Aesthetic and Functional Surgery of the Nose

Anatomy of the nasal cartilages RT
Nasal Anatomy – Cartilages


Rhinoplasty, also known as nose job, may enhance the appearance of your nose, making it more proportional to your face. It involves reshaping the internal cartilage framework in order to change its external appearance and function. 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 regarded. 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. Cartilage grafting is often required and should be customised to every patient.



Rhinoplasty 3D pre-operative assessment and planning Vectra SystemAesthetic Rhinoplasty

Before deciding if rhinoplasty is for you, ask your surgeon to make an informed decision. Be straight forward in saying what bothers you during your consultation, good communication with your surgeon is very important. Learn more about the procedure, recovery and risks involved. It is also an opportunity to discuss results and find out if they match your expectations.

Rhinoplasty may be a good option if you feel that your nose is not in balance with your face. Sometimes the tip of your nose may appear full or to lack definition. This can be helped by nasal reshaping surgery. Alterations may be made to increase or decrease the nasal bridge, reduce the size or width of the nose, narrow the nostrils, change the angle between the nose and the upper lip, or refine the tip.

Seeing pre and post operative photos may also help and give you more insight on results. Photos and simulation should not be used to predict the final result, but they may assist the communication between you and your surgeon when talking about your complaints and what can be done.



Open vs Closed Rhinoplasty 

Open vs Closed Rhinoplasty illustration

There are two common approaches to rhinoplasty. The open surgery consists of incisions (cuts) placed mostly inside the nose and only a small cut placed on the columella. The external scar is usually not noticeable a few months after surgery. The initially red scar will fade into a fine pale line. There is a very small risk of developing a pathologic scar (lumpy scar) that will require scar management. The little “inverted V” cut is designed to break the scar line a make it more inconspicuous.

The closed rhinoplasty will have only internal incisions that are not visible. It is possible to have good access to the dorsum and the septum to perform a rhinoseptoplasty. However, if more complex structural work is required the open surgery allows for better visualisation of the anatomy and placement of cartilage grafts. The open Rhinoplasty is also better for nasal tip refinement, allowing more reliable and accurate remodelling of the tip of the nose.


Functional Rhinoplasty

Very often cosmetic or reconstructive complaints will present with some breathing problem. Those can be:
– Nasal congestion or stuffiness
– Nasal blockage or obstruction
– Trouble breathing through the nose
– Trouble sleeping
– Unable to get enough air through the nose during exercise or exertion.
The functional surgery of the nose will not only aim to correct the size, shape, proportions and symmetry, but also alter the cartilaginous framework to improve breathing.


Nasal reshaping with fillers

Facial fillers are very popular and widely offered. It is quite appealing to have immediate improvement at a lower cost. However, results are not as durable and may require top ups. In addition, there can be complications from fillers, including serious ones like blindness. It does not address lack of support in the nose and does not offer the additional benefits of functional surgery.

Rhinoplasty allows more comprehensive treatment of the nasal shape  and can improve nasal function and breathing. Results are permanent, although you may experience gradual changes as you age. Ask your surgeon what is the best alternative for you.

Check other procedures available

Choosing your surgeon

The best rhinoplasty surgeon is the one that communicates well with you, understands your complaints and is realistic about outcomes. There are excellent surgeons specialised in rhinoplasty in melbourne, make sure you check their qualifications. An expert rhinoplasty surgeon goes through rigorous training and often undertakes extra training after becoming a Plastic Surgeon. Experience in reconstructive and cosmetic nose surgery is also very helpful and some surgeons will pursue sub-specialisation in rhinoplasty.

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