Rhinoplasty surgery, the most common cosmetic operation in the world, has changed dramatically over the past 35+ years. Previously, the main goal was to reduce the size of the large nose which frequently resulted in the scooped out profile and a pinched, turned up tip.. As patients we should demand and expect more than this surgical appearance. After surgery, nobody should know that you had an operation.
Fortunately, nasal aesthetics have been refined while we preserve normal anatomy and function. There has been a concerted effort to improve results. Today we understand the anatomy and complexity of the nose. Every change we make in one part will affect other structures and the whole nose. Function, including breathing and humidification of the air, is now an important consideration.
Aesthetic tastes have changed; in one word we can describe the ideal result – it must be natural. We strive for a strong well defined nose that is proportional to the surrounding facial features. There is no such thing as a standard procedure. Every nose is done differently; we individualize every rhinoplasty operation. For example a nose is very different in a small, thin, 5’ tall lady than it is in a tall, statuesque woman with stronger physical features. While technical skills are important, aesthetic judgment is critical. The most important work is done preoperatively; that is, the planning of the operation. Make sure that your surgeon shares your aesthetic tastes and you understand exactly what will be changed during your surgery.
With the improvement in techniques, anesthesia, and aesthetics, results continue to improve but unfortunately, over 50% of our rhinoplasty practice still involves revisions of unsatisfactory results in patients who had surgery before they were seen in our clinic..
We will save the discussion of specific rhinoplasty techniques for other blogs. For example, we recently discussed open vs closed rhinoplasties in a previous blog. If you’re not on our website right now, it is another source of information on rhinoplasties and other facial cosmetic procedures.