Augmentation Rhinoplasty Operation

Nasal Aesthetics For Increasing Nose Size

Definition of Augmentation Rhinoplasty

Augmentation rhinoplasty, also known as nasal augmentation or nose augmentation, is a surgical procedure performed to enhance the shape, size, and projection of the nose. It involves the use of various techniques to add volume or support to specific areas of the nose, creating a more balanced and harmonious facial appearance. The procedure is commonly used to address nasal bridge flattening, a lack of nasal projection, or to correct nasal deformities or asymmetries.

The primary goal of augmentation rhinoplasty is to achieve a more aesthetically pleasing and proportionate nasal contour that harmonizes with other facial features. The procedure can be performed using different materials, such as autologous tissue (from the patient's own body), synthetic implants, or cartilage grafts harvested from other areas of the body. Generally, I prefer to use the patient's own tissues (temporalis fascia, cartilage, soft tissue, adipose tissue ...) and, if necessary, human tissue (cadaver rib cartilage).

Some common reasons for undergoing augmentation rhinoplasty include:

1. Nasal Bridge Augmentation: Patients with a low or flat nasal bridge may seek augmentation rhinoplasty to enhance the height and definition of the bridge. This can be achieved by using implants, cartilage grafts, or bone grafts to build up the nasal bridge.

2. Nasal Tip Projection: Individuals with a droopy or under-projected nasal tip may opt for augmentation rhinoplasty to improve the projection and rotation of the tip. Techniques such as cartilage grafts or tip grafts can be employed to add support and increase the forward projection of the tip.

3. Nasal Symmetry and Balance: Augmentation rhinoplasty can be used to correct nasal asymmetries or irregularities, such as a deviated septum or a crooked nose. By adding support or reshaping specific areas, the surgeon can help achieve a more symmetrical and balanced nasal appearance.

4. Post-Traumatic or Post-Surgical Defects: Individuals who have experienced nasal trauma or undergone previous nasal surgeries may require augmentation rhinoplasty to correct deformities or deficiencies in the nasal structure.

During an augmentation rhinoplasty procedure, the surgeon will make incisions either inside the nose (endonasal approach) or externally across the columella (open approach), depending on the complexity of the case and the desired outcome. The chosen material or graft is then carefully placed and secured in the desired location to augment the nose. The incisions are then closed, and the patient will be provided with postoperative care instructions for optimal healing.

It is important to consult with a qualified and experienced plastic surgeon or facial plastic surgeon to discuss the goals, expectations, and potential risks of augmentation rhinoplasty. Each patient's case is unique, and the surgeon will determine the most appropriate surgical techniques and materials to achieve the desired outcome while ensuring facial harmony and functional integrity.

Techniques For Augmentation Rhinoplasty

There are several techniques available for augmentation rhinoplasty, each tailored to address specific nasal concerns and achieve the desired aesthetic outcome. The choice of technique depends on factors such as the patient's anatomy, the extent of augmentation required, and the surgeon's expertise. Here are some common techniques used for augmentation rhinoplasty:

1. Dorsal Implants: Dorsal implants are commonly used to augment the nasal bridge and improve its height and definition. These implants are made of various materials, such as silicone, Gore-Tex, or Medpor, and come in different shapes and sizes. The surgeon creates a pocket beneath the nasal skin and places the implant on the bridge to achieve the desired augmentation.

2. Cartilage Grafts: Cartilage grafts are frequently employed in augmentation rhinoplasty to enhance different areas of the nose. Autologous cartilage can be harvested from the septum (septal cartilage), ear (auricular cartilage), or rib (costal cartilage). These grafts can be carved and shaped to provide support and volume to the nasal bridge, tip, or other regions as needed.

3. Structural Grafts: In cases where there is a need for significant structural support, such as severe nasal tip drooping or weakness, structural grafts may be used. These grafts, often made of cartilage, are strategically placed to reinforce the nasal framework and improve projection and definition.

4. Alloplastic Implants: Alloplastic implants are synthetic materials used for nasal augmentation. Examples include silicone, Gore-Tex, or Medpor implants. These materials are biocompatible and come in various shapes and sizes. Alloplastic implants can be used to augment the nasal bridge or other areas of the nose, providing a predictable and customizable result.

5. Fat Grafting: Fat grafting, also known as autologous fat transfer, involves harvesting fat from one part of the patient's body, typically the abdomen or thighs, and injecting it into specific areas of the nose for augmentation. Fat grafting can be used to address minor contour irregularities or add subtle volume to achieve a more balanced nasal appearance.

