Many people seek nose surgery for aesthetic reasons, to correct a bump or a hump, or change the tip of their nose. But there are also functional reasons for nose surgery, and breathing more easily while sleeping or exercising can be truly life-changing. These positive results are why rhinoplasty is one of the most popular cosmetic surgery procedures.
In this episode, Dr. Bass shares the colorful history of rhinoplasty, starting with Dr. Jacques Joseph who pioneered the first nose surgery techniques in the early 1900’s, many of which are still used in practice today.
Special guest Dr. Jason Bloom joins Dr. Bass to walk us through how rhinoplasty is performed, what it means to have an open or closed rhinoplasty, and where the incisions are hidden so that “only dogs and lovers can see it.” They discuss when each of these two surgical approaches are indicated and what can be done with bone, cartilage, and soft tissue to give the nose a more aesthetic look.
For those needing a repeat nose surgery, Dr. Bloom explains why a revision rhinoplasty is among the most challenging procedures surgeons do. When you don’t know what you’re going to find in there, the open approach is preferred to let the surgeon determine the best path forward.
Most revision surgeries and many primary rhinoplasties require one or more cartilage grafts. This can be harvested from elsewhere on the body, like a rib or an ear, and more recently there are a surprising number of newer options to graft without harvesting your own cartilage. The surgeons discuss the nuances of cartilage grafts and how their techniques and approaches have changed in recent years to shorten the recovery and achieve the best possible results for their patients.
If you’re considering rhinoplasty, this deep dive into rhinoplasty surgery is a valuable and essential education in the procedure.
Links
Read more about rhinoplasty with Dr. Bass on the Bass Plastic Surgery website
https://drbass.net/rhinoplasty/
More about the father of modern aesthetic surgery, Dr. Jacques Joseph
https://en.wikipedia.org/wiki/Jacques_Joseph
About Jason Bloom, MD
Located in Bryn Mawr, Pennsylvania, Dr. Jason Bloom is a double board certified facial plastic and reconstructive surgeon. He is an Adjunct Assistant Professor of Otorhinolaryngology – Head & Neck Surgery at the University of Pennsylvania and Clinical Assistant Professor (Adjunct) of Dermatology at the Temple University School of Medicine.
Read more about Philadelphia facial plastic surgeon Jason Bloom, MD
https://www.bloomfacialplastics.com/
About Dr. Lawrence Bass
Dr. Lawrence Bass is a board certified plastic surgeon offering a full range of plastic surgery and non-surgical aesthetic services, with two New York area locations in Manhattan on Park Avenue between E 62nd and E 63rd, and on Long Island in Great Neck.
To learn more, visit the Bass Plastic Surgery website at https://www.drbass.net/ or follow the team on Instagram @drbassnyc https://www.instagram.com/drbassnyc/
Subscribe to the Park Avenue Plastic Surgery Class newsletter to be notified of new episodes & receive exclusive invitations, offers, and information from Dr. Bass.
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Contents of this video:
00:00 - What is the history of the modern rhinoplasty?
01:54 - What is the rhinoplasty designed to do?
03:44 - What is the difference between an open and closed approach rhinoplasty?
10:03 - Why I prefer the closed approach rhinoplasty
11:13 - What are the benefits of an endonasal rhinoplasty?
19:06 - Septal extension grafts versus columellar strut grafts
21:16 - What types of cartilage grafts are used for rhinoplasty?
26:00 - Dr. Bloom's technique for dorsal augmentation
28:50 - What is the dorsal preservation rhinoplasty?
