A large nose that is not in proportionate with the rest of facial features will detract any observer’s attention away from other more attractive aspects of that individual’s face like the cheeks and the eyes. Therefore, a well performed rhinoplasty ought to present a nose that is in harmony and balance with the rest of the face. A nose with a droopy tip or large and bulbous tip is termed and “over projected nasal tip’. Frequently, a large nose is also associated with several problematic components such as wide nasal bones, dorsal hump or nasal bump, and widened nasal tip. All of these issues can be fixed during an open rhinoplasty to create an aesthetically pleasing nose.
There have been many books and articles written about the proper angles and nasal projection calculation to create and aesthetically pleasing nose. An experience rhinoplasty surgeon first would listen to the patient’s needs and concerns, before making calculation of what the projection angle of the nose should be. The patient’s aesthetic goals remain paramount to have a successful rhinoplasty surgery. Many individuals, who are considering rhinoplasty, are self consciousness about it and want to resolve the conflict between self image and actual appearance. A compassionate rhinoplasty surgeon will always consider these patient’s concerns and try to have overall well-being of the patient as his top priority. An expert and experienced rhinoplasty surgeon will educate his patients about the goals of rhinoplasty and also try to come up with a plan that meets patient’s expectation as well. There are individual that are frustrated with their large nose since their childhood and now want the smallest nose possible. A good advice to these patients would be a nose proportionate to the rest of their face with a natural and pleasing appearance. Even though it may be less headache for the surgeon to “do what the patient wants”, an experienced rhinoplasty surgeon will give an honest and frank opinion about and individuals nose and what is best for that patient.
How does Rhinoplasty Make a Nose Smaller?
Various concepts and techniques in nasal reshaping have been published about “Reduction Rhinoplasty”. This reduction procedure can help to reduce a long nasal tip, a bulbous tip, and large hump or all of them in combination. An experienced rhinoplasty surgeon will consider these complex nasal structures and will modify them in proportion to create a natural looking nose. Nasal tip is like a tent that is held by a pole, the nasal septum. This is also termed nasal “tripod concept”. As you can imagine pulling on one side of the tent will result on tilt on the other sides, or pulling down the pole to low will cause distortion of the tent. This also applies to the nasal tip as well, and changes to one nasal structure must be in harmony with the rest of other structures. This concept may assist a rhinoplasty specialist to comprehend how particular changes of the tip cartilages will effect nasal rotation and projection. Even though this concept is useful, most expert rhinoplasty surgeons utilize other techniques to reposition and reshape the nasal tip for an aesthetically pleasing nose.
