CHOOSE YOUR TREATMENT Rhinoplasty
AKA: Nose Job/Nose Reshaping. Rhinoplasty was one of the earliest recorded cosmetic surgery procedures, first developed in India in around 800 BC, and involves reshaping the nose to produce a more pleasing aesthetic result. Although the nose job is usually thought of as a cosmetic procedure, to get rid of lumps and bumps on the bridge of the nose, or to bring a bulbous conk down to size, it can also be used to treat sinus or breathing problems.
Who does it?
● Plastic Surgeon ● Face Surgeon Who is suitable?
One thing to be aware of with rhinoplasty is that it can have a massive impact on your facial appearance generally, so some surgeons suggest this isn’t a procedure that you should leave until later life – it’s easier to get used to such a major structural change in your face when you’ve had fewer years putting up with it the old way.
It is crucial that you have a thorough consultation with a surgeon before going ahead with surgery, as you may find that the problem is not to do with your nose at all, but to do with facial balance as a whole - a recessive chin can cause your nose to look unusually large, and you might find that Chin Augmentation (p 74) is a more suitable procedure for
you.These days, 3D imaging software is frequently used during consultation, so your surgeon should be able to show you if this is the case.
If the problem is with your nose, but is fairly minor, or
Mr Mark Draper explains that the key to successful rhinoplasty surgery is all in the planning
Noses come in many shapes and sizes and the variation is limitless. Your surgeon should understand your particular nasal anatomy and
perform surgery tailored to your individual nasal structure – there's no place for a ‘one size fits all’ approach when it comes to rhinoplasty.
Take time during your initial consultation to make sure you know that your surgeon understands your wishes. For a good outcome, the expectation of the final result of surgery must be the same for both patient and surgeon alike.
Rhinoplasty should enhance the aesthetic beauty of the nose without disrupting the parts of the nose necessary for optimum breathing.
122 The Cosmetic Surgery Guide
As a nose surgeon, as well as cosmetic rhinoplasty, I perform many functional procedures (for blocked noses). In many of my rhinoplasty cases, form and function are addressed
simultaneously.The nasal septum (central cartilage of the nose), for example, can be reshaped internally to produce changes to the shape of the outside of the nose without the need for more extensive surgery externally.
In all my rhinoplasty surgery, the approach and techniques used are on a case by case basis. From reducing a hump on the nose to augmentation rhinoplasty (for ‘saddle’ or depressed noses), each case is planned individually according to the underlying structure, the wishes of the patient and the agreed expectations.
www.atulkhanna.co.uk
you’re not quite ready to go under the knife just yet, non-surgical nose reshaping can be achieved using Dermal Fillers (p 84).
What’s the treatment like?
There are several different techniques. It tends to be a fairly invasive procedure and so is usually performed under general anaesthetic.
An ‘open’ rhinoplasty is usually performed through an incision made in the ‘columella’ – the column between the two nostrils. Bone and cartilage will then be removed or re-arranged and the incision stitched
together.This is the preferred technique of most surgeons, as it makes it much easier for them to see what they are doing, and is used for more complicated or extensive procedures.
A‘closed’ rhinoplasty is exactly the same except that all the work is made through the nostril, so it’s more suited for simpler cases.
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