Rhinoplasty, or nose correction surgery, is a facial cosmetic surgery method used to enhance, correct or reconstruct the appearance of the nose. Suitable patients can be of any age group as this surgery serves many purposes.
For example, a rhinoplasty can alter the width of the nose at the bridge, modify the tip, straighten deviations in profile, balance asymmetry, or reduce the overall size relative to other facial features.
The 3 typical purposes of the procedure are to
1. Improve cosmetic appearance
2. Revise a previously unsatisfactory surgery
3. Improve nasal functionality
There are two types of rhinoplasty – Open Rhinoplasty and Closed Rhinoplasty.
Open (or external) Rhinoplasty uses incisions made inside the nostrils and adds a small lateral incision (trans-columellar incision)
which allows the nasal skin to be folded upward opening surgical access to nasal internal structures.
Closed Rhinoplasty (endonasal rhinoplasty), uses surgical incisions that are positioned within the nostrils.
This endonasal approach can reduce numbness and swelling, as well as reduce recovery time.
While a closed rhinoplasty offers better concealment of scars, it limits the surgeon’s view of internal nasal structures, thereby narrowing the range of restructuring and repositioning options.
With both types, some bone and cartilage may be removed, or a bone graft or autologous cartilage may be added.
After the surgeon has rearranged and reshaped the bone and cartilage, skin and tissue are re-draped over the structure, and incisions closed.
At that point, the surgeon applies an internal/external support to immobilize and facilitate undisturbed healing, which typically lasts 1-2 weeks with further settling for up to 3 months.