This video demonstrates a pre-operative consultation for a complex quaternary rhinoplasty (redo surgery after three previous procedures), where the surgeon discusses surgical goals including straightening nasal deviation, correcting depressions, addressing bony asymmetry, and reducing nose width, while explaining that the procedure requires 2.5-3 hours, involves osteotomy, and cannot be combined with other procedures; the surgeon also outlines post-operative care including 50 days of smoking cessation and expected recovery timeline.
Deep Dive
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Deep Dive
Before & After Rhinoplasty Surgery | Complete Medical ProcedureAdded:
[music] >> I think I remember you.
Yes, on video call. Okay, what are changes you want?
Yeah, deviation I want it straight.
And Mhm.
This is downside. Right.
I want to do this. Make it straight.
>> [snorts] >> There is a small This you can depression. Depression is there.
When you want me to do this?
Is today possible? No.
Today not possible? Today not possible now. I can do tomorrow. Okay, okay.
Actually I came from a long way, so Bangalore is No problem, we will do here, don't worry. Only 12 hours difference. Yeah, that is [laughter] okay. That is Also yours is a difficult case for me. I will make it perfect, but it will take 2 and 1/2 hours or 3 hours for me. Okay. I cannot do it faster than it takes time. We do. So we will do tomorrow around uh let me see if I can do in the morning or I will do in the afternoon. Okay, please. Mostly in the morning but you will get 20 minutes we will do tomorrow morning. Tomorrow morning? 8:00 we can start. 8:00? Mhm.
Okay, sir. But you finish everything today. Yes. Because your age is above 40, ECG, echo, whatever required, heart, whatever, all anesthesia. Everything you finish then come tomorrow. Okay. See, this length it's half like this, half like this.
Okay, okay. So we will make it like this.
But when you make this, the depression will be No, it won't become all right on its own. That is one step. Another step, depression step, depression. Okay, okay.
Here also it is not very correct. This area is slightly different from this area. Yes, yes. If you put your hand you know here more bulge is there. Here more inside. it is I forget the term. Osteotomy.
I think I don't know. No problem. We will correct it, but I'm trying to tell you. So, we have to make it straight, we have to correct the depression, and here also bony problem is there. Okay. When we make it this like this will become uh Straight. This will become when you do this this up then you can >> is separate procedure. This is separate procedure.
>> are separate.
>> Yeah, you cannot combine. Okay. Full I will redo. Nostril size is also damaged and Yeah. That I will not promise 100%. I will give you 90% of the size. Because nobody sees from down.
>> Yeah, yeah, definitely. From front I will give you perfect. Huh? Okay, okay.
Uh this is a tertiary rhinoplasty. It's a redo rhinoplasty. Patient's already had, I think, three rhinoplasties before, so it's a quaternary, technically. Now, if you come around, I'm going to show you the scars from the other view.
They can see the deviation again, asymmetry with the dorsum, the shape of the bones there. He also wants me to reduce the width of the nose uh And you can see the asymmetry with the shape, his breathing issues. We're going to work on the entire nose.
I'll show you once we're done. We're harvesting rib for him as well.
>> What are you guessing what?
Okay.
What's 20 swelling going?
First day and I have to say something.
The second day that pain that day.
No more than normal.
Uh 50 days going to go first day. 50 days no smoking and I don't know what we call them.
>> [music] >> Uh kind of I could go brush go something.
Okay.
>> [laughter] >> Oh I forgot.
Expect you something normal.
Just 24 hours you were saying something okay I got you what then.
They better better okay.
So don't you want to go? I will The division says you need me so you can go there. I'll do it so I don't know.
Tell me something.
Some problem. I'll do it so I don't know what I got. What size is it?
So you can go there. Okay.
So you can go there.
So you can go.
I think we can go.
Sure.
I could say something about something.
So you can go there. So you can go there.
I don't know what you want.
Who knows what they say what they say.
Okay.
Which day is it sister? Second day. Good problem like that.
Okay so.
So.
Dry or dry or dry. I don't know what you want to go.
I don't know what you want to go and do anything.
Okay okay.
I don't know what you want to go. Okay.
I don't know what you I don't know what you want to go and do anything.
Okay.
>> [laughter] >> Okay, I'll remove it. Okay?
This dressing tray, sister.
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