Good question. There are constant refinements in the process af rhinoplasty and not much change in the tools over the past decades. There are some great 3d cameras and computer simulators that are totally without benefit to the outcome. They are simply ways to give you a look (but absolutely no guarantee since they are imaginary) into what you may possibly get as a result.
Rhinoplasty is the most delicate and artistic of plastic surgery procedures. It is important to select a surgeon that understands the refinements that you desire and one that can demonstrate good results to you from their previous surgeries. Modern rhinoplasty is a "refinement" operation. One that makes your features look better without changing the way you look in a drastic way. An over-corrected, artificial nose never looks good!
Good luck in your search for the right surgeon.
3-Dimensional imaging such as Vectra (Canfield) help surgeons to plan surgery and communicate anticipated results with patients. Some techniques have been refined, such as tip sutures and the use of supportive grafts to maintain long term results. However, the fundamentals of rhinoplasty are essentially unchanged over the past 20 years.
Rhinoplasty (Nose Surgery) is perhaps the most complex cosmetic operation as it involves complex anatomy, different types of tissues, a keen aesthetic judgement, and a balance with function. You would be wise to find a plastic surgeon with experience and an interest in Rhinoplasty who has consistent results, not the surgeon who promotes "new" or "advanced" techniques.
There have been advancements in rhinoplasty that are technical, however overall rhinoplasty is an art that requires a particular aesthetic sense. Tools and techniques are only that.
Rhinoplasty is one of the most difficult operations to perform. Innovation in the field is often through subtler changes in technique and more precision overall in the field. Here are some of the more notable advances in the field:;
1. The use of PDS plate- PDS plate is absorable plating which can be used for a variety of applications in the nose.
2. Overlay imaging- The ablitity to quantify changes to the nose has allowed for surgeons to be more precise in outcomes
3. Improved post procedure care- Surgeons are realizing that a variety of manuevers can help surgeons improve the overall outcome
Rhinoplasty (nasal surgery) is the most artistic of cosmetic surgery procedures, and often the most individualistic. It requires a high degree of proficiency from the surgeon, and judgement about what not to do as well as what to do. Some of the new technology, products and "gimmicks" that have changed and affected other surgical procedures (lasers, endoscopic equipment, fillers) have not been helpful for rhinoplasty. Imagers of photos are more a communications tool between surgeon & patient. Cameras add little. Motorized bone raspers add a different tool. But at the end of the day, rhinoplasty is a specialized procedure that should be carefully planned & performed by a surgeon well trained in the techniques of functional & aesthetic surgery.
Many of the advancements that occur in rhinoplasty probably go unpublished in the literature. Advancements are made every day in the operating room.
Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA
There really hasn't been any new tools designed to improve rhinoplasty results of the last 5 years. There are many Minor refinements of cartilage grafting techniques and tip surgery to help give the patient a natural appearance. Spreader grafts have become more of an mainstay now than they were 5 years ago.