Great
advances have been made in the area of nasal
surgery. The so-called "nosejob" of the fifties and
sixties has given way to a more anatomical
approach. The present approach respects the anatomy
of the nose, the facial configuration and the needs
of the patient. Frequently, an open approach is
used and a suturing technique is employed to reshape
the nose. This is called a vector rhinoplasty. The
old rhinoplasty often removed tissue excessively,
which at times left a non-descript, bulbous and
unflattering nose. Modern rhinoplasty redirects
tissue to those areas where it better serves the
patient. This results in a structurally strong, but
more refined nose. Critical to this approach is the
use of sutures, which shape and mold the tip,
position the ip, and control the angle of the tip.
The use of unseen grafts harvested from the septal
cartilage further bolsters, strengthens and supports
the nose and gives contour and definition to it.
Modern
rhinoplasty permits reshaping of the involved area
while not violating their integrity. It also has
the advantage of being reversible to a degree
because the sutures can be removed. the nasal
operation can be performed on an outpatient basis.
Patients should avoid aerobic activities for a
period of 10 days and contact sports for a period of
three to four weeks. There is frequently bruising
of the eyes and bleeding on the night of the
surgery. Side effects and recovery are fully
explained to the patient. Most patients look good
within several weeks. However, changes are not
complete for at least a year to a year and a half.
Dr.
Lawrence Reed has a special interest in correcting
severe deformities of the nose that can occur after
injury or as a result of prior nasal surgery. Dr.
Reed brings years of experience in correcting these
unique and difficult problems
