Types of Rhinoplasty

TYPES OF RHINOPLASTY

Types of Rhinoplasty include open rhinoplasty, closed rhinoplasty, revision rhinoplasty, ethnic rhinoplasty, and non-surgical rhinoplasty. The type of surgery depends on the specific needs and goals of the individual.

There are four types of Rhinoplasty described briefly as under:

CLOSED RHINOPLASTY

Advantages:

  • Minimal scarring: Incisions are made inside the nose, minimizing visible scarring.
  • Faster recovery: Closed rhinoplasty typically requires a shorter recovery period.
  • Less trauma: The procedure causes less tissue trauma, leading to a smoother recovery.

 

Disadvantages:

  • Limited access: The limited access through the nostrils can make it more challenging to achieve complex corrections.
  • More difficult revision: Revisions may be more difficult with a closed technique.
  • Limited visualization: The surgeon has limited visualization during the procedure, which can impact accuracy.
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OPEN RHINOPLASTY

Open rhinoplasty is a surgical procedure that involves making an incision across the columella (the strip of tissue separating the nostrils) to access the underlying structures of the nose. This approach offers several advantages and disadvantages:

Advantages:

  • Improved visualization: The surgeon has improved visualization during the procedure, which can improve accuracy.
  • More versatility: An open approach allows for more versatility in achieving the desired correction.
  • Easier revisions: Revision rhinoplasty is typically easier with an open approach.
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SECONDARY OR REVISION RHINOPLASTY

Secondary or revision rhinoplasty is a surgical procedure to correct or improve the appearance of the nose after an initial rhinoplasty surgery.

 

  • Revision rhinoplasty is often more complex than primary rhinoplasty due to changes in the nasal anatomy and the presence of scar tissue.
  • The technique used in revision rhinoplasty may involve reshaping cartilage and bones, repositioning tissues, and grafting materials.
  • Patients should choose an experienced and qualified surgeon and have realistic expectations for the outcome of the procedure.

 

LIQUID RHINOPLASTY OR NON-SURGICAL RHINOPLASTY

Liquid rhinoplasty, also known as non-surgical rhinoplasty, is a cosmetic procedure that involves injecting dermal fillers to reshape and enhance the appearance of the nose without surgery. 

It is a quick, minimally invasive alternative to traditional rhinoplasty.

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No incisions are made and a Hyaluronic Acid Filler injection is used. The most common type of filler used is Juvederm.

The drawback of choosing filler Rhinoplasty is that the results are not permanent. Over the time, the fillers eventually absorb reversing the changes and may require an additional procedure.

THE EXTENSIVE LIST OF COMMONLY PERFORMED TECHNIQUES IN RHINOPLASTY BY DR. A.K Tiwari:

REDUCTION OF DORSUM

Dorsum reduction is a cosmetic procedure aimed at reducing the height or projection of the nasal bridge (dorsum).

  • Techniques: Dorsum reduction can be achieved through surgical or non-surgical methods, such as rasping (filing), osteotomy (bone cutting), or injection of dermal fillers.
  • Considerations: The technique used for dorsum reduction depends on the patient’s specific needs and goals, as well as the skill and experience of the practitioner.
  • Outcome: The outcome of dorsum reduction can include a more balanced and harmonious facial appearance, improved self-esteem, and increased confidence.

 

AUGMENTATION OF DORSUM

Dorsum augmentation is a cosmetic procedure aimed at increasing the height or projection of the nasal bridge (dorsum).

  • Techniques: Dorsum augmentation can be achieved through surgical or non-surgical methods, such as using implant materials, dermal fillers, or cartilage grafts.
  • Considerations: The technique used for dorsum augmentation depends on the patient’s specific needs and goals, as well as the skill and experience of the practitioner.
  • Outcome: The outcome of dorsum augmentation can include a more defined and aesthetically pleasing nasal bridge, improved self-esteem, and increased confidence.
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OSTEOTOMIES IN RHINOPLASTY

Osteotomy is a surgical technique used in rhinoplasty to reshape the bones of the nose.

