The rhinoplasty procedure lasts from one to three hours. Dr. Wali may elect to utilize either local or general anesthesia, depending upon the complexity of the operation. The choice of anesthesia will be discussed thoroughly with the patient prior to surgery.
To begin the surgery, tiny incisions are made which allow the surgeon to access the underlying nasal structure. Once the skin is opened, the cartilage and bone are reshaped to form the basis for the new look. Dr. Wali uses two basic methods while performing nose surgery. These methods are referred to as the open and the closed techniques.
The open technique allows for maximum visibility and control over the procedure. The incision used in the open technique is placed in-between the nostrils on the columella (the medial nostril strip). In the closed technique, the incisions are internal and heal faster; however, there is less surgical control over the outcome. Dr. Wali will discuss which technique is best when the patient arrives for the initial consultation visit.