Rhinoplasty Nose Job

Unfortunately, the nose is not well tolerated in terms of excessive reduction of any component of the nose during rhinoplasty. This is similar to a house. Once too many important beams, gables or other important structural parts of the frame are cut, weakened or demolished, the house usually collapses. The exact same thing can happen when the surgical nose works to gradually reduce the important parts of the nose’s beam and structure. Since the skin takes time to contract, and the load-bearing parts that are now losing stability are degraded due to lack of scars and strain, the collapse does not immediately appear. Therefore, the results after nasal surgery usually do not look bad, but the collapse due to excessive reduction becomes apparent after a few months. The infamous “over-operational” look. The bridge is too low, the tip is too sharp, it bends too far up, and there is no real obvious break between the bridge and the tip. Patients have more difficulty breathing after surgery than before. Only a few of the best rhinoplasty surgeons can reliably correct the “over-operative” nose caused by rhinoplasty and excessively reduce the structure of the nose, which in turn causes instability of the bridge of the nose.
it was in mid-seventies there was change in concept from destructive rhinoplasty to art of nose correction surgery. It was now understood that balancing the nose is more important than reducing the size. it was now getting understood to strengthen the cartilage then reduce. Gradually the results improve and nose surgery aesthetic part now days the the technique involves rearranging the structure to the desired shape. it involves first the septum to be made midline and should have firm support the the upper lateral cartilage and then the lower lateral cartilage to be brought together and height adjusted with the dorsal and adding cartilage from other part of body if required. This is to enhance the look and improve the function. The technique total is called nasal framework correction rather than rhinoplasty and each and every part of the framework is bought together individually in correct alignment to give good result.
Modern nose surgery can achieve a more natural effect, making the nose and face more coordinated, allowing the patient to breathe a good nose, and most importantly, to avoid complications and re-operations to the greatest extent possible.