Rhinoplasty is a nose reshaping surgery, which helps to adjust the shape of nose and its angle in relation to the upper lip;alter the nose tip;and correct indentations, bumps, and other imperfections, which tends to interfere in the breathing process. Rhinoplasty is quite prevalent in Indian as well as in western countries. However, the treatment techniques in India are different from that of western countries.
In India, Rhinoplasty surgeons strengthen and preserve the cartilage, whereas, in western regions, they remove the cartilage from skin. It is because, firstly, Indians have thick skin and thin cartilage. On the contrary, Westerns have thin skin and thick cartilage. Secondly, in Western people, the dome or tip of nose is divided into two. This is quite uncommon among Indians.
There are two main types of tissues, which provide support to the nose: bone and cartilage. The terms “strong cartilage” or “weak cartilage” are just phrases which are used to describe the quality of cartilages of patients. Weak cartilage means that the cartilage is thin, or has an improper angle or orientation, or has suffered a damage (by previous Rhinoplasty). If patients have weak cartilages, it must be treated with different techniques to get the suitable amount of nasal support and produce the desired cosmetic result.
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Through Rhinoplasty, all such complications need to be permanently healed. At the same time, potential problems, and the need for another surgery, must be avoided. In the Rhinoplasty surgery, two common methods: Suture Techniques and Cartilage Grafts are implemented for providing the required strength and support to the nose. Cartilage grafts like columellar strut are taken from the nasal septum, and place just below the cartilage tip. It helps to increase the height, support, and projection of the nasal tip. Cartilage grafts, when properly done, and if combined with suture techniques, results in appropriate size and aesthetically pleasing nose.
In order to have the desired shape and structure of nose, surgeons add cartilage or re-arrange the existing cartilage. Often, they re-sculpt, reposition, are-orient, and enlarge the present cartilage to enhance strength and simultaneously, form an aesthetic shape. Under any circumstances, patients cannot aesthetically shape their nose, without maintaining or improving its strength.
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