ABSTRACT

Surgical rhinoplasty remains one of the most challenging techniques in plastic surgery and is still one of the most performed facial procedures. The surgical correction of the nose is performed sometimes alone or associated with other facial defect reshaping to achieve a balanced facial result. Nasal defects can be addressed with different surgical accesses, but the main objective is that whenever a rhinoplasty is done, it must address both nasal function and aesthetics. Surgical rhinoplasty is performed almost exclusively under general anesthesia to ensure patient comfort and protection of the airway. However, the surgical maneuvers can result in bleeding, causing secondary complications to upper and lower airways; when the patient is under general anesthesia, we place two nasal swabs deep posteriorly into both upper airways to prevent bleeding into the lower airway areas. The patient has a slight nasal hump and right deviation of the nasal septum.