What parts of a rhinoplasty might be considered 'easier' or a lot less complex?
Doctor Answers 4
Complexity of a rhinoplasty
The most complex component of the nose is changing the nasal tip. The tip is three-dimensional structure and it must look great in all three dimensions. Conservative cartilage removal, suture techniques, and cartilage grafts are all techniques are employed to make changes in the nasal tip. Shaving down a dorsal hump and performing osteotomies are rather straightforward, but only by an experienced rhinoplasty surgeon.
Easiest part of the rhinoplasty
In my opinion the easiest part of a rhinoplasty is a basic, closesed rhinoplasty that does not need cartilage grafting.
That grafting, adds an order of magnitude of uncertainty:
movement, warping , visibility, absorption and infection and rarely, extrusion
However we need to do cartilage grafting in selected cases.
What Parts of a Rhinoplasty are "Easier"?
There are an infinite number of variables that make it impossible to answer your question. Regardless of what you're considering select an experienced rhinoplasty specialist. Over the years I've seen many patients who came to me because they had terrible results when only minor changes were necessary.
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Probably the dorsum but all aspect of rhinoplasty demand precision
You are right rhinoplasties are a difficult operation and even in the best hands will still have about a 10% revision rate. So all aspects of the surgery need to be based on a thorough understanding of the aesthetics of nose, its anatomy and rhinoplasty techniques. That being said taking down a small bump is usually an easier endeavor in that there is 1-2 mm of leeway in how much can be removed. However, even this can be over or underdone and can leave an open bony roof or breathing problems if not done properly. Fixing a crooked nose can be a challenge especially if there is cartilaginous involvement as the cartilage has memory and this can rebend with time. Tip changes when they are small can be straightforward but again can cause major issues if overdone. Changing rotation, projection and length of the nose are all very technically demanding and are difficult to execute well. Best bet is to not ever assume a rhinoplasty will be easy and only go to a board certified facial plastic surgeon or plastic and reconstructive surgeon who does a lot of these operations.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.