Elective rhinoplasty, often referred to as nose surgery, describes the surgical reshaping of the outside of the nose. It is usually done because someone wants their nose to be different. In the past, nose surgery was something that only the rich or the upper classes pursued. It was generally not affordable for most people. The old methods of rhinoplasty are also different from those of today. Previously, they were pretty radical changes and the main result was to make the nose much smaller. At the time, people wanted a smaller nose so everyone knew they had their noses. These nasal findings have led to long-term complications associated with a possible collapse of the weakened bones and cartilage that make up the nose. This resulted in a classic nose image often referred to as a “ski run” nose. With age, the nose continued to flow and almost all of the nose correction results had difficulty breathing through the nose.
A good result of rhinoplasty today is very different and the methods to get there are more refined and consider the face. The current plastic surgeon strives to create a nose that fits the face rather than a standard “cookie cutter” approach. Since the nose is the center of the face, it should fit, giving the impression that it belongs to this face. For example, a short nose is not suitable for a long face. A big nose is not suitable for a small face. A small, sophisticated nose will not fit a man’s face in most cases. The key to a good rhinoplasty is to change the shape and proportions that remain in balance with other areas of the face, eg. The angles of the chin, cheeks, forehead and jaw.
The modern rhinoplasty process preserves as much bone and cartilage as possible while providing the desired changes. This not only avoids a long-term structural collapse, but also prevents the removal of too much bone and cartilage, which is easy to do. This is particularly important at the tip of the nose, which has no solid bone support, but a flexible and collapsible cartilaginous framework. Replacing radical resection of cartilage with suture techniques, and even adding cartilage to key support areas, creates a more natural look than usual. Avoid breathing difficulties.
In some cases, changing the shape of the nose alone will not result in an ideal facial balance. As a result, it may be advantageous to simultaneously modify other facial features. In most cases, enlargement of the chin or cheek (highlighting other facial features) compensates for the face and makes the result of nasal correction more meaningful. This artistic facial balance is taken over by an experienced plastic surgeon who can see the situation as a whole. Despite the experience, I will always investigate these potential changes in pre-surgery computer imaging to ensure that the patient finds what I believe is what he really wants.