Reduction Rhinoplasty

OVERVIEW

Reduction rhinoplasty includes various techniques that can address several aesthetic and functional concerns a patient may have about the nose. The ultimate goal is to achieve an aesthetically pleasing nose that is in harmony with the rest of the face.

WHY REDUCTION RHINOPLASTY?

1.   Caucasian Rhinoplasty (Western nose job)

Most Caucasians are concerned about unwanted nasal bone shape which may include a bony hump and/or the size of the nose. Another common problem of nose shape is crookedness which may come from either deviation of nasal bone or septum. In addition, the nasal tip-plasty is a common procedure done together with Caucasian rhinoplasty to address some concerns such as boxy tip, or pointy (over-projected) nasal tip.

2.   Middle Eastern Rhinoplasty (Arabic nose job)

One of the ethnic features of Middle Eastern noses (Mediterranean or Arabic noses) is a protruding nose bridge, which is particularly apparent from the side view. The Middle Eastern rhinoplasty is suitable for those who have drooping nose tips which can make the nose appear disproportionately long. Many Middle Easterners also have a common problem with a deviated septum, which causes breathing difficulty.

DETAILS OF REDUCTION RHINOPLASTY TECHNIQUES

Our reduction rhinoplasty procedures or techniques are personalizable to achieve a balanced facial feature. Oftentimes they are performed using open rhinoplasty technique because of the reconstructive surgical approach involved. Depending on the patient’s individual needs and conditions, WIH surgeons may use any of the following techniques alone or in combination:

1.   Nasal Hump and/or Bridge Removal

For people who have a bump on the bridge (Nasal Hump), nasal hump removal can reduce the hump by reshaping the nasal bone and cartilage properly, making the nasal bridge smooth and defined. The unwanted height of the nasal bone (Nasal bridge) will be removed, and the lateral osteotomy is performed at the base of the nasal bone to achieve a smaller nose.

2.   Tip-plasty

For a drooping nose tip

Tip-plasty (tip-upturn procedure) is required to reposition and strengthen a droopy nasal tip to improve tip angle and projection. The tip graft from septal cartilage may be also used to improve the tip defining point.

For an over-projected nose tip (Pointy tip)

For those who have an over-projected nose tip, tip-plasty is recommended to decrease the projection of the nose tip by partly removing and reshaping the alar cartilage to narrow the tip region for achieving the desired angle of the nasal tip in relation to the mouth. 

For a boxy tip or bulbous nose tip 

The boxy tip can be improved by tip-plasty to reshape the size of the alar cartilage in conjunction with using nasal septal cartilage to restructure and lengthen the nose tip, thus creating an ideal projection/profile.

3.   Alarplasty (Alar base reduction)

For people who have large and thick nostrils, alarplasty can be done in conjunction with other procedures to narrow the alar base and reduce the nostril width, so that the nostrils are in proportion to the overall nose.

The right technique of alarplasty is to reduce the nostril width appropriately, while still preserving the natural round shape of the nostrils.   

4.   Septum deviation correction (Breathing difficulty correction) 

If there are respiratory problems caused by irregular structures of the nose (crookedness) resulting from trauma or birth defects, septum deviation correction (septoplasty) can correct nasal injuries and defects to improve your breathing function and deviation.

The size of the nose as a feature of the face is influenced by the proportions of other features, such as the forehead, chin, and/or cheek bones. Oftentimes, it is advisable to alter these features, either at the same time as the rhinoplasty or during a separate operation to achieve the best possible aesthetic results.

DETAILS OF REDUCTION RHINOPLASTY 

Anesthesia Type:   General anesthesia for patient’s safety.

Operation Time:    2-3 hours

Length of Stay:     2 days 1 night

REDUCTION RHINOPLASTY AFTERCARE

  1. After surgery, a thermoplastic nasal splint will be placed to support and protect the shape of the nose for 7 days.
  2. Use a cold compress. In the first 72 hours after surgery, using a cold compress can help reduce swelling and bruising.
  3. You should rest with your head elevated in a recliner or with 2 pillows or more for at least 3 days after surgery.
  4. You will be instructed to clean the stitches with the provided mild-antiseptic solution.
  5. Pain is well-managed by taking medication prescribed by the doctor.
  6. The stitches will be removed within a week.
  7. Avoid strenuous activity and vigorous exercise for 2 months.