Rhinoplasty - Cosmetic Nose Surgery

To achieve aesthetic harmony of the face, cosmetic nose surgery is of the utmost importance. Rhinoplasty is a cosmetic procedure that reshapes the nose to fit the rest of the facial features. Reshaping the nose may be achieved by reducing or increasing the size of the nose, removing the hump and reshaping the bridge of the nose, or refining the tip and remodeling the angle between the nose and the upper lip. The nose may require narrowing at the bridge or the nostrils. The nostrils may also be reshaped.

Aesthetic surgery procedures of the nose may include:

Increased projection of the nasal tip with tip refinement that may involve reducing the nasal projection. This is often utilized with those who have the Pinocchio nasal deformity.
Removing the nasal humps, bone and/or cartilage.
Narrowing the bony pyramid of the nose.
Changing the length of the nose by lengthening or shortening, to achieve harmony with the rest of the facial features.
Correction of the crocked or hooked nose.
Correction of the saddle nose deformity where, the bony height is inadequate due to surgery, trauma, or congenital characteristics of the nose.
Correction of the abnormalities of shape and size of the nasal structures.

The optimum candidate for cosmetic surgery is the individual who is seeking cosmetic refinement, but does not wish change the world around them. The best example is the stable teen-ager (girl or boy) age 16-17 years, who are unhappy about certain features of their nose. Combine realistic expectations with respect to the results and the maturity for the surgical experience, these individuals would make excellent candidates.

The Surgery

The approach to access the different structures of the nose:

1. Open Rhinoplasty Technique:: Where a small incision is used in the Columella and the remaining incisions used are well hidden inside the nose. Open Rhinoplasty is more accurate and offers a higher degree in refining the nose.
2. Closed Rhinoplasty:: Utilizes all incisions within the nose. This offers limited access and therefore limited degree of control.

Nasal Obstruction: difficulty in breathing from one nostril or both. This condition may accompany any nasal deformity. Structurally it may be due to a deviated nasal septum and/or enlarged turbinate.

Correction of breathing problems can at the same time correct a deviated septum or reduce the turbiantes with or without the use of a spreader graft. However if nasal obstruction is due to allergies surgery may not change the breathing problems.