6. Injectable Fillers: Injectable fillers, such as hyaluronic acid or calcium hydroxylapatite, can be used as a non-surgical option for temporary nasal augmentation. These fillers are injected into specific areas of the nose to enhance volume and shape. While non-permanent, fillers can provide immediate results and allow patients to evaluate the potential outcome before considering surgical options.

It is important to note that the choice of technique for augmentation rhinoplasty is highly individualized and based on the patient's unique anatomy and desired outcome. The surgeon will thoroughly evaluate the patient during the consultation process and recommend the most appropriate technique to achieve the desired results while maintaining nasal harmony and function.

Patients considering augmentation rhinoplasty should consult with a qualified and experienced plastic surgeon or facial plastic surgeon. The surgeon will assess their specific needs, discuss the available options, and recommend the most suitable technique for achieving their aesthetic goals.

The Differences of  Augmentation Rhinoplasty From Classical Nose Aesthetic Surgeries

Augmentation rhinoplasty and classical nose aesthetic surgeries, such as reduction rhinoplasty or nasal tip refinement, differ in their primary goals and techniques. Here are some key differences between augmentation rhinoplasty and classical nose aesthetic surgeries:

1. Primary Goal:
   - Augmentation Rhinoplasty: The primary goal of augmentation rhinoplasty is to add volume, projection, or support to specific areas of the nose. It aims to enhance the nasal structure and create a more balanced and harmonious facial appearance.
   - Classical Nose Aesthetic Surgeries: Classical nose aesthetic surgeries focus on reshaping and reducing the size or prominence of certain nasal features. They primarily aim to refine the nasal shape, improve symmetry, or correct functional issues like breathing difficulties.

2. Surgical Techniques:
   - Augmentation Rhinoplasty: Augmentation rhinoplasty involves the use of techniques such as dorsal implants, cartilage grafts, or alloplastic implants to add volume or support to the nasal structure. These materials or grafts are strategically placed to achieve the desired augmentation.
   - Classical Nose Aesthetic Surgeries: Classical nose aesthetic surgeries typically involve techniques like cartilage removal, nasal bone reshaping, or nasal tip refinement. The surgeon may utilize various methods, such as cartilage trimming, suturing, or osteotomies, to achieve the desired aesthetic outcome.

3. Nasal Structure Alteration:
   - Augmentation Rhinoplasty: Augmentation rhinoplasty aims to augment specific areas of the nose, such as the nasal bridge or tip, by adding volume or support. It may involve building up a flattened bridge, increasing nasal projection, or improving the overall shape of the nose.
   - Classical Nose Aesthetic Surgeries: Classical nose aesthetic surgeries focus on altering the existing nasal structure by reducing or reshaping certain features. These surgeries may involve reducing a hump on the nasal bridge, refining the nasal tip, narrowing the nasal bones, or correcting asymmetries.

4. Patient Selection:
   - Augmentation Rhinoplasty: Augmentation rhinoplasty is typically recommended for patients who desire an enhancement or augmentation of specific nasal areas. It is suitable for individuals with a flat nasal bridge, under-projected nasal tip, or those seeking an overall increase in nasal volume.
   - Classical Nose Aesthetic Surgeries: Classical nose aesthetic surgeries are recommended for patients who have concerns related to the size, shape, or proportion of their nose. These procedures are often performed to reduce the size of a large nose, refine the nasal tip, or address other aesthetic issues.

5. Functional Considerations:
   - Augmentation Rhinoplasty: While augmentation rhinoplasty primarily focuses on improving the aesthetic appearance of the nose, it can also have functional benefits. For example, adding support to a weak nasal structure can help improve nasal airflow and address certain breathing difficulties.
   - Classical Nose Aesthetic Surgeries: Classical nose aesthetic surgeries primarily address aesthetic concerns, but they may also have functional benefits. Procedures like septoplasty, which corrects a deviated septum, can be performed in conjunction with classical nose aesthetic surgeries to improve nasal breathing.

It's important to note that these differences are not mutually exclusive, and some cases may require a combination of techniques to achieve the desired outcome. The specific surgical approach will depend on the patient's individual needs, nasal anatomy, and the expertise of the surgeon. A comprehensive consultation with a qualified plastic surgeon or facial plastic surgeon is essential to determine the most suitable procedure and techniques for each patient's unique goals and concerns.

