A rhinoplasty is a a form of facial plastic surgery that aims at resolving cosmetic and functional issues with a person’s nose. Rhinoplasty or a nose job was one of the top 5 cosmetic surgeries performed in 2012, according to the American Society of Plastic Surgery. Some patients are unhappy with the nose they were born with, or with the way aging has changed their nose. For others functional issues and distorted nasal anatomy impacts breathing. Slight alteration of the nose can greatly improve the appearance and function of the nose. As with all facial plastic surgery, good health and realistic expectations are prerequisites.
The Art of Nose Surgery
Rhinoplasty, as with all facial plastic surgeries, requires artistry along with medical knowledge to refine the nose so that it is in harmony with other facial features. Dr. Nassif and Dr. Yoo both approach nose surgery with the intention of resolving nasal issues while maintaining the unique beauty of the patient. Often rhinoplasty procedures require fine refinements to the nasal anatomy and consideration of the overall facial appearance.
Additionally, many patients have a chin augmentation or other facial surgical procedures in conjunction with rhinoplasty to create a better balance of features. A consultation with a facial plastic surgeon is key to identifying the best surgical strategy to achieve the desired results.
Rhinoplasty is usually performed with local injections of anesthesia with intravenous sedation, or in some cases, under general anesthesia. All forms of nose surgery should only be performed by a trained and highly skilled facial surgeon.
Open vs. Closed Rhinoplasty
In a closed rhinoplasty the majority of incisions are made inside the nose, where they are invisible. An open rhinoplasty, in contrast, requires external incisions to gain access to the interior of the nose. The facial cosmetic surgeon will determine whether and open or closed rhinoplasty is appropriate after assessing the patients nasal anatomy and considering the goals.
Certain amounts of bone and cartilage are then removed or rearranged to provide a newly shaped nose. If the patient has a deviated septum (cartilage and/or bone causing obstruction inside the nose), septal surgery, called septoplasty, is simultaneously performed. The incision is placed entirely inside the nose. The septoplasty removes portions of cartilage and/or bone that are causing the obstruction. The incisions are then closed with fine suture, followed by placement of a splint to the outside of the nose. The splint helps retain the new shape while the nose heals.