“A nose that reflects your authenticity and character.”
Rhinoplasty is one of the most delicate and sought-after procedures in plastic surgery, both for its aesthetic and functional value. Changing the shape of the nose means intervening on a central element of the face, capable of profoundly affecting self-perception and one’s confidence.
The psychological aspects: recognizing the real need
For many patients, the nose becomes a symbol of discomfort, an element onto which they project insecurities and difficulties in accepting themselves. It is essential to address with empathy and professionalism the motivations that push toward surgery. A proper psychological assessment helps the patient distinguish between the real benefit rhinoplasty can bring and unrealistic expectations. This dialogue allows the surgical course to be approached with awareness and serenity.
The functional respiratory issues
Rhinoplasty is not only cosmetic: it is often accompanied by the correction of respiratory issues such as nasal septum deviations or turbinate hypertrophy. Ensuring optimal respiratory function is essential to improve not only quality of life but also the patient’s overall well-being. A nose that breathes well is a nose that functions and lives in harmony with the rest of the body.
The correct view of self and the problem
Surgery must start from a deep understanding of the relationship between the patient and his or her own image. Each nose tells a unique story, and surgery must respect this uniqueness, creating a result that harmonizes the face without distorting its identity. It is crucial to help the patient develop a realistic vision of change: not a new face, but an improved version of himself.
Rhinoplasty is a surgical procedure that requires careful planning and in-depth knowledge of the techniques available. In addition to correcting blemishes or functional alterations, the main goal is to create a harmonious and proportionate result while respecting the basic principles of safety and preserving or improving respiratory function. Each technique has specific indications, advantages and limitations, and the choice must be tailored to the patient’s needs and anatomical characteristics of the case.
Extra mucosal closed technique
Description and applications
The closed extra mucosal technique is the ideal choice for minor to moderate corrections, such as: Minor irregularities of the nasal dorsum. Changes to the nasal septum.
Nasal tip corrections without excessive exposure.
This technique involves incisions completely inside the nostrils, avoiding visible scars. It allows the surgeon to access the structures of the nose (bony and cartilaginous) precisely while maintaining the integrity of the mucosal tissues.
Advantages: Absence of external scarring.
Reduction in postoperative swelling. Generally faster recovery time.
Limitations: Less exposure of anatomical structures, which may make management of complex or secondary deformities difficult.
It requires considerable experience on the part of the surgeon to achieve symmetrical results in limited space.
Open technique (primary and secondary)
Description and applications
The open, or open technique, involves an external incision over the columella, which allows the surgeon to completely lift the skin and directly access all nasal structures. It is particularly indicated for secondary rhinoplasties, where scar changes make manipulation of the internal structures complex. Significant deformities or marked asymmetries.
Detailed remodeling of the nasal tip.
Advantages: Better visualization of anatomical structures. Improved accuracy in complex corrections. Indispensable in cases of secondary rhinoplasty or traumatic deformities.
Limitations: Presence of a small external scar (which generally fades with time and may become almost invisible). More pronounced postoperative swelling and slightly longer recovery time than the closed technique. Requires painstaking planning to preserve respiratory function, especially in cases of complex corrections.
Technique preservation
Description and applications
The preservation technique represents an innovative and less invasive approach aimed at preserving natural nasal structures. It focuses on bone and cartilage remodeling without excessive resection. It is indicated for correction of minor defects of the dorsum. Improved tip projection without altering deep structures. Greater advantages than for the natural anatomy of the nose. Reduction of surgical trauma and postoperative swelling. Greater preservation of respiratory function.
Limitations: Not suitable for major deformities or secondary rhinoplasties. Complex technique requiring great experience and mastery of anatomical details.
Balance, proportion, and confidence. Regardless of the technique chosen, every rhinoplasty must be guided by three basic pillars: Balance and proportion: The nose must harmonize with the facial features, respecting the patient’s natural anatomy. Beauty comes from the balance between forms, not from a single standard.
Respiratory function: Any surgery must preserve or improve respiratory function. A beautiful but nonfunctional nose is a failure for both patient and surgeon.
Safety: Every surgical step must adhere to strict safety protocols. This includes careful analysis of the patient’s condition, individualized planning and flawless execution, minimizing risks.
Conclusions
Rhinoplasty is not just an aesthetic procedure-it is an art that requires precision, experience, and a holistic view. Whether one chooses the closed, open, or preservation technique, the goal is always the same, to give the patient a nose that is beautiful, functional, and in perfect balance with the rest of the face, without ever compromising his or her health and safety.
The realistic vision of the aftermath
The result of rhinoplasty is never immediate, requiring time, patience and a careful recovery phase. Swelling and gradual changes can affect the patient’s emotionality, but with the right support, a stable and natural result is achieved. The key is trust: knowing that each step has been planned precisely to ensure the best balance between aesthetics and function.
Safety and beauty go hand in hand
Rhinoplasty is the meeting point of science and art. On the one hand, the safety of the procedure is guaranteed by a rigorous medical approach that respects the anatomy and functionality of the nose; on the other hand, beauty comes from the ability to create harmonious proportions, capable of enhancing the entire face. Rhinoplasty is never just a surgery: it is a journey to a new confidence and authentic beauty, experienced naturally and consciously.
