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  • Contrary to what some believe, plastic surgery  does not mean that plastic is involved.  

  • The term comes from a Greek word 'plastikē'  which means the art of modeling or sculpting.  

  • Plastic surgery is a catchall phrase indicating  both restorative and cosmetic/aesthetic surgeries

  • Surprisingly, plastic surgery has been around  for a long time. Researchers found instruction  

  • for the repair of a broken nose in an ancient  Egyptian medical text, used in the Old Kingdom  

  • between 3000 to 2500 BC. Ancient India  and the Romans also performed plastic  

  • surgeries including ear, lip and nose repair. The industry of modern plastic surgery grew  

  • rapidly after World War I when thousands  of disfigured soldiers came home from the  

  • battlefield. Currently the field of plastic  surgery compasses many surgical fields and  

  • includes craniofacial, pediatricbody contouring and burn repair

  • According to the American Society of Plastic  Surgeons statistics report, in the US 14.9  

  • million cosmetic procedures were performed in 2019  to the tune of $16.7 billion USD. This includes  

  • 13.4 minimally invasive procedures such as Botox  and 1.5 million surgical procedures. 92% percent  

  • of all cosmetic procedures were performed on  women patients. The top five most popular surgical  

  • procedures for 2019 were breast augmentationeyelid surgery, liposuction and nose reshaping or  

  • rhinoplasty. For females the most popular surgery  was breast augmentation and for males rhinoplasty

  • So what happens when you get a nose job or  rhinoplasty? Well it depends on why you're  

  • having the procedure. Common alteration requests  are smoothing a prominent bump in the bridge  

  • of the nose, restoring symmetry to the nose  following an injury, reducing the size of a  

  • nose that is too large and correcting breathing  problems by opening up blocked nasal passages.  

  • Each surgery is unique based on the needs of  the patient and their particular facial anatomy

  • It's suggested that candidates for rhinoplasty be  at least 19 years old before surgery. Typically,  

  • the nose is fully physically developed by  around age 14 for girls and age 16 for boys,  

  • but the rest of the face often continues to grow  for a few more years. Although cosmetic surgeons  

  • take special care when evaluating young patientsit's best that the entire face be developed before  

  • rhinoplasty is performed so the results look as  natural and congruent to the patient as possible

  • A quick nose anatomy lesson: The upper  third of the nose known as the bridge  

  • consists of nasal bone while the lower  portion of the nose consists of cartilage.  

  • The shape and appearance of the tip of  the nose is formed by alar cartilage.  

  • The columella is the flesh at the base of  the nose that lies between the nostrils.  

  • Internally the two nostrils are separated by  a thin layer of cartilage called the septum

  • Often rhinoplasty is performed with  the patient under general anesthesia.  

  • However, it can be performed with a patient  intravenously sedated and under local anesthesia

  • The surgeon will begin by drawing guidelines  on the patient's nose before performing one of  

  • two procedures. The surgeon can do a closed  rhinoplasty, or makes incisions inside each  

  • nostril. This procedure is most commonly used for  patients who need minor adjustments to the nasal  

  • structures to achieve their desired improvementsThe advantage of a closed rhinoplasty is that  

  • there is no visible scarring after surgery. If a patient is having extensive alterations or  

  • remodeling done to their nose, an open rhinoplasty  procedure is performed. In open rhinoplasty,  

  • an incision is made across the columellaAlso incisions are made inside each nostril,  

  • basically opening the nose which allows  the surgeon more complete access to the  

  • nasal structures. Thankfully, the scars  from an open rhinoplasty are generally  

  • hidden in the natural contours of the nose. Depending on the needs of the patient, the  

  • surgeon may remove alar cartilage to narrow a wide  nose tip. Also sutures made be inserted to bend or  

  • pull the alar cartilage in, creating a narrower  tip or altering the shape of the nose tip.  

  • If the patient's septum is deviated, the surgeon  will straighten it and cartilage may be removed  

  • from within the nostrils to improve breathing. The surgeon may remove a dorsal hump from the  

  • patient's nose by shaving away small  portions of cartilage and nasal bone.  

  • Sometimes carving away a dorsal hump may leave  the patient's nose with an 'open roof' or a hole  

  • where the hump used to be. The surgeon will  reposition the nasal bones in such a way as  

  • to close the open roof. Repositioning nasal  bones can narrow the mid-portion of the nose.  

  • If the narrowing is not desired, the placement  of cartilage grafts are used to help the nose  

  • retain a wider shape. Nasal implants also may  also be used to alter the shape of the nose.

  • Once the surgeon has finished making  alterations to the patient's nose,  

  • incisions are closed with dissolvable stitchesNasal airway splints or packing may be positioned  

  • in the patient's nose to stabilize and  support the nose during recovery. Bandages  

  • and also a splint may be applied to the nose  externally to also support and maintain the  

  • new shape of the nose as it heals. Patients often experience pain,  

  • bruising, and swelling particularly  around the eye area after surgery.  

  • A doctor may prescribe oral pain medication  to keep the patient comfortable. Stitches,  

  • splints and bandages are generally removed during  a post procedure appointment about a week after  

  • surgery. Most patients can then resume their  regular activities. The worst of the swelling  

  • generally fades away within a few weeks of the  surgery. However, minor swelling may persist  

  • for several months and it may take up to a year  before a patient's nasal contouring is complete.

  • Silicone Breast Implants can be deadlyWatch this video to find to why:

  • How Did Plastic surgery help World War I vets?:

Contrary to what some believe, plastic surgery  does not mean that plastic is involved.  

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What Happens When You Get a Nose Job?

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    林宜悉 posted on 2020/12/17
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