Firoozabadi Medical Education Center

Everything You Need to Know About Bone Rhinoplasty (Bony Nose Rhinoplasty):

Introduction
Bone rhinoplasty, or bony nose rhinoplasty, is one of the most common cosmetic surgeries globally. This surgery is specifically for noses with a stronger bone structure, often featuring a bump or hump on the nasal bridge. Rhinoplasty can significantly impact a person's overall appearance by improving the harmony of the nose with other facial features. The goal of this article is to provide comprehensive information about bone rhinoplasty, its benefits, drawbacks, methods, and post-operative care.

Structure of a Bony Nose
The nose consists of two main parts: the upper part, made of bone, and the lower part, made of cartilage. Bony noses typically have a longer and more prominent bone in the nasal bridge, causing a bump or hump. This type of nose is often shaped due to genetics or previous injuries and may become more apparent during adolescence.
Due to their sturdy and more prominent structure, bony noses pose greater challenges for surgeons compared to fleshy noses. The bones are more pronounced, and the cartilage is less flexible, requiring specialized surgical techniques.
Bony noses often have a prominent hump, which can lead to dissatisfaction with one's facial appearance. People with a bony nose often seek rhinoplasty to remove the hump and improve the appearance of their nose. This hump usually develops due to uneven growth of the bone and cartilage. Some individuals have this type of nose from childhood, while others may experience it due to fractures or other injuries.
In summary, bony noses, due to their more prominent appearance and stronger bone, present unique challenges in surgery, requiring special skills and precision from the surgeon.

Reasons for Choosing Bone Rhinoplasty
There are several reasons why people with bony noses choose rhinoplasty, which are divided into two main categories: aesthetic and functional.

1. Aesthetic Reasons
   One of the primary reasons for choosing bone rhinoplasty is to improve the appearance of the nose. The hump on the nasal bridge and the disproportion of the nose with other facial features can reduce confidence. The nose is a central feature of the face, and changes to its appearance can greatly affect one’s overall look. People with bony noses are often dissatisfied with the bumps and seek a smoother, more harmonious appearance for their nose.
   Some individuals also aim for minor changes, such as reducing the size of the nose or improving its angle. The overall goal of cosmetic rhinoplasty is to enhance facial harmony and increase personal confidence.
2. Functional Corrections
   In addition to aesthetic reasons, many people undergo rhinoplasty to address functional issues. The structure of a bony nose can narrow the nasal airway, causing breathing difficulties. These issues may be due to a deviated septum, narrow nostrils, or enlarged turbinates.
   Rhinoplasty can help correct these problems, improving airflow and making breathing easier.
3. Injuries
   Another common reason for bone rhinoplasty is previous nasal injuries. Trauma from accidents or sports can cause deformities in the shape of the nose, and rhinoplasty can help reconstruct the nose, restoring a more natural and balanced appearance.

Methods of Bone Rhinoplasty
There are two main surgical techniques: open rhinoplasty and closed rhinoplasty.

1. Open Rhinoplasty
   In this method, the surgeon makes a small incision on the columella (the tissue between the nostrils) to lift the skin and access the nasal structure. This provides the surgeon with a full view of the bone and cartilage, allowing for precise adjustments.
   This technique is used for more complex cases, such as removing large bony humps or correcting severe deviations.
2. Closed Rhinoplasty
   In closed rhinoplasty, all incisions are made inside the nostrils, with no external cuts. This method is suitable for minor adjustments. It has the advantage of leaving no visible scars and a quicker recovery time, but it offers the surgeon less visibility for complex changes.

Pros and Cons of Bone Rhinoplasty
Pros:

1. Improved nasal appearance.
2. Boost in self-confidence.
3. Enhanced breathing in functional cases.

Cons:

1. Long recovery period.
2. Possible complications such as bleeding or infection.
3. High surgery costs.

Post-operative Care
Post-surgery care is essential for a smooth recovery. Key care instructions include:

1. Using cold compresses to reduce swelling.
2. Avoiding strenuous activities.
3. Sleeping with the head elevated.
4. Avoiding wearing glasses.
5. Regular follow-up appointments with the doctor.

Results and Expectations
Final results appear after several months, with full recovery taking up to a year. Patients should maintain realistic expectations regarding the outcome.

Conclusion
Bone rhinoplasty is a popular cosmetic procedure that improves both appearance and breathing function. Choosing the right surgeon and following post-operative care instructions contribute to achieving satisfying results and enhancing the patient’s quality of life.