Patient Selection For Augmentation Rhinoplasty

Patient selection for augmentation rhinoplasty is a crucial aspect of ensuring optimal outcomes and patient satisfaction. The procedure is typically recommended for individuals who desire an enhancement or augmentation of specific areas of the nose, such as the nasal bridge or tip. Here are some key factors to consider when selecting patients for augmentation rhinoplasty:

1. Nasal Anatomy:
   - Flat Nasal Bridge: Patients with a flat or low nasal bridge may benefit from augmentation rhinoplasty to add height and definition to the bridge.
   - Under-Projected Nasal Tip: Individuals with a nasal tip that lacks projection or appears droopy may be suitable candidates for nasal tip augmentation to improve tip projection and rotation.
   - Lack of Volume: Patients who have a naturally thin or deficient nasal structure may benefit from augmentation rhinoplasty to add volume and achieve a more balanced nasal appearance.

2. Patient Expectations:
   - Realistic Expectations: It is essential that patients have realistic expectations about the potential outcomes of augmentation rhinoplasty. The surgeon should thoroughly discuss the limitations, risks, and benefits of the procedure to ensure that the patient's expectations align with what can be realistically achieved.
   - Communication and Understanding: Open communication between the patient and the surgeon is crucial. The surgeon should understand the patient's goals, concerns, and desires for nasal enhancement, while the patient should have a clear understanding of the potential results and recovery process.

3. Overall Facial Harmony:
   - Facial Proportion and Balance: The surgeon will assess the patient's facial features and evaluate how the proposed augmentation will harmonize with the rest of the face. Augmentation rhinoplasty should aim to create a balanced and proportionate nasal appearance that complements the patient's overall facial aesthetics.
   - Chin Projection: In some cases, patients with a weak or retruded chin may also benefit from chin augmentation to achieve better facial harmony. The surgeon may consider combining augmentation rhinoplasty with chin augmentation to achieve optimal results.

4. Nasal Function:
   - Functional Considerations: While augmentation rhinoplasty primarily focuses on improving the aesthetic appearance of the nose, consideration of nasal function is important. The surgeon should evaluate the patient's nasal airway and assess for any functional issues, such as a deviated septum or nasal valve collapse, which may require concurrent correction during the surgery.

5. General Health and Psychological Stability:
   - Good General Health: Patients should be in good overall health to undergo surgery safely. The surgeon may consider factors such as medical history, current medications, and any existing medical conditions that could affect the patient's ability to tolerate the procedure and the recovery process.
   - Psychological Readiness: The patient should be emotionally and psychologically prepared for the surgical process and have realistic expectations. It is important to ensure that the patient is making an informed decision and is mentally prepared for the changes in their appearance.

Patient selection for augmentation rhinoplasty requires careful evaluation by a qualified plastic surgeon or facial plastic surgeon. The surgeon will assess the patient's specific nasal anatomy, expectations, and overall health to determine if augmentation rhinoplasty is an appropriate procedure. A comprehensive consultation and open communication are essential for successful patient selection and achieving satisfactory outcomes.

Total Average Operation Time for Augmentation Rhinoplasty

The total average operation time for augmentation rhinoplasty can vary depending on several factors, including the complexity of the procedure, the surgical techniques involved, and the individual patient's unique needs. On average, augmentation rhinoplasty can take anywhere from 1.5 to 4 hours to complete. However, it's important to note that this is an estimated range, and the actual operation time may be shorter or longer based on the specific circumstances of each case.

The duration of the surgery can be influenced by various factors, including:

1. Extent of Augmentation: The amount of augmentation required in the nasal bridge, tip, or other areas of the nose can affect the operation time. More extensive augmentation may involve additional steps, such as harvesting cartilage grafts or placing larger implants, which can contribute to a longer surgery.

2. Surgical Techniques: The specific techniques used during the augmentation rhinoplasty procedure can also impact the operation time. For example, if cartilage grafts need to be harvested from the patient's septum, ear, or rib, the surgeon may spend additional time carefully extracting and preparing the grafts before placing them in the desired areas of the nose.

3. Combined Procedures: In some cases, augmentation rhinoplasty may be performed in combination with other nasal or facial procedures, such as septoplasty (correction of a deviated septum) or chin augmentation. When multiple procedures are performed simultaneously, the overall operation time will naturally be longer.

4. Surgeon's Experience: The level of experience and proficiency of the surgeon can also influence the duration of the operation. Highly experienced surgeons who specialize in rhinoplasty procedures may be more efficient, potentially resulting in shorter operation times without compromising the quality of the surgery.

