Dr. Bora Ok | Estetik, Plastik, Rekonstrüktif Cerrahi

Procedures in Rhinoplasty

Unveiling the Tools of Rhinoplasty: Osteotomy, Hump Reduction, Bridge Augmentation

Rhinoplasty in Istanbul is a sophisticated form of cosmetic surgery encompassing a range of specialized techniques to fix specific problems, such as wide nasal bones, a dorsal hump, nasal bridge lacking definition, hanging columella or deviated septum.

These techniques enhance the nose's aesthetic appearance and rectify functional issues. Nose jobs are intricate procedures and require a deep understanding of the nasal structure's aesthetic and functional aspects. This post will delve into various procedures that are integral parts of rhinoplasty so that you get a better idea of what awaits you.



Your nasal bones are the structural foundation of your nose. Osteotomy involves precise cuts and repositioning of these bones to narrow, widen, or straighten the bridge, achieving a more balanced profile. This involves precise adjustments to the nasal bones to perfect the nose's shape. Piezo instruments that shape the bones with ultrasonic waves are often used in this step. The Piezo method allows for more precise shaping, less bleeding, and less bruising.

Procedures in Rhinoplasty


Hump Reduction

That prominent bump on your nose bothering you? Dorsal hump reduction meticulously removes excess bone and cartilage, smoothing the bridge for a sleek and streamlined profile.


Bridge Augmentation

Sometimes, a flat or depressed bridge lacking definition throws off facial harmony. Bridge augmentation builds a projected bridge using cartilage grafts, often harvested from your septum or rib. This procedure builds up a flat bridge to enhance facial balance. Bridge augmentation is frequently performed in ethnic rhinoplasty surgeries to add definition to the nose.


Tip Plasty

The nasal tip is the focal point of the nose, drawing attention and influencing overall facial balance. Tip plasty focuses on meticulously sculpting the cartilage in this area to refine its projection, rotation, and definition. This process fine-tunes the shape and position of the nasal tip.


Tip Grafts

Additional cartilage grafts can be used to refine and define its shape for enhanced tip projection and aesthetics. Grafting is a commonly used method for structural support. You can learn more about grafts here.



Wide nostrils can sometimes overpower the overall picture, especially in ethnic rhinoplasty patients. Alarplasty refines the shape and size of nostrils by trimming or repositioning the alar rim tissue. This involves adjusting the nostrils' shape and size for a balanced appearance.


Alar Rim Graft

Sometimes, the tip needs an extra boost. An alar rim graft subtly reshapes and supports the alar rim using cartilage grafts for better definition and projection. This adds subtle reshaping and support to the alar rim for improved definition.



A deviated septum, a crooked wall within the nose, can hinder both breathing and aesthetics. Septoplasty straightens this septum, improving both airflow and nasal symmetry.


Columellar strut graft

The columella, the delicate strip separating your nostrils, needs support sometimes. A columellar strut graft strengthens and defines this area, enhancing overall nasal structure.


Spreader Grafts

In cases of nasal valve collapse, where internal valves hinder breathing, spreader grafts offer support and widening, improving airflow.


"Can I only get tip plasty?"

Yes and no. With its prominent role in facial harmony, there may be one specific feature of your nose that you wish to enhance while you do not have a problem with other features of your nose. However, the magic of rhinoplasty lies in its holistic approach. Consider the nose as a cohesive unit rather than separate elements. Focusing only on one part, like the tip, can disrupt overall balance and proportion. Still, operating on only one part of the nose may be sufficient in select cases. Your plastic surgeon will determine the best course of action in line with your needs and requests.


"I only want to get rid of my dorsal hump."

As we said above, in some cases, the surgeon may be able to fix an isolated complaint. For some patients, subtle tip adjustments or minor hump reduction can achieve their desired harmony without major revisions. The key lies in a thorough assessment by your surgeon and clear communication.

After your surgeon has a clear idea of the nose you envision, they'll analyze your facial structure, bone composition, and cartilage framework to determine the optimal approach. It should be kept in mind that sometimes, even seemingly minor changes might make it necessary to refine other parts to maintain balance, proportion, and harmony.

In conclusion, rhinoplasty is a complex and nuanced procedure that requires careful consideration and collaboration between patient and surgeon. Remember, achieving facial harmony requires a holistic approach, and a skilled surgeon will consider all aspects of your nose to create a balanced result. The patient's most important responsibility in this journey is communicating their wishes as clearly as possible to the surgeon and then trusting their surgeon to create a natural-looking nose that suits and complements their features.

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