Many times we wonder what the final result will be and what characteristics are capable of correction, modification, or improvement with a rhinoplasty or nose surgery. Because rhinoplasty starts from the base of the osteocartilaginous structure and the thickness of the patient’s own nasal skin, it is not possible for the plastic surgeon to carry out an intervention with the aim of obtaining the nose of another person. With rhinoplasty, what we seek is to achieve the most natural results possible, soften the features and thus achieve harmony according to the structure of the face. Sometimes, there is a limitation as to the size and shape that can be obtained.
To make a correct evaluation, the plastic surgeon will observe the nose, from the front, in profile, and 3/4 of the profile, also looking from below, to note the symmetry and width of the nostrils.
If we look at the nose from the front, we can distinguish two areas in it. The bony area called the back, which occupies the first 2 upperparts and is made up of bone, and the remaining third, the tip, is made up of a softer part supported by a structure of cartilage that is responsible for giving shape and position to the nasal tip and the nostrils.
What features of the nose can we identify, correct, modify or change?
On the back or upper part of the nose, we can distinguish :
- The hump or ridge, which is a protrusion that can be seen in profile and makes the line of the back not straight.
- A sunken back, which can be corrected with cartilaginous grafts, which we can take from the ear, with bone grafts taken from the same septum or also with a rhinomodelation, which is a less invasive technique and consists of filling that empty space by means of a substance that can last as long as possible in time.
- Viewed from the front, lateral deviations of the nasal line with respect to the midline of the face.
- The widening of the bones of the nasal pyramid.
In the nasal tip, the most difficult and complex area to solve, we can distinguish:
- The drooping tip of the nose, when it falls on the upper lip and is corrected by lifting it.
- The wing cartilages, which, because they are asymmetrical or very large, can give a tip a square, pointed, bulbous, etc., appearance.
- The nostrils or nostrils, which can be very wide.
- A column, which separates the nostrils, and which can protrude downwards (hanging column) or hide between them.
Respiratory problems in one or both nostrils:
- Due to obstructions or internal deviations of the nasal septum or septum, called laterorrinias and/or the inferior nasal turbinates, which are corrected with a septumplastia.
With rare exceptions, the plastic surgeon acts on the entire nasal pyramid reshaping the entire nose, decreasing or increasing the back, and touching the nasal cartilages and the ala cartilages to give harmony with the rest of the face and that he or the patient has structural features much more consistent.