The term rhinoplasty means nose (rhino) molding or reforming (plasty). Thus, rhinoplasty aimed at correcting the deformities and anomalies of nose which is known by various names including: nose job, nose cosmetic surgery, nose plastic surgery, nose reduction, and septorhinoplasty. According to Doctor Manafi, those people with nose deformities, whether large, apparently deviated, asymmetric, disproportional, obstructed, or congenitally abnormal caused by surgery, accident, or any other causes, who are dissatisfied can undergo rhinoplasty or nose cosmetic surgery.
Rhinoplasty does not mean to reduce the nose at any cost. Scientifically, reducing and fitting the nose is the ultimate goal of women (reduction rhinoplasty), while the final goal in men with fleshy and thick skin nose is to balance it, i.e., reduction, changing, or even strengthening of different parts of the nose (balancing rhinoplasty).
The first modern rhinoplasty was performed about 130 years ago, since when the surgery had many modifications and achievements and has always gone toward development. The progress was very fast in the past three decades and the open technique was gradually replaced the close technique from the past twenty years. The latter is associated with higher precision, perfection, and predictability of results and reduces the need for retouching and secondary operations.
Rhinoplasty has deviated at some point, especially in Iran, and some surgeons adopted the old style and reduced the nose as much as possible. Unexciting results were appeared in about 10 years as very short, small noses disproportionate with the face. The majority of these patients are willing to modify the defect, some of which are very difficult to perform optimally. This form of destructive surgery has an acceptable appearance in the first few months due to swelling, but the mentioned anomalies appear over the years, in particular in fleshy and thick skin noses.
Excessive reduction and basic reconstruction resulting in a nose with an surgical appearance and sharp angles in the face of an eastern person, known as facial incongruity, is not acceptable in academic circles nowadays. The majority of patients and countrymen from Europe, America, and Canada, ..., who travel to Iran for rhinoplasty, as well as highly educated people and prestigious families demand for repairing the defect, making the nose beautiful, preserving the natural form, and keeping non-surgical appearance and acceptable breathing of the nose. Fortunately, defected, extremely reduced nose cut from all sides is greatly decreased and has lost its proponents, so that the ratio of people who like very small, high-tip or curved, slide-like nose may be reached to 1 in 1000.
I am aware that spouses and the families of spouses of many of my patients do not know about rhinoplasty or surgeries of other parts of their faces, and those who do not express their operation can be assured that no worrying effect and trace of the surgery is remained on their face and their body.
This consciousness and awareness of patients is a promise for creating better noses fitted with faces, maintaining normal breathing and respiratory function and olfaction, and avoiding artificial nose and face for patients.
Of course, reasonable reduction of the nose making it moderately beautiful, especially in big noses, is a fundamental objective for rhinoplasty; however, both the radical, extreme methods in which all parts of the nose including bones and cartilages of septum, tip, and nostrils, were cut and removed, and the number of surgeons who adopted these methods are sharply reducing and moderating. With this moderation, the Iranian standard methods can be introduced to the world and the reputation of Iranian plastic surgeons can be advocated.
Doctor Manafi always states the facts with his rhinoplasty patients and as he performs a realistic examination of their nose, he undertakes logical rather than infeasible promises. Thus patients are happier in most cases after surgery than which had been previously promised.
Most patients pretend that they don’t like the defects of their noses and faces, to be told to them especially in the presence of a companion, while patients should be sincere with themselves and have the right to know the facts about their nose and face. Accordingly, we recommend that patients attend without makeup at the first time visit of Doctor Manafi. This makes obvious the realities of the face and may reveal problems of facial skin and bones, such as chin, cheeks, eyes, eyelids, jowl, neck, ears, or other parts, which repair can result in very pleasing outcomes than correction of nose defects only.
It should be noted that the final result of the operation can be best evaluated at least a year after the surgery and hasty judgment and evaluation is not right.
Most patients are regularly getting the comments of others about their nose and face after operation. It is clear that the expressed views are generally unprofessional and are based on the mind and underlying character of commenters; in whom opinions and obsessions may be mixed and may annoy the patients in most cases, therefore this kind of survey is not recommended.
You are the best judge, because you know the previous condition of your nose; please refrain from hasty judgment. In many cases, this rash affects less experienced surgeons, making them to perform retouch and repair operations or hasty and unnecessary injections, while the nose is still swollen; this is against both surgeons and patients, since compensation of their effects is sometimes very difficult and even impossible.
Mental and emotional stability of patients is a basic and decisive condition for rhinoplasty, either primary or secondary. When the patient correctly identifies the problems and knows what he wants, and when the physical condition of nasal skin and cartilage and ... is acceptable, the task is almost determined. But when someone does not know what is the problem and what he or she wants, the work and decision-making will be very hard for surgeons.
Doctor Ali Manafi