It's important to note that the total operation time includes not only the surgical procedure itself but also the time needed for anesthesia administration, patient preparation, and postoperative wound closure. Additionally, the surgeon and surgical team prioritize patient safety and take the necessary time to ensure a precise and meticulous surgery.

During the preoperative consultation, the surgeon will evaluate the patient's specific case and discuss the estimated operation time. It is crucial for patients to understand that the duration can vary and that the focus should always be on achieving optimal results rather than rushing the procedure.

Patients should consult with a qualified and experienced plastic surgeon or facial plastic surgeon to assess their individual needs, discuss the expected operation time, and obtain a personalized evaluation of their augmentation rhinoplasty procedure.

Before and after photos for Augmentation Rhinoplasty Operation

Below you can find photos and videos before and after Augmentation Rhinoplasty Operation.

Augmentation rhinoplasty, Altering the nose size, Increasing the nose volume

Augmentation rhinoplasty, Altering the nose size, Increasing the nose volume

Augmentation rhinoplasty, Altering the nose size, Increasing the nose volume

Augmentation rhinoplasty, Altering the nose size, Increasing the nose volume

Augmentation rhinoplasty, Altering the nose size, Increasing the nose volume

Augmentation rhinoplasty, Altering the nose size, Increasing the nose volume

Augmentation rhinoplasty, Altering the nose size, Increasing the nose volume

Augmentation rhinoplasty, Altering the nose size, Increasing the nose volume

Care Recommendations After Augmentation Rhinoplasty Operation

After undergoing augmentation rhinoplasty, proper postoperative care is essential to promote healing, reduce the risk of complications, and optimize the final results. The following care recommendations are typically advised after an augmentation rhinoplasty procedure:

1. Follow Surgeon's Instructions: Adhere to the specific postoperative instructions provided by your surgeon. These instructions may include guidelines for wound care, medication usage, activity restrictions, and follow-up appointments. It is crucial to closely follow your surgeon's guidance for the best possible recovery.

2. Manage Pain and Discomfort: It is common to experience some pain, swelling, and discomfort after augmentation rhinoplasty. Your surgeon may prescribe pain medication to help manage any discomfort during the initial stages of recovery. Take the medication as directed and report any severe or persistent pain to your surgeon.

3. Apply Cold Compresses: Cold compresses or ice packs can help reduce swelling and alleviate discomfort in the early days following surgery. Apply the cold compresses gently to the nasal area for short intervals (around 10-15 minutes) several times a day, as recommended by your surgeon.

4. Keep the Head Elevated: Keeping your head elevated, especially when sleeping, can help minimize swelling and promote proper drainage. Use an extra pillow or sleep in a reclined position for the first few weeks after surgery.

5. Protect the Nose: It is crucial to avoid any trauma or pressure to the nose during the healing process. Be cautious when washing your face, applying skincare products, or wearing glasses. Your surgeon may recommend wearing a nasal splint or protective tape to support and protect the nose during the initial recovery phase.

6. Maintain Good Hygiene: Follow your surgeon's instructions regarding wound care and cleansing of the surgical site. Keep the area clean and dry, and avoid any excessive pressure or manipulation of the nose. Use gentle, non-abrasive facial cleansers and avoid submerging the nose in water until cleared by your surgeon.

7. Avoid Strenuous Activities: Engaging in strenuous activities, exercise, or heavy lifting should be avoided for a few weeks following surgery to minimize the risk of complications and excessive swelling. Follow your surgeon's recommendations regarding the resumption of physical activities.

8. Eat a Healthy Diet: A nutritious diet rich in vitamins, minerals, and protein can support the healing process. Stay well-hydrated by drinking plenty of fluids, but avoid excessive salt intake, as it can contribute to swelling.

9. Be Patient and Give Yourself Time to Heal: It is important to remember that the full results of augmentation rhinoplasty may take several months to become apparent. Swelling and bruising will gradually subside over time, and the final outcome will gradually emerge. Be patient and allow yourself sufficient time to heal.

10. Attend Follow-Up Appointments: Regularly attend your scheduled follow-up appointments with your surgeon. These visits allow your surgeon to monitor your progress, address any concerns or questions you may have, and ensure that you are healing properly.

Every patient's recovery process may vary, so it is important to consult with your surgeon for personalized care recommendations based on your specific circumstances. By following these care recommendations and maintaining open communication with your surgeon, you can help ensure a smooth recovery and achieve the best possible results from your augmentation rhinoplasty procedure.

