Better definition and proportions.
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, as well as in some ethnic rhinoplasties.
In general terms, the proportions of the nose compared to the rest of the facial features are subject to significant personal interpretation, although a number of measurements have been designed to define balance and beauty.
To project the changes in shape and size of the nose, computer simulation either in 2-D or 3-D is an important element. It can then lead to a dimensional ultrasonic rhinoplasty approach, to increase the accuracy of the results.
The primary elements to be assessed are the height of the bridge, the projection of the tip and whether there is an element of lengthening of the nose (correction of a tip that has become too upturned).
Depending on whether there is enough cartilage still inside the nose - in the nasal septum - to operate the changes, or whether there is no more source for cartilage graft within the nose, it may be necessary to resort to other sources for building up the nose.
The options include using bone, cartilage from the rib, using ear cartilage, or implantable materials which can be either artificial or biological.
Where the support of the nose has to be rebuilt, the healing process takes longer, and the final shape becomes apparent gradually as the swelling settles.
Like in all situations with rhinoplasty, it is important to understand that the results of surgery will always be different from the computer simulations used during planning.
In particular, in the case of augmentation rhinoplasty, this is also related to the fact that the skin needs to stretch and adapt to the new framework of the nose, and this takes time.
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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.
The term has been associated with rhinoplasty for population groups with softer nasal contours, like the Afro-Caribbean, East Asian and South-East Asian populations.
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, for patients who had surgery in a different centre and would like to improve upon the outcome.
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