Aesthetic and functional nose surgery planned around facial balance, nasal structure and breathing.
Aesthetic and functional nasal surgery
Rhinoplasty can change nasal shape, proportion and support while also addressing selected causes of nasal obstruction. The objective is not to reproduce one fashionable nose, but to develop a plan that respects facial structure, skin thickness, ethnicity, breathing and the patient’s priorities.
Assessment includes the front, profile, three-quarter and base views, together with skin quality, cartilage strength, septal position, breathing symptoms and prior surgery. Digital modeling may be used as a communication tool, but it is not a guarantee of the final result.
Changes to the nasal tip usually affect the relationship with the bridge, nostrils and upper lip. For this reason, isolated tip work is not always the most harmonious option. The plan may include refinement of the tip, adjustment of the bridge, osteotomies, septal correction, structural grafting or nostril-base treatment according to anatomy.
Patients reporting obstruction are asked about the side, duration, variability and previous treatment. Additional examination or imaging may be advised when sinus disease, trauma, severe septal deviation or previous surgery is suspected.
Primary rhinoplasty is performed on a nose that has not previously undergone surgical reshaping. Revision rhinoplasty addresses residual or new concerns after earlier surgery and is generally more complex because of scar tissue, altered support and possible shortage of septal cartilage. Revision planning may require cartilage from another donor site and should be based on careful examination and adequate healing time after the previous operation.
A suitable candidate has a stable concern, realistic expectations and health appropriate for elective surgery. The operation should be postponed when medical conditions, smoking, medications or incomplete healing increase risk. Adolescents require evidence of sufficient facial maturity and careful consideration of motivation and expectations.
A splint is commonly worn during the first postoperative period. Bruising, swelling, temporary congestion and altered sensation are expected. Much of the visible swelling improves during the early weeks, but the tip and areas with thicker skin can remain swollen for longer. The nose continues to refine over many months, so an early photograph does not represent the final outcome.
Patients receive individualized instructions concerning nasal care, sleeping position, exercise, glasses, travel and follow-up. Trauma to the nose should be avoided during healing.
Possible complications include bleeding, infection, scarring, asymmetry, contour irregularity, persistent swelling, altered smell or sensation, breathing difficulty, septal perforation, skin or soft-tissue compromise and the possible need for revision. Perfect symmetry cannot be guaranteed, and healing may change a technically well-planned result. These limitations are reviewed before surgery.
Sometimes, but tip changes alter the visual relationship with the bridge. The most balanced plan often requires considering both areas together rather than treating the tip in isolation.
No. Modeling helps the surgeon and patient discuss direction and proportion. Biology, tissue behavior and healing prevent any simulation from guaranteeing an exact postoperative image.
Minor early irregularities often improve as swelling resolves. Revision is considered only after adequate healing, unless a specific urgent medical problem requires earlier treatment.
They can often be assessed in one operation, but the appropriate functional treatment depends on the cause of obstruction and the findings during examination.
Submit front, profile, three-quarter and base-view photographs, together with breathing symptoms, previous procedures, medical history and the changes you would like to discuss.
Medical content reviewed by Dr. Telman Arakelyan, plastic and maxillofacial surgeon. This page provides general information and does not replace an individual consultation.
