I have a flattened bridge on my nose because it got broken three years ago.

Question:

I have a flattened bridge on my nose because it got broken three years ago. I would like rhinoplasty to get the flattened area reshaped and the tip brought up.  Can this be done with a closed procedure? Is general or local anesthesia used?

Answer:

A flattened bridge is often the result of trauma and it is what we often refer to as a saddle-nose deformity.  It gets t his name because it can resemble a saddle if you were looking at a saddle from the side where it settles in the mid-aspect of the nose.  A closed Rhinoplasty or what we often refer to as an endonasal Rhinoplasty procedure is one approach that is used in Rhinoplasty.  In our practice it happens to be an approach that we use in almost 80% of primary Rhinoplasty.  This is a procedure where all of the incisions are placed on the inside of the nose and has a significantly shorter recovery period with less trauma to the nose and to the patient.  The anesthesia that is used is a twilight anesthesia similar to someone having their wisdom teeth removed or a colonoscopy.  The procedure is performed in our Surgery Center as an outpatient. Posted by Dr. Williams