When it comes to nasal surgery, Dr. Sedgh favors a highly customized approach that will effectively address the patient’s unique cosmetic and functional needs while simultaneously delivering the desired end result in both aspects.
Depending on the complexity of the patient’s case, as well as a variety of other factors, Dr. Sedgh may use either the open (external) or closed (endonasal) approach to perform the surgery. With closed rhinoplasty, all incisions are made inside the nostrils, and specialized instruments are used to sculpt the nose intranasally. On the other hand, an open rhinoplasty will also involve intranasal incisions, but it is characterized by the creation of an incision across the columella, which will allow the doctor to have an unimpeded view of the nasal framework.
Nose surgery is typically performed under local or general anesthesia. In some cases, local anesthesia with sedation may also be used. The choice of anesthetic will depend on the patient’s preference and desired level of comfort, and Dr. Sedgh will discuss all of the options during preoperative consultations to ensure that the patient is well-informed. But as with all aspects of the surgery, he will also provide the most optimum recommendations for your needs.
Once the patient is fully prepped for the surgery, the doctor will begin by creating strategically placed incisions to access the nasal structure. If the procedure requires the open approach, the doctor will take the extra step of lifting up the skin to expose the underlying framework.
Dr. Sedgh will then carefully make incremental adjustments to the nasal cartilage and bone in order to achieve the desired changes. He may also augment certain features of the nose using cartilage grafts from the septum, ear, or rib.
In performing any nasal procedure, the doctor makes it a point to ensure that the final result is aesthetically pleasing, functionally sound, and promotes optimum facial balance and symmetry.