Watch nose job surgery footage of a patient who has come to Dr. Caridi at Westlake Plastic Surgery with complaints of her nose’s asymmetry, or unevenness. She is only comfortable with photos taken from a single angle of her face. She desires a straighter nose which will be accomplished by reducing the hump, narrowing at the base, balancing the “shadow points” of the tip and elevating the tip. Into the operating room we go!
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A nose job surgery, or rhinoplasty, is a surgical procedure that reshapes the nose. It is one of the most requested plastic surgery procedures which Dr. Caridi performs routinely at Westlake Plastic Surgery in Austin, Texas. Nose job surgery is a true form of plastic surgery art and a delicate procedure that many offer, but few are masters of. Due to the reduced amount of options with each subsequent nose job surgery, it is advised you invest in seeking a rhinoplasty master surgeon to perform the procedure correctly the first time. Only after over three decades of experience does Dr. Caridi considers himself truly a master surgeon of this critical undertaking.
This nose job surgery footage video is an educational and detailed presentation of a rhinoplasty being performed in the operating room, including the pre-operation anatomic analysis between the patient and Dr. Caridi.
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In the operating room, our nose job surgery footage catches up to Dr. C performing the patient’s rhinoplasty by starting with a stair step incision at the narrow portion of the columella. It is mentioned that her lateral cartilages were relatively symmetrical and that she had a modest dorsal hump. Mucoperichondrial tunnels were then created on either side of the high dorsal septum, which was followed by separating the upper lateral cartilages from the septum. As was necessary, trimming of the upper lateral cartilages was performed, followed by rasping of the nasal dorsum bone. Then, closure of the dorsal roof was performed with interrupted figure-of-eight PDS suture material, which was focused on the tip complex. A 6 mm lower lateral cartilage remained after trimming the cephalic portion. A trans-domal suture were then placed along with the intra-sutures and lower lateral sutures were placed to reduce the bilateral convexity of the patient’s nose.
Careful analysis revealed a satisfactory tip complex. An improvement in the dorsal tip relationship and irrigation of the nose was then performed, followed by a bilateral percutaneous osteotomy with a 1 mm osteotome, in standard manner. Dr. C was able to achieve an excellent fracture with an adequate narrowing of the nose. Further careful inspection was then performed, and Dr. C was satisfied with the result. To finalize the nose job surgery, closure was achieved with an interrupted 6-0 Prolene suture on the columella skin, along with interrupted chromic suture material. On the rim, incision telfa pads were placed on either side of the midline and secured at the nasal opening with heavy nylon. A standard splint was then placed on the osteocartilagnious vault after application of alcohol pads, skin glue and steri strips.
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The patient was able to remove her packing at home one day after her nose job surgery and was subsequently seen in the office seven days later for splint and suture removal. Even with significant swelling, as is almost always the case for any nose job surgery, it is evident that she has a beautiful result. Her nose is not symmetric (even), the base is narrower, hump reduced, and the tip is elevated and balanced. She is now happy with her nose from every angle and no longer shies away from any photo opportunity that comes her way.
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