Today, things are different. The nose is considered to be the most important element in the beauty of the body because it cannot be hidden like a leg, a breast, or an arm. It is in good accounts, the presentation structure of a person. That from an aesthetic point of view. About the function of the nose, it is proven that only nasal inspiration is physiological. Those who do not breathe through it, as happens with people who do it through their mouth, do not have normal breathing.

 

In that sense, the nose’s relevance is not only related to an aesthetic matter. The nose is the organ in charge of moistening and heating the inspired air. Both functions are the fundamental characteristic of good gas exchange. Therefore, for there to be adequate aerobic respiration, the nose must function properly. Otherwise, the person may experience various situations that will prevent them from leading a normal life. Snoring and apneas, so in vogue today, have their main cause in nasal obstruction.

 

However, many people undergo nose surgery because they consider that they have a cosmetic problem and not a functional difficulty, what is the explanation?

 

The nose is both an aesthetic and a functional organ. Both elements cannot be separated. A good example to graph is the following. The nose is like a coin: if we twist it or change its shape, both sides are altered. For this reason, when a nose is intervened, structural changes of aesthetics and function occur. Sometimes it is not enough for a nose to be beautiful after surgery. In the quest to seek beauty, significant damage can occur, such as deviations of the septum and synechiae or adhesions in intranasal wounds, which ends with obstruction of the nose. So the only solution is to operate again.

 

Which specialist should you consult for nose surgery: an otolaryngologist or a plastic surgeon?

 

Currently, it is intended that the specialist who operates an organ is not a carpenter or a mechanic who changes one structure for another, but rather someone who understands form and functionality. Now, the great masters of nasal surgery are generally otorhinolaryngologists, specialized in rhinology, and with appropriate training in facial plastic surgery.

 

Is it possible for both doctors to carry out the intervention together?

 

Yes, they could, but it falls into a mistake, so I don’t agree. Suppose a person undergoes an operation of this type. The ENT, responsible for the functional part of the nose, operates a deviated septum or hypertrophic turbinate, an internal structure of the organ, and leaves the nose in good working condition. Then, in the same surgical act, a plastic surgeon performs structural modifications that can cause a narrowing of the airway not due to a factor dependent on the septum or the already operated turbinate, but to meet the aesthetic expectations of the patient. That person will be left with breathing problems and ask the otolaryngologist for explanations, who will probably have to operate again. This is easy to happen.

 

– So what is recommended?

 

My concept is very similar to that used in centers specialized in this kind of intervention: the nose must be operated by a surgeon who is an expert in its structure and its operation, be it an otolaryngologist or a plastic surgeon since both factors are important and influential in the success of the operation. Ultimately, the foregoing indicates that we must strive for excellence in patient care. This is only achieved if those who carry out the medical tasks are qualified professionals, with an adequate degree of knowledge and extensive experience. Some people believe that by attending a cosmetic rhinoplasty course, they can operate safely and efficiently.