Run a plus d is an operation to change the shape of the nose. It can be functional which will be to improve the breathing through the nose because some patients have narrow nostrils or collapsing nostrils. It can be cosmetic to make the nose look better. It is usually done in conjunction with an operation on the septum a septoplasty to straighten the septum because when I make the nose smaller on the outside, it’ll get smaller on the inside if you have a deviated septum that hasn’t been a Tended to a Twist in a nose internally can then become bothersome whereas it wasn’t before because the nasal overall nose was larger. And so usually the septum needs to be straightened.
If it’s not not perfectly straight at the same time as a rhinoplasty. I do most of my rhinoplasty is through an open rhinoplasty. That’s what the little zigzag cut under the nostril and folding the skin back. Sometimes I’ll just do it occasionally. I’ll do it. Just through the know.
Trolls but most times it’ll be done with an open rhinoplasty and that gives you much more control of getting the cartridges in place suturing them in place, which I can’t do with a closed rhinoplasty. I don’t have to cut out as much cartilage and it keeps the nose has much stronger and more stable and that way the nasal shape that you have at the end of the operation. Once it’s healed will be the nasal shape that stays with you forever rather than late sagging that can occur with some rhinoplasty. And some of the revision run a place with I have to do from other people’s rhinoplasties have collapsed over time. Any patient can come through rhinoplasty. Some patients could be older younger male female. Sometimes the problem is a nose. That’s a mother’s nose or their fathers knows that’s just too big or got a bump but they’re not happy with it.
Sometimes have had a previous nasal injury. That’s cause the bump to develop or the nose to be twisted. And and that could open that can be attended to at the time of unblocking the nose. One of the things that patients worry about with the rhinoplasties what happens if I get a bad result and with an open rhinoplasty with a technique that I use it’s a very controlled situation where each step I make a longer rhinoplasty is done in stages. And so that I Not likely to take off too much take off too much of a bump. I can keep control of what’s going on nowadays. We tend not to cut as much out of the nose.
So we keep the notes as strong. Obviously. Someone’s got a big bump. The only way to get rid of it is to cut it off and smooth it off, but it can be done in stages where it’s controlled and much less likely to have an overdone nose, which is one of the big problems that if I do revision rhinoplasty, it’s usually for the overdone nose and So patients used so I patient so you can have confidence that the nose will be stable and will suit your face because that’s the other thing that’s very important about who owned a plasti. We’re trying to make the nose pretty much invisible.
We don’t want I can give people beautiful noses, but not all nose is a beautiful and nose is it aren’t actually beautiful structures. What they really do is detract from people seeing you are your eyes or Face and that’s really where people’s attractiveness or beauty comes from and knows that’s too big or too small or got a bump or twisted or Worse still looks like it’s had a bad run a plasti two tracks from the view of people have of your nose the benefits of a rhinoplasty are that the nose should look better but it doesn’t change people’s lives changes. The nose makes you feel more comfortable with people look at your face.
You don’t feel that. Patients are still that friends are staring or other people are staring at your nose and seeing that the nose isn’t right give you the confidence that people can take photos of you and put on Facebook or you can take selfies all those selfies do tend to distort noses because they’re not taken from far enough away and so noses a few noses look good in a selfie. And so the benefit is being able to breathe better and have a nose that doesn’t stand out.