A small introduction
Rhinoplasty (plastic surgery of the nose, or commonly known as “nose job”) is the most commonly performed procedure in facial plastic surgery.
The name rhinoplasty is a blend of the words rhino (nose) and plasty (to mold or shape). Rhinoplasty is by far the most complex and artistic procedure in facial plastic surgery.
In our San Diego rhinoplasty clinic we believe that the goal of rhinoplasty should be a nose that looks attractive and natural, and is in harmony with the rest of the face without having an “operated-on” look.
What can Rhinoplasty achieve?
Many undesirable features of the nose may be improved through rhinoplasty. Noses may be made narrower, straighter, longer, or shorter. Humps may be removed and the shape, size, angle, and definition of the tip of the nose may be altered. Breathing problems, such as those caused by a deviated septum, nasal valve collapse, or enlarged turbinates may also be corrected at the same time as the cosmetic changes.
The art of rhinoplasty is in obtaining the desired changes, while maintaining a natural appearance to the nose. Nasal plastic surgery may be performed for strictly cosmetic reasons (cosmetic rhinoplasty), for strictly breathing reasons (septoplasty), and more commonly for a combination of both (rhinoplasty + septoplasty). Rhinoplasty may be performed at any time after facial growth has been completed. This usually translates into age 15-16 for women and age 16-17 for men.
Bump On The Bridge
This is the one of the most common reasons for men and women seeking rhinoplasty surgery. The hump (or bump) may be made of bone, cartilage, or typically a mixture of both. In addition to the hump there may be other imperfections in the profile, such as the angle between the nose and the upper lip, which could also be corrected.
The ideal outcome in rhinoplasty is a natural-appearing nose with balance and harmony, enhancing the beauty of the eyes and lips.
Hooked Bridge And Droopy Tip
Mostly a profile problem, certain noses have a hooked and droopy profile.
Ideally, the angle between the upper lip and the nose (the nasolabial angle) should be between 90-105 in women, and between 90-95 degrees in men.
When this angle is smaller than 90 degrees, it gives the appearance that the tip of the nose is drooping. The drooping of the nose tip is often accentuated with smiling.
In addition to removal of the hump, reshaping of the tip of the nose is required to produce a more desirable nasolabial angle. Good judgment and a strong artistic sense of facial balance and harmony are required to maintain a natural outcome.
Wide Round Tip
Some noses show their undesirable features mostly from the front view. One of the more common scenarios is a nose with a tip that is too wide or too round.
Correction of a wide, round, or boxy tip requires careful reshaping and sculpting of the tip cartilages in order to reduce tip size and improve tip definition. At the same time, the surgeon must be careful to not disrupt the structural support of the nose so that the nasal passages do not become obstructed.
Short & Upturned Nose
At times the reason for the rhinoplasty is that the nose appears too short, upturned and somewhat unnatural in shape. Rhinoplasty can be performed to lengthen the nose.
A crooked, asymmetric, or deviated nose can throw the entire face off balance. The cause of a crooked nose may be the cartilage of the septum, the external cartilages of the nose, or underlying asymmetry of the face as a whole. Deviation of the septum, if severe, can push the lower half of the nose off center.
Noses that have been fractured (broken) can also be crooked, as a result of the displaced nasal bones that healed in a crooked position. Correction of a crooked nose is technically challenging, often requiring manipulation of both the cartilage and bone of the nose, as well as the septum. With a crooked nose, there is often nasal obstruction caused by a deviated septum.
Simultaneous straightening of the septum will also help improve the nasal obstruction.
I am interested! What do I do next?
If you are considering this procedure we encourage you to contact us at our San Diego rhinoplasty clinic and schedule a consultation. During this visit we will listen to your concerns and discuss your options. We will tell you whether you are a suitable candidate for this procedure and inform you of the potential risks of the procedure. Your breathing passages will also be evaluated and it will be determined whether you are eligible for insurance coverage of a portion of the procedure, and we will discuss the costs of the rhinoplasty procedure.