How clean is the rhinoplasty field?

People may think rhinoplasty is a clean surgery like heart surgery. But actually it is not.
Rhinoplasty is a clean contaminated surgery. This means there are bacteria found in the surgicla field. It also means there is a chance of surgical field infection.

In many cases, rhinoplasty is combined with septoplasty. Sepum is centered in the nasal cavity, where many normal bacterial flora exist. Thus, rhionplasty filed is always exposed to danger of bacterial infection from the nasal cavity. Even in surgeries without touching the septum, chance of infection from the nasal cavity and surrounding facial skin is high.

I did a prospective study about the effect of chlorhexidine pretreatment on the rhinoplasty surgical filed contamination. What I found is rhinoplasty filed is not sterile (even with strict aseptic technique), is continuosly exposed to contamination from the skin flora, and chance of infection has a tendency to decrease with chlorhexidine pretreatment.

This study results implicate the following.
1. Rhinoplasty is not a complete sterile field.
2. Chance of infection does always exist, so every effort should be done to decrease the chance. This includes not using alloplast material.
3. Thorough surgical filed irrigation with chlorhexidine pretreatment may help to decrease the infection.

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Deviated & hump nose correction

This lady in below photos had nasal deviation, hump nose, and tip ptosis with breathing difficulty. Septum was corrected first, and this made the lower 2/3 of the nose straight. Hump was not resected but rasped with Piezotome and this did not breach the keystone area, which made spreader grafts unnecessary.Bilateral osteotomies with Piezotome made her bone straight. Together with septum correction and effective osteotomies, her nose became straight from the frontal view. Tip was modified with sutures and onlay graft only. No strut or septal extension graft was used and this made the tip soft even after considerable amount of rotation and projection increase. Radix was augmented with bruised cartilage. Overall, she could breath much better after surgery and her nose became more harmonious and feminine.

Starting google blog "Rhinoplasty Korea"

This blog aims to share my experience in rhinoplasty with friends of the world who are interested in nose job. My over 20 years of experience in the filed of rhinoplasty, revision rhinoplasty, nasal reconstruction, and difficult septal surgery will be reflected with helpful tips for the people who need help. Hope many people can enjoy my blog. Thanks. Director Dr. Jin's Premium Nose Clinic, Seoul, Korea www.doctorjinent.modoo.at

Creating more feminine nose

The lady in below photos visited my clinic for rhinoplasty. She wanted to have more feminine nose instead of her muscline nose. She had a long nose with slight bump on the dorsum, overprojected, slightly bulbous and droopy tip, and slighly wide dorsum. Surgery was focused on creating more feminine look: hump removal, narrowing the bony dorsum with osteotomies, tip volume reduction, decreasing tip projection, and slight cephalic rotation. Photos taken 2 weeks after surgery (because she returnd back to her country after surgery) shows changes on the dorsum and the tip. Dorsum became slender with creation of smooth brow-tip aesthetic line. Tip was refined with volume reduction, slight underprojection, and cephalic rotation. Although the changes are not radical, her nose looks more feminine.

Rhinoplasty Korea

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