How is it done?
The outer, cosmetic part of the nose that everyone can see is basically skin draped over a framework made of cartilage and bone. It is this framework that gives the nose its unique shape. Rhinoplasty essentially involves remodelling of the framework, so that the skin takes on a different, more pleasing shape. This can be done by 2 main methods:
1) Closed rhinoplasty
2) Open rhinoplasty
'Closed' Rhinoplasty means that the incisions are made inside the nose and the skin does not have to be completely lifted off the underlying framework in order to change the shape of the nose. This is suitable for reshaping the bridge of the nose ('hump'), or when very simple changes are needed to the tip of the nose.
If more complex work is needed on the tip of the nose, or there are breathing difficulties that need to be addressed, then an 'open' rhinoplasty may be more appropriate. This involves making a small incision in the column of skin that forms the underside of the nose ('columella') and combining this with incisions inside the nostrils (see picture). This allows the skin to be lifted completely off the underlying framework so that complex reshaping can be done under direct vision. The skin is then redraped into place and the incision is sutured.
It may be necessary, as part of either closed or open rhinoplasty, to fracture the bones that make up the sides of the nose in order to narrow the nasal bridge.
During our initial consultation, I will evaluate your overall health and examine your nose and its proportions to the rest of your face. The nose is an individual feature and so each surgical plan is unique. We will come to a decision together based on my examination and the goals you wish to achieve.
At this stage a photograph is taken which forms part of your medical record.
It will not be used for publication or teaching purposes without your express written consent.