A nose job is technically called rhinoplasty is a procedure done on the nose to change its shape or improve its function.
The rhinoplasty can be done for cosmetic reasons to change the shape and appearance of the nose, but it can be done for medical reasons, to correct birth defects or breathing problems.
Am I a good candidate for rhinoplasty?
The nose plays a huge role in the perception of the face, so if its too large, too small, crooked, badly shaped, or out of alignment, if you have breathing problems, if your self-esteem would improve from this surgery, if you are in good general health then you are a good candidate for a nose job.
How is nose surgery is performed?
After numbing the area, your rhinoplasty surgeon will make incisions to access the bones and cartilage that support the nose. There are two general techniques for making the incisions: open and endonasal
By adding or removing bone and cartilage and adjusting the supporting structures inside the nose, the size of your nose can be reduced or increased and the nose may be shortened or lengthened.
Tip grafts made of cartilage can be used to remodel the tip of your nose, making it more uplifted, longer, shorter, or thinner.
Your skin and other soft tissues will remodel to assume the shape of the underlying structure.
In some patients, tissue fillers or fat grafts can be added to increase volume in desired areas.
What are my options?
There are two main incision approaches, the open approach, and the internal (endonasal) approach.
In addition to incision options, there are various methods for augmenting your nose or smoothing surface deformities.
- Autologous cartilage grafts taken from your nasal septum (the wall inside the nose that divides one air passage from the other) offers the best chance for a natural result. If cartilage and bone have already been removed from the nasal septum, then ear or rib cartilage and sometimes bone from the skull are other options.
- Although solid silicone implants are available for nasal surgery, these are foreign materials that may become infected or react poorly with your nasal tissues and have to be removed. That is why natural cartilage if a supply is available, is the most trouble-free option.
- Fillers or fat grafts may also be injected to smooth the nose, to camouflage deformities or indentations, or to add volume in desired areas.
What will my nose surgery incisions and scars be like?
As previously mentioned, there are two general techniques for making the incisions.
For an open rhinoplasty, the incisions are made outside the nose with a small access incision on the underside of the nose between the nostrils that then connects with other incisions hidden inside the nose.
Advocates for the open rhinoplasty approach say that it fully opens the nose, providing better visualization of the nasal structures and a more direct route for surgical manipulation; the small scar at the base of the nose is barely visible once it heals.
For an endonasal rhinoplasty, the incisions are made inside the nasal passages. Because these incisions are hidden, they are invisible after the surgery.