric training. Another common reason is an injury to the nose that causes the nose to bend to one side, resulting in breathing difficulties. Nasal reconstruction is required in patients that have had segments of their nose removed due to trauma or cancer. Patients can also be evaluated if they are unhappy with the appearance of their nose.

Testing and Diagnosis

Testing is not required in most cases. Diagnosis is made after discussion regarding the patients concerns and a thorough exam that takes into account the patients anatomy, age and ethnicity.

Treatment

Rhinoplasty includes changing the bone, cartilage and skin to shape the nose to meet the realistic expectations from the operation. Treatment can be done with an open or closed rhinoplasty. In both cases an incision is required in the nostrils, while in an open rhinoplasty, an incision is also made in the skin between the two nostrils. Incision type depends on the aims of the operation.

Based on the treatment goals, treatment of the bone structures around the nose and chin are also performed to improve the position of the nose in relation to the face. These procedures can be performed by a craniofacial plastic surgeon to provide comprehensive treatment.