Overview
Rhinoplasty changes the shape and proportions of the nose. Aesthetic goals may concern the bridge, tip, width or asymmetry. If there are breathing concerns, function is assessed separately: appearance and airway patency are related but distinct issues.
Types and aims
Primary rhinoplasty
The first surgical change to the shape of the nose. The discussion begins with the existing anatomy and the desired changes.
Revision rhinoplasty
Seeking advice after a previous operation. Information about the earlier procedure and current concerns is important for the discussion.
Aesthetic and functional goals
Changing the external shape does not replace an assessment of the causes of breathing difficulty. The plan depends on examination findings and clinical indications.
At the consultation
Explain the changes and questions that matter to you. Topics to discuss include:
- The proportions of the nose in relation to the face
- The bridge and tip of the nose
- Asymmetry and the effects of previous surgery
- Concerns about nasal breathing
Frequently asked questions
Can rhinoplasty change the shape of the nose and improve breathing at the same time?
Yes, if the breathing difficulty is related to the structure of the nose. For example, the plan may include correcting a deviated septum. Before this type of surgery, the nasal structures and airflow are assessed: breathing concerns need a separate discussion, even when the main goal concerns appearance.
What is the difference between open and closed rhinoplasty?
With a closed approach, the incisions are inside the nose. An open approach adds an incision across the narrow strip of tissue between the nostrils, called the columella. The surgeon works on the bones and cartilage through the chosen approach. These names describe access to the tissues, rather than a promised appearance.
Can the nose be made perfectly symmetrical?
Complete symmetry is not guaranteed. Every face has natural differences between its two sides, so the nose is assessed in relation to the overall facial proportions. The goal is more harmonious proportions and balance, rather than a promise of absolute mirror symmetry.
Questions to ask
- What changes are realistic for my anatomy?
- How does the proposed plan account for nasal breathing?
- What is the reason for choosing this method?
- What are the risks, limitations and arrangements for follow-up?
General information does not replace an individual medical assessment. Indications, risks and the treatment plan are discussed with the surgeon.
SourcesASPS: RhinoplastyASPS: Rhinoplasty Procedure Steps