The History And Development Of Rhinoplasty

Rhinoplasty is one of the most common plastic surgeries performed in the United States; thousands each year choose to reconstruct or enhance their nose with the procedure. Many think that these surgeries are a 20th century invention, this is not entirely true. The technique has ancient roots going back thousands of years.

Physician Sushruta introduced forehead flap reconstruction techniques to his country around 800 BC to repair injuries inflicted from criminal, religious and military punishments. The procedure was done by cutting away a section of the forehead, twisting the still attached bottom piece of the skin and laying the flesh over the former nose. A version of his techniques is still commonly used every day to treat trauma all over the world.

The procedure for rhinoplasty remained the same until 300 AD when royal physician Oribasius introduced a method for surgically repairing damaged nose tissue. His technique allowed reconstruction to be performed using flesh from other areas of the body that were not damaged. His method helped many citizen of the Roman Empire stricken with deforming diseases.

The Dark Ages introduced the Western culture to nose reconstruction with the Anglo-Saxon physician’s manual titled Bald’s Leechbook. The great detail used to illustrate the Asian techniques for reconstructing cleft lips changed the practices of Western doctors. The information was so useful the book was also translated into Arabic and brought to the Middle East.

In the 16th century Gasparo Tagliacozzi, a surgery and anatomy professor at the University of Bologna, came forward with new method of reattaching the nose incorporating the bicep muscle pedicle flap. Until now muscles had avoided in reconstruction surgery and the focus was purely on repairing the skin.

By the 18th century improvements in Indian skin flap techniques had developed considerably. Reconstructed noses were made more natural looking and there was less scaring on the forehead where the tissue is removed. This was done by fitting the nose with a wax cast to insure proper sizing.

Johann Friedrich Dieffenbach was one of the first surgeons to anesthetize a patient before performing a nose surgery. This new 19th century technique allowed the surgeons to take their time and refine their cuts for more precise and accurate techniques. In 1887 the first closed or endonasal rhinoplasty was developed in the United States by John Orlando Roe. The new method was a revolutionary approach to repairing deformities.

The early 20th century introduced submucous resection septoplasty to the medical community with the research of doctors Freer and Killian. This was the beginning of a number of improvements within the century. By 1929 surgeons were manipulating the caudal septumin. 18 years later Maurice H. Cottle changed the process of septal deviation surgery. Closed surgeries remained standard until the 1970s, when Padovan introduced new procedures that advocated the open approach.

The newest research continues in the area of injection soft tissue fillers for non surgical rhinoplasty. These injections correct defects and have shorter healing times than more invasive techniques. From Indian skin flaps to injections the area of rhinoplasty Edmonton has changed greatly. Future developments will continue to improve results while reducing healing time for patients.

When looking for facelift Edmonton or Edmonton cosmetic surgery make sure to do your research and consult a fully accredited facility.

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