Rhinoplasty is an operation to change the shape of the nose. The type of rhinoplasty depends on which particular area of the nose needs correction. The nose can be straightened, made smaller or bigger and bumps may be removed. The shape of the tip of the nose can be changed. Pieces of cartilage or bone may be removed from or added to the nose to change its shape. Sometimes the wall that separates the nose into right and left (nasal septum) is twisted which may need to be straightened.
Rhinoplasty is performed due to following reasons:
- To increase or reduce the size of nose.
- Change the shape of tip of the nose.
- Straighten the nose.
- To help in relieving breathing problem.
- To narrow the openings of nostrils.
Rhinoplasty surgery employs reduction, augmentation or refinement of the patient's nose to give a balanced and proportioned nose in relation to the facial features. Reduction rhinoplasty commonly involves the removal of a nasal hump along with re-shaping the nose to reduce the width.
The tip of the nose may be asymmetrical, depressed or the nose itself may need building up. Augmentation can be achieved using tissue moved from another part of the patient's body such as skin or cartilage from the ear or rib. Alternatively synthetic material can be used (gortex, silastic) but there is a greater risk of rejection or infection.
Approaches for the surgery can be either through the nostrils (intranasal) or by the use of a small incision on the under side of the nose (external).