Nasal structures cannot be manipulated independently because what we do in one area influences all the others, both in the external appearance and in the way that nose works .
The nose is like a building, if we throw a load-bearing wall, if we modify any part of the main structure, unevenness, cracks or collapses may appear.
What Is Conservative Rhinoplasty And How Is It Different From The Traditional Rhinoplasty That Has Been Done So Far?
The conservative rhinoplasty consists of a set of surgical procedures performed in cartilage, muscles, ligaments and bones of the nose that is modeled preserving its structural and functional integrity , that is, being the least aggressive possible, carrying out a surgical rhinoplasty ultra-conservative , ultra-controlled and objective proofreader following the predictions and instructions previously made with software.
This software plans from “before”; how to make “the during” less aggressive; “The immediate after” or result of that nose and, most importantly, its appearance in time . The latter is very important since aggressive rhinoplasties can give long-term surprises : collapsed noses, fallen tips, irregularities …
For example: in traditional rhinoplasty , which 95% of surgeons do, when the hump or trestle is operated, it is done by cutting the bone from the “roof” of the nasal pyramid, this destroys the anatomy of that area (shape) which is crucial for proper breathing ( function ). Furthermore, it is not uncommon that, when cutting inaccurately, blindly and palpated with a chisel (which is how it is traditionally done), certain imperfections, which are often visible and stigmatic, appear over time. Not to mention the postoperative period.
However, in Conservative Rhinoplasty , with specifically designed manual mini-saws or with ultrasound saws (ultrasonic rhinoplasty), the legs of that pyramid are cut very precisely so that the entire nasal pyramid sinks (as if we were precisely cutting the foundation of a building to bring it down).
Making a smaller pyramid while preserving its dome, only shortening its base and not destroying-rebuilding its roof , seems logical right? Well, sometimes the most logical thing is not the most frequent.