Flat nose rhinoplasty is usually performed under general anesthesia or sedation, and it takes about one to two hours. The surgeon makes a small incision on the columella (the strip of skin between the nostrils) or inside the nostrils, and then inserts an implant or grafts of cartilage or bone to augment the nasal bridge and tip. The implant or grafts can be made of synthetic materials (such as silicone or Gore-Tex) or autologous materials (such as cartilage from the ear, rib, or septum). The surgeon then reshapes the nasal bones and cartilages to create a more harmonious and natural-looking nose.
1. Improve the nasal bridge
2. Improve the nasal tip
3. May need to improve the nasal wig (alar reduction) too
If the tip is relatively high, but the bridge is slightly low compared to the height of the tip, only the bridge augmentation using an implant (Silicone or Goretex) or autologous materials can be done.
However, in case both the tip and bridge are low and flat, it is necessary to reshape both of them to bring a better look.
For tip plasty, septal cartilage is used to rebuild a framework, if not sufficient, rib cartilage can be used instead of or together.
Silicone and Gore-Tex implant used for bridge augmentation.
But Silicone and Gore-Tex are artificial implants. (Foreign materials)
If the patient doesn’t want to use it, can use their own cartilage, bone, fascia, periosteum, etc.