How Nose Surgery is Performed - Open Rhinoplasty - Transcolumellar Incision Closure

http://www.rhinoplastyspecialist.com
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 careful execution of meticulous incision closure will result in a faint, barely perceptible scar, even in dark-skinned patients.

Closure of the transcolumellar incision is greatly facilitated by a properly executed incision with multiple alignment points. However, accurate and secure flap approximation is also fundamental to a satisfactory outcome. When vertical wound tension prevents gentle flap approximation, a midline subcutaneous suture of 6-0 Monocryl is often necessary to approximate the flap edges. This deep-layer closure shifts tension to the subcutaneous tissues and prevents gradual widening and inversion of the final scar. Surface alignment is then accomplished at each flap corner with a simple interrupted suture. Surface sutures are placed close to the wound edge at superficial depth to ensure precise edge alignment.

Attention to detail and meticulous technique are critical to satisfactory scar camouflage. Although tedious, these efforts are typically rewarded with the creation of a faint, inconspicuous surgical scar in virtually all rhinoplasty patients.

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 was closed in the subcutaneous layer with 5-0 PDS and the skin incision was closed with interrupted 6-0 Prolene and 5-0 fast gut in the columellar portion and interrupted 5-0 chromic for the marginal incisions.

Category:

Education

Tags:

• open
• rhinoplasty
• incision
• closure
• surgical
• scar
• patient
• beverly
• hills
• los
• angeles
• paul
• nassif
• dr.
• 90210
• nose
• job

[badgirlsclubhoe]

@TroyaE117 BUT VERY EXPENSIVE... I CALLED

[TroyaE117]

This surgeon is very skilled.

This is his speciality.

[coolcan81]

I did some pre-procedure research at plasticsurgerymadeeasy (.) com

[JDelMeds]

jew nose?

[ukpkmkk]

takl about a boner killer

[adrianelust]

i want dr paul nassif to give me a nose job he is amazing

[NoShit12]

@kidchaorrobot 12 years old and already got comments on your nose ? jesus christe.

[Carotcake1999]

Too young to think about this kind of thing.

Spend your time with friends or reading is better! think about go to college !!

[EmpressBeauty]

lol

[kidchaorrobot]

right,right and you spell as bad as a 5 yr old bro so wtf you talking about....