Best Selected Abstracts From the Fifth Bergamo Open Rhinoplasty Course
Can Rhinoplasty Be a 2-stage Operation?
The idea is to inform patients with large noses, especially those with a family background of large noses, of the possibility of 2 stages of surgery. Any operation to reduce the size of the nose substantially can subject the patient to the possibility of pollybeak deformity and disappointment, followed by reconstruction of the nose with a graft, etc. I will show examples of these kinds of patients. I request these patients to be on Retin A before they have their surgery, and I see them and consult with them frequently to make sure that they understand the nature of the procedure. I think that the 2-stage operation for these patients will achieve better results and the patients will not be disappointed; and actually, at the end of the day, they will achieve maximum improvement from the 2 procedures.
There is also a group of patients of ethnic background who are uncertain about the amount of the reduction to the size of their nose, and they are against the idea of a too-short nose (turned-up nose). This applies to ethnic groups such as Indian and Pakistani, and therefore, it is important for them to understand that this can be a 2-stage operation where they can see the effect of the surgery and decide whether or not to undergo a further. I think this is an important process for them to accept the possibility of secondary surgery and they will be responsible for the cost of the surgery too. I will also give examples of this.