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Sunday, April 15th 2012, 7:52am

Rhinoplasty Costa Rica

Rhinoplasty Costa Rica - Overview

Rhinoplasty, also known as a nose job, is a plastic surgery procedure for correcting and reconstructing the form of the nose, restoring the functions and aesthetically enhancing the nose by resolving nasal trauma, impediment, and a failed primary rhinoplasty. In the surgeries — closed rhinoplasty and open rhinoplasty — an otolaryngologist, a maxillofacial surgeon or a plastic surgeon creates a functional, aesthetic and facially proportionate nose by separating the nasal skin and the soft tissues from the nasal framework, correcting them as required for form and function, suturing the incisions and applying a stent to immobilize the corrected nose to ensure the proper healing of the surgical cuts.

Rhinoplasty (reconstructive nose surgery) was first developed in ancient India by the Ayurvedic physician Sushruta (ca. 800 BC), who described reconstruction of the nose in the Sushruta samhita (ca. 500 BC), his medico–surgical compendium.

Rhinoplasty Costa Rica - Open rhinoplasty and closed rhinoplasty

The plastic surgical correction of congenital and acquired abnormalities of the nose restores functional and aesthetic properties by the surgeon’s manipulations of the nasal skin, the subcutaneous (underlying) cartilage-and-bone support framework, and the mucous membrane lining. Technically, the plastic surgeon’s incisional approach classifies the nasal surgery either as an open rhinoplasty or as a closed rhinoplasty procedure.

  • In open rhinoplasty, the surgeon makes a small, irregular incision to the columella, the fleshy, exterior-end of the nasal septum; this columellar incision is additional to the usual set of incisions for a nasal correction.
  • In closed rhinoplasty, the surgeon performs every procedural incision endonasally and does not cut the columella.

Rhinoplasty Costa Rica - Procedural differences

Except for the columellar incision, the technical and procedural approaches of open rhinoplasty and of closed rhinoplasty are similar; yet closed rhinoplasty procedure features:
▪ Reduced dissection (cutting) of the nasal tissues — no columellar incision
▪ Decreased potential for the excessive reduction (cutting) of the nasal-tip support
▪ Reduced post-operative edema
▪ Decreased visible scarring
▪ Decreased iatrogenic (inadvertent) damage to the nose, by the surgeon
▪ Increased availability for effecting in situ procedural and technical changes
▪ Palpation that allows the surgeon to feel the interior changes effected to the nose
▪ Shorter operating room time
▪ Quicker post-surgical recovery and convalescence for the patient

Rhinoplasty Costa Rica - Pre-OP

To determine the patient’s suitability for undergoing a rhinoplasty procedure, the surgeon clinically evaluates him or her with a complete medical history (anamnesis) to determine his/her physical and psychological health.

A rhinoplastic correction can be performed on a patient who is under sedation, under general or under local anaesthesia.

Rhinoplasty Costa Rica - Surgical procedure

Generally, the plastic surgeon first separates the nasal skin and the soft tissues from the osseo-cartilagenous nasal framework, and then corrects (reshapes) them as required, afterwards, sutures the incisions, and then applies either an external or an internal stent and tape to immobilize the newly reconstructed nose and so facilitate the healing of the surgical cuts.

The autologous grafts usually are harvested from the nasal septum, but, if it has insufficient cartilage (as can occur in a revision rhinoplasty), then either a costal cartilage graft from the rib cage or an auricular cartilage graft (concha from the ear) is harvested from the patient’s body. When the rhinoplasty requires a bone graft, it is harvested from either the cranium, the hips, or the rib cage; moreover, when neither type of autologous graft is available, a synthetic graft (nasal implant) is used to augment the nasal bridge.

Rhinoplasty Costa Rica - Types of rhinoplasty

In plastic surgical praxis, the term primary rhinoplasty denotes an initial (first-time) reconstructive, functional, or aesthetic corrective procedure. The term secondary rhinoplasty denotes the revision of a failed rhinoplasty, an occurrence in 5–20 per cent of rhinoplasty operations, hence a revision rhinoplasty. The corrections usual to secondary rhinoplasty include the cosmetic reshaping of the nose because of an unaddressed nasal fracture; a defective tip of the nose, i.e. pinched (too narrow), hooked (parrot beak), or flattened (pug nose); and the restoration of clear airways. Although most revision rhinoplasty procedures are “open approach”, such a correction is more technically complicated, usually because the nasal support structures either were deformed or destroyed in the primary rhinoplasty; thus the surgeon must re-create the nasal support with cartilage grafts harvested either from the ear (auricular cartilage graft) or from the rib cage (costal cartilage graft).

Rhinoplasty Costa Rica - Post–surgical recovery

The rhinoplasty patient returns home after surgery, to rest and allow the nasal cartilage and bone tissues to heal the effects of having been forcefully cut. Assisted with prescribed medications — antibiotics, analgesics, steroids — to alleviate pain and aid wound healing, the patient convalesces for about one week and can move outdoors. Post-operatively, external sutures are removed at approx. 4–5 days; the external cast is removed at 1-week; the stents are removed within 4–14 days; and the “panda eyes” heal at 2-weeks.

Rhinoplasty Costa Rica - The cost

Depends of the nose job done by the plastic surgeon, a rhinoplasty in Costa Rica is approx. in $1,600 surgeon's fees plus hospitalisation etc. - a total approx. $3,500.

Kelly.r has attached the following images:
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After all is said and done, more is said than done.


Saturday, September 15th 2012, 9:10am

Hi Kelly,

really good explained. ;)

28 guests thanked already.
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