Orange County Nose and Sinus Center

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Nasal Anatomy

Breathing is a big deal and your nose is an important part of your respiratory system. Of course, your face is also a big deal and your nose is an important part of your symmetry. So, what’s in a nose? Here is a peek!

The nose is composed of many divided parts that articulate in a very precise way to form its unique look. That soft and flawless continuity that nature can craft in some people can be reproduced by an experienced rhinoplasty surgeon. Additionally, its shape and function are directly connected. In particular, the breathing function of the nose is closely associated to its shape. Cosmetic adjustment should work with and enhance the fine balance that allows the nose to function as a breathing apparatus. Moreover, if a rhinoplasty candidate has had previous breathing difficulties and/or nasal obstruction; these breathing problems can be resolved at the time of the surgery.


Different Components of the Nose

The nose is comprised of a bony, cartilage framework skeleton and protected by skin and soft tissue. The upper third of the nasal skeleton, near the eyes, is comprised of nasal bones. The skeleton is made of several connected bones and cartilages of various shapes and forms. The soft tissue covering the nose is composed of layers of soft tissue, muscle, and skin. The nasal septum is a significant part of the internal skeleton, and forms a vertical partition dividing the nose into a right and left nostril. Many individuals have some degree of deviated nasal septum that can cause nasal obstructions and difficulty breathing. This deviated nasal obstruction can only be corrected by septoplasty.


The Nasal Soft Tissue Envelope

Rhinoplasty focuses mainly on the cartilages and bones of the nose. The soft tissue component is a significant element of nasal anatomy commonly disregarded by inexperienced surgeons. When skin is thick, predominantly at the tip of the nose, it conceals the tip cartilages and hides modifications made to those cartilages; thereby, diminishing the degree of refinement. Very thin skin and soft tissues carry a special challenge. The bone and cartilage are noticeably visible and even slight imperfections in the underlying structures may be detected. Skin types differ a great deal among various ethnic groups and a substantial variability also exists within members of the same ethnic group. Individuals with fair complexion normally have thin skin and persons from southern Europe, Mediterranean or Persian heritage generally present with thicker skin. Of course, the experience of the surgeon with different skin types can yield exceptional results with primary rhinoplasty. 


The Septum

Septoplasty is a surgical correction of the septum and performed when there exists either a nasal obstruction or a cosmetic deformity. To maximize results, the deviated septum should be surgically repaired during the rhinoseptoplasty. The repair can include removal or reshaping of certain deviated portions of cartilage or bone that cause the deviation. The cartilage has a "memory" in that it is very flexible. Cartilage and bone are different in their structure, and therefore the procedures used to modify them are different. To modify the shape of a nasal bone, the rhinoplasty surgeon can simply break it, reposition, and let it heal in the desired position.

While a nose job is a complicated procedure involving different skeletal compositions, Board Certified surgeons such as Dr. Sadati are experts at facial reconstruction to bring out the best in you.



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