Reshaping the nose by a procedure called rhinoplasty is another great example of underlying anatomic structure creating shape and beauty. In this case the structures under consideration are the cartilages and bones of the nose. Deviations from the “ideal, beautiful, normal” in these cartilages and bones cause various nasal deformities a client may find objectionable. Correction by logic inference is most successful if the underlying structural problem is identified and an alternate, more satisfactory structure can be created. The skin then again just drapes over the new structure. Due to the delicacy of some of the underlying cartilages in the nasal tip the best results in this area can usually be obtained in clients with equally thin and delicate skin. Thick, oily skin tends to blunt the underlying anatomy.
In an oversimplification the structures under consideration are the two U-shaped lower lateral, the paired quadrangular upper lateral and the unpaired midline quadrangular septal cartilages together with the two nasal bones. The lower lateral cartilages determine shape and projection of the nasal tip, while the two upper lateral cartilages and the nasal bones make up the shape of the dorsum of the nose. The relationship of the parts to each other and to the underlying facial skeleton imparts balance and harmony, but also deviation, straightness and ease of breathing.
A well done rhinoplasty creates a nose that fits the face with parts being in harmony and structural anomalies corrected while respecting the ethnicity of the client. A nose shaped after a caucasian ideal may be far from ideal for an Indian client for instance.
At Trinidad Institute of Plastic Surgery we follow a balanced approach to rhinoplasty. It is not a procedure merely to “reduce” those parts of the nose which appear prominent but to bring all parts of the nose into harmony. This may entail augmenting certain areas of the nose with grafts taken mostly from the midline septum as certain prominences may actually be evidence of deficiency in other areas and are reduced by strategic augmentation, all aiming to achieve balance amongst the individual parts. Determining where how much reduction and augmentation restore harmony is an artistic and rarely a scientific undertaking, or – as one of my teachers put it – this is where the magic comes in.
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Posts (63)
1. A Cleft Pastiche
2. A Cure for Migraine Headaches: Botox, Nerve Decompression, Brow Lifting and Septoplasty
3. Abdominoplasty (Tummy Tuck)
4. Aesthetic Craniomaxillofacial Surgery of the Midface
5. Applied Aesthetics of the Female Breast
6. Autologous Breast Augmentation with Fat Grafting
7. Autologous Breast Augmentation with Micro Fat Grafting and External Expansion
8. Blepharoplasty – Eyelid Reshaping and Eyelid Tightening
9. Botox in Aesthetic Medicine
10. Breast Augmentation and Enhancement – Breast Implants
11. Breast Implants for Breast Augmentation and Enhancement: Teardrops, Gummy Bears, Furry Brazilians and the Baywatch
12. Breast Lift (Mastopexy)
13. Breast Reconstruction
14. Breast Reduction – Before and After
15. Breast Reduction – Reduction Mammaplasty
16. Breast Reduction – Techniques and Indications
17. Candidate Selection for Abdominal Wall Contouring
18. CEO Announcement: Aesthetic Medicine and Skin Therapy
19. CEO Announcement: New Plastic Surgery and Cosmetic Surgery Forum at Trinidad Institute of Plastic Surgery
20. CEO Announcement: Telemedicine and Virtual Consultations at Trinidad Institute of Plastic Surgery
21. Cleft Lip and Palate – Yardsticks for Perfection
22. Correcting Crooked Noses and Faces
23. Cosmetic and Plastic Surgery Abroad for the Medical Tourist
24. Craniofacial Surgery
25. Denise’s (Bridgetown/Barbados) Experience at Trinidad Institute of Plastic Surgery
26. Electrical Injuries – The “Great Masquerader” in Burn Surgery
27. Face Lift – Rhytidectomy – Rhytidoplasty
28. Fronto-orbital advancement for correction of craniosynostosis
29. Gunshot Injuries of the Hand
30. Healthgrades
31. Incisions for Breast Augmentation
32. Kayla’s (Georgetown/Guyana) Experience at Trinidad Institute of Plastic Surgery
33. Laser skin rejuvenation in dark skin types
34. Laser Tattoo Removal in Dark Skin Types
35. Lip Enhancement
36. Liposuction – Lipoplasty – Liposculpture
37. Malar Bags and Festoons
38. Maria’s (Port-of-Spain, Trinidad) Experience at Trinidad Institute of Plastic Surgery
39. Midface Lift
40. Mini Abdominoplasty
41. Optimal Implant Size for Breast Augmentations and Enhancements
42. Options in Breast Reconstruction
43. PIP Implants – Removal or Exchange after Breast Augmentation
44. Plastic Surgery – A Plastic Surgeon’s Perspective
45. Rhinoplasty – Nose Reshaping
46. Simone’s (Bridgetown, Barbados) Experience at Trinidad Institute of Plastic Surgery
47. Six Packs and the Male Abdominal Wall
48. Skin therapist Areana Emmanuel featured
49. Skin Therapy and Aesthetic Medicine Service Menu September 2010
50. Smoothing the Wrinkles
51. Specialist Treatment of Burn Injuries
52. Structural Abdominoplasty – Tummy Tuck
53. Tendon Problems in the Fingers and Hand – Trigger Finger, Trigger Thumb and de Quervain’s Disease
54. The Art of Reducing Excessive Sweating
55. The Culture of Aesthetic Surgery
56. Trinidad Institute of Plastic Surgery Featured in Caribbean Belle Magazine
57. Trinidad Institute of Plastic Surgery in Caribbean Beat Magazine
58. Verdine’s (Miami/FL) Experience at Trinidad Institute of Plastic Surgery
59. Vertical Breast Reduction and Breast Lifting with Short Scars
60. What is cosmetic surgery, what is reconstructive surgery, what is everything in between ?
61. What is the cost of … ? And why are there consultations ?
62. Worst Wrists
63. Writing for the gallery
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Related posts:
- Blepharoplasty – Eyelid Reshaping and Eyelid Tightening
- Breast Reduction – Reduction Mammaplasty
- Breast Augmentation and Enhancement – Breast Implants
- Electrical Injuries – The “Great Masquerader” in Burn Surgery
- A Cure for Migraine Headaches: Botox, Nerve Decompression, Brow Lifting and Septoplasty




