Nose Reshaping (Rhinoplasty)
Nose shape is largely determined but its underlying skeleton. The nose bones shape the top half while cartilage (often called grizzle) shapes the lower half. It is the cartilage with gives the springy shape to both our noses and ears. To change the shape of the nose, one needs to change the shape of the this bone and cartilage skeleton. To access the ‘skeleton’ of the nose a tunnel is made between the skin/soft tissue and the underlying bone/cartilage skeleton of the nose.
- a bump on the nose is to be reduced then the prominent bone / cartilage is removed
- a bulbous or round tip is to be refined then the cartilage supporting it is trimmed and/or reshaped
- the bone portion of the nose is then often broken so as to narrow the top of the nose
To increase the size of a small nose tissue is either added or extra support is given. This is a common procedure in those of Asian descent. The extra support or tissue can sometimes be derived from ones own tissue or sometimes an artificial material can be used – either is a compromise to some extent – use of own tissues necessitates a larger and more expensive procedure. Use of artificial material can be quicker and less expensive but may have a higher chance of problems like infection which can sometimes occur a long time after the original operation
Frequently after an accident the airway is often also blocked and needs correction.
The underlying bone and cartilage must be broken, remodelled and supported in a straightened position while healing.
As with all operations complications can sometimes occur
- General operations – bleeding, infection, healing problems
- Specific Complications – are more related to incomplete correction of your problem or concern. Further operations are sometimes required in this situation.
