There are a number of reasons why someone would consider nose surgery, ranging from breathing problems to disliking the shape of their nose to wanting their face to be more in proportion.
Patients considering a rhinoplasty will fall classically into two categories
1. External nasal deformity
Patients in this category will often be unhappy with the shape of their nose or they may have suffered a trauma to the nose, causing a deformity.
If a person is unhappy with the shape of their nose then a rhinoplasty will address any disproportion in the nose, such as a hump or deformity. The nose will be brought into balance with the height and width of the middle third and lower third of the face.
During a rhinoplasty consultation measurements will be made of the dimensions of the middle and lower third of the face which will be kept as a guide for the ideal length and projection of the nose.
Where the nose does not meet these ideal lengths and projections, changes can be planned through a rhinoplasty to achieve a good balance and more harmonious proportion to the face.
Proportion is the basis of all rhinoplasty procedures and is the key to achieving a balanced aesthetic result.
2. Airway obstruction
Nasal airway obstruction can be a problem the patient was born with or as a result of a trauma to the nose.
In cases where the nose is deviated, there can be obstruction to breathing and this can be corrected through a rhinoplasty, septoplasty, turbinate reduction or a combination of these procedures.
Rhinoplasty and genioplasty
If a patient is concerned about the symmetry of their face then a rhinoplasty combined with a genioplasty could be considered. The balance between the middle third and lower third of the face are often corrected by a rhinoplasty addressing the nose in the middle third of the face and a genioplasty addressing the projection of the chin point in the lower third of the face.
In a proportion of patients, the two procedures are combined to correct a weak lower third of the face with a recessed chin at the same time as correcting a particularly large nose.
This combination achieves the best correction of balance between the middle and lower third in this patient.