Cost of Augmentation Rhinoplasty Operation in Istanbul

The cost of augmentation rhinoplasty in Istanbul can vary depending on several factors, including the complexity of the procedure, the surgeon's experience and reputation, the location and reputation of the clinic or hospital, and any additional services or facilities provided. It is important to note that the cost mentioned here is a general estimate and may not reflect the exact prices in Istanbul. 

In Istanbul, the cost of augmentation rhinoplasty typically ranges from approximately $3,000 to $7,000 or more. This range includes the surgeon's fees, anesthesia fees, facility fees, preoperative tests, postoperative care, and any necessary follow-up appointments. 

It's important to consider that the cost of augmentation rhinoplasty may also vary based on the specific techniques used, such as the use of grafts or implants for augmentation, which can incur additional expenses. Additionally, if the surgery is combined with other procedures, such as chin augmentation or septoplasty, the overall cost may increase.

When comparing the cost of augmentation rhinoplasty in Istanbul, it is crucial to consider the surgeon's credentials, experience, and track record of successful rhinoplasty procedures. Choosing a qualified and experienced surgeon who specializes in rhinoplasty is vital to achieve the desired results and minimize the risk of complications.

It is also advisable to inquire about the inclusive nature of the quoted price. Make sure to clarify if the quoted cost includes all necessary preoperative and postoperative care, any potential revisions, and if there are any additional fees or expenses that may arise.

It is recommended to consult with multiple plastic surgeons or facial plastic surgeons in Istanbul to obtain personalized evaluations and cost estimates based on your specific case. During the consultation, the surgeon will evaluate your nasal anatomy, discuss your goals and expectations, and provide a detailed breakdown of the anticipated costs involved.

Remember, while cost is an important factor to consider, it should not be the sole determining factor in choosing a surgeon or clinic. The qualifications, experience, and reputation of the surgeon, as well as the quality of care provided, should take precedence in ensuring a safe and successful augmentation rhinoplasty procedure.

Augmentation Rhinoplasty Operation

Augmentation rhinoplasty is generally a safe procedure when performed by a qualified and experienced surgeon. However, as with any surgical procedure, there are potential risks and complications that patients should be aware of. These can include:

1. Infection: Although rare, there is a risk of infection following augmentation rhinoplasty. Patients are typically prescribed antibiotics to help minimize this risk. If an infection does occur, it may require additional treatment, such as antibiotics or drainage.

2. Bleeding: Some degree of bleeding is common after surgery, but excessive bleeding can occur in rare cases. Surgeons take precautions during the procedure to minimize bleeding, and patients are advised to avoid activities that can increase the risk of bleeding, such as strenuous exercise, for a certain period after surgery.

3. Hematoma: A hematoma is a collection of blood that can occur under the skin. It can result in swelling, pain, and potential complications if not addressed promptly. If a hematoma develops, it may need to be drained by the surgeon.

4. Poor Wound Healing: Occasionally, the incisions made during augmentation rhinoplasty may heal poorly, resulting in visible scars or skin irregularities. While most incisions heal well, factors such as poor blood supply, smoking, or certain medical conditions can increase the risk of poor wound healing.

5. Numbness or Altered Sensation: Some patients may experience temporary or permanent changes in sensation around the surgical site, including numbness, tingling, or altered sensitivity. These sensations typically resolve over time, but in rare cases, they may persist.

6. Asymmetry: Despite the surgeon's best efforts, there is a risk of slight asymmetry in the nasal appearance following augmentation rhinoplasty. This can be due to pre-existing asymmetry or variations in healing between the two sides of the nose.

7. Implant Complications: If implants or grafts are used for augmentation, there is a small risk of complications related to the implant, such as implant displacement, infection, or extrusion. In some cases, revision surgery may be necessary to address these issues.

8. Nasal Obstruction: Augmentation rhinoplasty can potentially affect nasal airflow, leading to temporary or permanent nasal obstruction. This can be caused by changes in the internal nasal structures or swelling. In some cases, additional procedures such as septoplasty or turbinate reduction may be required to improve nasal breathing.

9. Unsatisfactory Aesthetic Outcome: Despite careful planning and execution, there is a possibility that the final aesthetic outcome may not meet the patient's expectations. This can be due to various factors, including the healing process, scar formation, or individual differences in tissue response.

It is important to discuss these potential risks and complications with your surgeon during the preoperative consultation. They will evaluate your individual case, provide detailed information, and help you understand the likelihood of these risks based on your unique circumstances. Your surgeon will also provide instructions on how to minimize these risks and will closely monitor your progress during the postoperative period to address any concerns that may arise.

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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon

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