Blog

This is Dr. Nakao from Nakao Plastic Surgery.

Today's case is rhinoplasty.

The patient is a woman visiting from France.

She has an oblique nose with a deviated septum and a hump.

Many Western patients with a hump nose, experience both cosmetic and functional concerns.

Our clinic frequently perform "functional rhinoplasty", working on both cosmetic aspect of correcting the oblique nose and simultaneously correcting the functional aspect of nasal obstruction.

We also perform many reconstructive surgeries for severe nose deviation and septal deviations. This allows us to address not only the septal cartilage but also the underlying causes of nasal obstruction deep within the nose, such as the perpendicular plate in the ethmoid bone and the vomer bone.

 

This case was performed by "preservation rhinoplasty".

This surgery method lowers the humped nose by removing the nasal septum inside without cutting out the hump.

This is done in conjunction with osteotomy to lower the nasal dorsum.

The nasal septum was dislocated and deformed, so it was repaired by adjusting the length of the nose to the anterior nasal spine in the center of the nose by dislocation reduction.

The tip of the nose had a strong bending in the medial crus of the greater alar cartilage and this was also reconstructed.

The nose has an external nasal valve, an internal nasal valve and a physiologically narrow area that is necessary for breathing.

It is important to form these valves according to the patient's needs.

 

In Japan, external septorhinoplasty is becoming a major procedure, but it is often performed jointly by otolaryngology and plastic surgery.

We believe it is better to have a surgeon who can perform septorhinoplasty from the nasal septum to the tip of the nose in one surgery.