New York Plastic Surgeon, Dr. Ramtin Kassir, explains the different types of Rhinoplasty.

Evaluating Your Nose

A consultation with Dr. Kassir is the first step in your decision to undergo rhinoplasty. During this meeting, Dr. Kassir will take photographs of your nose at varying angles. He will also talk to you about your expectations to make sure that they are realistic.

examineIt may be a good idea to bring photographs of noses that appeal to you to aid the dialogue about expectations, as well as to give him a better idea of what you want out of your rhinoplasty. In addition, Dr. Kassir can show you photos of other rhinoplasty patients with similar nose shapes, which can help you better understand the likely results. Dr. Kassir offers sophisticated computer imaging to show you how your nose will look after rhinoplasty.

If you are having rhinoplasty, you may also need to consider other facial procedures to achieve balance and proportion. For example, chin augmentation is often performed with rhinoplasty.

Types of Rhinoplasty

Rhinoplasty is a nose-reshaping plastic surgery. There are several types of rhinoplasty, including two types of primary rhinoplasty (“open” and “closed”), secondary rhinoplasty and filler rhinoplasty.

Open Rhinoplasty

For major nose reshaping, the incisions are made in the vertical strip of skin separating the nostrils. This is called the columella. The skin and soft tissue are then elevated off the underlying structures of the nose so Dr. Kassir can see the nasal anatomy.

Closed Rhinoplasty

For minor reshaping, incisions are made within the nose. The skin of the nose is then separated from the bone and cartilage, which form its supporting framework. Once exposed, bone and cartilage can be removed, reshaped, augmented or rearranged to achieve the desired new shape.

Secondary Rhinoplasty ( Revision Rhinoplasty)

This is performed to correct problems that persist or develop after a previous rhinoplasty. Although the problems may be minor and easily corrected, often the problems are major, which makes the secondary rhinoplasty more difficult. Secondary rhinoplasty can be done as an open or closed procedure.

Filler Rhinoplasty

This involves the use of injectable fillers to fill depressions, smooth out sharp angles or change the angle of the tip of the nose, restoring symmetry and making your nose appear smaller and more attractive. Instead of removing a bump, a surgeon would use an injectable filler to even it out. The results are not permanent. Dr. Kassir may use injectable soft tissue fillers such as Juvederm, Restylane or Radiesse, to smooth out post-nose job irregularities.

Ethnic Rhinoplasty

Ethnic rhinoplasty is a subspecialty that has become increasingly popular with African Americans, Asian Americans, and Hispanics in recent years. It’s a unique procedure with equally unique considerations and some special precautions that should be understood prior to surgery.

Cosmetic surgery appeals to people of all different ethnicity and backgrounds. In fact, ethnic plastic surgery is on the rise, and ethnic rhinoplasty is one of the most frequently requested cosmetic procedures among African-Americans, Asians and Hispanic-Americans.
In previous decades, the goal of ethnic rhinoplasty was to create more westernized noses, but times have changed. Today most individuals want to keep their ethnicity, and opt instead for subtle cosmetic enhancements.

Special Precautions

Pre-treating dark skin with skin bleach and Retin-A can reduce the risk of scarring before cosmetic surgery. This can start anytime from two to six weeks before the procedure, and can continue for several weeks after. Pretreatment can also help improve skin quality. Thicker skin tends to be oilier, but astringents and other topical products can dry the skin before nose surgery. Our skin care specialists will have a daily regimen customized for your skin type.

To learn more about Rhinoplasty procedures contact Dr. Kassir today!