How Ethnic Rhinoplasty is Performed - Open Rhinoplasty - Exposing the Nasal Anatomy

http://www.rhinoplastyspecialist.com, 310.275.2467
Enter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.

In this video you'll discover how the nasal skin is lifted off of the tip of the nose during an Open Rhinoplasty and learn why it is an important part of an overall rhinoplasty plastic surgery procedure.

Rhinoplasty is one of the most common procedures plastic surgeons perform and also one of the most difficult as the surgeon performs it mainly by feel. Rhinoplasty may be performed in order to increase the patient's ability to breath, improve the nose by reducing or reshaping it and/or, straightening an injured nose.

In an "open" rhinoplasty, a small incision is made in the columella, which is the little column of skin that separates the two nostrils. That incision allows the nasal skin to be lifted off of the tip of the nose.

The open technique has huge advantages over the closed technique. The main advantage is that it is much easier for the surgeon to see and work on the nasal tip cartilages in their natural positions. With the skin lifted up, it's easier for the surgeon to see what needs to be done, and to accomplish those tasks. The little scar across the columella heals superbly.

Watch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at...
http://www.youtube.com/watch?v=QobQdRapPfs

Dr. Nassif's practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.
http://www.spaldingplasticsurgery.com

OPERATIVE TECHNIQUE:
The columellar incision was marked with a surgical marker. The nose was infiltrated with a total of 17 cc of 1% lidocaine with 1:100,000 Epinephrine. Using a 15 blade, bilateral marginal incisions connected to a transcolumellar broken line incision were made and the soft tissue (3+ mucoperichondrium) was then elevated off the lower lateral cartilages and nasal dorsum and saved.

African American Nasal Anatomy
Skin: Thick, Abundant Fibrofatty tissue
Radix: Deep, Inferiorly-Set & Low
Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flat
Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definition
Base: Wide, Thick, Horizontal & Flaring Nostrils
Nasolabial Junction: Retracted, Acute Nasolabial Angle
Maxilla: Usually Retrusive & Hypoplastic

Hispanic Nasal Anatomy
Skin: Thick, Abundant Sebaceous Glands
Radix: Low to Normal
Nasal Bridge: Wide
Dorsum: Convex (Nasal Hump)
Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definition
Columella: Short to Normal
Base: Wide, Thick, Horizontal & Flaring Nostrils
Nasolabial Junction: Retracted & Acute Nasolabial Angle
Maxilla: Within Normal Limits

Asian Nasal Anatomy
Skin: Heavy, Thick & Sebaceous
Radix: Deep & Flat
Nasal Bridge & Dorsum: Low, Wide & Flat
Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition
Columella: Short, Minimal Show (Retracted)
Base: Wide, Thick, Oblique & Flaring Nostrils
Maxilla: Usually Retrusive

http://www.rhinoplastyspecialist.com, 310.275.2467

Category:

Education

Tags:

• open
• rhinoplasty
• nose
• surgery
• facial
• plastic
• reconstructive
• surgeon
• ethnic
• revision
• nasal
• operation
• operating
• room
• health
• educational
• job

[osornio01]

In your personal experience. What do you do at first in Rhinoseptoplasty??? nasal tip, septum or osteotomie?

thanks

[drpaulnassif]

@osornio01 Thank you for the question. I would do the septum first, then tip work, and perform the osteotomies last. I hope this helps answer your question.

Dr. Nassif

[MeleeTheDog]

I think these type of procedures are awsome! :) How much would one of these Rhinoplasty procedures cost if it was to be removing the Dorsal Hump, then followed by an Osteotomy?

[drpaulnassif]

Prices vary greatly depending on location and your exact needs. For a specialist, you can expect to be in the 7500 to 10k range.

--Moderator

[MegaScreamo4life]

but doesn't the blood run1\2 her brain or somthing

[MyNoseJobStory]

this is incredible

[VanillaBubbliez]

This girls nose is perfect, mine is like way way way more uglier, and im 12!