Enhancing facial harmony
A crooked nose is psychologically one of the most difficult deformities to bear. It develops late and usually coincides with the onset of adolescence, a time when it is more difficult to accept any aesthetic problem. Rhinoplasty is an operation aimed at correcting nasal deformities by modifying the shape of the nose and enhancing facial harmony. Each rhinoplasty is a case in itself, and must be assessed carefully. It is not simply a question of making the nose smaller or larger, but of adapting it to the characteristic features of the person´s face, without forgetting its important physiological function as part of the respiratory system. In this kind of surgery, dialogue between specialist and patient is particularly important in order to compare the latter´s desires and expectations with the possibilities for improvement.
There are two ways of carrying this out. The most common is known as closed rhinoplasty, where incisions are made inside the nasal cavities so that no external scar is visible. In this approach, the surgeon can cut and model the bones and cartilage in the nose, forming a new structure.
For more difficult procedures, such as the modification of large deformities at the tip of the nose, open rhinoplasty is carried out. This kind of operation leaves a small scar at the base of the columella (the strip of skin separating the nostrils), which can hardly be seen.
Rhinoplasty is not always used to reduce the nose, it can also augment its size when this is necessary to enhance the tip, raise a sunken dorsum or correct a deformity. In these cases, grafts are used with tissue from the same patient to shape or support the nose.