The Different Types of Nose Jobs

  • December 28, 2018
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Just a couple of decades ago, nose jobs were limited to rhinoplasty and it was mostly celebrities like Michael Jackson that took the courage to go under the knife. Today, many technological advances later, the procedure is witnessing a huge transformation in terms of techniques, reliability, and results. There are different types of nose jobs, all serving their own purpose. Some offer long-lasting effects and others stick with a short recovery. Let’s have a look at the options.

Non-surgical Procedures

Jumping straight to the more modern method, injectable fillers are the non-incisional way to go. They can correct lumps and curves, straighten your nose and make it appear visually smaller. It is important to point out the procedure does not “fix” the issue completely. The correct way to put it is it disguises deformities by adding material around them. And when the substance fades, the original shape starts to show through again. This is why top-ups are essential for keeping the results nice and smooth.

A single session can take 15-20 minutes during which the affected site will be cleaned and numbed with a cream. Then the professional will add the filler and, working with their hands, will distribute the liquid in all the right places to create the desired shape.

There are two main types: permanent and temporary.

Permanent Fillers

They are mostly made of synthetic materials like silicone and polyacrylamide gel (PAAG). The word permanent suggests that they can last a lifetime but, in truth, they are capable of holding up for about 10+ years with proper maintenance. This is still a much better timeframe than that of biodegradable ones.

The liquid is administered under the skin using a needle. It can be applied on the tip and the bridge of the nose. A couple of sessions might be necessary to get things going. The first time around the doctor will inject small amounts of the filler and on the next visits, they will add more substance, making corrections down the road. Sometimes the specialist can test-run the outcome by executing a saline shot in advance, the results of which last a few hours. That way, you can see how your nose will look after the procedure, and if there is something you don’t like, it will be up for discussion.

Be that as it may, you should not forget that the use of synthetic materials can cause an allergic reaction. This major drawback pushes the majority of people toward a much safer, yet affordable, option.

Temporary Fillers

These are made of various substances that occur naturally in human beings and animals, which is why they are considered better. They also tend to break down over time, thus patients should settle for repeated appointments if they want to maintain the results.

The injectables are normally made with hyaluronic acid and take less than 20 minutes to administer. The biggest advantage is there are no tell-tale signs that you have done a cosmetic procedure. Your nose will look better but your friends and family won’t be able to tell exactly how you made this happen.

There are various brands and the results vary slightly. As with all other options, it is important to find a qualified doctor who can perform the procedure right since the outcome will greatly depend on their skills and knowledge.

Surgical Nose Jobs

This is the more complex procedure because it involves making incisions into the nasal structures, repositioning skin and tissue, and removing the redundant part. Therefore, it has a longer duration and also requires greater downtime. General anaesthesia is usually used for maximum comfort. Patients need to wear a splint for about a week afterwards and are advised to take between 7 to 14 days off work.

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There are different types of rhinoplasty.

Open Rhinoplasty

In order to gain access to the bone, the incisions are made externally at the flesh that lies between the nostrils (the columella). Then the plastic surgeon lifts the skin of the cartilage and this is how they work their way to the tissue that needs to be altered. The procedure may take 3-4 hours and comes with a longer recovery period. It is often performed on Caucasians.

Closed Rhinoplasty (a.k.a Asian Rhinoplasty)

This approach is less invasive but it is also a little restrictive in that the incisions are disconnected, which turns repositioning skin into a difficult task. The surgeon makes a cut through the nostrils, so the scars are technically not visible. It takes less time to do and is often executed on Asian people.

Post-traumatic Rhinoplasty Procedures

Sometimes you suffer injuries that can damage the cartilage, bone, soft tissue, or nasal septum (the thing that separates the nasal cavity in two halves). In most cases, a cosmetic correction is the best course of action. The goal here is to eliminate any deformations like blocked airways, humps or bumps that may prevent critical life functions from happening.

Since not every problem is as obvious as a deviated septum, a lot of these traumas can go unnoticed for months and even years. Thus, it is important to take them seriously and seek immediate medical care instead of brushing them off. Letting time pass between the moment you get injured and the day you step into the doctor’s office is only going to make things worse.


This cosmetic surgery may be required for either functional or aesthetic reasons. In the first case scenario, the lower or upper lateral cartilages are deficient in enough tissue, resulting in less structural support. In the second case, the patient is not content with their profile view and are willing to increase the projection of the dorsum. This might also call for corrections in the nasal tip.

In order to perform the augmentation, the surgeon has to add more material to the cartilage, which they obtain either from the patient’s own tissue or from cadavers. It is also common to go for synthetic implants (alloplasts). One possible drawback is that the donated material can change with time, affecting the overall shape and appearance of the nose.

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Reduction Nose Surgery

As its name implies, the procedure is used to reduce the size of the nose so it doesn’t take over the face. It helps create a proportion in your looks where every feature blends well with the others. As the nose is positioned in the centre, it can easily divert attention from other more appealing areas such as the eyes and lips. The procedure can make the necessary corrections and boost your self-confidence.

During the process, the cosmetic surgeon will choose to focus either on specific areas like the tip or work on decreasing the overall structure of the nose. They will remove cartilage and bone to get the job done.

Revision Rhinoplasty Surgery

It serves to fix previous cosmetic rhinoplasty work. Why would such be necessary? Sometimes the first plastic surgery fails to provide the desired results. As a matter of fact, the nose is a delicate but complex structure and the procedure is filled with technical challenges that novice doctors often struggle with. It is not always possible to create the best shape on the first try.

Furthermore, in some cases, the patient is content with the outcome but wants additional changes that were not discussed the first time around. And sometimes, despite the treated nose has turned out fine, the structure might gradually change several months and even years later.

Bottom Line

Because there are so many ways to transform your nose, it is vital to sit down and discuss your desires and concerns with your doctor. Depending on what corrections you would like to make, your budget, and your overall health condition, the specialist will choose to go with a certain option. Always opt for certified experts when it comes to anything medically related.

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