Commonly known as a nose job and literally referring to as correction of the nose, rhinoplasty involves any surgery procedure aiming to shrink, or in some cases, augment the nose, curtail or occasionally elongate the nose, remove dorsal nasal hump, downsize and transform the nose tip, reduce nostrils or change the angle between the nose and lips. Generally, rhinoplasty serves to bring about a more beautiful nose proportionate to the person’s facial features. In cases where a candidate for surgery has difficulty breathing through the nose due to deviated septum or abnormal enlargement of nasal turbinates, he/she will, in addition to rhinoplasty, go through surgeries fixing nasal septum deviation and enlarging nasal turbinates simultaneously. The nose skeleton is composed of bone and cartilage so that the upper one-third of it is made of bones while the lower one-third is made of cartilage. The nasal skeleton is covered by skin and subcutaneous layers. The nasal cavity is divided into two parts by a cartilage-bone wall known as septum. In cases of nasal deviation, septum is not straight leading to breathing difficulty and crooked nose or both. Since cartilage-bone skeleton is covered by skin and subcutaneous layers, the type of connection between the skin and the underlying skeleton will determine the type of nose. When this connection favors the nasal skeleton i.e. thinner skin and larger cartilage and bone, the result will be a bony nose. When the skin is thick and fleshy and cartilage is weak and thin, there will be a fleshy nose. Nevertheless, different types of nose may fall between the two extremes, which shall be examined and identified by a physician, specifying to which category a person’s nose is closer. In nasal plastic surgery, the cutaneous as well as subcutaneous anatomy and thickness cannot in any means be modified by a surgeon. If done mistakenly, this may lead to serious complications such as necrosis or scar. This is why a fleshy nose enlarged mainly due to thick skin will gain lower benefits from nasal surgery. However, as mentioned earlier, the extent to which a nose is bony or fleshy shall be diagnosed by a surgeon, perhaps there have been certain cases where mild-to-moderate fleshy nose did benefit from nasal surgery.
Preparing for surgery
If you have problems with the appearance of your nose or have difficulty breathing through the nose, you will need to consult a rhinoplasty surgeon. Please feel free contacting us for counseling services and arranging an appointment on 9821-88321345, 9821-88321346 and 09353335033. Office address: No. 5, first floor block 270 (Shokufeh), Motahari St., between Jam St. and Modarres St. Tehran, Iran. Visits are arranged on even days, 4 to 7 PM.