The nose is one of the most prominent facial feature that enhances the appearance of the individual. Therefore any congenital or acquired deformity will certainly distort the face. The nose can have a low bridge with broad nostrils. It can be deviated or crooked. It can also be hooked or deformed with obvious bony humps. Many other deformities can also be present. For any operation a good knowledge of the anatomy of the nose is vital to achieve the best reshaping of the nose for the patients. The following operations can be carefully considered depending on the deformities:-
- Augmentation Rhinoplasty – this operation helps to enhance a low nose bridge to make it appear more prominent in the frontal as well as the side profile. This can be achieved by using a silicone implant tailored to suit the patient. Own bone or cartilage can be used but will require an additional surgery to harvest these tissues. This will leave the donor site scar. Another option is to use allografts from donors or other materials.At the same time the low nose tip can also be enhanced by using the cartilage from the ear to provide the lifting of the nose tip.
- Reduction Rhinoplasty – this is for the high nose bone or prominent humps. The large bulbous tips or wide nostrils can also be reduced to suit the rest of the nose and other facial features.
- Corrective Rhinoplasty – This is to correct either congenital or acquired deformities. The nose can be deformed from violent trauma in a fight or accident. Sometimes cancers can also deform the nose. The correction or reconstruction will depend on the deformities and can be complex. The bony and soft tissues may required to be rectified.