Reshaping Rhinoplasty – Philippine Plastic Surgery
Rhinoplasty Facial Procedures. The nose is best evaluated and divided into 3 regions. These are the bridge, nasal tip area and alar rim-base area. The alar area of the nose is often called as the alar lobule. Alar rim thickness, contour and width often affect the character of the nose and the face as a whole. For patients that would have thick, overhanging and wide alar rim and/or alar base, often would have a strong and masculine nasal profile. This is commonly seen among Orientals and Asians. In the Philippines, alar procedure like alar trimming, alar narrowing, alar plasty and alar re-contouring is often requested. This procedure soften the feature of the nose, by excising the excess and overhanging alar rim to improve contour and to thin out the thick alar rim. Also by removing the excess overhanging alar rim the procedure, exposes the columella of the nose when viewed from the side. This gives the patient a V-shape alar base. 
Alar trimming or alar plasty is a powerful procedure in that it changes the nasal shape and influences facial character. By altering the shape and contour of the alar rim and base area, the nose and the face as whole, becomes less masculine and facial harmony between structures is attained.
Alar reshaping is usually performed under local anesthesia and surgery will take 1 to 2 hours to complete. Some patients prefer to be sedated during surgery for better comfort and to lessen their anxiety. If patient would have the procedure under sedation, an anesthesiologist will be required and pre operative laboratory test is requested. Alar surgery is a safe and straight-forward procedure, provided that patients should be adequately prepared before surgery. After the surgery, your nose will be swollen and may have some bruising. This will peak on the 3rd day and start to subside on the 4th day onwards. On the average, your nose will be socially presentable by the 7th day after surgery since most of the swelling had subside. Sutures are removed on the 5 and 7th day after surgery.
This surgery is a minor procedure. Some patients (not all) will need laboratory test or medical clearance prior to surgery. Only patient/s the following condition will require lab test: Existing medical condition Currently taking medications that may alter bleeding parameters More thank 45 years of age with significant medical condition Patients with hormonal problems or bleeding disorder Patients who are taking herbal tea or medications or recreational drugs Patients that prefer to have their surgery under sedation or general anesthesia.
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