Voted Top Rhinoplasty Doctor by Castle Connolly
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Managing the Nasal Tip

One of the methods of managing the nasal tip is through rhinoplasty. Dr. Sam Rizk is a highly recognized specialist in nasal tip operations, in which rhinoplasty is performed on the nasal tip to improve the overall structure of the nose. Plastic surgery of the nasal tip is considered to be one of the most difficult procedures. This surgical process makes the nasal tip look more attractive and improves the appearance of the face.

The restructuring of nasal tip may be required to either remove excess skin from the tip or to fix the broken bones and cartilages. Since the surgery of the nasal tip is a challenging process, an experienced and skilled surgeon must be chosen by the patient. The credentials and credibility of the surgeon must be checked beforehand so that the surgery can be performed successfully and effectively.

There are two approaches that are followed for surgery of the nasal tip. These are closed and open approach. The closed approach of managing the nasal tip is also called endonasal delivery technique. In this method, no incisions are made to the columella. The nasal cartilages are structured in the right position without the surgeon having to make incisions. This process is advantageous in the sense that it shows effective results. Also, it causes less swelling of the nasal tip after the surgery. It best suits patients who have never had surgical procedure done before and those who have a soft skin but stiff and strong cartilages.

The open approach is one in which an incision is made across the columella of the nose. Once the incision is made, the skin is separated from the nasal tip. This exposes the bones and the cartilages to the surgeon. The bones and cartilages can then be restructured and repositioned to set the structure of the nose right. This method of cosmetic surgery is the easiest to perform and produces reliable and effective results. This approach suits those patients the best who have a thick skin, asymmetrical nasal tips and weak cartilages. Open or external rhinoplasty can sometimes be associated with more prolonged swelling than endonasal rhinoplasty. The advantages of open rhinoplasty is specific to certain revision rhinoplasties where there is extensive scar tissue and where the tip cartilages are weak and need cartilage grafts for support of the nasal tip. Dr. Rizk performs both the open (external) and the endonasal (closed) surgery in 3D, which is a much more precise method of doing rhinoplasty.

Dr. Rizk points out that since both methods have their advantages and disadvantages, it is difficult to say which method is the best. The selection of the rhinoplasty approach depends upon the type of the nose that a patient has. The success of the method used for the surgery also depends upon the experience of the surgeon performing the operation.

The nasal tip can sometimes be long (overprojected) and Dr. Rizk has various ways on dealing with the long or overprojected tip to bring it closer to the face and upper lip. The nasal tip can sometimes be drooping and is sometimes lifted during the procedure with certain stitches and cartilage reduction to achieve the ideal angle between the tip and the upper lip. This angle should be about 90 degrees in men and 95-105 degrees in women. If the angle is less than 90 degrees, it gives an old appearance to the face and nose.

Once the surgery is performed, it is important that the patient takes extra care. This is necessary because the nasal tip is considered to be a delicate area and if proper care is not taken, the tip might get dislocated or the surgical process may fail to show its affects.

Dr. Rizk explains that for managing the nasal tip, the surgical method of rhinoplasty is one of the best options available. If the first surgery does not succeed, the patient can go in for a revision surgery. However, this surgical process for the structuring of the nasal tip is an expensive process.

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