A Primer on Rhinoplasty

Posted on:  by Dr. Edward Eades in Uncategorized

Rhinoplasty, often referred to as a “nose job”, is the most common plastic surgery procedure around the world.

Rhinoplasty is the surgical reshaping of the nose – creating an altered and improved outward appearance. The structure of the nose is altered, improving function (breathing) as well.

Typically the procedure takes under three hours, performed under general anesthesia. The patient typically goes home with care instructions after the procedure and has follow up appointments scheduled.

There are various types of Rhinoplasty that can be performed based on goals of the patient:

Cosmetic Rhinoplasty: Patients with bulbous (enlarged), droopy, crooked or humped noses are often unhappy with their appearance. If the nose is out of proportion with the rest of their face, it causes concern and often insecurity. Cosmetic Rhinoplasty corrects this by reshaping and restructuring the nose.

Functional Rhinoplasty: Functional Rhinoplasty is performed to help with health issues, particularly breathing problems due to a deviated septum and blockage of airways. Functional Rhinoplasty that focuses on a deviated septum is called Septoplasty.

Standard Rhinoplasty: Incisions are made inside the nostrils. The nasal bones, cartilage and soft tissue are reshaped to improve the external contour (the outer portion of the nose).

Open Rhinoplasty: Frequently used for difficult or larger noses. This procedure involves one external incision across the columella (strut between the nostrils). Bones, cartilage and soft tissue are reshaped under direct vision.

Tip-Plasty: If only the nasal tip is of concern, it may be corrected with either a standard or external (open) approach.

Ethnic Rhinoplasty: Some ethnicities have unique characteristic that are specific to them. Ethnic Rhinoplasty specializes in nose reconstruction and reshaping without disturbing the aesthetic look that is inherent to their ethnicity.

Alar Base Reduction: This is a technique required by certain ethnic groups. It addresses the width or base of a nose that is out of proportion with other facial features. Alar base reduction will also reduce the size and shape of nostrils if they are asymmetrical.

Alar base reduction is performed by making a small incision on the inside of the nostril and cutting out a wedge of skin.  This often addresses a large nasal tip at the same time, creating a softer look that blends nicely with the new nostril size.

5-Minute Nose Job (Injection Rhinoplasty): A 5-Minute Nose Job is a nonsurgical, minimally invasive procedure. It restructures the nose with injections using Hyaluronic acid “sugar gels” to correct and enhance nasal-facial disproportion. Dr. Stephen Mulholland, Toronto Plastic Surgeon pioneered the nonsurgical Rhinoplasty procedure.

Revision Rhinoplasty: Revision Rhinoplasty is required when a patient is not pleased with the results of their previous Rhinoplasty; or it may be done to correct health issues that arise post-surgery.

TIP: A simple method to measure optimal nose width is to use the position of the eyes as a gauge.  By drawing two imaginary vertical lines from the inside border of the eye down to the bottom of the nose, the distance between the lines should be equal to the width of the nose.

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