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Which Types Of Rhinoplasty Are Best For You?

By Dr. Charles J. Galanis

Types of Rhinoplasty

Are you a considering undergoing a nose job or rhinoplasty procedure but unsure which types of rhinoplasty may be best suited for your unique situation?

Many patients seeking a rhinoplasty surgeries don’t realize there are several methods existing to achieve your desired aesthetic goals and functionality needs. Over the past decade, more people have turned to cosmetic surgery to reach their body and facial goals.

Rhinoplasty surgeries are actually amongst the most-requested facial procedures by men. However, most patients may need to learn the various techniques of rhinoplasty surgery that achieve their desired results. 

Depending on the anatomy of a patient’s face and their specific concerns, one technique may be better or more productive.  A complete medical evaluation and assessment of each rhinoplasty patients cosmetic concerns will determine which rhinoplasty procedures are best.

What is a Rhinoplasty?

A rhinoplasty or cosmetic nose surgery is often referred to as a nose job or a nose reshaping.  Rhinoplasty procedures seek to alter the physical nose shape to improve aesthetics, functionality, or both. The nasal anatomy consists of cartilage and bone. 

The upper portion of the nose is comprised of bone, while the lower is made up of cartilage. Rhinoplasty procedures can change nasal bone, cartilage, skin, or all three simultaneously.  A rhinoplasty surgery can address any or all of the following:

  • Reduce the size of a large nose
  • Eliminate a dorsal hump
  • Reposition nostrils and/or reduce the size
  • Straighten a crooked nose
  • Reduce the size of the nasal tip, bridge, or base
  • Correct deviated nasal septum (septoplasty)
  • Repair nasal structures or a broken nose due to injury
  • Nasal breathing issues

The two main types of rhinoplasty procedures are open rhinoplasty and closed rhinoplasty.  

Open Rhinoplasty

An open rhinoplasty is often reserved for more significant nose jobs. It entails incisions to separate the skin of the nose from the underlying bone and cartilage.

This rhinoplasty method allows the surgeon ample access to all the nose structures for accurate graft placement, complete visibility, and a better assessment of the situation since the patient’s entire nose anatomy is thoroughly exposed.

The disadvantages of an open rhinoplasty are more swelling and more extended recovery period and the possibility of obtaining a slightly visible scar.

Closed Rhinoplasty

A closed rhinoplasty is used for patients seeking to treat minor alterations to their nose-reshaping process. During a closed procedure, the surgeon makes incisions inside the nose to separate the skin from the bone and cartilage before reshaping.

A closed rhinoplasty is the most viable option where only a tiny amount of work may be needed. The patient enjoys no scarring and endures less swelling and a shorter recovery time. Closed rhinoplasy is more effective for a patient seeking a reductive rhino, removing excess tissue from the nose, as in the case of a larger-sized nose to be made smaller in size. 

In contrast, the open method is an excellent option for patients seeking a more reconstructive approach that requires the most advanced surgical techniques to yield the most desired results. Open method rhinoplasties offer complete visibility for the most comprehensive type of nose reshaping.

different types of rhinoplastyOther Types of Rhinoplasties You Need to Know

While the open and closed rhinoplasty methods are amongst the most widely performed by plastic surgeons, additional procedures may better suit your cosmetic needs.  Here are a few other different types of techniques that may suit your particular.

  • Filler or Liquid Rhinoplasty– A non-surgical nose job, the filler rhinoplasty uses commonly injectable fillers to temporarily “fill” dips and balance asymmetries on the outer portion of the nose. This is an excellent way for patients to “test drive” a rhinoplasty without committing to a more surgical alternative.
  • Functional Rhinoplasty– Restores nasal function and helps to improve breathing following disease, injury, cancer treatments, deviated septum, or congenital defects.
  • Revision Rhinoplasty– This secondary rhinoplasty corrects and repairs issues that may have occurred during the initial rhinoplasty procedure. Though minor, the actual fix may be complex for the cosmetic surgeon, as each patient’s situation is unique.
  • Tip Plasty– This procedure focuses solely on refining and reshaping the nasal tip. This specialized procedure addresses tip asymmetry, projection, or drooping. It involves precise sculpting of the cartilage and soft tissue to enhance the overall nasal appearance.

Rhinoplasty FAQs

What Type of Rhinoplasty is best?

Closed rhinoplasty is favored by many patients since all incisions are hidden inside the nose, making it the most sought-after nose job approach. After healing, there are no visible scars, ensuring a seamless aesthetic outcome.

What Is The Hardest Type of Rhinoplasty?

Shaping the nasal tip in rhinoplasty is an intricate task, demanding advanced surgical expertise. One of the most challenging aspects of rhinoplasty lies in sculpting the nasal tip, primarily composed of cartilage, to achieve a natural appearance.

Who Is Not Suited For Rhinoplasty?

Cosmetic and surgical procedures carry risks, though the magnitude and likelihood of complications are typically higher in surgical interventions. Individuals with certain medical conditions like diabetes, heart disease, and high blood pressure may not be suitable candidates for rhinoplasty surgery due to the increased potential for complications.

How is Ethnic Rhinoplasty Different?

Ethnic rhinoplasty prioritizes natural-looking results by considering distinctive nasal and facial features. Tailored techniques are employed to ensure optimal outcomes that harmonize with each individuals characteristics.

What Are The Risks of Rhinoplasty?

Rhinoplasty, while generally safe, carries risks like infection, bleeding, and anesthesia complications. Structural issues or unsatisfactory aesthetic outcomes may require revision rhinoplasty procedures. Swelling, scarring, and temporary numbness are common, with rare but serious risks including septal perforation or breathing difficulties. 

Schedule Your Rhinoplasty Consultation Today

If you are interested in learning more about the various types of rhinoplasty procedures, we invite you to contact Galanis Plastic Surgery in Beverly Hills for more information and to schedule a personal consultation with board certified Dr. Galanis. Our compassionate, highly skilled staff can help with any questions you may have regarding Dr. Galanis’ signature surgical techniques surrounding rhinoplasties.




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