Teenage rhinoplasty is commonly performed under general or local anesthesia with sedation. The type of anesthesia to be used will depend on the patient’s preferences and on the extent of the surgery involved.
To begin the procedure, the surgeon will create incisions to access to the underlying structure of the nose. There are two ways to accomplish this: the open approach and the closed approach. Both have distinct pros and cons, but the best choice will still depend on the patient’s specific needs.
With the closed approach, the surgical incisions will be made inside the nostrils. However, due to the limited visibility of the nasal structure, it is usually utilized for simpler or less extensive surgery.
It offers advantages such as potentially decreased recovery time and swelling, as well as no visible scars.
The open approach involves an incision on the soft tissue between the nostrils (also known as the columella) to provide optimum visual access to the internal nasal structures. Some supplementary incisions are also created inside the nose to create the necessary changes.
Once the incisions have been made, Dr. Sedgh will carefully sculpt the nasal bone and cartilage to refine the structure of the nose. He may also remove excess tissues to address overlarge nasal tips or nostrils.
Implants or cartilage grafts may also be used to enhance the appearance of the nasal bridge.
Once the enhancements are complete, the doctor will carefully and strategically close the incisions to avoid visible scarring. He may then apply dressings, nasal packing, or splints to help retain the new shape of the nose as it heals.