Candidates for this procedure may have a hump, a pinched nose, boxy tip, bulbous tip, plunging tip, hanging columella, widened nose, or some cosmetic deformity. The list of potential disharmonious features that can rob a face of its inherent beauty is indeed long.
A large percentage of rhinoplasty patients fall into the category of revision or secondary procedures. This is because Rhinoplasty is a surgery of sub-millimeters, and, there is some component of healing unpredictability that affects the outcome in about fifteen to twenty percent of patients. Often, it may take years for unpredictable healing to manifest in the nose causing some visible deformity. Thus, experience in technique and plan are essential.
Often, potential future issues such as dropped tip, plunging tip or inverted V deformity can be predicted and accounted for. The addition of such things as spreader grafts to maintain a natural looking shape to the mid-nose, columellar struts for extra tip support, and division of the depressor nasals muscle to avoid tip drop with smiling, etc.
The best candidates are men or women who have an obvious deformity that is correctable with either surgery or injectables. For more information about non-surgical rhinoplasty click here.
Patients must also be willing to accept the trade-off of prolonged swelling of the nose after surgery. Final refinements, particularly of the tip, will not be one hundred percent visible for months following surgery. Nasal tip edema can persist for a year in both open or closed approaches. For more information on open and closed rhinoplasty visit the FAQ page (link)
Poor candidates include men or women who recently had rhinoplasty surgery. Because the nose stays swollen for a prolonged period, it is sometimes necessary to wait at least six months or even up to a year to operate. The swollen tissue is not only harder to dissect, but they also hide or camouflage irregularities that will otherwise be visible when swelling subsides.