  • Purpose: Osteotomies can be used to narrow, straighten, or otherwise modify the shape of the nasal bones to enhance the appearance of the nose.
  • Techniques: Osteotomies can be performed using various methods, including cutting and repositioning the bones, or breaking and resetting them.
  • Considerations: Osteotomies should be performed by a skilled and experienced rhinoplasty surgeon to ensure the best possible outcome and to minimize the risk of complications.

 

TIP MODIFICATION IN RHINOPLASTY / BULBOUS NASAL TIP / WIDE NASAL TIP

 

Tip modification in rhinoplasty is a surgical technique used to reshape and refine the nasal tip.

  • Purpose: Tip modification can be used to address issues such as a bulbous or wide nasal tip, which can detract from the overall appearance of the nose.
  • Techniques: Tip modification can involve reshaping the cartilage and soft tissue of the nasal tip, as well as adjusting the position and projection of the tip.
  • Considerations: Tip modification should be performed by a skilled and experienced rhinoplasty surgeon to ensure the best possible outcome and to minimize the risk of complications.
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FUNCTIONAL ASPECTS IN RHINOPLASTY

Functional aspects in rhinoplasty refer to the surgical correction of structural defects or abnormalities in the nose that affect breathing or nasal function.

  • Techniques: Functional rhinoplasty can involve the correction of deviated septum, reduction of turbinate size, correction of valve collapse, and other procedures to improve nasal airflow and function.
  • Considerations: Functional rhinoplasty should be performed by a skilled and experienced surgeon who has a thorough understanding of nasal anatomy and physiology.
  • Outcome: The outcome of functional rhinoplasty can include improved breathing, reduced symptoms of sinusitis and other respiratory conditions, and improved quality of life.

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Before & After

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FAQ’S

1.How do I know which type of Rhinoplasty is suitable for me?

Consult a qualified, experienced rhinoplasty surgeon. Discuss your goals, medical history, and have a thorough examination to determine the best approach.

2.Which is the more affordable type of Rhinoplasty?

The cost of rhinoplasty varies depending on the type of procedure, the surgeon’s experience, and other factors. Non-surgical options may be more affordable but with less significant and shorter-lasting results.

3.Is open rhinoplasty better than closed Rhinoplasty?

The choice between open and closed rhinoplasty depends on the patient’s specific needs and goals, as well as the skill and experience of the surgeon. The best approach will be determined by a thorough consultation.

4.How much time does it take to complete a Rhinoplasty procedure? What is the recovery time?

Rhinoplasty surgery typically takes 1-3 hours. Recovery time varies, but most patients can return to work and normal activities within 1-2 weeks, with full healing taking several months.

5.Are any of the types of Rhinoplasties covered by Insurance?

Insurance coverage for rhinoplasty depends on the reason for the procedure. In some cases, functional rhinoplasty may be covered if it is deemed medically necessary, while cosmetic procedures are usually not covered by insurance.

6.How long does the effects of different types of Rhinoplasties last?

The duration of the effects of rhinoplasty varies depending on the type of procedure and the patient’s skin type, age, and lifestyle. In general, surgical results are longer-lasting, while non-surgical options provide temporary improvement.

7.Are there specialists for open and closed Rhinoplasties?

Yes, there are specialists for both open and closed rhinoplasty. These specialists are typically plastic surgeons or otolaryngologists who have received advanced training and have extensive experience in performing these procedures. 

8.Can a surgeon in regular hospitals perform cosmetic Rhinoplasty?

Some surgeons in regular hospitals can perform cosmetic rhinoplasty, but it is important to choose a qualified and experienced plastic or facial plastic surgeon with a focus on rhinoplasty. 

9.Do scars of open Rhinoplasty disappear over a period?

The scars of open rhinoplasty can become less noticeable over time, but they will not disappear completely. In general, open rhinoplasty incisions are made in the columella and are well-hidden.