This word is derived from the language Greek. Greek: rhinos,

(“nose” + plastikos, “to shape”) is a type of plastic surgery that

is used to improve the function or appearance of a person’s nose.

Rhinoplasty is also commonly called a nose job.

This surgery is performed to meet aesthetic goals or for reconstructive

purposes to correct birth defects or breathing problems. It can be

combined with other surgical procedures such as chin augmentation to

enhance the aesthetic results.

History:

The Rhinoplasty was first developed by Sushruta. He was a very

important physician who lived in ancient India circa 500 BC, which he

first described in his book Susrutha Samhita. He had many students and

disciples who later used Rhinoplasty to reconstruct noses that were

amputated as a punishment for crimes. He developed techniques of

forehead Flap Rhinoplasty which

is practiced almost uncha nged to this day. This knowledge of plastic

surgery existed in India up to the late 18th century.

The first intranasal Rhinoplasty in the west was performed by John

Orlando Roe in 1887. In 1898 Jacques joshep used it for cosmetic

purposes to help those who felt that the shape or size of their nose

caused them embarrassment and social discomfort.

Associated health risks:

Because of the special nature of the blood supply to the human nose and

surrounding area it is possible for retrograde infections from the

nasal area to spread to the brain. For this reason, the area from the

corners of the mouth to the bridge of the nose, including the nose and

axilla, is known to doctors as the danger triangle of the face.

How Rhinoplasty is performed:

1. It can be performed under a general anesthetic or

with local anesthetic, depending on patient or doctor preference.

2. Incisions are made inside the nostrils. Sometimes

tiny inconspicuous incisions are also made on the columella, the bit of

skin that separates the nostrils.

3. The surgeon first separates soft tissues of the

nose from the underlying structures, then reshapes the cartilage and

bone causing the deformity.

4. In some cases the surgeon may shape a small piece

of the patients own cartilage or bone to strengthen or increase

the structure of the nose

5. Sometimes this is done for cosmetic reasons

6. It can also be done to improve breathing and

function of the nose.

7. 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.

8. Alloplastic synthetic materials are often

associated with long-term complications.

9. Cartilage from the septum, ear oro rib may be used

alternatively.

10. To improve nasal breathing function, septoplasty

may be performed, with or without cosmetic changes. The cartilage

removed may be used as a graft to improve the appearance and structure

of the nose.

Entertainment industry:

We all know that the cosmetic surgery is very common is the

entertainment industry. Rhinoplasty is mostly performed on women.

The Los Angeles examiner of May 5, 1930, stated that:

“Having one’s nose shaped to fit the

talkies is the most popular thing in Hollywood now. Hollywood plastic

surgeons agree that more than 2000 facial beauticians operations have

been performed among film players within the past few years.