Rhinoplasty augmentation is usually not required in primary rhinoplasty but it is resorted to when reduction of the nose has been done too aggressively, to correct deviations and asymmetry in the nose, increase the height of the nose in order to create a balanced relation with the tip, to create a narrowed look of the nose without changing the airway, to correct deformities that may be congenital or due to injury and to provide an overall balanced and symmetrical look to the nose and face. Rhinoplasty augmentation basically means to increase the shape of the nose by using various types of material. Augmentation rhinoplasty is available in Honolulu, Hawaii, which is the popular choice of individuals looking to have cosmetic and plastic surgery done. Honolulu, Hawaii is the proud home to many world-class surgeons such as Dr. Michael Pasquale, who has done his residency in plastic surgery and also earned a 2-year training certificate in the sub-specialty of cosmetic surgery from NYU Downtown, Manhattan. Dr. Pasquale is also an osteopathic physician and surgeon (D.O.). At his clinic it is ensured that clients understand the various techniques and types of materials available for Rhinoplasty augmentation. Furthermore patients are made aware of the advantages and disadvantages of the different materials that may be used for Rhinoplasty augmentationand also the risk of complications associated with this plastic surgery.
Whether Rhinoplasty augmentation needs to be done for functional reasons or aesthetic ones the different types of material available for it include:
- Alloplasts or synthetic implants such as silicone, polytetrafluoroethylene and porous polyethylene. Some of the advantages of using these materials include easy availability, malleability, resistance to warping and resorption and no need to source the material from the patient. However an increased rate of infection is found when alloplast implants are used as compared to autologous implants.
- Homologous materials sourced from cadavers.
- Autologous implants that are obtained from the patient’s own body are found to have the lowest incidence of infection and are stable. They have an inherent ability to adapt to the relocation to the host bed. Autologous materials include cartilage (septal, auricular and rib) and bone (ossified bone), these are easy to harvest and graft and easy availability of material makes the Rhinoplasty augmentation simpler.
The exact procedure for the Rhinoplasty augmentation will be determined by the cause of the surgery and an assessment of the extent of surgery is made from a careful physical examination of the nasal area. The surgery is performed under anesthesia by a cosmetic or plastic surgeon. And it is recommended that you select a surgeon who has experience and expertise to carry out the procedure. After the surgery a splint is used to support the nose and to maintain the shape created by Rhinoplasty augmentation. Post-operative Care for Rhinoplasty augmentation Post-operative care for Rhinoplasty augmentation is similar to that for primary rhinoplasty. The nose and the neighboring area will remain swollen for a while and feel sore. Medication and cold compression can reduce the discomfort. The swelling will reduce after stitches are taken out in about 10-14 days. It is essential to keep the head elevated when lying down. While one can return to normal routine in 2 weeks precautions suggested by the surgeon must be adhered to.
- Authored by: Michael Pasquale