YaBlog

After the virtualized creativity in 2016, which made reference to all the interventions related to Plastic Surgery, this one of 2017 focuses on one of them, rhinoplasty, for being among the most demanded and for covering certain surgical complexity, which requires, precisely, specific training such as that received by plastic surgeons.

According to the statistics of the Secpre, rhinoplasty is the fifth most performed Aesthetic Plastic Surgery intervention in our country, since about 1 in 10,000 Spaniards undergo it annually, the most common patients being those aged between 18 and 45 years.

Although the number of rhinoplasties performed on women almost triples those performed on men (about 3,200 vs. 1,100), in percentage terms, it is an intervention more in demand by them than by them. Of all the cosmetic plastic surgery operations that Spanish men undergo, around 14% correspond to rhinoplasties; on the contrary, of the total of interventions to female patients, the rhinoplasties do not reach 6%.

Rhinoplasty refers to surgery that modifies the shape of the nose, either by increasing or decreasing its size, changing the configuration of the tip or the back, narrowing the nostrils, or reshaping the angle between the nose and the upper lip. It also corrects congenital malformations, trauma, and some respiratory problems.

"Rhinoplasty is a surgery that modifies the shape of the nose, either by increasing or decreasing the size or by changing the configuration of the tip."
- Dr. Kim Patrick Murray, Miami rhinoplasty specialist

During rhinoplasty, the skin of the nose is separated from its support, made up of bone and cartilage, which is sculpted with the desired shape; later, the skin is redistributed on the new support. Sometimes the procedure is performed from inside the nose, making small incisions inside the nostrils; other times, open rhinoplasty is chosen, especially in the most complex cases, in which a small incision is made in the columella.

Furthermore, to help shape or support the nasal pyramid, different tissues from the patient's own (cartilage, bone) or, more rarely, synthetic materials are used as grafts. At the end of the surgery, a plaster cast or other material is placed, which helps maintain the new shape of the nose, as well as nasal plugs in both holes to prevent bleeding and stabilize the septum.

For all this, in addition to the convenience of going to a Medical Specialist in Plastic, Aesthetic and Reconstructive Surgery for a rhinoplasty, the Ministry of Health advises checking that the place where this will take place in an approved operating room of a hospital center with the adequate safety conditions for an intervention that requires, in most cases, general anesthesia.

First of all, the patient and the nose job doctor must jointly assess the objectives of the intervention, taking into account the first that the "perfect nose" does not exist, since fashions and beauty standards change over time, and prioritizing both, for, Therefore, the natural results, that is, provided with the rest of the facial anatomical structure.


In terms of gender, women continue to be the most frequent consultations of certified plastic surgeons, representing 86.2% of all procedures. Men represent 20% of the demand, beating the world trend. The annual report of the international organization shows that the five surgeries most demanded by patients around the world are breast augmentation, liposuction, eyelid surgery, rhinoplasty, and abdominoplasty.

 

The International Society for Aesthetic Plastic Surgery (ISAPS) published the latest global figures for cosmetic procedures performed during 2016, showing that the global demand for cosmetic or reconstructive treatments increased by 9%. Additionally, the United States remains the country with the most surgeries.

 

Brazil, Mexico, and Colombia are also among the eleven countries with the highest demand for procedures. According to the President of the Chilean Society of Plastic Surgery, Dr. Montserrat Fontbona, “due to the proximity, we have with Brazil and Colombia, the techniques of these countries reach Chile first, rather than Europe or the United States.”

 

Therefore, Chile is not far behind in increasing these practices. “Official figures show that surgeries in the country are growing at an accelerated rate, which means around 20% per year,” says Fontbona.

 

In terms of gender, women continue to be the most frequent consultations of certified plastic surgeons in the world, representing 86.2% of all procedures. Fontbona affirms that men in Chile are increasingly open to undergoing some “touch-up,” reaching 20% ​​of all procedures, while in the rest of the world, they represent 13.8% of cases.

 

For his part, the President of ISAPS, Dr. Renato Saltz, reaffirms what is indicated by the statistics: the requirements of patients for aesthetic procedures are increasing exponentially. “Around the world, we can see how consultation records are broken as a result of advances in technology and new techniques that exist to see and feel better about ourselves.”

 

The most popular plastic surgery treatments remain, with breast augmentation the most required, since it represents 15.8% of total demand. Liposuction (14%), Eyelid Surgery (12.9%), Rhinoplasty (7.6%), and Abdominoplasty (7.4%) complete the ranking of the most frequent invasive procedures in patients worldwide.

 

In addition, the report delivered by ISAPS shows that the procedures with the highest growth are Labiaplasty and Torsoplasty, which presented a 45% and 29% increase, respectively.


The rhinoplasty is the surgical procedure that aims to reshape the nose’s shape to give an aesthetic appearance that provided the facial features, either increasing or decreasing the size and varying the morphology of the bridge. On the other hand, rhinoplasty is a type of surgery that tries to correct respiratory problems (functional aesthetic rhinoplasty) and congenital defects and consequences of accidents.

Among the factors that we could designate as favorable, to explain the success and the high level of acceptance of the results by the patients, we highlight the following:

  • The operation does not leave a visible scar when performed endonasal (closed rhinoplasty).
  • The results are permanent and improve over time.
  • It is performed mostly in young people in whom surgical trauma, which is short and mild, is practically unnoticed by others, and the physiognomic change is easily accepted.
  • It affects the most prominent organ of the face, whose shape is essential to maintain the harmony of the whole and on which it depends to a large extent on whether a face is beautiful, less beautiful, or vulgar.
  • It influences more than any other aesthetic operation in favorable changes in the patient’s personality.

Rhinoplasty failures

  • Technical deficiencies: aesthetic or functional.

An alteration of 1-2 mm. that anywhere else would go unnoticed in this surgery may be the gulf between success and failure. In Rhinoplasty, good results are not accepted; they must be brilliant.

  • Lack of information and communication between surgeon and patient.

The need for extensive and free communication before the intervention in which the patient presents his ideas, wishes, and expectations from the intervention.

  • Family or friends influences

The unfavorable opinion of family or friends who, with their insistence on minimal or non-existent defects, come to influence the patient in such a way that he, in principle, satisfied with the result, is convinced otherwise. This is frequent when the intervention is carried out against the opinion of the family sector.

  • Psychological reasons

A psychologically unstable patient, with a certain pathological personality or psychiatric problem, may never be satisfied no matter how good the aesthetic result.

Rhinoplasty Technique

The rhinoplasty intervention was almost always performed under general anesthesia with a previous preoperative study and a one or two-day hospital stay.

After protocol and informed consent, it is about correcting the back, the tip, the length, and width, as well as the functional part, the septum, because the nose, in addition to being beautiful, has to be functionally effective.

It is finished with an endonasal tamponade and a plaster or plastic material splint.