Rhinoplasty, also commonly referred to as a ‘Nose job’ is a procedure generally chosen by people who are unsatisfied with the appearance of their nose. This usually includes structural deformities like size or shape.
However, contrary to popular belief, rhinoplasty is not a singularly cosmetic procedure. A lot of rhinoplasty procedures are performed to improve the functionality which was compromised due to congenital (inherited) or chronic diseases. Rhinoplasty can also improve the functionality of the nose in those who have breathing problems. Additionally, rhinoplasty is also used to repair nasal structure after traumatic injury due to falls or motor vehicle accidents.
The main aim of a rhinoplasty procedure is to improve the appearance as well as the function of the nose. The procedure is done keeping several things in mind including the rest of the patient’s facial structure as well as the skin type and internal bone architecture.
Rhinoplasty is one of the most difficult cosmetic procedures performed nowadays. The nasal passage is made up of delicate skin with a high blood supply increasing the risk of complication. However, experienced surgeons are able to perform numerous rhinoplasties a day. The more experienced the surgeon, the better the outcome will be as rhinoplasty is a highly customizable surgery and only an experienced surgeon will know exactly how to perform the surgery for your desired result.
Rhinoplasty is a surgical procedure that changes the structure of the nose. Medical professionals involved in the rhinoplasty procedure include plastic surgeons, otolaryngologists, and oral and maxillofacial surgeons.
When used for aesthetic reasons to improve appearance, this kind of surgery is termed cosmetic surgery. On the other hand, rhinoplasty used to improve the functionality of the nose is known as reconstructive surgery. The upper portion of the nose is made up of small plates of bones whilst the lower portion is made of cartilage; both bone and cartilage are covered by the skin on the inside and outside. Rhinoplasty can manipulate all three (bone, cartilage, and skin) types of tissues or just one of them. Your surgeon will give you the options best suited for your desired result.
Before performing a Rhinoplasty, the surgeon usually analyses the patients’ facial features, the skin of the nose, and the desired appearance or functionality the patient is interested in. Along with a few other medical check-ups, these factors decide whether the patient can be a candidate for Rhinoplasty.
Rhinoplasty procedures can be covered by insurance companies, they may pay for it partially or as a whole, this usually depends on the goal of the surgery.
The general steps for rhinoplasty surgery include the following.
This is a medication administered before the surgical procedure. It is used to numb up the surgical field so that the patient does not feel any pain during the procedure. Anesthesia can be local or general. During local anesthesia, the patient is awake. Whilst under general anesthesia, the patient is fully asleep during the procedure. Anesthesia is usually administered intravenously.
Rhinoplasty can be divided into two types according to the incision being given.
After these incisions are placed, the skin is gently lifted allowing access to the underlying cartilage and bones. The surgeons are then free to manipulate both these structures in order to achieve the patient’s desired results
Reshaping the nose is done by making changes in the bony and cartilaginous parts of the nose. These changes can involve removing or reducing bone and cartilage and even adding cartilage grafts. These grafts can be made from cartilage from other parts of the nose and even other parts of the body. For example, the cartilaginous part of the ear or rarely a section of the second rib.
Deviated nasal septum refers to the deviation of the bone and cartilaginous tissue that separates the nostrils of the nose. The septum can be deviated due to trauma or birth defects. Sometimes, the deviation can even present as difficulty in breathing and frequent nose bleeds.
The surgeon can straighten this septum and any other projections inside the nose to allow for a more suitable airway passage.
After the alterations to the bone and cartilage have been completed, the overlying skin is redraped over the new nose structure. This may sometimes involve additional incisions in the natural creases of the nose to allow for better fitting to the altered size and shape of the nose.
In addition to changing the appearance of the nose, rhinoplasty also has a major impact on the general appearance of the face. After rhinoplasty, patients usually see that the rest of their facial features are better tied together with their new altered nose shape and size. As a result, this gives a more balanced look to the face.
Rhinoplasties have a functional purpose as well and that is to improve the airway passage of the patient. This is especially helpful for the patient suffering from the deviated nasal septum, trauma from accidents, etc.
Additionally, a rhinoplasty can also include a procedure called Turbinoplasty for patients who need it. Turbinoplasty alters the shape of the inferior turbinate which is a shelf likes structure inside the nose. This structure can be abnormally enlarged on one or both sides of the nose due to birth defects or disease.
Many patients have suffered their whole lives due to their noses. Not just due to reduced functionality, but also due to reduced aesthetic. Patients undergoing Rhinoplasty often also have a boost in confidence and self-esteem as a result of the procedure.
Rhinoplasty is a generally safe procedure with little to no disadvantages.
Unfortunately, sometimes patients are unable to receive desired results from their rhinoplasty due to issues like a thick skin. Such restrictions reduce the overall result of the surgery, especially if the patient wanted a more defined look.
Sometimes, it is difficult for the patient to understand that the anatomy of the rest of their features play a big part in the Rhinoplasty. Often patients bring in a picture of their desired result, but the surgeon is unable to provide the desired result due to the distinct anatomical makeup of the patient.
No. Rhinoplasty is an outpatient procedure which means the patient is free to leave right after the surgery. However, arrangements should be made to make sure the patient has adequate help in getting home afterward.
This procedure usually takes up to two hours, however, this may vary according to how complicated the surgery is.
Yes. This is a common practice in cosmetic surgery. The most common type of surgery performed in the same sitting is chin advancement. This is usually recommended to improve the balance of the face. Other procedures are also performed, however, it is best to consult your surgeon first.
As with any type of surgery, the major risks include:
Specific risks for rhinoplasty include: