Malaysia Medi Travel

Nose Surgery known as Rhinoplasty is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose, by resolving nasal trauma (blunt, penetrating, blast), congenital defect, respiratory impediment, and a failed primary rhinoplasty.

In the surgeries closed rhinoplasty and open rhinoplasty an otolaryngologist (ear, nose, and throat specialist) or a plastic surgeon, creates a functional, aesthetic, and facially proportionate nose by separating the nasal skin and the soft tissues from the osseo-cartilaginous nasal framework, correcting them as required for form and function, suturing the incisions, and applying a stent to immobilize the corrected nose to ensure the proper healing of the surgical cuts

Few know that this surgery Rhinoplasty was actually first developed in ancient India, by the ayurvedic physician Sushruta who described reconstruction of the nose in the Sushruta samhita his medico–surgical compendium. Sushruta along with his medical students developed and applied plastic surgical techniques for reconstructing noses.

In the Ancient days they used the portion of the nose to be covered was first measured with a leaf. After that from the Living Skin of the cheek a piece of skin of the required size was dissected, and turned back to cover the nose, keeping a small pedicle attached to the cheek. By cutting the nasal stump with a knife ,the part of the nose to which the skin is to be attached should be made raw.To Ensure that the new nose has proper shape the ayurvedic physician then should place the skin on the nose and stitch the two parts swiftly, keeping the skin properly elevated, by inserting two tubes of eranda (the castor-oil plant) in the position of the nostrils. The skin become properly adjusted, it should then be sprinkled with liquorice powder , red sandal-wood, and barberry plant. In the end , it is covered with cotton, and clean sesame oil should be continually applied.

Procedure of the Surgery After giving general anaesthesia, or local anaesthesia rhinoplastic correction can be performed on a patient the area is made numb, to temporarily reduce vascularity, thereby limiting any bleeding. The plastic surgeon first separates the nasal skin and the soft tissues from the osseo-cartilagenous nasal framework, and then corrects (reshapes) them as required then he sutures the incisions, and then applies either an external or an internal stent, and tape, to immobilize the newly reconstructed nose, and so facilitate the healing of the surgical cuts.

It is seen that the surgeon uses either an autologous cartilage graft or a bone graft, or both, in order to strengthen or to alter the nasal contour(s). The autologous grafts usually are harvested from the nasal septum, but, if it has insufficient cartilage, then either a costal cartilage graft (from the rib cage) or an auricular cartilage graft (concha from the ear) is harvested from the patient’s body. Many a times the rhinoplasty requires a bone graft, it is harvested from either the cranium, the hips, or the rib cage; moreover, when neither type of autologous graft is available, a synthetic graft (nasal implant) is used to augment the nasal bridge.


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