--- title: "Types of Rhinoplasty" description: "ENT notes on Types of Rhinoplasty." source: "The ENT Resident" author: "Dr. Mausumi Das" canonical_url: "https://www.theentresident.com/ent-notes-lectures/rhinoplasty-types" categories: ["Rhinology", "Surgery"] video: "https://www.youtube.com/watch?v=47xA61M2BvU" image: "https://media.theentresident.com/og-images/rhinoplasty-types.png" --- # Types of Rhinoplasty ENT notes on Types of Rhinoplasty. Watch the full video lecture on YouTube: https://www.youtube.com/watch?v=47xA61M2BvU ## 👃 Types of Rhinoplasty Rhinoplasty is classified on the basis of four criteria. In this post, we will discuss: * Classification based on **purpose** * Classification based on **surgical approach** * Classification based on **timing / previous surgery** * Classification based on **extent of correction** --- ### 📋 Classification of Rhinoplasty | Basis of Classification | Types | | --- | --- | | Purpose | Cosmetic (Aesthetic), Functional, Reconstructive | | Surgical approach | Closed (Endonasal), Open (External) | | Timing / Previous surgery | Primary, Secondary (Revision) | | Extent of correction | Reduction, Augmentation | --- ### 1️⃣ Based on Purpose #### A. Cosmetic (Aesthetic) Rhinoplasty 👉 Primary indication: **Cosmetic improvement of the appearance of the external nose** The patient's own desire and motivation for cosmetic improvement is the main indication. ⭐ A thorough **pre-operative assessment**, **psychological evaluation** and **photographic documentation** are essential. ⚠️ Assess whether the patient's expectations are **realistic**, or whether a minor deformity is magnified in their own perception. > What are the common Indications of Cosmetic Rhinoplasty? > What are the common procedures done in Cosmetic Rhinoplasty? > What is the pre-operative assessment for rhinoplasty? --- #### B. Functional Rhinoplasty 👉 Purpose: Correction of a **functional problem**, mainly **nasal obstruction** An external nasal deformity causing nasal obstruction becomes a functional, not a cosmetic problem. > What are the common Indications of Functional Rhinoplasty? > What are the common procedures done in Functional Rhinoplasty? --- #### C. Reconstructive Rhinoplasty 👉 Purpose: To **restore the nasal form, structure and function** after tissue loss or deformity > What are the common Indications of Reconstructive Rhinoplasty? **⭐ Three Layers Rebuilt in Reconstructive Rhinoplasty** 1- Mucosal lining 2- Osteocartilaginous framework 3- Skin cover **Grafts Required** * Cartilage graft * Bone graft * Regional flaps --- ### 2️⃣ Based on Surgical Approach ⭐ This is the **most commonly followed** classification. #### A. Closed (Endonasal) Rhinoplasty All incisions are placed **entirely within the nostrils**, with **no external incision** and no external scar. **Indications** ⭐ Indications are **limited**. * Minor hump reduction * Simple cosmetic correction > What are the advantages and disadvantages of Closed Rhinoplasty? --- #### B. Open (External) Rhinoplasty An **external incision** is given, which is quite small and does not leave a large scar. **Incisions Used** * **Transcolumellar incision**, connected to * **Bilateral marginal incisions** 👉 This gives wide exposure of the **nasal tip cartilage and the entire nasal framework**. > What are the incisions used in rhinoplasty? **Indications** * **Revision cases**, where scarring and fibrosis are expected * Severe deformity * Complex tip deformity * Complex reconstruction requiring extensive grafting > What are the advantages and disadvantages of Open Rhinoplasty? > What are the differences between Open Rhinoplasty VS Closed Rhinoplasty? --- ### 3️⃣ Based on Timing / Previous Surgery #### A. Primary Rhinoplasty The **first rhinoplasty** performed on the patient. #### B. Secondary (Revision) Rhinoplasty Performed in a patient who has already undergone a previous rhinoplasty, to correct **residual deformity or functional problems**. ⭐ Technically one of the **most difficult** rhinoplasty procedures. > What are the common causes for Revision Rhinoplasty? > What are the difficulties encountered in Revision Rhinoplasty? --- ### 4️⃣ Based on Extent of Correction #### A. Reduction Rhinoplasty 👉 Aimed at **reducing the size** of an overly large or humped nose ⭐ The **most commonly performed** type of corrective rhinoplasty. **Examples** * Hump reduction * Narrowing a broad nose * Tip refinement #### B. Augmentation Rhinoplasty 👉 Aimed at **increasing the projection or size** of the nose, using grafts or implants **Examples** * Saddle nose deformity * Post-traumatic collapse * Congenitally flat nose > What are the donor sites for grafts used in Augmentation Rhinoplasty? --- ### ⭐ Exam Pearls - Rhinoplasty is classified on the basis of **purpose, surgical approach, timing and extent of correction** - Functional rhinoplasty corrects **nasal obstruction** - Reconstructive rhinoplasty rebuilds **three layers**: mucosal lining, osteocartilaginous framework and skin cover - Classification by **surgical approach** is the most commonly followed - Closed rhinoplasty → **No external scar**, but limited exposure - Open rhinoplasty → **Transcolumellar incision with bilateral marginal incisions** - Open approach is preferred for **revision and complex cases** - Secondary (revision) rhinoplasty is technically the **most difficult** - **Reduction rhinoplasty** is the most commonly performed corrective rhinoplasty --- ## About This Note This free ENT note on Types of Rhinoplasty 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-types 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. 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