Rhinoplasty is an intricate surgical procedure. It is done essentially done to improve the form and function of the existing nasal anatomy. The skin, the underlying cartilage, bones, tissues and lining all can be altered to suit the patient’s need. Rhinoplasty is classified in two types depending on the type of the incision that is made by the surgeon: open rhinoplasty and closed rhinoplasty.
Open Rhinoplasty is one of the oldest surgery procedures for nose jobs. The history of open surgery procedure for Rhinoplasty dates back to the year 1921 by Rethi who first used open Rhinoplasty for nasal tip modification. Over the years open Rhinoplasty had its own ups and downs till the year 1970 when surgeons started advocating the open approach for surgery for the nose.
Rhinoplasty can be done for various reasons such as internal and external anatomy changes, change in aesthetic appearance, botched up previous rhinoplasty procedures, functional problems such as obstruction in airways, collapsed septum etc., and nasal anomalies rising from genetic heritage and ethnicity.
When considering a patient for open Rhinoplasty the surgeon will look at various things. These include
The first consideration for Rhinoplasty is the history of the patient. Apart from the medical history the surgeon will also enquire about the lifestyle of the patient and various aesthetic problems that they feel that they face. Also come under considerations the past symptoms, medications, allergies any kind of substance use etc. Not only this, the patient’s physiological profile is also kept in mind.
The surgeon will give the patient a complete physical examination. Facial and nasal analysis forms an important part of the same. The type of the skin, symmetry of the skin, balance of the facial feature etc. are noted and documented. A detailed physical examination of the internals and externals of the nose is done in order to evaluate the scope of open Rhinoplasty. Routine tests for anaesthesia will be done.