--- title: "Rhinoplasty - Definition, Indications, Contraindications & Principles" description: "ENT notes on Rhinoplasty - Definition, Indications, Contraindications & Principles." source: "The ENT Resident" author: "Dr. Mausumi Das" canonical_url: "https://www.theentresident.com/ent-notes-lectures/rhinoplasty-definition-indication-contraindication-principles" categories: ["Rhinology", "Surgery"] video: "https://www.youtube.com/watch?v=-a2gUDt8O98" image: "https://media.theentresident.com/og-images/rhinoplasty-definition-indication-contraindication-principles.png" --- # Rhinoplasty - Definition, Indications, Contraindications & Principles ENT notes on Rhinoplasty - Definition, Indications, Contraindications & Principles. Watch the full video lecture on YouTube: https://www.youtube.com/watch?v=-a2gUDt8O98 ## 👃 Rhinoplasty - Definition, Indications, Contraindications & Principles This post covers: - Definition of rhinoplasty - Indications of rhinoplasty - Contraindications of rhinoplasty - Principles of rhinoplasty --- ### 📝 Definition of Rhinoplasty Rhinoplasty is a **surgical procedure performed to alter the shape, size, contour or function of the nose**, mostly for cosmetic improvement. ⭐ Commonly known as a **nose job**. > What is Septorhinoplasty? --- ### ✅ Indications of Rhinoplasty Indications are classified into four types: 1️⃣ **Cosmetic (Aesthetic) indications** - To improve the **aesthetic appearance of the face** > What are some examples of Cosmetic (Aesthetic) indications of Rhinoplasty? 2️⃣ **Functional indications** - To improve **nasal breathing** **Examples** * External nasal deformity causing nasal obstruction * Deviated nasal septum (DNS) with external nasal deformity 3️⃣ **Reconstructive indications** - To restore the **normal anatomy of the nose** > What are some examples of Reconstructive indications of Rhinoplasty? 4️⃣ **Revision surgery** **Examples** * Unsatisfactory result of a previous rhinoplasty * Persistent deformity or obstruction after an earlier surgery > What does the pre operative assessment for rhinoplasty include? --- ### ❌ Contraindications of Rhinoplasty #### Absolute Contraindications **1- Uncontrolled Systemic Illness** **2- Acute Respiratory Infection** ⭐ As rhinoplasty is an elective surgery, the infection should be controlled before surgery. **3- Untreated Psychiatric Illness or Body Dysmorphic Disorder** ⭐ A psychological assessment is required before taking such patients up for surgery. **4- Active Pustule or Infection in the Operative Area** ⭐ Surgery is deferred until the condition resolves completely. --- #### Relative Contraindications **1- Very Young Patient** > What age group should you not operate on for Rhinoplasty? **2- Acne, Thick and Oily Nasal Skin** **3- Bleeding Diathesis** Any history of abnormal bleeding must be investigated and treated before surgery. **4- Diabetes or Poor Wound Healing** Affects the outcome of surgery. **5- Psychological Contraindications** > What are the Psychological Contraindications for Rhinoplasty? --- ### 📋 Principles of Rhinoplasty **1- Be Conservative in Resection** **2- Correct What is Unpleasing, Preserve What is Pleasing** **3- Know Where to Stop at Each Surgical Step** **4- Never Promise Miraculous Results** **5- Beware of the Psychotic Patient** > Elaborate on the Principles of Rhinoplasty. --- ### ⭐ Exam Pearls - Rhinoplasty is commonly known as a **nose job** - Indications are classified as **cosmetic, functional, reconstructive and revision** - Cosmetic indication → To improve the **aesthetic appearance of the face** - Functional indication → To improve **nasal breathing** - Reconstructive indication → To restore the **normal anatomy of the nose** - Saddle nose deformity → Depression of the **nasal dorsum** - Untreated **body dysmorphic disorder** is an absolute contraindication - Rhinoplasty in the very young is deferred until **nasal growth is complete** --- ## About This Note This free ENT note on Rhinoplasty - Definition, Indications, Contraindications & Principles was written by Dr. Mausumi Das and is paired with a corresponding video lecture. Canonical page of this note: https://www.theentresident.com/ent-notes-lectures/rhinoplasty-definition-indication-contraindication-principles When citing or referencing this content, please credit The ENT Resident and link to the canonical page above. ## Related Notes by Category - Rhinology: https://www.theentresident.com/ent-notes-lectures/category/rhinology.md - Surgery: https://www.theentresident.com/ent-notes-lectures/category/surgery.md ## About The ENT Resident The ENT Resident is an educational website and resource library created by Dr. Mausumi Das (MS ENT) for ENT residents, ENT postgraduates preparing for exams, and MBBS students. Dr. Mausumi Das writes the notes, draws the diagrams, and records the lectures herself. Browse all ENT notes and lectures on The ENT Resident: https://www.theentresident.com/ent-notes-lectures.md ## Medical-use Boundary The ENT Resident provides educational material for medical learning and revision. It does not provide patient-specific medical advice, diagnosis, or emergency care, and it is not a substitute for evaluation by a qualified healthcare professional. ## More Resources - Learn about the Premium ENT Notes, preview a complete sample, and find purchase options: https://www.theentresident.com/premium.md - Premium note for this topic, Rhinoplasty - Definition, Indications, Contraindications & Principles: https://theentresident.gumroad.com/l/sebggm - Read student testimonials: https://www.theentresident.com/testimonials.md - Contact The ENT Resident: https://www.theentresident.com/contact.md --- A complete index of all pages on this site, with descriptions and markdown links can be found here: https://www.theentresident.com/llms.txt