Rhinoplasty Nose surgery for harmony, function, and naturalness

Dr. Davide Costantino
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Rhinoplasty

Rhinoplasty is an aesthetic and functional surgical procedure that allows the modification of the shape, proportions, and, when necessary, the respiratory function of the nose, with the aim of integrating it harmoniously within the overall balance of the face.

The nose plays a central role in facial expression, as it not only defines the profile but also influences the harmony of all facial features. For this reason, rhinoplasty is not about standardizing appearances, but about achieving a natural and highly personalized result that respects the patient’s unique anatomy and identity.

The procedure can address purely aesthetic concerns, such as the presence of a dorsal hump, a wide or bulbous tip, large nostrils, asymmetries, or excessive length. In other cases, it has a functional purpose, correcting issues like nasal septum deviation or turbinate hypertrophy in order to improve breathing. Very often, these two aspects are combined within the same surgical procedure, allowing both the form and function of the nose to be treated simultaneously.

It is particularly suitable for individuals who wish to correct visible irregularities such as a hump on the nasal bridge, a drooping or poorly defined tip, overly wide nostrils, or deviations resulting from previous trauma. Regardless of the indication, the objective remains consistent: to create a nose that is harmonious, balanced, and fully integrated with the face, preserving natural expressiveness and avoiding any artificial appearance.

Consultation and Planning

The evaluation phase is essential to define a precise and realistic surgical plan.

During the consultation, the surgeon performs an aesthetic analysis of the profile and proportions of the face, along with an endoscopic functional examination of the airways to evaluate any obstructions or deviations of the septum.

Digital photographs are also taken from multiple projections, allowing the nose to be studied from all angles and simulating possible modifications. This step helps to align goals and expectations, clarifying what is realistically achievable and which result best fits the patient’s anatomical characteristics.

The surgeon develops a personalized three-dimensional plan that takes into account:

the length and height of the nasal dorsum;

the projection and rotation of the tip;

the nasolabial and nasofrontal angles;

the thickness and quality of the skin.

Clear communication and mutual understanding between surgeon and patient are essential for a satisfying and stable result over time.

Surgical Technique

Rhinoplasty can be performed with two main surgical approaches, chosen based on the type of correction required and the complexity of the case:

Closed rhinoplasty:

does not involve visible external incisions, as all maneuvers are performed through the nostrils. It is suitable for limited corrections of the dorsum or tip, ensuring invisible scars and faster recovery.

Open rhinoplasty:

involves a small incision on the columella, the thin piece of skin that separates the nostrils. It is the preferred technique for more complex cases, where reshaping the tip or reconstructing the cartilaginous structures requires more precision. The incision becomes virtually imperceptible after healing.

During the procedure, the surgeon sculpts the alar and triangular cartilages, septum, and nasal bones, working gently to preserve the support structures and maintain a natural appearance.

When a breathing component is present, septoplasty is performed simultaneously to correct septum deviations and improve airflow, and if necessary, the reduction of hypertrophic turbinates.

The procedure lasts on average from 60 to 120 minutes, depending on the complexity, and is performed under general anesthesia. In selected and less invasive cases, deep sedation with local anesthesia may also be used.

Anesthesia, Time, and Recovery

At the end of the procedure, a light external splint (usually made of resin or aluminum) is applied, which protects the structure and maintains its shape during the first days of healing. If present, small absorbable internal tampons are removed within 48 hours.

Discharge typically occurs on the same day or after one night of observation.
The splint is removed after 7-10 days, by which time the nose already appears visibly more harmonious, although swelling and slight bruising may persist for about two weeks.

Return to normal activities is generally possible after 7-10 days, while light sports activities can be resumed after approximately 3 weeks.

The final result stabilizes between 6 to 12 months, a period required for the tissues to adapt and the skin to settle on the new bony and cartilaginous structure.

During this time, the nose may undergo slight physiological variations in shape and consistency, which are part of the normal healing process.

Risks and Possible Complications

Rhinoplasty is a safe procedure, but like any surgery, it can involve some minor complications. These include:

prolonged or asymmetric edema;
temporary bruising;
small profile irregularities;
temporary loss of sensitivity in the nasal tip.

Any asymmetries or imperfections can be corrected with small secondary touch-ups, which should only be evaluated after the tissues have fully stabilized (usually not before 9-12 months).
The surgeon always adopts conservative techniques, minimizing manipulation of the structures and respecting the functional integrity of the nose.

Frequently asked questions from patients

Will my nose change again over time?
In the months following the procedure, it may settle slightly, but the structure remains stable. The changes are physiological and linked to skin adaptation.

Will I breathe better after the procedure?
Yes, in cases of rhinoplasty combined with septoplasty or reduction of turbinates, breathing improves significantly, with benefits also for sleep and quality of life.

Will it be obvious that my nose has been operated on?
No. The goal is a natural and balanced result, seamlessly integrating with the rest of the face. A well-done nose job is not noticeable: it enhances facial harmony without revealing the surgery.

Can a previous rhinoplasty be revised?
Yes, in case of unsatisfactory results or structural alterations, a secondary rhinoplasty is possible, more complex but capable of restoring both aesthetics and function with precision.

Rhinoplasty is one of the most refined and personalized procedures in aesthetic surgery.
It combines art, precision, and anatomical knowledge to shape a nose that does not look “operated on,” but simply right for that face.
Through a safe and shared surgical journey, the patient rediscovers balance, naturalness, and confidence in their appearance, achieving new harmony between form, function, and personal identity.