What are the most common cosmetic problems of the nose that are corrected with rhinoplasty?

Modern rhinoplasty provides excellent possibilities and makes possible the simultaneous correction of a series of anatomical and aesthetic problems of the nose.

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What are the most common cosmetic problems of the nose that are corrected with rhinoplasty?

Modern rhinoplasty provides excellent possibilities and makes possible the simultaneous correction of a series of anatomical and aesthetic problems of the nose. We can thus achieve an excellent result which is in complete harmony with the other features of the face. The most common aesthetic problems that we are called to face during a plastic nose are the following:

Ivos, the well-known hump of the nose.

In the vast majority of cases it consists of both bone and cartilage and its removal can give the rhinoplasty patient an improved profile capable of transforming the appearance of his entire face.

Thick / wide top

This is a very common aesthetic problem that concerns many patients who come to have a nose job. It is due to the hyperplasia of the lower lateral cartilages that form the top of the nose, while in some cases the thick skin that some patients have also contributes significantly to this abnormality. The treatment consists in the controlled careful removal of cartilage sections and their remodeling with the use of sutures.

“Fallen” top

Ideally, the nasolabial angle, ie the angle formed between the nose and the upper lip, is between 95 and 110 degrees in women, while in men it should be from 90 to 95 degrees. In cases where this angle is less than 90 degrees we are talking about a “fallen” peak. In addition to the aesthetic problem created by a “fallen” peak, it can also cause difficulty in nasal breathing as it makes it difficult for air to pass through the nasal chambers. The correction of the problem is done with special techniques that help us redirect and support the cartilage of the apex so that they remain forever in their new position.

Prominent peak

When the tip of the nose protrudes too far forward, a serious aesthetic problem is created, which we have to repair during the plastic surgery on the nose. The techniques we use are to reduce the length of the cartilage that forms the apex, while in some cases it is necessary to reduce the anterior nasal spine, a bone which through the septum provides support to the apex of the nose.

Highlighting peak

In this case the projection of the peak is low, as a result of which it gives the image of a small nose that does not go with the rest of the face or with the somatometric characteristics of the patient. The solution is given with special manipulations on the cartilage of the apex, while quite often in these cases we use cuttings, ie pieces of cartilage from other areas of the nose with which we ΄΄build ΄΄ a new, more reinforced apex.

Crooked / Sloping nose

When the nose deviates visibly to one side or the other, a serious aesthetic problem is created in both women and men. In these cases it is usually necessary to simultaneously straighten the nasal septum and the nasal pyramid with osteotomies while we often resort to the use of special cartilage implants.In this way we achieve the thinning of the top and its harmonization with the rest of the anatomical elements of the nose so that it does not look like something out of place but is a smooth, harmonious continuation of the back.

Nose after injury or previous failed surgery

In both cases, one or more anatomical structures of the nose are severely damaged. It is common for the saddle nose to have lost the support provided by the diaphragm either due to injury or excessive cartilage removal during surgery. Other common anatomical deformities include asymmetries in the nasal bones, abnormalities in the back of the nose, deformities of the apex, and scoliosis of the nasal septum. Dealing with these cases requires training, experience and skill on the part of the surgeon as it is necessary to apply many times complex techniques through which the reconstruction of the nose is achieved.

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