Cosmetic rhinoplasty is the surgical modification of the external shape of the nose, also known as “nose job surgery” or nose reshaping. This procedure uses a wide variety of approaches and techniques involving the internal structures of the nose to affect aesthetic improvements in the external appearance. Common goals include removal of a bump (“dorsal hump”) on the bridge of the nose, reduction or modification of the nasal tip cartilages, narrowing the width of the nose, making the nostrils smaller, and lifting a droopy or hanging tip of the nose. In the majority of cases, rhinoplasty is used to make the nose smaller or more refined (“reduction rhinoplasty”). Less commonly, rhinoplasty can also be used to make the nose larger (“augmentation rhinoplasty”). For patients who have breathing problems in addition to cosmetic concerns, a combined functional and cosmetic rhinoplasty can be performed.
Rhinoplasty can be performed either “open” (using an external incision) or “closed” (using incisions only on the inside of the nose). This choice is dictated by the specific goals of the patient, as well as any functional or anatomic issues that would require a specific approach. In addition, most augmentation and revision rhinoplasty cases require an open approach due to the complex nature of these procedures and the need to provide internal support for the nasal structures and grafts.
Open rhinoplasty involves a small incision placed in the columella (the bottom of the nose, between the two nostrils) and gives complete exposure of the cartilages and bones. This allows for precise assessment of the internal issues with the shape of the nose, as well as accurate diagnosis of functional problems. For rhinoplasty patients desiring significant changes to the tip of the nose, an external approach is generally preferred. Closed rhinoplasty eliminates the incision in the columella and places the remaining incisions between the nasal cartilages inside the nose. This technique is very useful for patients with concerns about the bridge of the nose (nasal dorsum or “dorsal hump”) but who desire minimal or no change to the nasal tip.
Examples of problems that are frequently addressed in cosmetic rhinoplasty include a “bulbous” or “boxy” tip, an asymmetric tip, a crooked or twisted nose, a wide nasal bridge, overly broad or flared nostrils, a short or flat nose, and a nose that is too long (“hook” nose) or “droopy” (hanging columella). Narrowing of the nasal bones can also be performed easily through an open or closed approach. Septoplasty can be performed during any rhinoplasty and can help to straighten a crooked nose, improve your breathing, or reduce snoring in some cases.
Dr. Ransom works with each individual patient to create the nose that he or she wants. Different noses work for different faces, and Dr. Ransom is sensitive to patients’ personal preferences and sense of identity. Our goals is to provide natural-appearing results with aesthetically pleasing changes to the nose, bringing the nose into greater harmony with the your other facial features. Undergoing rhinoplasty is a very personal decision and requires a true understanding between the doctor and the patient. Dr. Ransom is experienced at helping nasal surgery patients with of all ages and types.