The best rhinoplasty harmonizes both function and beauty creating a nose any onlooker would attribute to Mother Nature.
According to Dallas Fort Worth Facial Plastic Surgeon Dr. Jesse Smith, the adage ‘a nose that looks good often breathes well’ should be the guiding principle for anyone seeking rhinoplasty. Read on for his special tips on getting the nose of your dreams.
Attaining the perfect nose shape depends on your unique facial symmetry
Reshaping the nose, correcting airway issues and visible asymmetries are all key objectives in rhinoplasty. It is critical though that the resulting size is perfect for the patient’s face.
As a prominent aesthetic highlight in the middle of the face, the nose should blend with the surrounding facial structures in perfect balance. On its own, the nose should not detract from other facial features; i.e. when people talk to you they should be focusing on your eyes and mouth, not your nose, as you speak.
Patients often request that their noses be made a lot smaller. A nose that is too small for an individual’s facial features will not only look out of sync, it will also look ‘done’. Over time a too small nose without the appropriate support will twist and collapse, contributing to the ‘done’ appearance patients wish to avoid.
The function should never be at the expense of form in rhinoplasty
Apart from aesthetics, one’s desired nose size should always take into consideration functionality.
Although we don’t think too much about it, the nose serves a key purpose: It warms and humidifies the air that we breathe. Having a bad cold and being unable to breathe comfortably has a serious impact on our well being and activities – in fact suffering from any nose-related condition can make us pretty miserable. Hence any rhinoplasty should maintain, not decrease the nose’s functionality.
Addressing deviation of the septum
A common problem for rhinoplasty candidates is deviation of the septum. This can be addressed surgically and often does not generally change the nose’s outward appearance.
In certain instances, deviation of the septum occurs outside of the nose because of congenital problems or a history of trauma. In these cases, the deviation should be repaired at the time of surgery, not just for aesthetic reasons but also for optimum breathing.
Rhinoplasty procedures demystified
The best rhinoplasty results in a nose that looks natural and symmetric, fits the face perfectly, lasts long and enables its owner to breathe without obstruction or difficulty.
Techniques employed to achieve this depending on the individual and surgeon’s goals. Hidden incisions in the nose can sometimes do the job while avoiding massive swelling. At times a small incision, barely seen, is needed at the base of the nose for the best results.
These techniques help the surgeon erect the ‘scaffolding’, so to speak, or the framework for the new nose. Small, precisely cut pieces of cartilage are placed in areas of the nose that may be indented or need additional support.
Cartilage can be used from crooked portions of the septum or even from the back of the ear or the rib. Think of it as smart recycling, without affecting the functionality of the appendages or body parts from which the surgeon borrows.
Dr. Jesse Smith is a clinical assistant professor at the University of Texas Southwestern Medical Center in Dallas and a Director of The Center for Aesthetic Surgery in Colleyville. Dr. Smith may be reached at 817-503-2442.