Rhinoplasty, commonly known as a nose job, is a surgical procedure aimed at enhancing the appearance and function of the nose. Various techniques are employed to address individual patient needs and desired outcomes. This article explores the most common rhinoplasty techniques utilised by plastic surgeons in Australia.
Open vs. Closed Rhinoplasty
A primary consideration in rhinoplasty is the choice between open and closed approaches:
- Open Rhinoplasty: Involves a small incision on the columella (the tissue between the nostrils), providing the surgeon with enhanced visibility and access to the nasal structures. This approach is often preferred for complex cases requiring significant reshaping.
- Closed Rhinoplasty: All incisions are made within the nostrils, leaving no visible external scars. This technique is typically used for less extensive modifications.
Functional Rhinoplasty
Functional rhinoplasty focuses on improving nasal airflow and addressing issues such as:
- External Valve Collapse: Weakness or narrowing of the outer nasal passages.
- Internal Valve Narrowing: Constriction within the nasal cavity.
- Septal Deviation: A displaced nasal septum causing obstruction.
- Enlarged Turbinates: Swollen nasal tissues leading to breathing difficulties.
By correcting these issues, functional rhinoplasty enhances breathing and can reduce snoring.
Cosmetic Rhinoplasty
Aimed at enhancing the nose’s appearance, cosmetic rhinoplasty addresses concerns such as:
- A dorsal hump on the bridge.
- A bulbous or drooping nasal tip.
- A crooked or asymmetrical nose.
- Wide or flared nostrils.
Modern trends emphasise achieving natural-looking results that harmonise with the patient’s facial features. Advanced imaging technologies assist surgeons in visualising potential outcomes and communicating effectively with patients.
Structural Rhinoplasty
This technique involves reshaping the nasal bones and cartilage to improve both form and function. It is often employed to address:
- Deviated septum.
- Nasal hump.
- Crooked nose.
- Cleft nose.
- Reconstructive rhinoplasty
- Secondary rhinoplasty (revision rhinoplasty)
Structural rhinoplasty not only removes excess tissue but also reinforces the nasal framework, providing essential support and stability.
Preservation Rhinoplasty
Preservation rhinoplasty aims to maintain as much of the natural nasal anatomy as possible while achieving the desired aesthetic outcome. This approach involves careful dissection and reshaping without excessive removal of cartilage or bone, preserving the nose’s structural integrity. It is particularly suitable for patients seeking subtle enhancements.
NEW TRENDS IN RHINOPLASTY: PRESERVATION VS. STRUCTURAL APPROACH
Augmentation Rhinoplasty
Common among individuals with low, flat, or wide noses, particularly in certain ethnicities, augmentation rhinoplasty enhances the nasal dorsum and tip. This can be achieved using:
- Implants: Materials such as silicone or porous polyethylene.
- Autologous Tissue: The patient’s own cartilage, often harvested from the septum, ear, or rib.
Autologous tissue is generally preferred due to its biocompatibility and reduced risk of complications.
Liquid Rhinoplasty
Also known as non-surgical rhinoplasty, this minimally invasive procedure uses dermal fillers to alter the nose’s shape without surgery. It is suitable for minor corrections, such as smoothing small bumps or asymmetries. However, the results are temporary, typically lasting between 6 to 12 months, and there are risks, including infection, skin necrosis, and, in rare cases, blindness.
Thread Lift Rhinoplasty
This non-surgical technique involves inserting dissolvable threads made of polydioxanone (PDO) to lift the nasal tip and bridge. It offers subtle changes with minimal downtime, but the results are temporary, lasting approximately 6 to 12 months. Potential risks include bruising, swelling, infection, and the possibility of threads breaking or moving.
Conclusion
Rhinoplasty encompasses a range of techniques tailored to individual patient needs and aesthetic goals. Consulting with a qualified plastic surgeon is essential to determine the most appropriate approach for achieving the desired outcome.
Frequently Asked Questions
- What is the best technique for rhinoplasty?
The optimal technique depends on the individual’s nasal anatomy, aesthetic goals, and functional needs. A consultation with a qualified surgeon is necessary to determine the most suitable approach. - What is the most advanced rhinoplasty technique?
Advanced techniques include structural and preservation rhinoplasty, which aim to balance aesthetic enhancement with functional integrity. - What is the best type of rhinoplasty?
The best type varies per individual. A thorough evaluation by a specialist will help determine the most appropriate procedure.
Rhinoplasty
Â
About Dr Rodrigo Teixeira
Dr Rodrigo Teixeira, MD, FRACS, is a Specialist Plastic Surgeon based in Melbourne, Australia, at Unveil Plastic Surgery in the heart of East Ivanhoe Village.
With extensive experience in aesthetic and reconstructive surgery for the face, nose, and breast, Dr Teixeira is a Fellow of the Royal Australasian College of Surgeons (RACS). He is also a respected member of the Australian Society of Plastic Surgeons (ASPS) and the Australasian Society of Aesthetic Plastic Surgeons (ASAPS). Internationally, he holds memberships in both the American and International Societies of Plastic Surgery.
Please note that any surgical or invasive procedure carries risks. To discuss your aesthetic goals or address any concerns about facial appearance or other cosmetic procedures, please consult with your general practitioner, who can provide a referral for a specialist surgeon consultation. For more information, contact us at (03) 9000 3800.