A Comprehensive Guide Of Rhinoplasty Techniques
Rhinoplasty, commonly referred to as a nose job, is a surgical procedure that aims to enhance the appearance and function of the nose. The procedure can be performed using various techniques, depending on the patient\’s specific needs and desired outcomes. In this article, we will explore the most common rhinoplasty techniques used by plastic surgeons in Australia.
Section 1: Open vs Closed Rhinoplasty
One of the primary considerations when planning rhinoplasty is whether to use an open or closed approach. Open rhinoplasty involves making a small incision on the columella (the tissue between the nostrils) to provide better access to the nasal structures. Closed rhinoplasty, on the other hand, involves making incisions inside the nostrils, which leaves no visible scarring.
Section 2: Functional Rhinoplasty
Functional rhinoplasty is performed to improve the nasal airway\’s function. It involves addressing issues such as external valve collapse, internal valve narrowing, septal deviation, and enlarged turbinates. By addressing these issues, functional rhinoplasty can improve breathing and reduce snoring.
Section 3: Cosmetic Rhinoplasty
Cosmetic rhinoplasty aims to enhance the nose\’s appearance by altering its shape, size, or position. This technique can address a range of cosmetic concerns, such as a hump on the bridge, a bulbous tip, a crooked nose, or wide nostrils. One of the most popular trends in cosmetic rhinoplasty is achieving a more natural-looking result. This means that instead of completely altering the shape of the nose, the surgeon will make subtle changes to enhance its features and complement the patient\’s facial structure. Another trend is the use of advanced imaging technologies allowing the surgeon to better visualise the changes and communicate them effectively to the patient. Finally, there is a growing demand for ethnic rhinoplasty, which involves specific techniques to enhance or maintain the features of different ethnicities while still achieving a natural-looking result.
Section 4: Structural Rhinoplasty
Structural rhinoplasty involves reshaping the nasal bones and cartilage to improve both the form and function of the nose. This technique is often used to address issues such as a deviated septum, a nasal hump, or a crooked nose.
What is the difference between structural and excisional rhinoplasty?
Excisional rhinoplasty involves removing a significant amount of bone or cartilage from the nose and is typically performed as a closed procedure. However, there is a higher risk of unfavorable outcomes with this technique, as it can weaken the nose. Alternatively, structural rhinoplasty is a more refined approach. This technique not only removes excess tissue, but also replaces, reshapes, and reinforces the nose where needed.
Section 5: Preservation Rhinoplasty
Preservation rhinoplasty is a surgical technique that aims to preserve as much of the natural nasal anatomy as possible while achieving the desired aesthetic outcome. This approach involves the careful dissection of the nasal tissue and the use of specialized instruments to reshape the nose without removing excess cartilage or bone. Preservation rhinoplasty is particularly suitable for patients who wish to maintain the structural integrity of their nose and avoid the potential complications of more invasive techniques.
Section 6: Augmentation Rhinoplasty
Augmentation rhinoplasty is a popular cosmetic procedure used to enhance the height and projection of the nose, especially in individuals with low, flat, and wide noses, which is more common in Asian and African ethnicities. This procedure involves the use of implants or autologous tissues to augment the nasal dorsum and tip, as well as reshaping the nasal tip for a refined appearance. Nasal implants such as silicone or porous polyethylene implants are commonly used, but there is a risk of infection and implant rejection. Alternatively, autologous tissue reconstruction using one\’s cartilage or cadaveric rib cartilage grafts is a superior option in terms of biocompatibility and longevity of the procedure. Hybrid augmentation rhinoplasty, which combines both implant and autologous tissue techniques, has also emerged as a popular option for patients who require a more significant augmentation.
Section 7: Liquid Rhinoplasty with Filler
Liquid rhinoplasty, also known as non-surgical rhinoplasty, is a minimally invasive cosmetic procedure that involves using dermal fillers to alter the shape of the nose without surgery. The procedure is generally performed by injecting hyaluronic acid fillers into the nose to correct minor imperfections, such as a small bump, asymmetry or an irregular shape. The procedure is temporary and typically lasts between 6-12 months. Liquid rhinoplasty is a relatively quick and straightforward procedure that can be performed in an office setting with minimal downtime. However, it\’s important to note that it is not a substitute for surgical rhinoplasty and may not be suitable for all individuals. There is also a risk of infection, allergic reaction, and asymmetry if the filler is not administered properly. There have been cases of skin necrosis (skin loss) that leave very unsightly scars and deformities. Blindness (rare complication) has also been reported due to filler being injected into blood vessels that can migrate and block the blood supply to the eye. Similarly, it can cause strokes (very rare) if the filler travels to the brain.
Section 8: Thread Lift Rhinoplasty
Thread lift rhinoplasty, also known as a non-surgical rhinoplasty, involves using dissolvable threads made of polydioxanone (PDO) to lift the nasal tip and bridge. This technique is minimally invasive and can provide subtle changes to the nose\’s shape and contour. The procedure involves the insertion of small needles to create a path for the threads to be placed under the skin. However, as with any procedure, there are risks involved, such as bruising, swelling, infection, and the possibility of the threads breaking or moving from their intended position. Additionally, the results of thread lift rhinoplasty are temporary and may only last for six to twelve months.
In conclusion, rhinoplasty is a versatile surgical procedure that can be tailored to suit each patient\’s unique needs and desired outcomes. By understanding the most common rhinoplasty techniques used by plastic surgeons in Australia, you can make an informed decision about which approach is best for you. Be sure to consult with a qualified plastic surgeon to discuss your options and determine the best course of action.
- Any surgical or invasive procedure carries risks.
- Before proceeding, you have the option to seek a second opinion from an appropriately qualified surgeon trained and experienced in aesthetic and reconstructive surgery.
- Recovery time and treatment results will vary from patient to patient and depend upon a variety of individual patient factors.
About Dr Rodrigo Teixeira
Dr Rodrigo Teixeira, MD, FRACS is a Plastic Surgeon in Melbourne, Australia. He is based at Unveil Plastic Surgery located at the heart of the East Ivanhoe Village.
Dr Teixeira is experienced in Aesthetic and Reconstructive surgery of the Face, Nose and Breast. He is a fellow of the Royal Australasian College of Surgeons (RACS), member of the Australian Society of Plastic Surgeons (ASPS) and the Australasian Society of Aesthetic Plastic Surgeons (ASAPS). Internationally, he is a member of the American and the International Societies.
To discuss your aesthetic goals including any reservations or concerns regarding your appearance, or any other cosmetic procedure, you should first have a consultation with your general practitioner. You will need a valid referral to see a specialist surgeon. For further information you can contact us on 03 9000 3800.