Rhinoplasty or Nose Job is one of the most commonly performed plastic surgeries worldwide. The nose is located in the mid-face, which makes any deformity at its level easily noticed by the patient himself and surrounding person.
Therefore, a lot of patients visit facial plastic surgery clinics and in most cases ask for a natural looking nose that suits their face and doesn’t make them look artificial.
How do you get these results? What are the important elements for a successful nose job?
Rhinoplasty: The Art and the Science
Vertical division of the face
A surgical rhinoplasty is a science and an art. The surgery is planned based on measurements done on the face. The face practically is divided vertically to 3 parts and the nose fills the middle one and if it crosses this segment, then a shortening of the nose is advised.
Horizontally, the face is divided into 5 different sections and the nose should be limited to the middle section, which is an essential factor to decide if a lateral reduction of the nasal width is needed or not.
International angles are followed to decide on the degree of tip elevation and direction of the nasal slope. In addition to measurements, art is a key factor for a successful rhinoplasty especially in order to remodel a nose that fits perfectly with the person’s face without showing in any way as a “surgically done” or fake nose.
Nasal Functions and Esthetics
Another important element for a successful nose job is nasal breathing. Beside the esthetic result, the nose is a tool to breath humidified clean air. The surgery plan takes into consideration multiple anatomical sites that affect this important function:
Anatomical entities to take into account for a Nose Job
- The nasal septum that needs to be straightened if deviated
- The nasal turbinates that need to be correctly reduced to avoid their regrowth while keeping them functional for a humidified clean air.
- The nasal internal and external valves need to be kept wide enough for an efficient nasal breathing.
Having my 2 registered specialties as Facial plastic Surgeon, and Otolaryngologist were a must to understand and manage the nose medically and esthetically.
The esthetics of a rhinoplasty: Ethnic noses
A rhinoplasty follows a clear esthetic plan as mentioned previously but different original shapes can be challenging in many cases.
Middle eastern nose
In the Middle East and most of arab countries a lot of noses show a large bony hump with a droopy tip.
African noses are in general large noses with wide nasal openings (nostrils).
Asian noses present a thick skin with weak bony dorsum and tip support.
European noses have in general a thin skin that needs to be carefully addressed and the underlying structures need to be smooth at the end of the procedure to avoid external irregularities.
Personally having a practice in Lebanon and Dubai was very fruitful since both countries are excellent touristic sites and I fortunately had the opportunity to do a large number of rhinoplasties for patients coming from different countries and ethnicities.
Pre-surgery planning for Rhinoplasty
Many patients wish to have an idea about how their nose will look like after the surgery. Here comes my role as a physician to explain well what will be done during the surgery and what are the expectations.
Building a surgical plan
At this point, discussing with my patient is essential to build the surgical plan based on the patient’s expectations, my surgical and artistic opinion, and very importantly the original nasal breathing condition of the patient.
Applications and 3D cameras are nowadays a nice and rewarding tool for the patient but nevertheless it carries many limitations mainly its “photoshop like” result that doesn’t take into consideration the patient’s skin quality (thin, medium, or thick), the quality of the cartilage, and the healing properties of every person.
Therefore, I personally use these applications but always rely on the planning that my patient and I do facing the mirror and our discussion while doing it.
At the end of your consultation 6 pictures are taken and the final surgical plan is set using a rhinoplasty professional program that takes into consideration all your facial parameters and angles.
Post-surgery of a Nose Job
The healed nose is seen 1 month after the surgery and shows a primary look for the final nasal shape. Then the nose heals progressively over the next 6-12 months to show the final nasal shape 1 year after the surgery.
You can read our FAQs page for more information about the postoperative course, expectations, and practical tips.
Get a Rhinoplasty or a Nose Job In Lebanon and in the UAE
Dr. Georges Ziade is a trusted, experienced facial plastic surgeon operating in Lebanon and the UAE. He has a strong understanding of the anatomy and aesthetics of the face that he leverages to give his patients ideal cosmetic results.
Procedures that can be added to a Rhinoplasty
Other procedures are sometimes performed during a rhinoplasty surgery and the decision to make these procedures is based on the person’s expectations and facial measurements.
Lip lift surgery
A lip lift surgery can be performed after or in many cases at the same time while doing the rhinoplasty surgery. A lip lift is indicated when the distance between the nasal bottom and upper lip border is more than 1.8 cm.
In some cases lifting the nasal tip during surgery makes the wide distance between nose and lip become more evident and a lip lift gives then a better esthetic final outcome.
Another procedure that is also considered during a rhinoplasty is chin augmentation. Whenever a patient has retrognathia (the chin sits behind the limit of the lower lip on the side view).
Chin augmentation can be achieved using hyaluronic acid thick fillers that last in general for a year or using lifetime lasting silicone implants. Silicone implants are introduced through a small hidden incision made below the chin.