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Rhinoplasty Operating Room Footage - Turbinate Reduction (Nose Job)

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Uploaded by on Dec 3, 2008

http://www.rhinoplastyspecialist.com
Enter the operating room with Rhinoplasty Specialist Dr. Paul Nassif, a world-renowned expert in revision & ethnic rhinoplasty, as he performs a Turbinate Reduction. His practice, Spalding Drive Cosmetic Surgery & Dermatology, is located in Beverly Hills, CA.

In anatomy, a nasal concha (or turbinate) is a long, narrow and curled bone shelf (shaped like an elongated sea-shell) which protrudes into the breathing passage of the nose. Turbinate bone refers to any of the scrolled spongy bones of the nasal passages in humans and other vertebrates. [1]

In humans, the turbinates divide the nasal airway into three groove-like air passages and are responsible for forcing inhaled air to flow in a steady, regular pattern around the largest possible surface of cilia and climate controlling tissue.

It can be performed under a general anesthetic or with local anesthetic. Incisions are made inside the nostrils (closed rhinoplasty). Sometimes, a tiny, inconspicuous incision is also made across the columella, the bit of skin that separates the nostrils (open rhinoplasty). The surgeon first separates soft tissues of the nose from the underlying structures, then reshapes the cartilage and bone. Most people remain at home for a week. If there are external sutures, they are usually removed 4 to 5 days after surgery. The external cast is removed at one week. If there are internal stents, they are usually removed at four days to two weeks. The periorbital bruising usually lasts two weeks. Due to wound healing, there are minor and subtle shifting and settling of the nose over the first year.

In some cases, the surgeon may shape a small piece of the patient's own cartilage or bone to strengthen or change the structure of the nose. Usually the cartilage is harvested from the septum although if there isn't enough which can often occur in revision rhinoplasty, cartilage can be taken from the concha of the ear or rarely the ribs. In the rare case, again usually revision rhinoplasty, where bone is required, it is harvested from the cranium or ribs. Sometimes a synthetic implant may be used to reconstruct the nose. This is most common when augmenting the bridge of Asian noses.

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Uploader Comments (drpaulnassif)

  • people careful with these ent doctors many times they will operate on the turbinates, and you can have devastating consequences. I suffer everyday since my surgery. People commit suicide because of the suffering. the ent profession as a whole views you as a commedity. I have talked to so many people who have had there lives destroyed by ent doctors. the ents dont take responsobility

  • It is very unfortunate that this happened and I am aware of what you are going through.

    I think it unfair and unwise to judge a surgeons skill or patient care based on where he practices or whether he has been on TV or not.

    For anyone considering rhinoplasty, get the opinions of 2 - 3 surgeons and thoroughly research each. Never base your decision on price, notoriety or personality. Stick to the facts, results, and ask the tough questions.

    -Moderator for Dr. Nassif

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All Comments (14)

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  • @420AshleyMarie420

    Hello,

    You would be put under general anesthesia for the procedure. Local anesthesia for this surgery is optional. Thank you, and I hope this helps.

    Dr. Nassif

  • @drpaulnassif hello, Im going into get my nose done, because its just givin me problems.. but umm, Do you get put under? or are you awake?

  • sory ale robi to jak rzeznik

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

  • He does teach at local colleges and gives lectures around the globe on this and various other procedures. Some rhinoplasty surgeries can upwards of 20 different procedures performed. Each of which can cause horrible results if performed by an inexperienced surgeon. I will speak to him about your comments. I believe he would be happy to write an article and discuss in more depth the risks involved with this procedure as well as discuss the alternative methods. --Moderator

  • it is unfair and unwise to judge a surgeons skill or patient care based on where he practises and if he is on tv. I am not doing that. there are safer methods then electrocautary, and maybe dr. nassif can expose the cover up in the ent industry. people are committing suicide over the extreme suffering. do you know how many people i have talked too who suffer everyday, and they have gone too tons of ents, and the ents try to minimize there suffering by saying oh you have some dryness.

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