Complete rhinoplasty is a plastic surgery during which the surgeon touches all the structural parts of the so-called external nose: bone tissue, cartilaginous tissue, as well as soft tissue. Such an operation is indicated for patients wishing to reduce the length or width of the nose, change the saddle shape, and remove the hump.
Partial (or superficial) rhinoplasty is an operation to correct (change) the shape of the nose when the surgeon is limited to processing only some of the outer parts of the nose without affecting the bone tissue. Partial rhinoplasty is performed when it is necessary to correct the tip of the nose or reduce the wings, although a complete rhinoplasty may also be necessary to eliminate such problems – this is decided by the doctor after examination and discussion with the patient.
Reconstructive rhinoplasty is aimed, first of all, at solving such a problem as eliminating breathing difficulties due to curvature of the nasal septum or hypertrophy of the turbinates. Reconstructive rhinoplasty involves restoring the appearance of the nose, damaged (for example, “slid to the side” due to a fracture), as well as partially or completely lost due to an injury. This type of operation is used if it is necessary to correct the congenital deformity of the osteochondral skeleton in the nasal region. Sometimes a plastic surgeon has to literally “sculpt” a new nose, using the cartilage of the auricles or costal cartilage (in especially severe cases), as well as artificial materials.
Often, the patient has to undergo surgical intervention not so much for cosmetic and aesthetic purposes but to restore normal breathing, which was impaired due to the deformation of the nasal septum received during the injury. Typically, post-traumatic surgery includes nasal plastic surgery and septoplasty (surgery aimed at correcting the nasal septum, its main goal is to restore normal nasal breathing).
Preparing for rhinoplasty surgery
Before deciding on an operation, the patient, together with the plastic surgeon, discusses the future parameters and appearance of the nose, it turns out what exactly the patient wants to achieve, and the final result is simulated using a computer. This approach helps to “try on” the new nose to the patient’s face even before the operation and to make sure that his new appearance does not violate the overall proportions of the face, and the shape of the nose will be in harmony with all facial features.
It should also be borne in mind that rhinoplasty is not done if the patient has not reached the age of 17-18. This is due to the growth of the body and the formation of cartilage and bone skeleton; the consequences of rhinoplasty at an earlier age can be unpredictable. But it is preferable to resort to rhinoplasty no earlier than 21 years old – doctors say that it is by this age that the bone skeleton is finally formed.