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History
Rhinoplasty was first developed by Sushruta, an important physician (often
regarded as the "father of surgery") who lived in ancient India circa 500 BC,
which he first described in his text Susrutha Samhita. He and his later students
and disciples used rhinoplasty to reconstruct noses that were amputated as a
punishment for crimes. The techniques of forehead flap rhinoplasty he developed
are practiced almost unchanged to this day. This knowledge of plastic surgery
existed in India up to the late 18th century as can be seen from the reports
published in Gentleman's Magazine (October 1794). [1][2]
The first intranasal rhinoplasty in the West was performed by John Orlando Roe
in 1887. It was later used for cosmetic purposes by Jacques Joseph (b. Jakob
Lewin Joseph) in 1898 to help those who felt that the shape or size of their
nose caused them embarrassment and social discomfort. His first rhinoplasty
patient was a young man whose large nose caused him such embarrassment that he
felt unable to appear in public. He approached Joseph because he had heard of a
previous successful otoplasty, or "ear job," which the surgeon had performed.
How rhinoplasty is performed
It can be performed under a general anesthetic or with local anesthetic,
depending on patient or doctor preference. Incisions are made inside the
nostrils. Sometimes, tiny, inconspicuous incisions are also made on the
columella, the bit of skin that separates the nostrils. The surgeon first
separates soft tissues of the nose from the underlying structures, then reshapes
the cartilage and bone causing the perceived deformity.
In some cases, the surgeon may shape a small piece of the patient's own
cartilage or bone to strengthen or increase the structure of the nose. Sometimes
this is done for cosmetic reasons (to improve the shape of the nasal tip, for
example) or it may be done to improve breathing and function of the nose.
In rarer cases, a synthetic implant may be used to reconstruct the nose if the
normal structure of bone and cartilage is badly damaged or weakened. Alloplastic
synthetic materials are often associated with long-term complications such as
migration and extrusion. Alternatively, cartilage from the septum, ear or rib
may be used.
To improve nasal breathing function, a septoplasty may be performed, with or
without cosmetic changes. The cartilage that is removed may be used as a graft
to improve the appearance and structure of the nose.
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Cosmetic Surgery,
P.A.
3109 Stirling
Road, Suite 100
Fort Lauderdale, FL 33312
Tel: 954.981.FACE |
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