Many times during Rhinoplasty or Revision Rhinoplasty, multiple issues may need to be corrected. Occasionally, new issues can arise as a result of correction of a completely separate issue and these must be recognized and corrected before Rhinoplasty and during Rhinoplasty, as the Plastic Surgeon assesses and reassesses the nose. For example, the de-projection of a very long and over projected nose creates a dorsal hump and widens the nostrils during the rhinoplasty that must be recognized and corrected otherwise a patient who had an over projected nose and a straight bridge may end up with a new dorsal hump and flared nostrils that are not pleasing to the eyes. Another situation is narrowing of the nasal tip on a patient with weak alar rims (nostrils). The tip Rhinoplasty maneuvers in such a patient may create alar retraction or notching, which must be recognized and corrected with alar rim grafts or composite ear cartilage grafts. Failure to recognize such issues may result in an unsuccessful Rhinoplasty.
A Rhinoplasty Specialist Surgeon should have the skills to diagnose and deal with these specific nuances during the nose job surgery so that the final result of the nose reshaping can be an overall pleasant and beautiful nose.
There is no “bread and butter Rhinoplasty.” No two people should undergo the same nose job. Not even two sisters may undergo the same Rhinoplasty techniques. Sometimes, only a specific area of the nose needs correction while other times the entire nose must be corrected. Below are common specific aesthetic nasal issues encountered by a rhinoplasty specialist plastic surgeon.
