The techniques and methods of rhinoplasty are combined at the plastic surgeon’s discretion. The main types of rhinoplasty include:
Open and closed rhinoplasty. In the case of the open one, the plastic surgery of the dorsum with the removal of the hump, the elimination of the tip of the nose overhanging the upper lip, correction of the shape of the alars and columella (the bridge between the nostrils) are performed. In difficult cases, simultaneously with the correction of the external nose, the curved parts of the nasal septum are removed, the position and volume of the turbinal bones are changed, and polyps are removed. In the case of the closed plastic surgery, the surgeon can bring the tip of the nose closer to the ideal, adjust its size, and make the nasal alars symmetrical.
Primary or repeated rhinoplasty. The second and subsequent plastic surgery on the external nose is technically more difficult than the first one since it is necessary not only to obtain an ideal result but also to take into account the changes that are a consequence of previous interventions.
According to statistics, 25% of all rhinoplasty operations performed are repeated. The second and subsequent operations are much more expensive than the first and often require the restoration of the missing volumes of cartilages and soft tissues using autografts (bone or cartilaginous fragments taken from the patient) or synthetic implants. In this regard, it is better to immediately determine the desired result and to find a surgeon whose experience guarantees the desired outcome of the plastic surgery.
3. Non-surgical rhinoplasty. It is possible to correct the shape of the nose to certain limits with the help of fillers based on hyaluronic acid. As a rule, injections of biodegradable tissue fillers are used as an auxiliary method of correction after classical plastic surgery.