Revision rhinoplasty is similar to primary rhinoplasty, and it can be performed as an "open" or "closed" procedure. In closed rhinoplasty, the surgical incisions are made inside the nose to eliminate the appearance of scarring. With open rhinoplasty, an additional incision is made across the columella. While this leaves a small scar, it gives the surgeon more access to the nasal tissue and bone. The goals of your rhinoplasty revision will dictate the type of surgery you receive.
During the consultation, Dr. Torgerson would evaluate whether the individual is a good candidate for this treatment. Patients could even use the VECTRA 3D imaging system to see a visual of their potential final results prior to the injectable filler being used. Patients could browse through before and after photos of previous non-surgical nose job patients and decide on a course of action.
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Open rhinoplasty gives the surgeon greater access to the cartilage and bone of the nose but it will leave some scar tissue. By creating an incision across the columella (the area of cartilage between the two nostrils) the doctor can lift the skin off the tip of the nose and shape the cartilage very precisely. When healed, the incision leaves a very small, almost negligible scar on the underside of the nose.
After the patient is sedated, the surgeon creates tiny incisions inside the nostrils or on the columella. Then he or she carefully lifts the skin to access the underlying bone and cartilage. The surgeon can then remove or graft tissues, as needed. Typically, a doctor uses conservative methods to minimize the impact to the surrounding tissues while still achieving the desired results. When the reshaping process is complete, the doctor lays the skin back down over the new contours of the nose and closes the incisions.
After being injected, patients are pleased to discover they can resume their normal activities immediately. The results are also visible right away, which gives instant gratification. Although there may be minor swelling due to the injections, the majority of this swelling will subside within the first 24 hours. Patients typically find the non-surgical nose job to be an easy, quick, and exciting process that results in an aesthetically beautiful and pleasing appearance.
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