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The nose is the most prominent facial feature and plays an important balance in the esthetic of the face; when inadequate in form or size it may be the cause of emotional disturbs as on the face, it occupies an outstanding position. It is one of the most frequently performed operations

in plastic surgery, which modifies the shape by a corrective operation for the improvement of form and function.

A non-proportional nose risks the harmony of the body being the plastic surgery most adequate in such circumstance because the patient, together with the surgeon can determine the corrections to be made to turn the nose into a model fit to the specific physical biotype and the face. The surgery leaves no apparent scars. Incisions are located inside the nose and it is made a remodeling of the cartilages excision of the nasal dorsal humps, forcing the skin to adapt onto this new structure avoiding thus external surgery signs.

The result can be seen in post-op phases: in the subsidence of the postoperative swelling occurs in about seven days and the total regression can be noted around the 18th month, when the total accommodation of the skin takes place. Eventual respiratory disturbs may be corrected by the nasal septum deviation which is often performed in the course of a corrective nasal plastic operation. It is required if the septum is obstructive and it is imperative if there is a distortion of the dorsum of the nose. The final rinoplasty result is forever. Such surgery leads to facial youth projecting the beauty of the face. A beautiful and harmonious nose is vital to the esthetic balance of the face and provides great satisfaction.

Local anesthesia is commonly employed and adequate sedation improves minimal bleeding during the operation. In children and in an occasional patient who reacts unfavorably to local anesthesia, general anesthesia is preferred.

   
 
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628 Sampaio Viana Street l São Paulo Brazil