Augmentation rhinoplasty is a specific type of facial plastic surgery that increases the size of various parts of the nose. The goal of this cosmetic procedure is to correct deformities or give the nose a more aesthetically appealing appearance. It can be used to enhance small nostrils, add structure to the nose bridge or increase the nasal tip’s projection. You may be a good candidate for augmentation rhinoplasty if parts of your nose are too small or misshapen, or you have suffered an injury or illness that changed the size or shape of your nose. Conditions that may result in deficient nasal structure or deformity include normal aging, previous nose surgery, cleft palate, Wegener’s granulomatosis and relapsing polychondritis.
What Does Augmentation Rhinoplasty Involve?
Your surgeon has two options when performing augmentation rhinoplasty:
An open rhinoplasty involves making incisions on the external portion of your nose. It gives your surgeon easier access to nasal bone and cartilage tissues. In a closed rhinoplasty, incisions are made inside the nostrils. The surgical technique chosen depends on what types of changes need to be made to your nose, your personal preferences and your facial plastic surgeon’s recommendations.
Augmentation rhinoplasty often involves the insertion of implants or grafts to increase size or fill in deficient structures. An autologous graft is made from materials harvested from your own body. For example, cartilage grafts may come from your ear, ribs or nasal septum. Bone grafts may come from your leg or hip. When tissues from your own body are used, there is a reduced risk of complications. Non-autologous or artificial materials used for implants or grafts include medical-grade silicone, porous polyethylene and polytetrafluoroethylene. Other procedures, such as chin augmentation, may further enhance the appearance of your nose.
Preparing for Your Rhinoplasty Consultation
Before your consultation with a rhinoplasty surgeon who is board-certified in facial plastic surgery, make a list of prescription and over-the-counter medications you currently take. Be sure to include all herbal supplements and vitamins; some natural supplements may affect your ability to form blood clots, and you may need to temporarily discontinue them before your procedure if your regular doctor approves of this. Provide a complete medical history including surgeries, other cosmetic procedures and your family’s medical history. Make a list of important questions to ask your plastic surgeon before you undergo the procedure. Most importantly, relax. Your surgeon will listen to your needs carefully, and take every precaution to ensure success, safety and results you can be proud of.