Nose Surgery

WEBVTT 00:00:05.640 --> 00:00:13.500 The rhinoplasty is a modification of the structural frame of the nose, 00:00:13.525 --> 00:00:20.900 giving a much better definition and shape in the nose, against septumplasty. 00:00:20.925 --> 00:00:28.380 Septumplasty is the modification of the inner structures that can improve the 00:00:28.405 --> 00:00:31.700 function of the nose. 00:00:31.725 --> 00:00:35.840 There are those 2 different things, but we can combine them to give 00:00:35.865 --> 00:00:37.600 a much better result. 00:00:37.920 --> 00:00:41.940 The difference in open and closed rhinoplasty is 00:00:41.965 --> 00:00:47.420 only an external cut here in the lower part of the nose that is 00:00:47.445 --> 00:00:54.800 called columella that allows us to see all the internal structures. 00:00:55.280 --> 00:01:02.900 By doing that, we can see if they are symmetric, and we can put modification. 00:01:02.925 --> 00:01:06.200 We can make modification of the same structures, 00:01:06.640 --> 00:01:12.620 instead of putting in front of the structures a graft that 00:01:12.645 --> 00:01:16.640 makes not a natural nose. 00:01:16.880 --> 00:01:23.320 That's why I prefer to do an open rhinoplasty than a closed one. 00:01:23.400 --> 00:01:26.760 Another thing with the closed rhinoplasty, statistically, 00:01:26.840 --> 00:01:34.340 there's more re-interventions in a closed rhinoplasty because there 00:01:34.365 --> 00:01:44.320 are more factors that we cannot control that later, it can lead to unacceptable 00:01:46.720 --> 00:01:51.420 results that the patient needs to go again to a surgery. 00:01:51.445 --> 00:01:54.420 The rhinoplasty takes around two hours. 00:01:54.445 --> 00:02:02.540 The rhinoplasty can be done under general anesthesia or under local sedation. 00:02:02.565 --> 00:02:06.740 I prefer always to do it under general anesthesia. 00:02:06.765 --> 00:02:14.580 After the surgery, we put special gauzes or splinters to avoid 00:02:14.605 --> 00:02:23.340 bleeding after the surgery and to help the patient to breathe after the surgery. 00:02:23.365 --> 00:02:29.220 Also, if we do some modifications in the bone frame, we put splinter in 00:02:29.245 --> 00:02:32.610 the upper part of the nose. 00:02:32.640 --> 00:02:38.240 I remove them after one week, depending on each patient, but in average, one week.