Rhinoplasty

 

630.<Rhinoplasty>

Rhinoplasty, commonly known as a nose job, is a surgical procedure aimed at enhancing the aesthetic and/or functional aspects of the nose. Typically, it involves augmentation of the nasal dorsum and refinement of the nasal tip.

For tip refinement, both open and closed approaches are available—each with its merits. Open rhinoplasty provides enhanced surgical visibility, while closed techniques offer minimized scarring.

Dorsal augmentation may utilize either alloplastic implants (such as silicone, Gore-Tex, Medpor, or custom 3D-printed forms) or autologous grafts. While alloplastic materials are convenient, they carry a potential risk of foreign body reaction, especially when the immune system is compromised. Therefore, autologous rib cartilage is often preferred for its biocompatibility and volume suitability. To address issues such as warping, rib cartilage can be processed into ultrafine particles, eliminating the drawbacks of both synthetic implants and raw cartilage.

Surgical strategies vary based on anatomical need: dorsal hump reduction for prominent bridges, cephalic trim for elongated tips, derotation wing grafts for short noses, and osteotomies or septoplasty for deviations. In cases of turbinate hypertrophy, submucosal resection may improve airway patency. Tip projection may be enhanced with structural grafting or ultrafine rib cartilage pocket insertion.

Healing of ultrafine cartilage grafts relies on plasma diffusion and typically stabilizes after 3 weeks—requiring careful postoperative care.

Although rhinoplasty can bring the nose closer to one’s desired image, it must be considered that nasal form evolved as an adaptation to ancestral environments. Alterations, if misaligned with climatic function (e.g., cold/dry vs. warm/humid climates), may pose long-term adaptation challenges. Thus, if rhinoplasty is truly desired, the use of autologous materials and minimally invasive techniques is recommended to minimize future complications.

[Rhinoplasty is the art of reshaping the terminal organ of respiration]
– 630mm growing pine tree-
#Rhinoplasty #NasalSurgery #NaturalNose #ClosedRhinoplasty #AutologousCartilage