What Are the Methods of Rhinoplasty Surgery?

Rhinoplasty surgeries aim to improve both the facial aesthetics and respiratory functions of individuals. These operations, performed using various methods, offer tailored solutions to meet the specific needs of patients.

Particularly, structural rhinoplasty corrects nasal structure defects, while pushdown and letdown rhinoplasty techniques provide a more natural-looking nasal profile. Additionally, piezo rhinoplasty allows for precise bone shaping.

Preservation rhinoplasty enables the preservation of most nasal tissue. Nasal tip aesthetics and reconstructive rhinoplasty target more specific issues. These methods offer both aesthetic and functional improvements together.

Table of Content

Structural Rhinoplasty

Structural rhinoplasty holds a significant place in modern nasal aesthetics. This technique aims to create a supportive structure by addressing the nasal structure in the finest details. It gained popularity especially since the late 1990s. Its purpose is to properly reconstruct the nasal anatomy. During the procedure,

A new skeleton is built under the nasal skin,
Anatomical errors are meticulously corrected.

Thus, it aims to improve nasal functions and enhance aesthetic appearance. However, the success of this method largely depends on the surgeon’s experience.
Structural rhinoplasty is also frequently preferred in cases requiring revision. This technique prevents the weakening of the nasal structure and aims for a more resilient nasal structure. As a result, structural rhinoplasty is a comprehensive method offering both aesthetic and functional improvements.

Pushdown Rhinoplasty

Pushdown Rhinoplasty is a specific technique applied in aesthetic nasal surgeries. It is performed under general anesthesia in a hospital setting. This method is designed particularly to correct the bony and cartilaginous hump on the nasal dorsum.
During the surgery, an incision is made under the nasal dorsum bone. The purpose of this is to create a gap and lower the nasal dorsum. The procedure can be performed in two stages:

The bony and cartilaginous structures are pressed down together.
Alternatively, the bony bridge is rasped, and the cartilaginous structure is lowered.

The surgery duration varies depending on the case but typically lasts around two hours. Depending on the patient’s condition, an overnight hospital stay may be necessary. Pushdown Rhinoplasty is a conservative approach aimed at preserving the natural appearance in nasal aesthetics.

Letdown Rhinoplasty

Letdown rhinoplasty holds an important place among nasal aesthetic surgeries. Unlike traditional methods, in this technique, the bony and cartilaginous structure of the nasal dorsum is preserved. The surgery begins with carefully removing the excess on the nasal dorsum. Then:

Parts are taken from the lower part of the nasal dorsum bone.
Necessary corrections are made on the side walls.

Through these procedures, the nasal dorsum is moved down without damaging the bridge. As a result, the nose is reshaped while maintaining its natural anatomical structure. Letdown rhinoplasty offers significant aesthetic and functional advantages.
Without compromising the integrity of the nasal roof and without narrowing the airway, an aesthetic appearance is achieved. This method increases the surgeon’s flexibility and facilitates the patient’s recovery process.

Piezo Rhinoplasty

Piezo rhinoplasty is a revolutionary method in nasal aesthetic surgeries. Pioneered by Massimo Robiony, it has been applied since 2004. This technique allows for precise cutting and shaping of the nasal bones using ultrasonic waves. Additionally, the piezo method:

Replaces cutting and breaking tools,
Operates without damaging the tissues.

Thus, the post-operative recovery process is accelerated, and bruising and swelling are reduced. Although the prices of nasal aesthetics vary depending on different factors, the advantages offered by piezo rhinoplasty make it a preferred choice. This method is especially ideal for cases requiring detailed corrections. Consequently, piezo rhinoplasty stands out for its safety and precision.

Preservation Rhinoplasty

Preservation Rhinoplasty is a technique that has come to the forefront in the field of nasal aesthetics in recent years. This method aims to preserve the nasal structure as naturally as possible.
The surgery preserves important connective tissues such as the perichondrium and periosteum, which nourish the nasal cartilage and bones, as well as ligaments. Thus, the patient’s recovery process is accelerated, and the results achieve a natural beauty. The method can be applied using various techniques, both open and closed:

Open rhinoplasty
Closed rhinoplasty

However, this special technique can only be successfully performed by experts and experienced surgeons. Preservation Rhinoplasty stands out as a method that best preserves the patient’s natural nasal structure among interventions made for aesthetic concerns, positively affecting the recovery process. This approach prioritizes functional improvement along with the aesthetic appearance.

Nasal Tip Aesthetics

Nasal Tip Aesthetics holds an important place in facial aesthetics. This operation, performed without touching the nasal bones, aims to bring the nasal tip to an aesthetically ideal state. Significant differences can be created with millimetric changes. The success of the operation depends on the precise work of experienced surgeons. The changes made during the operation include:

Adjusting the nose-lip angle
Determining the height of the nasal tip
Regulating the width of the nasal tip
Modifying the size and shape of the nasal tip cartilages
Improving the size and shape of the nasal wings
Regulating the size and shape of the nostrils

These changes provide a harmonious appearance with the overall facial harmony.

Reconstructive Rhinoplasty

Reconstructive rhinoplasty is a delicate surgical procedure aimed at correcting significant deformities in the nasal structure. This method is particularly preferred in the repair of noses significantly damaged due to trauma, congenital abnormalities, post-cancer surgery, or other severe damages.
The operation aims to provide both aesthetic and functional improvement. Customized treatment plans are applied based on the patient’s current condition. The surgical process generally includes the following steps:

Detailed pre-evaluation and planning.
Selection of surgical techniques appropriate to the degree of deformation.
Determination of the anesthesia method based on the patient’s overall health status.

As a result, with reconstructive rhinoplasty, patients can achieve significant aesthetic and functional improvement. This process is shaped specifically to the patient’s needs under the guidance of an experienced surgeon.