Rhinoplasty is the medical name originated from Greek words: rhis – nose andplassein -to shape. It is a plastic surgery procedure aimed to correct and reconstruct the form, restore the function, and aesthetically enhancing the nose. Rhinoplasty enhances facial harmony and the proportions of the nose. It can also correct impaired breathing caused by structural defects in the nose.
Treatments for the plastic repair of a broken nose are first mentioned in the Edwin Smith Papyrus as a transcription of an Ancient Egyptian medical text, the oldest known surgical book, dated from 3000 to 2500 BC.
Performing a rhinoplasty the plastic surgeon creates a functional, aesthetic, and facially proportionate nose by separating the nasal skin and the soft tissues from the osseo-cartilaginous framework and correcting them.
Candidates for nasal surgery share certain important characteristics. They need to have appropriate skin elasticity and quality so the skin can conform to its new, improved contours. They ideally have a well-defined underlying bone structure to provide support and contribute to satisfying results. It is mandatory for patients to have realistic expectations, they should understand not only what rhinoplasty can accomplish, but also the limitations of the procedures
The complete rhinoplasty is the procedure to reshape the cartilaginous and osseous part of the nose. Usually it is accompanied with correction of the nasal septum to address the deformity and to improve breathing. This is the most complex nasal surgery including the ablation of the nasal hump, osteotomy of the nasal bones and correction of the nasal cartilages.
The soft rhinoplasty is the surgical technique to address the deformity or aesthetic impairment of the cartilaginous part of the nose. This procedure does not include the modification of the osseous nasal framework.
The closed rhinoplasty is the technique with all surgical incisions made inside the nose so not visible scar is detectable post-operatively.
Open rhinoplasty is the technique which uses the incision trough the columella with small inconspicuous scar. This procedure usually is reserved for more complex rhinoplasties or for revision surgery (i.e. secondary rhinoplasty) due to unsuccessful previous surgery.
The non-surgical rhinoplasty procedure corrects and modifies mild defects of the nose by the use of subcutaneous injections of autologous fat tissue or biologically inert fillers.
Rhinoplasty can be performed under local anaesthesia but it is mostlt carried out under general anaesthesia. The average operating time is 1-2 hours. Post-operatively a small plastic or gipsy splint is applied to the outside of the nose to minimize swelling and helping maintaining the new shape during the healing process.