Closed rhinoplasty dorsal hump reduction involves meticulous techniques in order to create natural-looking results—i.e., the patient’s new nose looks as if he or she was born with it.
Recently, Inland Empire plastic surgery expert Dr. Tarick Smiley has shown images on Snapchat depicting this surgical technique performed on a female patient with nasal aesthetic issues that included prominent dorsal bump, droopy tip, and “nostrils that were showing too much.”
The patient’s rhinoplasty, or colloquially referred to as nose job, was performed via closed technique in which all the incisions were made inside the nostrils, precisely along their inner lining. Not only it resulted in well-concealed scars, she also mentioned a “relatively easy recovery due to minimal pain, swelling, and bruising.”
Dr. Smiley was able to create a “nicer and flatter” dorsal (nasal bridge) by removing the excess bone and cartilage. (Note: The upper one-third of the nose is composed of bone, while the remainder is comprised of cartilaginous framework, which makes it malleable but nonetheless firm.)
A piece of cartilage was then cut/reshaped so it could provide a strong tip support, ensuring that the results are stable (can resist or postpone aging and other changes). The same technique has also corrected the drooping tip appearance.
In general, a drooping tip, which also elongates the nose, detracts from the feminine face. According to several studies, attractive female noses have an angle of tip rotation that is between 95 and 110 degrees, giving it a slightly upturned appearance.
On the other hand, men can tolerate a slightly droopy tip without affecting their facial balance and level of attractiveness.
Elevating the patient’s droopy and bulbous tip has also made it appear more refined and narrower, and the nostrils have invariably improved as well.
Dr. Smiley says the ideal nose is not strictly defined by specific looks or rigid beauty tenets. The goal is to reshape the nose in a way that it complements the patient’s facial features, gender, ethnicity, age, and even height/body frame.
However, certain mathematical ratios that determine the ideal facial proportions do exist that can help plastic surgeons create natural results from rhinoplasty. For instance, for most people the ideal breadth of the nose is equal to the distance between the eyes.
Also, the length of the nose is ideally similar to the vertical height of the chin.