Rhinoplasty in Houston
Rhinoplasty Surgery is a surgical procedure that alters the cosmetic appearance of the nose, also known as Cosmetic Rhinoplasty. There are two primary types:
- Functional rhinoplasty restores the breathing when a nasal obstruction is present, such as in a broken nose.
- Compound, or mixed rhinoplasty, is the term used for a rhinoplasty that is performed for both reasons, cosmetic and breathing improvement.
Types Of Rhinoplasty
The History of Rhinoplasty
Rhinoplasty, or nose reshaping, sometimes known as a “nose job”, is a procedure that can alter the cosmetic appearance of the nose, and/or improve breathing when an obstruction is present from a deviated septum.
Rhinoplasty, commonly thought of as a cosmetic procedure, was for centuries, a reconstructive procedure. Although quite different from how the surgery is performed today, this surgery was born out of necessity to repair and reconstruct the nose after wounds from war, and mutilations from political and religious punishments.
The first descriptions of surgical rhinoplasty surgeries for managing cosmetic deformities, rather than reconstruction, were not described until the 19th century- marking essentially the birth of modern cosmetic rhinoplasty.
It would take almost another century for septoplasty- a surgery aimed at fixing nasal obstruction due to bent cartilage, to be devised. It was also during the early 20th century, more specifically 1921, that the open rhinoplasty approach was first developed. However it did not really become popular until the 1970’s and late 80’s.
Although rhinoplasty has been performed for centuries, it is three aspects from only the last 40 years that have shaped our current views on modern rhinoplasty.
Late in the 19th century, rhinoplasty transitioned from a reconstructive to a cosmetic procedure, and it was mainly performed as a reductive surgery- to make the nose smaller. Also the 1980’s saw a marked change in rhinoplasty from a “closed” or internal, to an “open” or external procedure. This change came about as a way to be able to perform the surgery more precisely, and achieve better results.
Modern rhinoplasty was shaped by the accepted aesthetic standards of the 1900’s- shaping more feminine noses. This implied until the late 1990’s, a small, short and upturned nose. No real consideration was given to facial proportions, and results seemed to be the result of an assembly line.
Traditional surgical techniques, still taught and practiced today by many, advocated removal of bone and cartilage to make the nose “skeleton” smaller and then allow the existing skin to re drape back into its newer, smaller understructure.
Unfortunately, these “well established” surgical techniques, not taking into account how tissues healed after surgery, did not produce the results that they promised. Years after surgery, the results of these operations appeared too small, too pinched, and too fake. This is what created the well known image of an “operated” nose. It would not be until the late 1990’s that a selected few realized the disconnect between the techniques used and the late results after healing.
Starting in the mid 1990’s, a handful of observant surgeons realized that structure preceded aesthetics. Harmonious, natural looking noses, that stood the test of time, could be achieved, but a 3D understanding and preservation of the nasal support had to be devised.
After the 1990s, a new generation of “rhinoplasty” surgeons emerged. They narrowed their practice focus to the nose, creating newer and more stable techniques to produce changes to the nose that would result in natural and long standing results.
Although most of the current concepts in rhinoplasty have been achieved in the last 20 years or so, in medicine changes don’t happen overnight, but gradually. Outdated techniques are still being taught and practiced by many surgeons today. This is why it is important to seek a surgeon that performs rhinoplasty as a specialty.
Open rhinoplasty- unless minimal changes are needed, offers better visualization of the underlying structures of the nose, allowing for more precise maneuvers, and thus better results. Any experienced surgeon should be able to deliver seamless incisions with this approach.