Nose Surgery

Is rhinoplasty right for me?

Rhinoplasty can be performed on men and women of almost any age. However, it’s usually recommended that young people wait until facial growth is complete-about 13 or 14 for girls and 14 or 15 for boys. If you are a teenager, having the procedure should be your own idea.
You may be a good candidate for rhinoplasty if you have any of the following conditions:

  • your nose appears too large for your face
  • there is a bump or depression on the nasal bridge when viewed in profile
  • the nose seems too wide when viewed from the front
  • the nasal tip droops or plunges
  • the tip is thickened or enlarged
  • the nostrils are extremely flared
  • your nose is off-center or crooked
  • a previous injury has made your nose asymmetrical
  • you may have an airway obstruction that impairs breathing
a) If you feel your nose is not good a good fit for your face, rhinoplasty can enhance the shape size and general appearance of your nose. b) After surgery, the patient has a straighter bridge, a well defined nasal tip and an improved angle between the nose and upper lip

Your plastic surgeon may recommend other treatments that can be performed along with rhinoplasty to better meet your appearance goals or to improve breathing.

To enhance your appearance:

  • Chin surgery can improve facial balance by making the chin more or less prominent.

To correct breathing difficulties:

  • A turbinectomy can open nasal air passages by reducing the turbinates, the internal projections that warm and moisturize the air that passes through the nose.
  • A septoplasty can correct a deviated septum, a condition in which the dividing wall within the nose shifts from the middle to block the air passages.
c) Rhinoplasty can correct a nasal tip that droops, a bump on the nasal bridge, and other attributes that may make someone feel their nose is unattractive d) The results of rhinoplasty enhance the balance between the nose and other facial features.
e) Small wedges of skin at the base of the nostrils may be removed through incisions that are hidden in the nose’s natural creases

How is rhinoplasty performed?

The technique used for your surgery depends not only on your surgeons preferences, but also on your desired results. Alterations may be made to increase or decrease the nasal bridge, reduce the size or width of the nose, narrow the nostrils, reshape the tip, or change the angle between the nose and the upper lip.

Plastic surgeons may perform rhinoplasty from within the nose, making the incision inside the nostrils. This is called a “closed rhinoplasty.”Other times, a surgeon prefers an “open” procedure, in which a small incision is made across the columella, the vertical strip of tissue separating the nostrils, as well as within the nose.

Working through these incisions, the nose’s framework of bone and cartilage is sculpted to the desired shape. Your surgeon may reshape or reposition the bones in your nose, or build up certain areas, using either nasal cartilage or bones and cartilage from another body site, or other materials. The skin and soft tissue are then redraped over the reshaped framework. If the lower part of the nose is being narrowed or the nostrils are being reduced, small wedges of skin at the base of the nostrils may be removed through incisions that are hidden in the nose’s natural creases.

All of this information and pictures have been provided by the American Society of Plastic Surgeons.