Chicago Areas Rhinoplasty Specialty Clinic

The Rhinoplasty institute of Lift

Phone: 847 995-9000

“Thank you for my new nose Dr. J. I feel so confident. It has changed my life!!”

-LN

ALL ABOUT RHINOPLASTY

Rhinoplasty Overview and History

Overview

Rhinoplasty Rhinoplasty (commonly referred to as "nose job") is one of the most common functional and cosmetic surgical procedures in the world. In some cases, rhinoplasty is done simply to improve a person's ability to breathe through their nose. This is referred to as "functional" rhinoplasty and does not involve intentionally changing the external appearance of the nose. Cosmetic rhinoplasty is geared toward improving the external appearance of the nose. Cosmetic rhinoplasty is a powerful procedure in that even slight alteration can greatly improve a person's appearance.

Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery. Your surgeon can answer specific questions about your specific needs.

Is Rhinoplasty For You? As with any elective procedure, good health and reasonable expectations are critical. Rhinoplasty is unque from other cosmetic procedures in that every nose is unique and must be treated that way. It is not possible or appropriate to try and make every nose look like the "ideal" nose. Anatomical limitations and functional considerations will determine the changes that are possible and those that are appropriate for you. The goal of cosmetic rhinoplasty should be to make changes in the appearance of your nose that will recreate harmony with the rest of your face. A perfect nose on one person might not look right on another face.

A number of variable must be taken into consideration by your surgeon when "road mapping" your procedure. Some of these variables include skin type, ethnicity, age and sex. Rhinoplasty should typically not be done on individuals below of the age of 15 as nasal structures are not fully developed until then. Exceptions are sometimes made when rhinoplasty is done to improve significant nasal breathing problems.

It is also important to remember that other facial features may impact the appearance of the nose. The most common procedure done in conjunction with rhinoplasty is chin augmentation. A smaller chin may make a nose appear larger than it actually is. In some cases, a small amount of chin augmentation can make a tremendous impact on the face as a whole. These are important issues to discuss with your physician.

 

History

Rhinoplasty was first described in the Ebers Papyrus (ca. 1550 BC), and ancient Egyptian medical document that describes rhinoplasty as an operation for nasal reconstruction after nasal mutilation inflicted as punishment on criminals.

The vast majority of rhinoplasty references since this initial description relate to various types of reconstruction. Although there is some controversy on the topic, modern rhinoplasty may be traced back to 1887 when an otolaryngologist John Orlando Roe (1848–1915) performed the first, endonasal rhinoplasty (closed rhinoplasty), in an article titled The Deformity Termed "Pug Nose" and its Correction, by a Simple Operation (1887).

Surgery of the nose advanced greatly in the early part of the 19th century by pioneering surgeons such as Freer and Killian who introduced the modern technique for septoplasty (straightening the nasal septum) used today. A. Rethi introduced what has come to be known as the "open approach" to rhinoplasty preferred by many modern day nose surgeons. The open approach featured a barely visible external incision to the columella to better identify the tip of the nose.

When cosmetic rhinoplasty first became popular in the 1970s, it was mostly based on simply making noses smaller. In addition, surgeons often made all noses look the same—the so called scooped nose. Although this satisfied many women (and some men) of that generation for a few years, they often ran into problems soon afterwards. For example, significant removal of bone and cartilage structure often resulted in nasal breathing problems and, in some cases, collapse of the entire nasal structure resulting in deformity. Some notable celebrities from the 1980s (including one recently deceased male pop icon) are good examples of these kinds of disastrous surgical results. Unfortunately, some of these same mistakes are frequently made by inexperienced rhinoplasty surgeons today. However, competent rhinoplasty surgeons have learned from those early mistakes and, therefore, rhinoplasty is now a much safer and more reliable procedure then it was 30 years ago in the right hands.

Modern rhinoplasty borrows from the experience of many great surgeons of the past. Today, the majority of significant rhinoplasty procedures are done through an open approach although internal (endonasal) approaches have been further refined as well. Most importantly, the years of experience of previous surgeons has led surgeons to understand that cosmetic rhinoplasty cannot be done without a firm understanding of structure and function of the nose. The challenge for the patient is identifying qualified surgeons. Lift rhinoplasty surgeons are among the best trained nasal surgeons in the world.

Dr. M.J. Joffrey