The classification of Rhinoplasty can be done in different ways depending on the following parameters:
A. The Size Change of Nose
Depending on the adjustment that takes place to the size of Nose, Rhinoplasty can be classified into two types:
a. Augmentation Rhinoplasty (Increment in the nose size): In this type of Rhinoplasty, the implants/ grafts are added to increase the size of the nose. The types of implants/ grafts used in Rhinoplasty vary from one patient to another. The options are as follows:
- Bone grafts-Their usage is limited to reconstructive surgeries.
- Cartilage grafts- These grafts are taken from other parts of the
patient’s body including ears, ribs and septum. This is possible only
if the requirement for grafts is limited.
- Porex implants
- Silicone implants
b. Reduction Rhinoplasty (Decrement in the nose size): In this type of Rhinoplasty, the cartilage and bone from the patient’s nose are removed and rearranged to reduce its contours.
B. Surgical Technique
a. Endonasal/ Closed Rhinoplasty:In this, all incisions are hidden inside the nose.
b. Open Tip Rhinoplasty:In this type of Rhinoplasty, all incisions are inside the nose except for the one which is on the skin between nostrils. A good thing, however, is that it is fine and small, hardly visible to others.
C. The Reason for which Rhinoplasty is done
a. Aesthetic Rhinoplasty: In order to enhance the overall facial appearance.
b. Medical Rhinoplasty (Septoplasty): In order to ease the breathing process.
c.Reconstructive Rhinoplasty: To correct the birth defects or deformities caused by an injury or accident.
D. Frequency
a. Primary Rhinoplasty: When the Rhinoplasty is done for the first time.
b. Secondary or Revision Rhinoplasty: This is basically a corrective Rhinoplasty, the need for which arises when the results from the primary Rhinoplasty are not upto the mark, or have resulted in some sort of functional problems like congestion, or breathing problems.
The type of Rhinoplasty that is done for a patient depends on the decision made by the surgeon during the initial consultation.