Rhinoplasty - Definition, Indications, Contraindications & Principles

👃 Rhinoplasty - Definition, Indications, Contraindications & Principles

This post covers:

• Definition of rhinoplasty
• Indications of rhinoplasty
• Contraindications of rhinoplasty
• Principles of rhinoplasty

📝 Definition of Rhinoplasty

Rhinoplasty is a surgical procedure performed to alter the shape, size, contour or function of the nose, mostly for cosmetic improvement.

⭐ Commonly known as a nose job.

What is Septorhinoplasty?

✅ Indications of Rhinoplasty

Indications are classified into four types:

1️⃣ Cosmetic (Aesthetic) indications - To improve the aesthetic appearance of the face

What are some examples of Cosmetic (Aesthetic) indications of Rhinoplasty?

2️⃣ Functional indications - To improve nasal breathing

Examples

• External nasal deformity causing nasal obstruction
• Deviated nasal septum (DNS) with external nasal deformity

3️⃣ Reconstructive indications - To restore the normal anatomy of the nose

What are some examples of Reconstructive indications of Rhinoplasty?

4️⃣ Revision surgery

Examples

• Unsatisfactory result of a previous rhinoplasty
• Persistent deformity or obstruction after an earlier surgery

What does the pre operative assessment for rhinoplasty include?

❌ Contraindications of Rhinoplasty

Absolute Contraindications

1- Uncontrolled Systemic Illness

2- Acute Respiratory Infection

⭐ As rhinoplasty is an elective surgery, the infection should be controlled before surgery.

3- Untreated Psychiatric Illness or Body Dysmorphic Disorder

⭐ A psychological assessment is required before taking such patients up for surgery.

4- Active Pustule or Infection in the Operative Area

⭐ Surgery is deferred until the condition resolves completely.

Relative Contraindications

1- Very Young Patient

What age group should you not operate on for Rhinoplasty?

2- Acne, Thick and Oily Nasal Skin

3- Bleeding Diathesis

Any history of abnormal bleeding must be investigated and treated before surgery.

4- Diabetes or Poor Wound Healing

Affects the outcome of surgery.

5- Psychological Contraindications

What are the Psychological Contraindications for Rhinoplasty?

📋 Principles of Rhinoplasty

1- Be Conservative in Resection

2- Correct What is Unpleasing, Preserve What is Pleasing

3- Know Where to Stop at Each Surgical Step

4- Never Promise Miraculous Results

5- Beware of the Psychotic Patient

Elaborate on the Principles of Rhinoplasty.

⭐ Exam Pearls

• Rhinoplasty is commonly known as a nose job
• Indications are classified as cosmetic, functional, reconstructive and revision
• Cosmetic indication → To improve the aesthetic appearance of the face
• Functional indication → To improve nasal breathing
• Reconstructive indication → To restore the normal anatomy of the nose
• Saddle nose deformity → Depression of the nasal dorsum
• Untreated body dysmorphic disorder is an absolute contraindication
• Rhinoplasty in the very young is deferred until nasal growth is complete

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