Rhinoplasty: Can Plastic Surgeons Perform Nasal Bone Realignment? - Plastic Surgery

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Rhinoplasty, commonly known as a nose job, is a surgical procedure that can involve various techniques, including nasal bone realignment. Both plastic surgeons and otolaryngologists (ear, nose, and throat specialists) are qualified to perform rhinoplasty, including the realignment of nasal bones. The choice between a plastic surgeon and an ENT specialist often depends on the specific needs of the patient, the complexity of the case, and the surgeon's expertise.

Plastic surgeons typically focus on aesthetic improvements, which may include reshaping the nose to enhance facial harmony. They are trained in various techniques to modify the nasal structure, including the bones, cartilage, and soft tissues. If a patient has a deviated septum or other functional issues alongside aesthetic concerns, a plastic surgeon with experience in functional rhinoplasty can address both aspects.

On the other hand, otolaryngologists are specialists in the anatomy and function of the nose and sinuses. They often perform rhinoplasty to correct structural issues that affect breathing, such as a deviated septum or nasal obstruction. Their training includes a deep understanding of nasal anatomy, which can be advantageous when realigning nasal bones or addressing functional problems.

In terms of surgical techniques, nasal bone realignment may involve osteotomies, where the bone is cut and repositioned to achieve the desired shape and alignment. This procedure can be performed in conjunction with other techniques, such as cartilage grafting, to provide additional support and improve the overall aesthetic outcome.

Regarding the risks and complications associated with rhinoplasty, they can include infection, scarring, asymmetry, and changes in sensation. There is also a risk of complications specific to bone realignment, such as nonunion or malunion of the bone fragments, which can affect the final appearance and function of the nose. Therefore, it is crucial for patients to discuss their specific concerns and expectations with their surgeon during the consultation process.

In terms of materials used in rhinoplasty, there are various options available. Autologous grafts, which are taken from the patient's own body (such as cartilage from the ear or rib), are often considered the safest option as they minimize the risk of rejection and complications. Synthetic materials, such as silicone or Medpor, can also be used, but they carry a higher risk of complications, including infection and extrusion.

Ultimately, the decision on whether to undergo rhinoplasty and which type of surgeon to choose should be based on a thorough consultation, where the surgeon can assess the patient's individual needs, discuss the potential risks and benefits, and develop a personalized surgical plan. It is essential to choose a qualified and experienced surgeon, whether a plastic surgeon or an ENT specialist, to ensure the best possible outcome.