Cosmetic surgery of the nose (nose job) involves reshaping the internal cartilage framework in order to change its external appearance. The procedure can improve the shape, size and general appearance of the nose as well as the overall balance of facial features. Rhinoplasty is not only sought after for cosmetic reasons, it is also often performed to correct breathing difficulties, sometimes caused by a previous nasal injury.
In the past, rhinoplasty techniques were focused on appearance and the intricate anatomy of the nose was not well considered. As a result, there was a fine line between the improvement of nasal aesthetics and over resection of tissues. Better understanding of the nasal anatomy and the nasal airway dynamics have been a game changer. Modern techniques aim to preserve tissue, especially the key anatomic structures that support the nose. In addition, it is important to recognise when extra support is needed and cartilage grafting is necessary. Rhinoplasty should be customised to every patient.
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Balanced or harmonious facial proportions are consistent features in an aesthetically pleasing face and the same applies to nose. The nose should be seen as part of face and how it can influence or be influenced by other facial regions. An aesthetic facial analysis is performed before the nose is assessed on its own.
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For instance, a convex facial profile with a small chin can make the nose look much bigger. On other hand, the nose will appear smaller in a wide and flat facial form.
Any changes planned to the nose should take the whole face into consideration and sometimes other procedures may also be considered, such as: chin augmentation, cheek augmentation, upper lip surgery, forehead remodelling, etc.