1 January, 2019
Rhinoplasty can generally be categorised into two different types – functional and cosmetic. Sometimes a patient can benefit from both these issues being addressed at the same time. Dr Jack Zoumaras, Specialist Plastic Surgeon based in Sydney, NSW, is known as one of Australia’s premier facial surgeons and this includes rhinoplasty. We chatted to Dr Zoumaras about a patient’s different rhinoplasty options and what’s involved in each of them.
Just as its name suggests, functional rhinoplasty will correct any functional issues with your nose. It can also be referred to as reconstructive nose surgery. Dr Zoumaras says there are several different issues that can affect a person’s nose function. “Functional rhinoplasty surgeries can correct conditions like a deviated septum, enlarged turbinates, nasal polyps and nasal fractures. Some of the most common types of nose fractures are greenstick fractures, comminuted fractures, and Le Fort fractures. Patients are also known to suffer from a saddle deformity as a result of a nose fracture. Broken nose surgery treats all these conditions. It arrests breathing problems, eliminates nasal deformities and restores the shape of the nose.
“Reconstructive plastic surgery is performed on patients who are suffering from body abnormalities caused by trauma, infection, congenital defects or diseases. These surgeries attempt to restore form or function of affected body parts. They can, for example, reconstruct or repair the nose after a fracture.”
Cosmetic rhinoplasty focuses more on the appearance of the nose rather than it’s function (although obviously it’s important for a surgeon to keep the nose functional when performing a cosmetic rhinoplasty!). Dr Zoumaras says cosmetic rhinoplasty usually has several motivations. “Cosmetic rhinoplasty corrects the radix, straightens a crooked nose, alters the projection of the nose, adjusts the nasolabial angle, reduces the width of the nose and reshapes the nose.” We take a look at specific cosmetic nose issues in more detail below.
Dr Zoumaras explains that the radix is the area that lies between the intersection of the forehead slope and the top of the nasal bridge. “If the radix is too large or shallow, a surgeon can perform rhinoplasty to correct any bumps or depressions that are present. To reduce the radix, the surgeon will have to shave off excess cartilage that’s lying underneath it. If the patient’s radix requires augmentation, the surgeon will use the patient’s own cartilage, harvested from other areas of the nose, to increase the size of the radix.”
One of the most common reasons a patient wants a rhinoplasty is due to a crooked nose. Dr Zoumaras says this procedure usually involves the removal of tissues and/or cartilage, or reposition of these tissues to move the nose to a straighter and more symmetrical appearance.
The tip of the nose is also a common complaint for many rhinoplasty patients. Dr Zoumaras explains the shape and position of the tip of the nose often needs reshaping. “If the tip looks like it’s too bulky, poorly defined, or turned upward or downward, the surgeon will work on the tissues at the tip of the nose and reshape the area to make it look attractive.”
The projection of a nose refers to the forward protrusion of the tip of the nose from the face (think Pinocchio!). Dr Zoumaras clarifies. “If the nose is overprojected or underprojected it can look disproportionate and rob you of a naturally appealing face. To alter the projection of the nose, the surgeon will either trim some of the cartilage that’s located at the tip of the nose or use a cartilage graft to augment the tip of the nose, depending on the patient’s needs.”
In surgeon’s terms, this is referred to as an alar adjustment. To rectify this issue a surgeon can trim some of the nasal tissues to create a more aesthetically pleasing contours and reduce the size of the hole.
Regardless of why you want a rhinoplasty, it’s essential that you choose a surgeon with the relevant qualifications and experience. Rhinoplasty is one of the most common procedures for revision and the plastic surgery procedure with the biggest room for error. Having a surgeon who understands all the techniques and potential issues surrounding a rhinoplasty procedure will help to reduce the risks of a disappointing outcome.
If you’d like more information on Dr Zoumaras or more before and afters on Rhinoplasty procedures you can visit his website.