Nose Job (Rhinoplasty)

Nose Job

Why have a Nose Job (Rhinoplasty)? The nose due to its central location in the face is pivotal in facial aesthetics and appearance. While the shape of our nose is usually the result of heredity, the appearance may have been altered in an accident or by prior surgery. Cosmetic surgery of the nose, also known as rhinoplasty, is a procedure that improves the appearance and proportion of your nose, enhancing facial symmetry and gives you more self-confidence. Rhinoplasty surgery can change:

  • Nose size, in relation to the other facial structures
  • Nose width
  • Nose profile, with visible humps or depressions on the bridge
  • Nasal tip that is too large or bulbous, drooping or too upturned
  • Nostrils that are large, wide or upturned
  • Nasal asymmetry and deviation
  • Nasal Septal Deviation with breathing difficulties

Rhinoplasty procedure involves reshaping of the cartilage, bone and sometimes the soft tissues of the nose. Choosing to change the shape of your nose with a rhinoplasty operation can alter the appearance of your whole face and not just your nose. There are many reasons to choose to have rhinoplasty, most important is to do it for yourself.

The Nose Surgery Consultation

The consultation with your plastic surgeon is the first step in communicating your feelings about what you want to achieve and how nose surgery can change your appearance. It is crucial to highlight to your surgeon exactly what you find most objectionable about the appearance of your nose and to try to define what you would like to see as a result. The purpose is to bring focus and clarity to the concerns that you have regarding your appearance, but also to establish realistic expectations and a clear sense of direction for your change. During the consultation, you will be asked many questions about your health, desires, and lifestyle.

Be prepared to discuss:

  • Why you want the surgery, your expectations, and desired outcomes
  • Medical conditions, drug allergies, medical treatments, facial trauma and fracture of the nose
  • Use of current medications, alcohol, tobacco, and drugs
  • Previous surgeries

Your surgeon will also:

  • Evaluate your general health status; ask about any previous surgery, and any pre-existing health conditions or risks factors
  • Take photographs for your medical records
  • Discuss your goals and explain what results you can reasonably expect.
  • Discuss any risks or potential complications and what to expect during your recovery.
  • Discuss the use of anaesthesia during your surgery

Rhinoplasty Techniques

Closed Rhinoplasty
When you are concerned about surgery on the outside of your nose and desire results that are not going to look obvious, then a Closed Rhinoplasty is a procedure to consider. This technique involves working only on the inside of the nose, within the nostrils. Since there is no work done on the outside, you don’t have any noticeable scars or any other kind of damage that would be of concern. A couple of tiny scars may result due to the surgery, but these are subject to the extent of the surgery. If you opt for Closed Rhinoplasty and want a lot of work done, involving the tip of the nose, then a couple of tiny scars are to be expected.

Open Rhinoplasty

Open Rhinoplasty is a surgical procedure that is performed on the external and internal areas of the nose to reshape the nose. In this type of Rhinoplasty, incisions are made on the Columella (the bridge connecting the nostrils) and other parts as necessary. This technique will be used if you wish to reshape your nose extensively, including the tip of the nose and other aspects of its. If you would like to reduce your flared nostrils and modify other visual aspects of your nose, then this is the method for you to consider.

Types of Rhinoplasty Procedures

Reduction Rhinoplasty
If your desire is a smaller nose, then a Reduction Rhinoplasty will be the course of treatment by your surgeon. With this technique, the bone and cartilage within the nostrils are removed or rearranged as necessary. Additionally, incisions may be made on the nostrils to suit your new nose, and the remainder of the nose is mostly left untouched. This is a very simple procedure and might use some aspects of Open Rhinoplasty as well to be completed. Some fine scars may result from the surgery, but this is normal. If the nasal septum has deviated, this will also need correction during surgery.

Augmentation Rhinoplasty
Augmentation rhinoplasty is a group of procedures that involve increasing the projection of the bridge and the tip of the nose. To improve the appearance of a flattened nose, it is necessary to introduce some additional framework underneath the skin to raise and straighten the bridge-line. Various materials are used for the additional structure such as bone, cartilage (gristle) and a range of manufactured materials which experience has shown safe and well tolerated by the body. Each has its advantages and disadvantages which are too complicated to discuss here and can be addressed by your consultant during your consultation.

Revision Rhinoplasty

If your previous Rhinoplasty did not give you’re the desired results, then a Revision Rhinoplasty may be required. If possible this option should be avoided, but there are times when this is not possible. There are many reasons why you may require a revision. The good news is that it can be rectified, but recovery time will increase. In order to compensate for the size, cartilage might be used from different sections like the rib or the ear or even the nose itself. Avoid getting a Revision Rhinoplasty by clearly stating what you expect to your surgeon.

Further Reading:

Brow Lift

British Association of Plastic Reconstructive and Aesthetic Surgeons

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