The nose is one of the first facial features that gets noticed by another person and is one feature that can dictate the overall look of a person. A nose can be big, small, long, crooked, pointy or curving upwards. Aesthetically speaking, a nose that complements the overall shape and look of the face is the perfect idea of proportion, but as we all know, not all of us are born with a proportioned nose. Some people take so much fuss about the look of their nose while others just don’t care and are happy with their looks.
With the standards that popular culture, television and the movies are putting out today, cosmetic procedures are steadily growing and are becoming big business. And one of the most popular plastic surgery procedures today is rhinoplasty.
Rhinoplasty Or Nose Job Explained
A nose job or rhinoplasty is a kind of plastic surgery procedure that is performed to correct and bring back the form, aesthetically enhance and restore the functions of the nose by resolving congenital defects, respiratory issues, trauma or a botched primary rhinoplasty. A plastic surgeon, an otolaryngologist or a maxillofacial surgeon is the specialist that can perform different types of rhinoplasty. These specialists create an authentic, proportioned and functional nose by separating the nose skin and nasal soft tissues from the nasal framework and then correcting them as required to bring back or enhance the form and function of the nose. The incisions made are closed using sutures and a stent is applied to immobilize the treated nose to ensure the proper healing after the surgery.
3 Main Reasons Why You May Need Rhinoplasty
Whenever we hear of rhinoplasty or a nose job, the first thing we commonly think of is having a nose enhancement. As mentioned above, rhinoplasty is not just for cosmetic reasons, but it can also be performed as a reconstructive surgery. The 3 main reasons are:
1. Due To A Medical Condition
One of the most common nasal medical condition that requires surgery is a deviated septum. A deviated septum is the medical term where the center cartilage of the nose that separates the nostrils is off-center. This condition creates breathing difficulties. It can also result in sinus infections. More than 80% of all nasal septums are off center. Some are born with a deviated septum and some are due to accidents or trauma. As a result of trauma, the cartilage has shifted from and prevented them from breathing regularly. Another common reason for rhinoplasty is cleft lip or palate. This is a very simple birth defect to correct.
2. Due To Traumas Or Accidents
Accidents will happen and we cannot predict when they will happen. It can be due to sports or any activity that causes the nose to get damaged. Gravity or blunt force trauma has a great way of bringing someone to the ground. If a person suffers a damaged nose due to an accident, it is best to have it treated immediately especially if the nose requires surgery. If the nose is treated within the first 2 weeks from the time of the accident, the results will be very positive. As most plastic surgeon state, after 2 weeks the nasal bones will become fixed in the fractured position and it will be more difficult to repair because of the healed scar tissues.
3. Due To Cosmetic Reasons
Some people may find their nose not as perfect as they would like it to be thus some opt for a cosmetic rhinoplasty to enhance the look of their nose. Some noise will have bumps, some will be too big or too small. The ideal cosmetic rhinoplasty should complement the face. Whenever we look at a person, the first things that we notice are the eyes, nose and mouth. If the nose calls to much attention, then it is a distraction by itself. The shape of the nose can make or break the overall look of the face.
The best candidates for nose jobs are people who:
- Have good general health
- Have good and realistic expectations
- Have a fully developed nose
- Are mature and psychologically stable
- Understand the risks involved in undergoing rhinoplasty
There is no age limit for a rhinoplasty but experienced plastic surgeons suggest the patient should be at least between 14-16 years of age because the nose is already fully developed by this age.
The Four Types Of Rhinoplasty
Because every person is unique and will have different nose shapes, there are 4 major rhinoplasty procedures that can fit the patient’s needs and condition.
1. Reduction Rhinoplasty
A person seeking reduction rhinoplasty is concerned about the big size of their nose or the shape of their nose not being proportioned to the shape of the face. Common areas of concern are the presence of a bump on the bridge of the nose, big nostrils or excessive width of the bridge tip of the nose. To achieve a more significant change and control on the shape of the nose, an open tip approach combined with some thinning of the skin type and the supra tip of the nose will be performed. Patients with thicker skin will be limited in correction and will need more effort, but, it does not mean that the operation will not achieve a more defined appearance.
2. Augmentation Rhinoplasty
This type of surgery is performed on patients who want to increase the dimensions of their nose. This may be the case for individuals with congenital nasal issues or injuries where the nasal support structure has been damaged or too much nasal tissue or cartilage has been removed. A 2D or 3D simulation may be needed to project the possible changes in shape and size needed for the patient. A dimensional rhinoplasty approach may be needed to increase the success rate of the procedure. The projection of the top of the nose and the height of the bridge are some of the factors considered for the procedure. Depending on the condition or nose damage, implants or grafting may be necessary in rebuilding the nose. Grafting options may include using the patient’s rib cartilage or an artificial implant like silicone.
3. Post Traumatic Rhinoplasty
Nose damage due to injuries, accidents and trauma usually lead to bone and cartilage support of the nose. Due to the trauma, there will be a change in appearance resulting in nasal deviations, breathing issues and asymmetries. Such issues can be corrected within the first 2 weeks after the injury. If not attended to immediately, the injury can generate bleeding on the 2 sides of the nasal septum which can cause blood clots and accumulate around the nasal cavity. This will in turn deprive the nasal supporting tissues of oxygen and can result in septal hematoma. The loss of support from the cartilage under the nasal bridge can cause a boxer nose deformity. After the initial nasal surgery is done, it may take several surgeries to completely bring back the form and functions of the nose. It may take 6 months or longer before another extensive reconstructive surgery can be performed. A break from the initial surgery is required to allow the tissues to settle.
4. Ethnic Rhinoplasty
This type of rhinoplasty is more into the cosmetic side and focuses more on people with softer nasal contours like South East Asians, Afro-Caribbean, far eastern or Pacific Rim population groups. Specific features or people belonging to this group often have a lower or wider nose bridge, wider nostrils or nasal tips and have soft nasal support. Patients usually require just a degree of narrowing the nostrils. Options for this type of rhinoplasty include the use of the patient’s rib cartilage as an implant or using Medpor, a silicone implant in building up the nose bridge and nose tip.
All in all, a good nose job should raise a person’s self esteem and a bad nose can knock out that confidence. A patient should have realistic expectations about the procedure and should consult a qualified and experienced plastic surgeon to get the right information before going for a rhinoplasty.