Types of Rhinoplasty Procedures
Rhinoplasty is a general term for surgery of the nose that can include revisions surgery, nose reshaping, bone or nose tip alterations, or deviated septum repair. Usually a nasal revision surgery is associated with cosmetic improvements made to the nose to create a shape or contour that is more desirable to the patient.
Some types of rhinoplasty procedures can be done using IV sedation and local anesthetic while others must be done using general anesthesia. Incisions are placed either inside of the nose (also referred to as a “closed” procedure) or the incision is made in the columella (the piece of tissue located between the nostrils) which is referred to as an “open” procedure.
Below are the types of rhinoplasty procedures generally done in either of our offices. If you have any questions you can visit our frequently asked questions section or call us at 212-206-0023 or 631-499-1831.
1. Nasal Bridge Rhinoplasty
In this procedure, the bridge of the nose can be reshaped in several different ways depending upon the concerns of the patient. If a hump is present on the nose, it can create a hook-like or bumpy appearance when looking at a person’s side profile.
This can be especially bothersome to patients but is easily fixed. In cases where the hump is due to a raised portion of bone, a nasal rasp (or bone file) is used to file down the bony protrusion. In some cases, a surgical chisel is needed to remove pieces of excess bone or to re-position the bones.
Nasal bridge rhinoplasty can also serve to reduce the width of the nasal bridge or to increase the projection of a patient’s nose if the nose has a flattened appearance.
2. Nostril Rhinoplasty
The nostrils are the side-by-side columns of the nose that allow air to pass through. For patients with wide nostrils, functionality is not an issue but appearance most certainly is.
For these patients who wish to reduce the width of their nostrils, an incision is made in the outer fold of each nostril so that it can be reduced. The areas on the naso-labial folds where the nostril used to be are able to heal up quite nicely and the scars are nearly imperceptible over time.
Stitches are placed inside of the nose as much as possible and are dissolvable. Liquid stitches are generally used for closing the outer skin layer which means there is the least amount of scarring afterward. This procedure is also referred to as an “alar base reduction”.
Just as they can be narrowed, nostrils can also be widened for patients who wish to increase the width of their nose. The incisions are placed in the same areas (in the outer folds of the nostrils) and are widened to give the patient the look they desire.
In some cases, cartilage grafts or composite grafts (a combination of skin and cartilage) may need to be used to provide the nostril with more inner structure and tissue. The stitches are also dissolvable for the inner layers and liquid stitches are used to close the outer skin.
If this procedure is the only type of rhinoplasty being performed (i.e. no bone work is being done), it can most times be performed using IV sedation and local anesthetic. Depending upon the extent of work done, an external nose splint or molded form may be provided to hold the nostrils in their new position for a week or longer, post-op.
3. Tip Rhinoplasty
For patients who desire to alter the size, shape, or angle of their nose, a tip rhinoplasty can be the answer. A nose tip that is bulbous, is defective in either the shape or underlying structure, or one that points downward or upward too much can easily be corrected with a tip rhinoplasty procedure.
Often times this procedure can be done with IV sedation and local anesthesia. The incision can usually be a closed procedure where all of the incisions to get to the tip of the nose are made inside of the nose. An external nose splint must be used after surgery to hold the new nose shape in place.
Depressions of the Nose, Defects, Septum Repairs, and Revision Rhinoplasty in Long Island & New York City
For patients whose nose is misshapen due to an injury or accident, a depression or dip may be the issue they would like to have corrected. In these cases, missing or misplaced bone or cartilage are usually the culprits. Bone and/or cartilage grafts may be necessary to improve the contour and shape of the nose.
The degree of repair necessary as well as the location of the depression will determine whether the procedure is open or closed, where the incisions will be placed, and whether general or IV sedation will be used.
Septum repair is done using a closed procedure where all of the incisions are made inside of the nose. The hole or tear in the septum is manually corrected using dissolvable stitches.
In cases where the septum became deviated due to an injury or blow to the nose, additional structural damage or misalignment may be present. Once these internal issues are addressed and corrected, the surgeon will place a nasal splint inside of the nostrils to hold the nose and septum in their new position.
These can be removed 7 days after surgery. Breathing easily through both nostrils is often times the main purpose of this procedure, though in cases of a misaligned nose, this procedure is both aesthetically pleasing and functionally sound.
Revision rhinoplasty may be necessary in cases where a prior nasal surgery produced undesirable results. Though most times only small changes need to be made, they go a long way in improving the way a patient feels about his or her nose.
Contact Our Practices for More Information
If you’re not sure about which procedure is right for you, come in to speak to the Advanced Cosmetic Surgery Team about how you want to look after surgery and any functional issues with your nose. With all of their years of experience and specialized ENT (ear, nose and throat) training, they can offer you sound advice.
Contact us today to schedule a free consultation with our Advanced Cosmetic Surgery Team at either our Rhinoplasty Long Island or Manhattan offices. For your convenience, we are open 6 days a week (including evenings).