Modifying the Nasal Structure: Do You Know These 4 Types of Rhinoplasty?


When someone hears the word Rhinoplasty, they may think of a Hollywood actor or actress getting a nose job.

The person wants to look better, younger, or different in some way. However, these are not the only reason to obtain a nose job.

There are a few medical reasons to obtain Rhinoplasty in addition to cosmetic motives. An Ear, Nose and Throat doctor would be able to help determine if Rhinoplasty would be of help for medical reasons.

In addition to sinus issues, sleep problems could also be resolved with a nose job.

There are four major types of Rhinoplasty: open, closed, secondary and filler.

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  1. Open Rhinoplasty

Open Rhinoplasty is a procedure used in major nose surgery, for reshaping the nose.

A surgeon makes an incision in the columella, which is the small portion of tissue that separates the nostrils at the base of the nose. Additional cuts are made inside the nose, where they will not be seen.

The small cut in the columella is often minor and heals nicely with little or no scarring.

The reason a person would undergo open Rhinoplasty is for adjustments to the cartilage and bone.

This type of procedure allows for more accurate reshaping of the contour of the nose or the basic framework of the nose.

  1. Closed Rhinoplasty

For closed Rhinoplasty surgery, or endonasal Rhinoplasty, all the cuts are made inside the nasal cavity, thus avoiding scarring.

However, there is still a major amount of stretching of the nasal skin, along with distortion of the cartilage; it is a more difficult procedure for a surgeon.

There are technical limitations associated with closed Rhinoplasty and the incisions within the nasal passage are often not connected after the surgery.

Closed surgery or closed Rhinoplasty is reserved for nasal bridge alterations.

  1. Secondary Rhinoplasty

Secondary Rhinoplasty, also known as revision Rhinoplasty, is a procedure used on a patient when an initial surgery was not as successful as they would have liked it to be.

This includes fixing issues that were not addressed with the first surgery.

Revision Rhinoplasty is also used when changes in the nose become more apparent.

This means when the nose grows due to aging or there are other, external factors that cause the need for additional nose surgery.

  1. Filler Rhinoplasty

Filler Rhinoplasty, also known as non-surgical Rhinoplasty, used a variety of fillers to reshape the nose. This technique is typically used for cosmetic purposes and for those who do not want to go under the knife for a beautifying procedure.

Various calcium hydroxyapatite fillers are used to “puff up” the nose where there are depressions as well as to fill in where the nose needs to be adjusted.

This type of method, is not used as often as the other three because it is not a lasting route for adjusting the shape of the nose. Typically, the filler Rhinoplasty will last between 8 and 12 months.

Before committing to a nose job, you may want to get a second opinion. Each doctor you see needs to be certified and qualified to do any of the above procedures.


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