Preservation rhinoplasty

Closed preservation rhinoplasty, also referred to as endonasal rhinoplasty or scarless rhinoplasty, represents a sophisticated surgical approach within the domain of rhinoplasty. This technique is distinguished by the execution of incisions solely within the nasal passages, thereby enabling the modification and restructuring of the nasal framework without the necessity for external incisions, effectively minimizing the visibility of any scarring.

Preservation rhinoplasty, a specialised form of nose surgery, focuses on maintaining the natural structures of the nose, such as the nasal bones and nasal tip. This rhinoplasty surgery is designed to enhance both the aesthetic and functional aspects of the nose, addressing issues like a crooked nose or deviated septum, while minimising trauma to the nasal passages.

In this surgical procedure, the surgeon reshapes the existing nasal structures rather than using synthetic replacements, striving for results that harmonise with the patient’s facial features. Commonly addressing minor changes, such as refining the nasal tip or correcting the nasal bridge, preservation rhinoplasty is also adept at rectifying structural defects like a deviated septum.

The benefits of this type of plastic surgery include less postoperative discomfort and faster recovery times. However, patients with a complex medical history or requiring further surgery might need to consider other options. The rhinoplasty cost and suitability for each individual should be discussed with an experienced surgeon.

Ultrasonic rhinoplasty

Ultrasonic rhinoplasty represents an advanced form of nose surgery, utilising high-frequency sound waves for reshaping the nasal bone and cartilage. This method offers precise control over the nasal structures, making it ideal for cases where traditional nose job techniques might fall short, such as with a thick nasal bone or a complex deviated septum.

The procedure involves an ultrasonic device that shapes the nasal bones and cartilage, resulting in a natural-looking nose that complements the patient’s overall facial structure. It’s especially beneficial for addressing issues like a crooked nose or a broken nose, and offers advantages like reduced bruising and quicker recovery.

While ultrasonic rhinoplasty can be more costly and requires specialised expertise, it’s crucial for patients to evaluate this option with their plastic surgeons, considering their specific nasal airway needs, nasal skin condition, and the nose tip appearance.

Liquid rhinoplasty

Liquid rhinoplasty, a form of non-surgical nose job, involves using dermal fillers for minor corrections and enhancements to the nasal structure. It’s an ideal option for those seeking cosmetic surgery without the invasiveness of a traditional rhinoplasty procedure.

This technique involves injecting fillers, such as hyaluronic acid, to address issues like a small bump on the nasal bridge or asymmetry in the nasal tip. It’s a quick procedure, typically taking less than an hour, and performed under local anaesthesia. Liquid rhinoplasty is less expensive and offers a non-surgical alternative, but it’s not a permanent solution and may require touch-ups.

However, liquid rhinoplasty is limited in its scope, suitable only for certain nasal imperfections, and carries risks like infection or tissue damage. Patients should thoroughly discuss their goals and expectations with their surgeon, especially considering their medical history and potential for allergic reactions.


Rhinophyma, a subtype of rosacea, is characterised by a bulbous, red, and enlarged nose, often affecting the nasal tip and upper lip area. This condition is more common in men and is linked to untreated, long-standing rosacea. Its development involves factors like genetic predisposition, abnormal blood vessel function, and chronic inflammation.

The primary symptom is the progressive thickening of the nasal skin, leading to an irregular, bulbous appearance. In advanced stages, it might necessitate surgical intervention for reshaping and reconstructing the nose, employing techniques like laser therapy or direct excision of the excess tissue.

While primarily a cosmetic concern, rhinophyma can significantly impact self-esteem. Therefore, treatment options, which may include medications, laser therapy, and surgery, should be considered in consultation with experienced plastic surgeons to ensure the best possible outcome and management of this condition.

Male rhinoplasty

Male rhinoplasty, like any rhinoplasty procedure, involves reshaping the nose to improve its appearance or function. However, the goals for male patients might differ from those for females, often focusing on maintaining or enhancing masculine features while achieving a balanced and natural look. Common concerns for male rhinoplasty include reducing a prominent dorsal hump, refining the nasal tip, or correcting breathing issues. It’s essential for individuals considering rhinoplasty to consult with a qualified plastic surgeon to discuss their specific goals and expectations.

Revision rhinoplasty

Revision rhinoplasty is a surgical procedure performed to correct or revise previous nose surgeries. It’s often more complex than primary rhinoplasty due to scar tissue, altered anatomy, and other factors. It aims to address functional issues like breathing difficulties and aesthetic concerns such as asymmetry or dissatisfaction with the previous outcome. It requires careful assessment and planning by a skilled plastic surgeon.

Rib grafting in revision rhinoplasty is a technique used when the nose requires additional structural support or augmentation after previous surgeries. It involves taking a piece of cartilage from the patient’s rib, typically the seventh rib, and using it to reshape or reinforce the nasal structure. This method is often employed when there is a lack of sufficient cartilage from the septum or ears due to previous procedures. Rib grafting allows for greater versatility and stability in reconstructing the nasal framework, but it also comes with its own set of considerations and potential complications, such as donor site morbidity and prolonged recovery.

An alternative source of cartilage is Cadaveric rib. Cadaveric rib grafts are sometimes utilized in rhinoplasty surgeries to provide structural support or volume in cases where the patient’s own cartilage or bone is insufficient. This can help to address issues such as nasal collapse or asymmetry. However, the use of cadaveric rib grafts comes with its own set of considerations and potential risks, so it’s important to discuss this option thoroughly with your surgeon to determine if it’s the right choice for your specific situation.