• History of rhinoplasty
• Anatomy of nose
• Definition of rhinoplasty
• Rhinoplasty technique
• Duration of operation
• Steps of operation
• Complication & risk factor
•Rhinoplasty : 'Rhinos' means Nose and 'Plassein'
means to shape.
•This is a surgical method of improving either the
function or giving the nose a better shape.
History of rhinoplasty
• First rhinoplasty was performed in the year 1887 by
John Orlando Roe” father of aesthetic rhinoplasty”.
Later in 1898, Jacques Joseph used it as a cosmetic
• Rhinoplasty became very popular during the First
World War. The surgeons had to perform this
surgery on these soldiers to give their noses a better
shape or to heal them. During this time, many
surgeons made rapid technological advancements the
process of rhinoplasty was made safer
Anatomy of nose:
What is Rhinoplasty?
• is surgery to reshape the nose. The procedure can
make your nose straighter, wider or narrower, longer
or shorter. It can change the shape of the tip or
bridge. It can change the angle between the nose and
upper lip or narrow the nostrils.
• Rhinoplasty is the third most common cosmetic
procedure among both men and women.
• Aesthetic Rhinoplasty
• Functional Rhinoplasty
• Aesthetic Rhinoplasty
• For anyone suffering from self-consciousness as a
result of their nose means if you feel it
uncomfortable. Rhinoplasty aims to balance the face
and draw misplaced attention away from the nose and
to refocus it on the eyes. This process is called
'harmonising', adjusting the nose in relation to the
rest of your facial features so that the face is in
Rhinoplasty can address the following concerns:
• Size: if the nose is too big or too small
• Length: if the nose is too long or too short
• Width: if the nose is too wide, too fat or too narrow
• Tilt: if the tip is hooked downwards or angled
• Tip: if the nose looks too bulbous, pinched or has a
• Symmetry: if the nose is crooked or generally
• Nostrils: if they are too close or too far apart, look
flared or pinched, or if the cartilage and skin
between the nostrils (the columnella) hangs down too
• Shape: if the nose is humped, has a bump or a dip
• Scarring: if the nose has excessive scar tissue or
other superficial surface markings
Bulbous nose Hump nose
• Functional Rhinoplasty
• Nose reshaping surgery is also useful in correcting
breathing problems or any other damages affecting
the nose for that matter. If a person suffers from
breathing difficulties, especially with narrow nasal
passages, then nose reshaping can open or widen
these passages allowing greater ease when breathing.
• There are two types of rhinoplasty procedure which
can be performed:
• the closed technique, best for minor nose reshaping,
• the open technique, better when a more major nose
reshaping is required. In both cases general
anaesthetic is used to prevent you from feeling any
• The surgeon will make small incisions within the nose
to access and expose the bone and cartilage.
• This is done by inserting through the internal
incisions an instrument which separates the skin from
the structure of the nose and then removing the
cartilage and bone.
• Once removed they are both then rearranged into the
desired shape and reinserted.
• The nasal tissues are then spread over the new
structure and the initial incisions closed up to
complete the surgery.
Closed rhinoplasty makes incisions to the inner parts of the
nose. The main advantage is that the scars are invisible
• Open rhinoplasty is a technique where all of the
network of cartilage and tissues underneath the skin
on your nose are exposed to the plastic surgeon.
• The surgeon makes an additional incision to the
• From that incision, they pull the skin up and clip it up
so that the structure of the nose is exposed while
they are operating on you
• The main disadvantage of open rhinoplasty over
closed rhinoplasty is that the scar in the columella
may be noticeable even
• Advantage of open rhinoplasty over closed
Birmingham rhinoplasty is that the plastic surgeon can
work on tissues, cartilages and and over-all structure
of the nose better because they can see the whole
• There is no general rule that open rhinoplasty or
closed rhinoplasty is better. Each has to be used
depending on the need.
How Long Does a Rhinoplasty Procedure
• Your nose job operation will likely take 1 to 2 hours
with the possibility for a lengthier procedure if the
alterations to your nose are extensive.
• Typically closed technique nose jobs take less time
than open technique nose jobs, which can take up to
4 hours in some cases.
The steps of rhinoplasty operation:
• Step 1: Anesthesia - before the rhinoplasty
• Medication is administered before your rhinoplasty
procedure begins. The two options available to you
are intravenous anesthetic or general anesthesia.
Your surgeon will be able to recommend the best
form of medication for your particular procedure.
• Step 2: Incision – closed or open nose surgery
• Depending on whether it is a closed or open technique
rhinoplasty surgery, incisions are made only inside the
nose (closed technique), or are made both inside and
outside the nose (open technique). Once the incisions
are made, during rhinoplasty, cartilage is reformed
and tissues are raised to allow for restructuring and
• Step 3: Reshaping – the magic of rhinoplasty
• The nose is reshaped, reformed, altered, reduced or
augmented in size. It is in this phase of the
procedure where surgeons work their magic to give
patients the noses they always wanted.
• Step 4: Deviated Septum
• It is at this step of the process that if there is a
deviated septum, it is corrected and all projections
inside the nose are reduced to improve breathing and
open the airways of the nostrils.
• Step 5: Closing
• Once the nose has been reshaped, redesigned and
restructured, the skin and tissues are put back in
place and the incisions are closed.
• Step 6: Recovering from the Rhinoplasty procedure
• Full recovery usually take a few weeks, although in
some cases it can be quicker. The legnth of your
recovery vary from patient to patient and from
procedure to procedure. As mentioned earlier
• closed Rhinoplasty usually heal quicker. During the
recover process you may also experience swelling and
bruising over the next couple of weeks...
• Enjoy the Results of your Nose Surgery!
• This is the most exciting step of all. Whatever the
reason for your Rhinoplasty are, after the healing
process you will be able to enjoy your new and
congenital hump of the nasal bones
Bulbous nasal tips
Complications & Risks of Rhinoplasty
• Infection- By carefule treatment of your nose after
surgery we can dramatically reduce the risk of
• Post surgery bleeding- By keeping your head elevated
as much as possible for the 48 hours immediately
following your surgery, heavy bleeding can be avoided.
• Skin numbness- There is a slight chance that nerves
may be aggravated during surgery, in which case, skin
numbness can occur.
• Persistent pain- Pain may persist longer than
expected especially in cases where recovery
recommendations are not followed.
• Scarring worse than expected- Although scarring is
typically barely noticeable at all after recovery,
depending on the nature of your body’s healing
process and skin type, scarring may be worse than you
expected, but there are ointments you can apply to
further reduce any chances of noticeable scarring.
• The need for a revised surgery- In very rare cases,
the nose may not comply with all of the desired
alterations during rhinoplasty surgery and may
require a second surgery in the future to restructure
the shape once again to induce permanent change