Aesthetic and Functional Surgery of the Nose

Anatomy of the nasal cartilages RT
Nasal Anatomy – Cartilages

 

Rhinoplasty, or plastic surgery of the nose (nose job), may enhance the appearance of your nose, making it more proportional to your face. It involves a fine balance between reshaping the nose and maintaining or improving its function.

The nose has a fine and intricate anatomy that requires a thoughtful and meticulous approach. Every nose is different and it should always be analysed in the context of the whole face, where it holds a central and relevant position (facial analysis). Careful planing and discussion of realistic results is key to having a successful treatment.

In addition to cosmetic improvement, rhinoplasty may also correct breathing difficulties. Functional and structural concepts have been game changers in modern techniques, that aim to preserve tissue, especially the key anatomic structures that support the nose. In addition, it is important to recognise a need for extra support and use customised cartilage grafts for extra support.

Dr Rodrigo Teixeira is a specialist plastic surgeon in Melbourne. Dr Rodrigo’s approach to facial surgery respects your identity by enhancing facial features and improving facial harmony. He aims to achieve natural and beautiful results to restore your image.
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Rhinoplasty 3D pre-operative assessment and planning Vectra SystemAesthetic Rhinoplasty

Cosmetic surgery of the nose (cosmetic rhinoplasty) can improve the shape, size and general appearance of the nose as well as the overall balance of facial features. It is very important to have a good discussion about your complaints, the features that you do not like, or the aspects that you would like to enhance.

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. Surgery can 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.

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. Your consultation is an opportunity to discuss possible results and find out if they match your expectations.

See pre and post operative photos and have a better idea of results. Photos and simulation should not be used to predict the final result. Instead, they facilitate communication between you and your surgeon, when talking about your complaints and what can be done. Learn more about the procedure, recovery and risks involved. Preventing complications is always best, but problems can occur despite all efforts to avoid them. It happens even in the most experienced hands and rhinoplasty should not be underestimated.

Before and After Rhinoplasty Photos

Recovery time and treatment results will vary from patient to patient and depend upon a variety of individual patient factors.

Open vs Closed Rhinoplasty

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 in most cases. There is a very small risk of developing a pathologic scar (lumpy scar) that will require scar management. To break the scar line and make it less noticeable, a little “inverted V” cut or “step incision” is normally used.

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. 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.

Open vs Closed Rhinoplasty illustration

Functional Rhinoplasty

Very often cosmetic or reconstructive cases will present with nasal breathing issues. 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 and quicker recovery. On other hand, results are not as durable and may require ongoing maintenance. In addition, there can be complications from fillers, including very serious situations, like blindness. Nasal modelling 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. Moreover, results are permanent, although you may experience gradual changes as you age. Ask your surgeon what is the best alternative for you.
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Revision Surgery

It is ok to discuss your concerns if you are unhappy with the result. This is to say that revision rhinoplasty may be an option. It may improve the appearance and/or function of the nose. Or at least, you will receive advice and reassurance.

Revision surgery is not always more difficult and complex. There are situations where minor adjustments may be enough to resolve the complaint. However, there will be cases where the amount of work required is even greater than the job done previously. The best time to get it right is the first time.

Before you have surgery

Any surgical or invasive procedure carries risks. Before proceeding, you have the option to seek a second opinion from an appropriately qualified health practitioner.
Recovery time and treatment results will vary from patient to patient and depend upon a variety of individual patient factors.

You should receive information about potential risks, complications and side effects. Despite your surgeon’s experience, the medical literature recognises that complications may occur even with the best surgical care.

Choosing your surgeon

The best rhinoplasty surgeon is one that makes you feel comfortable and communicates well with you.  He /she understands your complaints and is realistic about outcomes. Look for well trained surgeons that perform rhinoplasty on a consistent basis.

Check the credentials of your surgeon. There are excellent surgeons specialised in rhinoplasty in Melbourne, make sure you check their qualifications. Experience in rhinoplasty is important and some surgeons will pursue extra training before starting practice.

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