How it works
Everything begins with a consultation. Your surgeon looks at the nose you have now — whether the bridge is high or low, the tip refined or broad, and whether the nose is short, upturned, humped, or crooked — and then works with you to put into words what you want to change. This is your time to ask questions and understand which approach suits you.
There is no single method for everyone. For a low bridge with an already slim shape and a tip that already projects well, sometimes only the upper part of the bridge needs raising. For a nose that is short or upturned, with a broad tip, or one that has had previous surgery, your surgeon may need to rebuild the framework — this is called structural rhinoplasty — to refine the bridge, tip, and columella together.
Depending on your case, your surgeon uses a synthetic material (such as a silicone implant or Gore-Tex) or your own cartilage taken from your body (ear, septal, or rib cartilage). For some wide noses caused by broad bone, the bone may need to be cut and narrowed on both sides; for thin nasal skin, your surgeon may add a layer of tissue so the shape looks more natural.
Throughout, the principle is to respect the anatomy of the nose and keep its building blocks intact, so that the shape holds and lasts over time. Your surgeon will discuss the anesthesia approach with you in detail before surgery.