What is the difference between the Dynamic and Atraumatic Rhinoplasty? Which will be more suitable for me? (photos)

Dear Valentin 1985,
The terms dynamic and atraumatic are essentially describing concepts of the surgeons rather than individual technical steps. 
I you specific situation, the tip support is dominated by the bridge. After reduction of the bridge, the tip requires control of the support to achieve and maintain a higher position.  Several techniques can achieve these results and have proven their value over time. 
 I find that preoperative computer simulations can establish the goals more clearly,  and the applicable technique derives from them. 

Hello,
Thank you for your question. In my practice, I utilise the Closed Atraumatic Technique due to minimize edema and bruising, accelare the healing process, eliminate a scar on the columella and prevent tissue damage by protecting the anatomy of the nose. Based on your pictures you may benefit from the radix augmentation, dorsal hump removal and refinement of the tip to eliminate the droopy tip appearance. Functional issues can be fixed at the same time. 
You can utilise my own techniques for detailed information. The Dorsal Roof Technique protects the dorsal anatomy but fixes the deformity and moreover, supports your dorsum by using the excessive tissue instead of excision. The ST FLAP TECHNIQUE protects the anatomy, supports the weak parts and reshapes the tip. To find out more please visit our RealSelf before and after pictures.  
Best Regards 

"Dynamic" and "atraumatic" are marketing terms more than surgical techniques. And anyway, you shouldn't select the surgical technique that you want: better is to select a surgeon whose results you like, and then let the surgeon use whatever technique he used to get those results!You have a complicated rhinoplasty, because there are a few different changes to make, and the different changes must be blended together correctly. For example, there's the bump on the bridge. But if the bump on the bridge is removed, the nose would appear much longer, and it would look worse. So the tip needs to be elevated. And the nose needs to be brought back closer to your face. How much to remove the bump or elevate the tip? You figure that out by using morphs to create a surgical goal before the operation. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. P(Side note: in my opinion, morphs should always be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and only the surgeon has that information and judgment. Another aside: I also recommend that you not show morphs made by one surgeon to a different surgeon. If a surgeon makes his *own* morphs, you get to see whether he understands the important issues of your nose, and how your nose should be changed. But if you show the surgeon someone else's morphs, and he says "Of course I can make your nose look like that," then you don't really know if he fully understands, or even recognizes, the important changes shown in those morphs. And you don't know if he can make those changes during surgery.)
Remember also that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?

You are a great candidate for a rhinoplasty. I have never heard of either the dynamic or a traumatic  rhinoplasty, and I do a lot of noses. I suggest you skip the fancy word play and just find a good reputable plastic surgeon who has plenty of experience and good results.

Hello and thank you for your question.  Both of the names you mention are merely marketing names.  It is much more important to select the right surgeon rather than a neat sounding marketing name.  Based on your photographs, you may benefit from a tip refining rhinoplasty, a cephalic rotation of your tip to turn up your tip slightly, and a dorsal hump reduction.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

Hello and thank you for the question and sharing your photos. I believe you are a great candidate for rhinoplasty. You have a dorsal hump and a drooping nasal tip. Your nasal tip appears to be hanging off the dorsum and lacks support. You will benefit from reduction of your dorsal hump and adding support to your nasal tip to improve the projection and rotation. My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon with extensive experience in performing rhinoplasty. I would ask to see before and after pictures of their real patients. It's important that you trust your surgeon's skills and ability to achieve the results you are looking for. In particular, pay attention to your surgeon's experience with rhinoplasty. Best,

Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

Dear Valentin1985,
Thanks for providing photos, the most important element you should be considering is the reduction of the correction of your hump and droopy nose tip. The key to good rhinoplasty is a procedure that enhances the appearance of your nose minimising recovery and downtime. Although atraumatic rhinoplasty sounds good in principle, surgery is still required and for your nose to correct the key characteristics is not going to provide an advantage. Although different dynamic and atraumatic rhinoplasty procedures key with any rhinoplasty is achieving the best possible natural result. 
Visit a facial plastic surgeon for in-person evaluation and discussion of the best procedure for your specific needs.
Kind regards,
Dr Julian De Silva

Hi and welcome to our forum!
"Dynamic" and "atraumatic" rhinoplasty seem to be Madison Avenue marketing terms and not of any clinical significance. A rhinoplasty is actually a series of procedures, including narrowing, lowering (or elevating) the bridge, straightening the bridge, shortening or lengthening the nose, straightening the nasal septum, defining (and elevating) the tip, adjusting the nostril size and symmetry, and correcting asymmetries, Some individuals require one component, others require more, depending upon the individual's needs. From your photos, you demonstrate a high nasal bridge with a moderate-significant hump, a hanging tip with a decreased nasolabial angle.  Without a frontal view, I cannot determine nasal width, if the nose is midline, or the shape / size of the nasal tip or columella. You appear to be an excellent candidate for rhinoplasty.
Visit a board certified plastic surgeon for in-person evaluation and discussion.
Best wishes...

Hello
In cases as yours, when dorsal humps are to be removed,  nasal fractures (osteotomies) are absolutely necessary. You should expect some swelling and bruising, that usually resolve during the first week.