Nose reshaping is intended to produce a more attractive nasal shape and/or a nose in better proportion to other facial features. Rhinoplasty is most often done on an outpatient basis under sedation, and local or general anesthesia. Your plastic surgeon will decide which techniques should be used.

 
 

Rhinoplasty, or surgery of the nose, is one of the most complex procedures performed by plastic surgeons. Each individual part of the nose influences the others and can have a significant effect on both function and appearance.
Some plastic surgeons are double board certified in both plastic surgery and also otolaryngology - head and neck surgery, the two specialties which focus most on the nose and its function. This unusual dual background allows them to achieve the highest aesthetic results while at the same time maximizing both breathing and airway.

 
 

Rhinoplasty was first developed by sushruta, an important physician, who lived in ancient India circa 500 BC. He and his later students and disciples used Rhinoplasty to reconstruct noses that were amputed as punishment and for crimes. He developed the techniques of forehead flap Rhinoplasty which is practiced almost unchanged to this day. This knowledge of plastic surgery existed in India up to late 18 century. The first intranasal Rhinoplasty in the west was performed by john Orlando roe in 1887. In 1898 Jacques Joshep used it for cosmetic purposes to help those who felt that the shape or size of their nose caused them embarrassment and social discomfort.

 
 

The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. If you're physically healthy, psychologically stable, and realistic in your rhinoplasty expectations, you may be a good candidate.
Rhinoplasty can be performed to meet aesthetic goals or for reconstructive purposes-to correct birth defects or breathing problems.
Age may also be a consideration. Many surgeons prefer not to operate on teenagers until after they've completed their growth spurt-around 14 or 15 for girls, a bit later for boys. It's important to consider teenagers' social and emotional adjustment, too, and to make sure it's what they, and not their parents, really want.

 
 

The three basic procedures that involve alteration of the nose are: rhinoplasty, septoplasty, and tiplasty. Rhinoplasty is surgery of the nose to augment, shorten, elongate, thin, straighten, or otherwise balance the overall impression of the face. Patients who seek nasal surgery for more cosmetic reasons often elect rhinoplasty, which includes alteration of the nasal bone and cartilage. Septoplasty is surgery of the nose that restores or improves its functionality in terms of breathing more easily. This procedure corrects a deviated nasal septum as mentioned earlier. Tiplasty is surgery of the cartilage of the nasal tip. Patients elect this procedure to refine and define the tip of the nose. Because rhinoplasty refers to the overall reconstruction of the nose, it may also include straightening of the nose, refinement of the nasal tip, narrowing of the nose width, or reduction of the “nasal hump,” as a combined surgery.

 
 

Most rhinoplasty patients have a definite idea as to how they would like to “improve” or refine the shape of their nose. Usually they don’t like the “hump” on the bridge, the thickness of the tip, or the width of their nose.
The nasal septum, (the structure that separates the two nostrils inside the nose), is composed of cartilage and bone. It may become deviated or twisted, either through the trauma of birth or as the result of an accidental injury. This deviation may alter the pattern of air flow through the nose, making it more difficult to breathe. In addition, the nose may appear crooked with a “hump”.

 
 

Rhinoplasty, or nasal surgery, can enhance the shape, size, and general appearance of your nose by correcting a drooping nasal tip, a bump on the nasal bridge, and other unfavorable attributes. Chin enhancement is a procedure often performed alongside rhinoplasty to achieve optimal facial balance.
The procedure is done on an outpatient basis under sedation or general anesthesia. Working through nasal incisions, the nose’s framework of bone and cartilage is sculpted to the desired shape. Changes may be made to reshape the tip, reduce the size or width of the nose, increase or decrease the nasal bridge, or change the angle between the nose and the upper lip.

 
 

After the patient makes the decision to undergo rhinoplasty surgery, he or she will proceed with completing specified laboratory tests and a history and physical examination. The plastic surgeon will provide the patient with written preoperative and postoperative instructions, which are also discussed in their entirety. The patient will receive a list of medications that may conflict with the use of anesthesia. In addition, a re-evaluation appointment is available to the patient prior to the date of surgery. During this time before surgery, the patient should direct any and all questions and concerns to the plastic surgeon and his or her staff.

 
 

Many features which are not desirable in a nose may be improved through cosmetic surgery. Noses may be made narrower, straighter, longer or shorter. Humps may be removed and the shape, size and angle and definition of the tip of the nose may be altered. Breathing problems caused by a deviated septum may be corrected. Rhinoplasty may be performed at any time after facial growth has been completed that is age 15-16 for women and age 16-17 for men. The ideal outcome in rhinoplasty is a natural appearing with balance and harmony, enhancing beauty of the eyes and lips.
Because of the special nature of the blood supply to the nose and surrounding area, it is possible for retrograde infections from the nasal area to spread to the brain. To reduce the risks follow the doctor's advice both before and after the surgery.

 
 

Rhinoplasty (or Nose Refinement Surgery) is the most intricate cosmetic surgery performed today. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury and help relieve some breathing problems.

The best candidates for rhinoplasty are people who are looking for improvement in the way they look, are physically healthy, psychologically stable, and have realistic expectations. During the initial consultation, the surgeon will evaluate the structure of your nose and face and discuss the possibilities for enhancement with you. The doctor will also explain some factors that can influence the procedure and results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations.