Types Of Rhinoplasty Procedure
The nose is supported by a skeleton. In the upper third, it is a bony skeleton and the lower two-thirds are nostrils, flexible cartilage of the same type as we have in the ear. Dividing the two airways running back from the nostrils, we have another sheet of cartilage, covered with mucosa, called the septum. This is a strut which stops the cartilaginous part of the nose from collapsing.
Most operations on a Caucasian nose involve a reduction in size and therefore both the bony and cartilaginous skeleton are reduced, allowing the skin to retract, often without trace of a scar.
An incision is made across the columella (the skin of the central strut of the nose separating the two nostrils. The incision is carried up and around the rim of the nostrils, allowing the skin on the nose to be peeled back. The surgeon then has a direct view of the cartilage, which they can then refashion. This technique is used for the very complicated, difficult and injured nose but is also used exclusively by some surgeons.
The closed rhinoplasty does not have an incision across the skin of the columella between the nostrils, but is carried out through the mucosa of the inside of the nose. The surgeon does not have the direct view of the nasal skeleton and therefore it is a technique for the more experienced surgeon.
A septo-rhinoplasty is commonly done to improve the way you breathe through your nose. This is often done for patients who suffer from a deviated septum. The septum is the cartilage and bone inside your nose that divides the nostrils.
Your surgeon will make an incision in the mucosa (the lining inside your nose), and lift it off the bone and cartilage in order to remove any parts that are bent, putting them into a straight position allowing for clear breathing. This procedure will improve the way you breathe, and the appearance of your nose can be adjusted as well.
Rhino-tip surgery is done to change the shape of the nose by modifying the structure of the underlying cartilage. Most alterations are done from inside the nose so as to minimize any scarring. Your surgeon can create the perfect tip for your nose structure.
Some common cases that patients come in for are:
- Big Tip: This is a rounded appearance at the tip of the nose, possibly due to thick skin.
- Crooked Tip: One nostril may appear larger than the other or the nose might be slanted to one side causing an asymmetrical look.
- Flared Nostrils: When the nostrils are larger and spread farther apart creating an upturned of flat-nose appearance.
- Hooked Tip: This is when the nose juts out and is overly-long, particularly noticeable on the profile of the patient.
THE ORIENTAL AND AFRICAN NOSE AUGMENTATION
Many patients have noses which are flatter with wider nostrils. In these cases, it is not a question of reducing the skeletal support, but adding to it. The bridge line can be raised by adding a manmade substance or the patient's own bone and cartilage taken from the ear, skull or rib. In each case, the extra tissue is carved to the required shape. Nostrils and nostril floor can be reduced in width by removing a wedge of tissue. The oriental may on occasions need surgery of the upper eyelid, and particularly the inner end where there is often web.
Differences in male and female rhinoplasty
Rhinoplasty, also commonly known as a nose job, is a popular cosmetic surgery procedure with both men and women. In fact, according to the latest figures from The British Association of Aesthetic Plastic Surgeons, rhinoplasty was the most performed aesthetic surgery on men in the UK in 2020.
But although the various nose job techniques can be performed on both men and women, there are important differences between the two sexes. There are distinct anatomical differences and men and women also have very different goals for their rhinoplasty surgery.
People opt to undergo rhinoplasty for a variety of reasons, including to alleviate breathing issues, to address facial asymmetry or to generally improve the overall appearance of their face, therefore boosting confidence and self-esteem. Common cosmetic issues include a drooping nasal tip, dorsal hump, bulbous nose tip, a deviated septum, a nose that is off centre or a nose that is too narrow or wide. But there are important differences between male vs female rhinoplasty and what the male and female patient hopes to achieve with surgery.
As a rule of thumb, rhinoplasty for men involves making the nasal structure more prominent, giving the nose a straight angle with strong definition. This results in a more distinguished and chiseled appearance. Male rhinoplasty is also used to correct a nose which has been left with lumps and bumps or a crooked appearance following trauma or a sporting injury.
In contrast, women opt for a softer, more subtle, change in their nose. Female rhinoplasty tends to involve a slightly upturned nasal tip and a minor dorsal hump (bone or cartilage on the bridge of the nose). Of course our expert surgeons can also apply these characteristics to the male nose if that is what is desired. But generally men are less likely to be looking for a nose which is too slender or narrow with a pinched nasal tip.
The beauty of rhinoplasty is that the surgery can be carefully tailored to each individual patient in order to meet their requirements.
The anatomy of the male and female nose are strikingly different. The key differences are that typically men have longer noses than women, with a thicker layer of skin.
This thick layer of skin is one of the main contributing factors to a bulbous nose tip, which presents as a large mass or swelling on the lower half of a person’s nose. This condition is far more common in men than women, particularly those aged between 50 and 70 years old.
The rise of Zoom calls and Instagram selfies have led men to become more critical of their facial appearance. A nose job can not only help to improve the appearance and function of the nose, but it can also improve the appearance of other facial features, by bringing the nose into proportion with the rest of the face. Male rhinoplasty can help to restore a man’s confidence and self-esteem, resulting in an overall improvement in mental health.
Male rhinoplasty can often be combined with other cosmetic surgery procedures, such as a chin augmentation with implant, to further enhance the masculine characteristics of the male face.
We offer five different types of rhinoplasty here at the Cadogan Clinic. Four surgical procedures - closed rhinoplasty, open rhinoplasty, septo-rhinoplasty and rhino-tip surgery - plus the quick, temporary non-surgical rhinoplasty.
Book an appointment with one of our expert surgeons to discuss what type of rhinoplasty will be best suited to help you to reach your body goals.