When a traumatic injury occurs to the nose, emergency room staff members are often the first to step in for care. The goal is to prevent complications and reduce the risk of disfigurement. Sometimes, emergency room staff members will consult with a plastic surgeon. Other times, plastic surgeons are not available and it may be wise to see a plastic surgeon the day after the injury. Early intervention can be advantageous in nose injuries. In the case of nose cancer, dermatologic surgeons often perform Moh’s surgery with an exceptional cure rate and reduced disfigurement when compared with traditional nose cancer surgery. The procedure is highly technique driven to extract all cancerous tissue and preserve healthy tissue at a microscopic level. Following Moh’s surgery, plastic surgeons may step in to improve the comparatively minor disfigurement. To view before and after photos of rhinoplasty click here.
Plastic surgeons may step in for a variety of injury related conditions, including, but not limited to: collapse of the nose, perforation of the septum, deformity of the nasal tip, cancer related deformities, and scar tissue build up from previous injury or surgery.Plastic surgeons are usually a critical component in nose repair from injury.
Too, plastic surgeons may need to use advanced techniques to perform reconstructive nose surgery. Plastic surgeons may use a grafting technique to remove nose, ear or rib cartilage in order to build up the nose. The selection of the type of graft is also important. The removal and placement of the graft requires expertise to ensure the survival of the graft. For cancer surgery repair, skin flaps (smaller defects) or skin grafts (larger defects) may be used by a plastic surgeon or dermatologic surgeon. In some reconstructive nose surgery cases, people return weeks later for dermabrasion treatments to refine the aesthetic results from surgery. There are several tools available to plastic surgeons in reconstructive nose surgery. Each case is different. And there is nothing wrong with having a plastic surgeon that is experienced in reconstructive nose surgery step in early on to help manage the outcome of nose injury repair. For more information about rhinoplasty contact Dr Sam Gershenbaum.
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