Rhinoplasty Procedures

Recommended Rhinoplasty Procedures And Their Effect On The Nose

A common indication that the doctor has your nose shape and size correct is to recommend a rhinoplasty (or nose-job) at the appropriate point of the nasal profile. In layman’s terms, this is where the tip of the nose touches the upper lip. The bridge of the nose should be as wide or narrower than the width of the nasal tip, so that the bridge of the nose does not shift down and become unappealing. A change in the bridge can often be corrected during an aesthetic.


Rhinoplasties are performed primarily on young adults because plastic surgery is a relatively young practice in most western cultures. Typically, the doctor will conduct the operation during a clean open surgery environment with local anesthesia. This procedure is typically performed on an outpatient basis. In countries where this is not the norm, rhinoplasty is frequently performed in a hospital under general anesthesia or in a surgical center separate from the hospital.


The reasons why a rhinoplasty might be suggested includes the reduction of common undesirable features of the nasal anatomy. For example, a common undesirable feature in most people is a small pointed bridge above the nose which may cause breathing difficulties. Most rhinoplasties can correct this by pulling the pointed bridge towards the tip of the nose. The reason for this pull is that the tip of the nose will most likely be swollen during and after the surgery. This swollen tip will need to be pushed into the appropriate position during the recovery period. The proposed surgical algorithms will address whether this tip of the nose should be pushed forward during the procedure.

Another common undesirable feature is a shallow or retracted tip. In general, the tip of the nose will be pulled forward or down depending on the patient’s degree of nasal projection. If the tip-first approach is taken, the tip will need to be pulled outward. The difference between this approach and the tip-first approach is that the tip-first approach uses a more restrictive form of slippage during the rhinoplasty procedure compared to tip-first. Many rhinoplasties that involve a “tape” method of clipping the tip of the nose will use this approach to fix the dorsal height problem.


Another reason for rhinoplasty is correcting the excessive depression of the lower nose over both ears. In general, a severe degree of depression over both sides of the nose is considered by several cosmetic surgeons as one of the most common undesirable features of rhinoplasty. Therefore, a significant number of rhinoplasties will include a tapered depression on one side of the nose in addition to the traditional depression used in most other forms of cosmetic surgery.


Some patients with a high degree of depression also have an enlarged septum, and a number of cosmetic surgeons combine septoplasty with cartilage reduction or removal. New technologies have combined these two procedures to create novel solutions for rhinoplasty patients. New cosmetic algorithms now allow for an increased septum drop and an enlarged septum, both of which can lead to significant correction of these two problematic features of rhinoplasty.

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