Overview of bony nose

Some people have thin bony noses and they are unhappy with their nose shape. On the other hand, others have a fleshy nose with a cartilaginous part. All of these people think that the shape and size of their nose does not fit their face and that is why they want to have rhinoplasty. In the following, we will talk about these types of noses, their characteristics and surgeries.

 

Types of noses

You’ve probably heard a lot about different types of noses. Some classify their noses according to their ethnicity and race, and others classify them as fleshy and bony noses. People who are unhappy with the condition of their face, especially the nose, go to plastic surgeons or ENT surgeons to have rhinoplasty. Rhinoplasty in Iran, like many other parts of the world, is one of the most common and popular cosmetic surgeries, and Iranian men and women want to have noses that fit their face and believe that their face should always be in the best condition.

 

Bony nose

The most prominent features of bony noses are bulging, elongated, and uneven bony surfaces that damage facial attractiveness. These problems are often caused by asymmetry of the face as a result of injuries caused by accidents and collisions. Usually, these bumps and mismatches are more apparent in people’s profile. This mismatch makes the composition of the face look undesirable.

 

Surgery of fleshy noses and bony noses

As mentioned earlier, in Iran, people generally divide their noses into fleshy and bony groups. This classification has no scientific basis, but surgeons use these terms to better communicate with patients. The main difference between these types of noses is the thickness of the skin on the nose. While a thick skin covers the fleshy noses, the bony noses have thinner skin and a layer of fat on them. Fleshy noses are more likely to form, while bony noses are simply smaller and shaped. In rhinoplasty, both features are necessary. The surgeon should be able to shrink the area around the nose to form a simple, pointed tip, which is not easy.

In some cases, during surgery, the deviation and curvature of the septum (the cartilage that divides the nostrils into two parts) is corrected. To correct a high nasal protrusion before surgery, the surgeon makes sure that the surgery does not cause breathing problems.

Bony noses often have more curvature in their bridges. Unpleasant overgrowth of nasal cartilage can be caused by hereditary factors or bone fractures due to accidents. This continuous growth of nasal cartilage is the cause of bony nose.

Bony nose surgery

Bony or protruding noses have thin skin on their own. This thin skin helps the surgeon to shave the nasal bone perfectly during the operation and make the result of the operation more amazing. In summary, bony noses have three main characteristics:

• Has a hump on the bridge of the nose
• Flexible and thin skin
• Strong tissues and cartilage

The structure of the nose has three main layers. First, a thin muscle layer that attaches. Second is a layer of bone cartilage and the third is a layer that covers the inside of the nasal mucosa.

As mentioned earlier, plastic surgeons divide the nose into fleshy and bony noses based on the type of tissue and cartilage. The difference is in their texture and cartilage. Cartilage is more resistant in bony noses and weaker in fleshy noses. Bone noses are usually more curved and curved in their bridges.

Excessive growth of nasal cartilage can be caused by hereditary factors or bone fractures caused by accidents. This constant growth of nasal cartilage is the cause of bony noses. Sometimes, due to childhood injuries, the shape of the nose does not change much at first, but after the child grows, the shape of the nose changes. The most important function of surgeons in reshaping the nasal bone is to remove the bulge. A skilled surgeon transforms the structure of the nose in the best possible way to make the face more attractive and beautiful.

 

Bony nose rhinoplasty

In bony nose surgery, the surgeon reduces the size of the protruding nose. Due to the less complexity, the results of bony nose surgery are better than fleshy noses. The thinner the skin and the stronger the cartilage, the better the results.

In surgery, parts of the bone and cartilage are removed and the dimensions of the nostrils are adjusted to fit the rest of the face. The surgeon removes the protrusion and spots on the nose with special small tools used to break and eat the bones. The skill and experience of the surgeon in this critical task is very important.

Bony nose structure

The structure of the nasal bone is like a pyramid. Bony noses are thinner and more flexible than fleshy noses. Therefore, surgery on these types of noses and correcting them is easier for the surgeon, and the final results are much better. A good surgeon can solve the problems of this type of nose with rhinoplasty. The protruding and Roman noses belong to the group of bony noses. The surgeon’s focus in practice is on the bridge of the nose. Vest type and flexibility play an important role in surgery. Depending on the type of nose, each surgeon will increase or decrease the cartilage.

Skin elasticity is an important factor to consider in rhinoplasty, while in the case of fleshy noses that do not have much skin elasticity, cosmetic surgery on fleshy noses is less effective. So if your nose is fleshy and you want to have rhinoplasty, you must first find a suitable surgeon.

 

How to correct a bony protrusion of the nose

The most common way to remove a bulge is to use a stethoscope. The Osteotome is a pen-like surgical instrument used to cut bone and insert it under the skin, gently shaving off excess nasal protrusions. When the protrusion of the nose is reduced, the curvature is corrected with a surgical instrument called a scraper.

 

Wide bridge nose

One of the most significant problems with the nose is the wide bridge of the nose, especially in the face facing the person. This unpleasant wideness is usually improved by a technique called nasal osteotomy. This procedure involves creating a controlled fracture in the nose that causes the nose to be positioned inward and the nose to be narrower.

 

How is an osteotomy performed?

Osteotomy is performed by making controlled incisions in the nasal bone to provide sufficient mobility to correct the position of the nose.

Osteotomy is usually performed after the nasal bulge has been removed, even if the nasal bulge is not visible before surgery. This means that the nasal bone may look very wide after the nasal bulge has been removed.

 

General information about bony nose surgery

Bone rhinoplasty is performed under local anesthesia or general anesthesia. There are several techniques for reducing nasal bone width. The most common method is to remove the lateral nasal bones and push them into the nose using the closed method. A person may need to use a splint for 1 to 3 weeks after surgery. Bruising and swelling usually continue for up to a week after surgery. Recovery time varies from one to two weeks and depends on the type of surgery. The final results of the surgery are obtained about 1 to 3 months after the surgery, so it is better not to rush at first and give a little patience so that we can judge the result of our nose surgery.