Rhinoplasty is a medical procedure to improve the appearance of patients’ noses, or to correct their breathing problems. Over the years, based on their patients’ needs and preferences, cosmetic surgeons have devised different rhinoplasty procedures to meet the expectations of their patients.
Here is an overview of the different rhinoplasty procedures that cosmetic surgeons commonly perform today:
1) Closed Rhinoplasty
This closed approach can be performed under general or local anesthesia with intravenous sedation. The surgeon makes incisions inside the rim of the nostril, where they will be completely hidden from view after the patient heals. To correct a breathing problem, the surgeon separates the soft nose tissues from the underlying structures. He or she then reshapes the cartilage and bone.
To reduce the size of your nose, your nasal bones will be carefully fractured towards the end of the procedure. If your nose needs to be built up, your surgeon may create grafts using your cartilage from your ears, nose, rib or bones. Your surgeon may also use other materials such as silastic implants, human tissue or cartilage grafts from a tissue bank.
Your surgeon will place a splint on the bridge of your nose to maintain and protect the newly-positioned tissues and structures. Nasal packing is sometimes placed inside the nostrils to provide additional support and to stem any bleeding.
Closed rhinoplasty almost completely removes all risk of visible scarring. However, it does not offer as much freedom to the surgeon in terms of reshaping possibilities since the surgeon is not able to visualize as well what the end result will be, as compared to the open approach.
2) Open Rhinoplasty
In this procedure, your surgeon makes an incision across the columella which is the small strip of skin that rests between your nostrils. This allows your surgeon to lift the skin off the tip of your nose and shape the cartilage and bone in your nose very precisely. This is because your surgeon is able to better visualize the inner structures of the nose to produce a better, more predictable final result.
When healed, the incision leaves a very small, almost unnoticeable scar on the underside of the nose. People with thicker skin, of olive or darker complexion are more prone to scarring.
3) Natural Rhinoplasty
Rhinoplasty surgeons are constantly challenged to hunt for methods to produce a more natural looking nose that holds its shape over time. In the past, patients who have undergone nose jobs end up with noses that appear “overdone” and disproportionately small as compared with the other facial features.
This happened when cosmetic surgeons removed too much of the natural structures of the nose. Over time, as tissues heal and contract, the nose ends up looking too small and narrow, too upturned and pinched at the tip.
Today, rhinoplasty procedures is about rearranging and reshaping nasal structures, not just removing them. Nasal tissue is preserved as much as possible. Wherever necessary, grafts are used to support the nose and open up breathing.
Natural rhinoplasty methods are best done using the open rhinoplasty procedure. By getting a qualified rhinoplasty surgeon to perform your rhinoplasty, you can minimize your risk of scarring and other rhinoplasty complications.
4) Non-Surgical Rhinoplasty
Non-surgical rhinoplasty benefits patients who want to improve the appearance of their noses almost instantly without having to undergo invasive surgery. Patients heal more quickly and experience far less pain. They also only need to pay just ten percent of the cost of a rhinoplasty surgery.
Non-surgical nose jobs involves the injection of substances such as botox to help camouflage the appearance of humps and bumps on the nose. Patients need not fear that this will result in a bigger nose. The injection merely evens out the nose to give it a smoother silhouette. This treatment is also ideal for patients who did not get a satisfactory result from their first nose surgery and do not wish to undergo revision rhinoplasty.
Unfortunately, those with major nasal deformities and those who are looking to significantly reduce the size of their nose are not candidates for the non-invasive nose job. Instead, these patients will require surgical rhinoplasty.
Most patients return to work on the same day as the procedure. The final result is immediate. Most patients will need a touch up after about two years.
Of these different rhinoplasty procedures, which one suits you best? Your surgeon will have to first carefully examine your facial features, your nasal structures, as well as your skin texture. Based on your facial anatomy and the changes you want, your surgeon will then be able to choose the method that is likely to work best for you.