Cosmetic Surgery Rhinoplasty
Many people consider that cosmetic surgery is a relatively new concept, however, they would be quite wrong. Evidence of cosmetic rhinoplasty can be dated as early as 800 BCE in ancient Egypt. To trace the history of rhinoplasty, let us begin in India where Sushruta described a nasal reconstruction using a flap of skin from the forehead. By the 16th century, brachial based flaps were used to reconstruct noses.
In more modern times, rhinoplasty can be traced back to John Orlando Roe. Published in 1887, Roe's original article described the correction of a "pug nose." No, we are not talking about a pug dog, but a person with a similar shaped nose. Jacques Joseph is generally known as the father of modern rhinoplasty. Trained as an orthopedic surgeon, his 1898 Berlin presentations explained revolutionary rhinoplastic techniques, many of which are practically the same as those used today.
Rhinoplasties comprise a large percentage of plastic surgery and are certainly one of the most requested procedures today. As many as 50,000 are performed in any single year. A great many of these surgeries are purely elective, so the surgeon must use his best judgment in determining a patient's suitability for surgery. With the media hype, and the fact that many celebrities are so open about having had cosmetic surgery, care must be taken before agreeing to perform a cosmetic rhinoplasty.
Unfortunately, some patients want to have the procedure for the wrong reasons. They may be unstable or have unrealistic expectations about what the procedure can accomplish. Some patients are just a poor surgical risk and pre-op consultations and lab work will rule them out. People who have a history of multiple plastic surgeries may have an unrealistic body image and should not be considered. Anyone who has had a previous rhinoplasty in the last nine to twelve months are another cause for concern. Obviously, nasal cocaine users prose a substantial risk as complications are more likely.
Cosmetic surgery for rhinoplasty can correct any imbalance in the features of the nose. Lumps and bumps can be removed, the nose can be shortened or lengthened, and the tip can be sculpted into a more pleasing shape. There are many scales to determine the "perfect" face. Technique is important, but the surgeon's artistic eye plays a major factor.
These days, computer imaging allows a person to try out a new look before going into surgery. The surgeon will photograph and measure the patient's face and then make recommendations taking into consideration the wishes and desires of the individual. Take care to listen carefully to what the surgeon says as they do truly wish to please you and for you to look your best. After all, many patients will arrive at the surgeon's door because of a referral by a satisfied customer, or by viewing the surgeon's gallery of before and after photographs. If you are considering cosmetic rhinoplasty, find a a board certified plastic surgeon and go to your consultation with an open mind. Interview more than one surgeon if you need to, it's your face and your money and you need to be comfortable with the person who is going to give you a new look. Don't give up on cosmetic surgery - rhinoplasty is now a safe and well practiced procedure.
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