Because every nose is unique.
A significant proportion of patients seeking rhinoplasty surgery are concerned that the sheer size of their nose is disproportionate with their facial features.
Areas of particular concern are the presence of a bump on the bridge of the nose, excessive width of the bridge or tip of the nose, and possibly excessive width of the nostrils.
Augmentation rhinoplasty refers to the type of surgery where the dimensions of the nose are increased.
This may well be the case in congenital underdevelopment of the nose, after injuries where the support cartilage has been damaged, after surgery which has led to loss of support, or when too much tissue has been removed.
In essence, all rhinoplasties are ethnic rhinoplasties, because they take into consideration ethnic characteristics of the nasal shape, skin and facial proportions.
The term has been associated however more with rhinoplasty for population groups with softer nasal contours, like the Afro-Caribbean, East Asian and South-East Asian populations.
Injuries to the nose frequently lead to damage to the bone and cartilage support, and change the appearance of the nose, resulting in deviations, asymmetries and sometimes airway problems.
Deviations of the bones and cartilages of the nose can be reset with a relatively good success rate within the first week to 10 days after the injury.
Secondary (revision) rhinoplasty is a more complex procedure. It addresses the situation where patients attend because they had surgery in a different centre and would like to improve upon the outcome.
It very commonly uses rib cartilage grafts, either the patient's own (autologous) or donor cartilage. In more complex situations, a cone beam CT scan is an option to evaluate the characteristics of the nose.
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