Structural Rhinoplasty

1. What is Structural Rhinoplasty?

Structural rhinoplasty is an advanced comprehensive nose reshaping surgery that focuses on reconstructing and reinforcing the entire nasal framework, while improving aesthetic appearance (shape, height) and nasal function.

Complications after undergoing rhinoplasty in Korea - Advices for Dr. Chiem Quoc Thai

Runner-up Kieu Loan after structural rhinoplasty and comprehensive cosmetic surgery

Lily Luta before and after undergoing comprehensive facial cosmetic surgery (chin augmentation, eyelid surgery, S-line structural rhinoplasty, facial contouring, and lip reshaping).

Miss Grand Vietnam 2024 First Runner-up Hanh Nguyen before and after undergoing structural rhinoplasty.

Miss queen runner-up Tuong San before and after undergoing comprehensive cosmetic surgery.

Her nose was slightly wide with a low bridge, so she underwent structural rhinoplasty to achieve better facial proportion and a more refined look.

Miss Phuong Khanh before and after undergoing structural rhinoplasty revision and comprehensive cosmetic surgery.

2. When Should You Choose Structural Rhinoplasty?

Conventional methods such as dermal fillers or implant-only rhinoplasty typically address minor concerns and are not suitable for complex nasal deformities such as:

a. Nasal Bridge Deformities

• Crooked nose (C-shape or S-shape deviation)
• Poorly defined nasal contours
• Saddle nose (sunken bridge) deformity
• Inverted V deformity
• Dorsal hum

=>  Structural rhinoplasty provides comprehensive correction and reconstruction.

b. Nasal tip abnormalities

• Bulky or rounded nasal tip lacking a refined triangular definition
• Over-rotated (upturned) or drooping tip (downturned)
• Imbalanced tip (ideally ⅔ of nasal bridge length)

c. Columella & Nasal base issues

• Deviated or asymmetrical septum/columella
• Wide or imbalanced nasal base (ideally equals the intercanthal distance and ~1/5 of facial width)

d. Revision rhinoplasty & complex cases

• Previous rhinoplasty complications: deviation, infection, or necrosis
• Requires removal of old implants and full reconstruction

e. Patients allergic to synthetic implants

• Thin nasal skin with risk of implant visibility
• History of sensitivity or complications from synthetic materials
• Preference for fully natural, biocompatible solutions

3. Benefits of Structural Rhinoplasty

Structural Rhinoplasty not only enhances aesthetics similar to regular rhinoplasty but also addresses more complex deformities in a comprehensive manner. Moreover, this technique completely eliminates all risks of allergic reaction and ensures long-lasting and stable results.

4. The Procedure of Structural Rhinoplasty

3D simulation of structural rhinoplasty

Step 1: Consultation and Treatment Planning

The doctor evaluates the nasal anatomy, analyses deformities, and develops a detailed  and personalized surgical plan.

For revision or previously infected cases: The doctor will develop a treatment plan and monitor the patient’s condition. Pre-treatment may include removal of existing implants and appropriate treatment before proceeding with reconstruction.

Step 2: Anesthesia

The procedure is performed under general anesthesia or sedation to ensure a comfortable and pain-free experience.

Step 3: Incision Creation

The procedure is performed under general anesthesia or sedation to ensure a comfortable and pain-free experience.

Step 4: Structural Reconstruction

• The surgeon harvests autologous cartilage (ear cartilage, septal cartilage, or rib cartilage) to reconstruct and reshape the nasal tip and columella.
• Correction of septal deviation
• Refinement of the nasal tip
• Narrowing of the alar cartilage with sutures when necessary

Step 5: Nasal Bridge Augmentation

Depending on the case, augmentation may involve:

• Option 1: Synthetic implant wrapped in cartilage
• Option 2: Autologous rib cartilage for full reconstruction

Step 6: Incision Closure

After achieving the desired outcome, the doctor closes the incision, applies sterile dressing, and places a nasal splint to maintain stability.

5. Recovery and Post-Operative Care

Recovery occurs in stages, and strict adherence to medical instructions is essential for optimal results.

The First 10 Days:

• Swelling and bruising are expected but gradually subside
• Apply cold compresses regularly to minimize swelling during the first 48 hours
• Most swelling improves within 7–10 days (may persist longer in some cases)
• Sutures are typically removed within 10 days

Additional Guidelines:

• Sleep with your head elevated
• Swelling continues to decrease, with more refined results visible after 2–4 weeks
• Avoid bending forward during the first 2 weeks
• Avoid strenuous exercise and heavy lifting for the first 2 weeks
• Avoid pressure or impact on the nose for approximately 6 weeks

Related topic:

+ Surgiform Implants Rhinoplasty

* The result achieved also depends on each individual's physiology.