RHINOPLASTY

Rhinoplasty is a well-established procedure that has been helping men and women feel more attractive and self confident for years.

One of the most popular forms of aesthetic surgery, it may be done in two different ways:

  • In closed rhinoplasty, all incisions required to reshape the tip and bridge of the nose are placed inside the nostrils. As a result there are generally no external scars, unless the size of the nostrils is also reduced (alar base reduction.) In this situation, there may be small scars in the furrow between the nostril and the lip. If the tip of the nose requires considerable reshaping, a small scar under the midline of the nose may also be necessary.
  • In open rhinoplasty in addition to the incisions inside the nostrils, there is a small incision placed on the columella (the small bridge of skin between the nostrils.) Some surgeons prefer this approach because it gives them greater control if intricate reshaping is required for the cartilages in the tip of the nose. The advent of computer simulation in the preparation for surgery, leads to greater accuracy of the planning process and therefore higher expectations from the patient. Our practice believes open tip rhinoplasty offers a more accurate way of achieving these specific targets.

During your consultation, your surgeon will ask about your general medical history and any previous surgeries or injuries to your nose. He’ll also want to know how well you are currently breathing through your nose.

He will be especially interested in why you are unhappy with the appearance of your nose and what results you are hoping your procedure will achieve. Most people would like their noses to be smaller. In some cases, though, an increase in size may be appropriate.

  • It is very important that you be entirely forthright with your surgeon about what kind of nose you would like to have. People sometimes fail to describe their true expectations, asking for an average nose when, in reality, they have a very specific size and shape in mind. Only by telling your surgeon exactly what you want can you and he determine whether it is possible and desirable.
  • At the same time, you need to be aware that everyone is different and what may work well for one person may not work well for another. For example, skin thickness varies enormously and a small, delicate nose and rarely be made from a large, thickened one.
  • Feel free to bring photographs of noses you admire.
  • Your surgeon may also use computer simulations to help you see what changes are feasible and what they would look like. These simulations can often help patients describe the results they want and the changes they would like to avoid. You need to be aware, though, that a computer simulation is not a guarantee of the result, as each person’s tissues have their own healing pattern that may influence the outcome to some extent.
  • This discussion of the kind and degree of change you want will determine which type of procedure your surgeon recommends.
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