The nose is located in the centre of the face and greatly influences facial aesthetics and attractiveness. An attractive nose has a fine tip and a straight and symmetric profile that blends elegantly into the face.
Rhinoplasty is a general term that refers to the various procedures to correct and modify the nose’s shape and form. Rhinoplasty aims to reshape the nose so that the nose matches and enhances the overall facial profile. Rhinoplasty may involve reshaping the nose’s tip, nose bridge, nostrils, columella, skin, and soft tissue of the nose. Rhinoplasty is one of the most common cosmetic surgeries performed worldwide.
Non-surgical nose reshaping procedures includes filler injection and thread lifting of the nose (see Filler and Thread Lift). Non-surgical rhinoplasty procedures are simple to perform, and the recovery is faster. These non-surgical procedures can produce minor enhancement to the nose in simple cases. However, the results are usually short-lasting, so that repeated treatments are required. For more demanding cases, non-surgical rhinoplasty may not be able to provide safe and satisfactory results.
Surgical rhinoplasty, or simply known as rhinoplasty, is a nose reshaping procedure that involves surgery. Based on the surgical approach regarding the location of incision and exposure of the nose, there are two types of rhinoplasty: closed rhinoplasty and open rhinoplasty.
In closed rhinoplasty, the surgeon makes the incisions inside one or both the nostrils to gain access to the nose. Closed rhinoplasty is suitable for cases that require minor to moderate correction and reshaping, such as augmentation of the nasal bridge or minor refinement of the nasal tip. The advantages of closed rhinoplasty are shorter operating time, less swelling, and faster recovery time. Since the incisions are inside the nostrils, there will be no visible external scarring. However, closed rhinoplasty may not be suitable for cases that require complex reshaping and profound changes to the nose because of the limited exposure and access.
Open rhinoplasty involves an additional incision to the columella besides the incisions within the nostrils. This additional columellar incision enables the surgeon to lift the nose’s skin to open up the nose. The main advantage of the open rhinoplasty over the closed rhinoplasty is that it offers a much better exposure and visualization of the nose’s internal structures. This advantage enables the surgeon to modify and alter nasal structures with greater control and precision. Open rhinoplasty is a versatile approach that can effectively address a wide range of conditions, such as correction of a bulbous nose, short nose, upturned nose, deviated nose, and refinement the nose tip (tip-plasty) and secondary rhinoplasty. (see Secondary Rhinoplasty)
The selection of which procedure to perform in nose reshaping depends on various factors. These include the changes that the patient desires, the anatomy of the individual’s nose, the presence of existing abnormalities of the nose, history of previous nose surgery, and patient preference. Each case of rhinoplasty is unique and requires careful assessment and planning. Proper discussion between the patient and the surgeon is essential to ensure a good understanding regarding treatment options and the anticipated outcome.