Rhinoplasty is one among the plastic surgery procedures which is being performed for correcting or reconstructing the structure of the nose. This procedure will restore the functions of the nose. In addition, this procedure might aesthetically enhance the nose by resolving the following issues:
- Nasal trauma
- Congenital defects
- Respiratory impediments
- Failed primary rhinoplasty
The rhinoplasty procedure can be performed by surgical and non-surgical methods.
The congenital as well as the acquired abnormalities of the nose can be restored for its functions along with its aesthetic properties by surgical rhinoplasty procedures. During this procedure, the surgeon will be manipulating the nasal skin. He/she will also manipulate the subcutaneous cartilage and bone support as well as the mucous membrane lining. On technical aspects, the surgical rhinoplasty can be classified as open and closed based upon the incisional approaches that are being adopted by the surgeon.
- Open Rhinoplasty: In the open type rhinoplasty, the surgeon will be making a small and irregular incision to the columnella in addition to the regular set of inclusions that are being made for the nasal correction. In this procedure, the surgeon will be lifting off the bony and cartilaginous structures of the patient’s nose thereby allowing a better visualization of the nose structures.
- Closed Rhinoplasty: In the closed type rhinoplasty, the surgeon will be performing all the incisions endonasally. Here, no cut will be made to the columnella. In general, the closed type of procedures is more desirable as it provides faster healing. In addition, in these types of surgical procedures, only less disruption would occur in delicate nasal structures.
This is a procedure in which the injectable fillers like collagen will be used for altering or shaping the nose without any invasive surgery. The non-surgical procedures would fill in the depressed areas on the patient’s nose thereby lifting the angle of the nose tip or smoothing the appearances of bumps on bridge. By these procedures of rhinoplasty, the size of the nose won’t be altered. However, the non-surgical rhinoplasty procedures can be used for correcting some functional congenital defects.
Primary Vs Secondary Rhinoplasty:
These terms can be considered from the plastic surgical praxis view point. Thus, ‘primary rhinoplasty’ would denote the initial procedure. As such, this procedure can be:
- Reconstructive procedure
- Functional procedure
- Aesthetic corrective procedure
Similarly, ‘secondary rhinoplasty’ would denote the correction of a failed primary rhinoplasty. A failed rhinoplasty would occur in 5 to 20% of the rhinoplasty procedures. The secondary rhinoplasty can also be called as ‘revision rhinoplasty’. The corrections in secondary procedures would usually include:
- Cosmetic reshaping of the patient’s nose
- Defective tip of the patient’s nose
- Restoration of the clear airways
Although in most of the secondary rhinoplasty procedures, the open approach is being adopted by the surgeons, these corrections are complicated in a technical point of view. This is because; the support structures of the nose were deformed or destroyed during the primary rhinoplasty.