Severe Septal Deviation Rhinoplasty Results

<ul><li>Severe septal deviation affects both nasal appearance and function, requiring precise correction.</li><li>Ultrasound technology allows for controlled bone cuts, minimizing fracture risk during rhinoplasty.</li><li>Aligning internal nasal structures is crucial before aesthetic refinements like tip rotation and hump reduction.</li><li>Dr. Buonassisi's approach ensures the nose looks natural and complements the patient's facial features.</li></ul>

<h2>Understanding Severe Septal Deviation in Rhinoplasty</h2><p>Severe septal deviation can significantly impact both the appearance and function of the nose. Patients with this condition often experience a nose that appears crooked, with the tip and bridge misaligned. In the video, Dr. Thomas Buonassisi, MD, FRCSC — Specialist in Otolaryngology – Head and Neck Surgery, with a practice limited to facial plastic surgeries — explains how he addresses such complex cases.</p><p>Dr. Buonassisi emphasizes the importance of aligning the internal nasal structures before focusing on aesthetic refinements. This approach ensures that the nose not only looks straighter but also functions properly, allowing for better breathing.</p><h2>The Role of Ultrasound in Rhinoplasty</h2><p>Ultrasound technology plays a crucial role in Dr. Buonassisi's approach to rhinoplasty, particularly in cases of severe septal deviation. By using ultrasound, he can precisely control where bone cuts are made, reducing the risk of fractures and ensuring a smoother shift of the nasal bones.</p><p>This advanced technique allows for the careful repositioning of both the bony and cartilaginous parts of the septum, bringing them back to the midline. This precision is essential for achieving a balanced and natural-looking result.</p><h2>Steps in Correcting Septal Deviation</h2><p>Correcting a severe septal deviation involves several critical steps. Initially, the focus is on reducing and removing parts of the bony septum to allow the nasal bridge to be shifted. This realignment is crucial for both the aesthetic and functional outcomes of the surgery.</p><p>Once the internal structures are properly aligned, Dr. Buonassisi can then proceed with refining the nasal tip, adjusting its rotation, and reducing any humps to enhance the overall appearance of the nose.</p><h2>Achieving a Harmonious Nasal Appearance</h2><p>Beyond straightening the nose, Dr. Buonassisi aims to refine the nasal features to complement the patient's overall facial structure. This holistic approach ensures that the nose not only looks natural but also enhances the patient's facial harmony.</p><p>By addressing both the internal and external aspects of the nose, Dr. Buonassisi provides results that are both functionally effective and aesthetically pleasing.</p>

Here's an example of a rhinoplasty that we did a few months ago. This is a two month post op photo. She had a very crooked nose. You'll notice on her front view that it tilts quite a bit to the right. And when we look at her base view, which is the view from below, you can really see the whole tip of the nose has shifted off to one side. So she had quite a severe septal deviation, both the cartilaginous and bony part of the septum. So the bony part of the septum was reduced and removed so that the bridge could be shifted. I used ultrasound for the bone work in her because I wanted to be very controlled about where the bone cuts were made so that the bones would shift over easily without risking fracturing them. So I used ultrasound not only to do the bone work to shift the bridge over, but her septum, which was so crooked to one side, needed to be brought back into the midline. So ultrasound's another way of creating a little space for that cartilage. It's really important in cases like this to get all of the internal anatomy lined up first, so then we can add those little finishing touches like tip rotation, tip refinement, and hump reduction to give her a nice overall look to her nose. So not just straighter, but also a little bit more refined and a little bit more in keeping with her other facial features.

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