Rhinoplasty
As the nose is central aesthetic feature of face, it has got enormous aesthetic importance on face. Appearance of nose is very important in beauty of face. Unlike surgeries on eyelid and face lift, which involves removal of wrinkles and folds, nose surgery involves complex interplay of tissues. Nose is a functional as well as cosmetic entity & both are connected. So, we also address any breathing problems if associated with abnormal shape / size of nose.
It is probably most popular Face cosmetic surgery enjoyed.
Nose is made up of two components:
- Support – Bone in upper part (hard) & cartilage in lower part ( soft to firm)
- Cover – overlying skin & soft tissues
Different parts of nose include:
- Radix / Root- Upper most & deeper most point of nose,
- Tip- Lowermost & most projectile part of nose just above nostrils (Air passages)
- Dorsum / Bridge- Elevated part of nose from Radix / Root extending down to tip
- Base- Lower and wider most part of nose
- Septum- Central partition between two nostrils (Air passages)
Broadly speaking, large nose can be made smaller, small nose can be made larger, bent or deviated nose can be made straighter by Rhinoplasty surgery.
Breaking / reducing large nose:
Sometimes nose may be noticeably larger in size. To make such nose more attractive, it should be lowered and narrowed. This is also called Reduction Rhinoplasty. Generally speaking, small, cute and well shaped nose looks beautiful than large nose.
Building / augmenting small nose:
Sometimes nasal bridge is too low or narrow that nose looks under projecting and gives face a flat look. Such nose can be enlarged by modifying the shape of cartilage or adding some cartilage/ soft tissue to it. Another way to augment such nose is with silicone implant, which is being carved as per requirement of individual nose.
Hump Reduction:
It is very common to have a bump like elevation near mid part of dorsum of nose. It looks like blemish on top of otherwise beautiful nose. It needs to be lowered to make dorsum of nose straight and achieve beautiful nose.
Reducing wide tip:
Wide tip of nose may be because of excess wide cartilage &/or because of thick skin & soft tissue portion. Such wide tip can be made narrow & well defined to make the nose more beautiful. Wide upper part of nose is because of wide nasal bones. They are broken from its place & moved inward to narrow them.
Deviated / crooked nose:
Instead of being centralized and straight, some nose is deviated to one side. Nasal bones with or without septum (central partition of nasal cavity) and nasal tip are deviated in such cases. In such cases, deviated nose is made straight & well centered..
Reduction / Narrowing of alar base:
Very wide Alar base (wide nostrils) can be narrowed to make nose symmetric & beautiful. Narrowing of this part needs to put incisions on external side of nose (sometimes it leads to unacceptable scarring). So, I avoid narrowing of alar base unless there is no alternate maneuver for correction.