Bony Nose Rhinoplasty

Techniques of Bony Nose Rhinoplasty

Bony nose rhinoplasty is performed using specific surgical techniques tailored to the nasal structure and the patient’s needs. The main goal is to correct the nasal shape, remove the dorsal hump, and achieve harmony with other facial features. There are two primary techniques for this surgery:

• Open Rhinoplasty: In this approach, the surgeon makes a small incision on the columella (the skin between the nostrils) and lifts the nasal skin to gain direct access to the underlying structures. This allows for high precision in reshaping the nasal bones and cartilage.

• Closed Rhinoplasty: In this method, all incisions are made inside the nostrils, leaving no visible scars. Recovery is often faster, but the surgeon has more limited visibility compared to the open technique.

The choice between open and closed rhinoplasty depends on the patient’s nasal anatomy, aesthetic goals, and the surgeon’s recommendation.

Best Bony Nose Shapes After Surgery

The ideal shape after bony nose rhinoplasty varies depending on factors such as facial proportions, skin thickness, personal preference, and the surgeon’s expertise. However, the most common and popular styles include:

1. Natural Style

• Designed to look proportional and subtle, without excessive curves or an overly upturned tip.

• Maintains harmony with the rest of the facial features.

• Ideal for patients who want their nose to look refined but not “operated.”

2. Semi-Fantasy Style

• A balance between natural and fantasy models.

• Features a gentle curve and a slightly upturned tip.

• Suitable for patients seeking noticeable yet not exaggerated changes.

3. Fantasy Style

• Characterized by a more defined curve and an upturned nasal tip.

• Creates a more delicate and sculpted appearance.

• Works best for individuals with thin skin and fine facial features.

• Not recommended for all face types, as it can appear unnatural on stronger bone structures.

4. Doll-Like (Super-Fantasy) Style

• Includes a pronounced curve and a highly upturned nasal tip.

• Gives a small, delicate appearance to the nose.

• Best suited for smaller, more petite faces.

• May not be functionally suitable for everyone, as it can sometimes cause breathing issues.

Female Bony Nose Rhinoplasty Models

Bony nose surgery for women is divided into several styles, and the best choice depends on factors such as overall facial structure, skin thickness, desired changes, and the surgeon’s recommendations:

• Natural Model: The most popular choice. Subtle corrections are made without exaggerated changes, creating a proportional nose that blends naturally with the rest of the face.

• Semi-Fantasy Model: A balance between natural and fantasy. The nose features a soft curve and slightly lifted tip, adding elegance while maintaining harmony.

• Fantasy Model: Involves a smaller nose with a more noticeable curve and lifted tip. Best suited for women with delicate facial features.

• Doll-Like (Super-Fantasy) Model: The most dramatic option, with a pronounced curve and highly lifted tip. While it creates a very fine appearance, it is not always suitable for all face shapes and may affect breathing.

Male Bony Nose Rhinoplasty Models

For men, rhinoplasty models are designed to improve appearance while maintaining masculine facial harmony. Unlike female styles, excessive curves or an overly upturned tip are usually avoided:

• Natural Model: The most common option. The dorsal hump is corrected while keeping the overall look strong and proportional.

• Semi-Fantasy Model: Includes a soft curve and subtle changes at the nasal tip but still preserves a natural masculine appearance.

• Fantasy Model: Rarely recommended for men, as the pronounced curve and lifted tip can look less natural on stronger facial structures.

The choice of model should be based on anatomical features, skin thickness, personal preference, and the surgeon’s guidance to ensure both aesthetics and proper breathing function.

How to Choose the Best Bony Nose Surgery Model?

Selecting the ideal rhinoplasty style depends on multiple factors:

• Facial structure: Harmony with other features is essential.

• Skin thickness: Thick skin may limit delicate refinements.

• Personal preference: Natural vs. noticeable results.

• Surgeon’s expertise: A professional evaluation ensures both beauty and functionality.

👉 If you want subtle, balanced results, natural or semi-fantasy models are the safest options. If you prefer a more delicate and curved nose, a fantasy style may suit you — but always consult a skilled surgeon to prevent breathing issues.

Cost of Bony Nose Rhinoplasty

The cost of bony nose surgery varies depending on several key factors. While it is impossible to give one fixed price, the following elements affect the final cost:

• Surgeon’s experience & reputation: More experienced surgeons often charge higher fees.

• Surgical facility: Private hospitals or specialized clinics typically have higher costs than smaller centers.

• Type of anesthesia: General anesthesia vs. local anesthesia.

• Surgical complexity: Extensive corrections (e.g., functional breathing improvements) increase costs.

• Additional expenses: Pre-operative tests, post-surgery medications, and follow-up visits.

• Geographic location: Costs in large metropolitan cities are usually higher than in smaller towns.

💡 A consultation with a board-certified rhinoplasty surgeon is the best way to get an accurate estimate tailored to your needs.

Who Is a Good Candidate for Bony Nose Surgery?

Bony nose surgery is an ideal option for people who:

• Have thin to medium skin and a strong bony nasal structure.

• Suffer from a hump or dorsal bump on the bridge of the nose.

• Feel that their nose looks too long or too narrow.

• Have issues such as a deviated septum or crooked bone and want to improve both appearance and breathing function.

⚠️ For patients with thick nasal skin, the results may not be as visible, since changes to the bone and cartilage can be less pronounced. That’s why consulting an experienced surgeon is crucial to determine whether bony nose surgery is the best option or if alternative procedures are more suitable.

Post-Operative Care After Bony Nose Surgery

Proper aftercare is essential to speed up recovery and ensure the best results. The key guidelines include:

1. Rest and Sleep Position

• Keep your head elevated above body level when sleeping (use extra pillows).

• Sleep on your back only; avoid stomach or side sleeping.

2. Cold Compress

• Apply a cold compress around the nose and under the eyes during the first 48 hours.

• Do not place the compress directly on the nose.

3. Avoid Heavy Activities

• No heavy exercise, lifting, or bending over for two weeks.

• Avoid contact sports or any activity that risks trauma for at least one month.

4. Splint and Dressing Care

• Keep the nasal splint dry and intact until removed by your surgeon.

• Do not tamper with the dressing even if it itches or feels uncomfortable.

5. Diet and Nutrition

• Stick to soft, low-salt foods such as soups and mashed potatoes.

• Avoid chewy, spicy, or salty foods as they can increase swelling.

6. Protect From Trauma or Pressure

• Be cautious when washing your face or sneezing.

• Avoid wearing glasses for a few weeks; use contact lenses instead.

7. Avoid Heat and Sun Exposure

• Stay away from direct sunlight, hot showers, saunas, or steam rooms.

• Use sunscreen or a hat when outdoors.

8. Medications and Hygiene

• Take prescribed antibiotics and anti-inflammatories on schedule.

• Use saline sprays for gentle nasal irrigation.

• Avoid forceful nose-blowing.

9. Avoid Smoking and Alcohol

• Smoking and alcohol delay healing and increase the risk of bleeding or infection.

10. Be Patient With Final Results

• Swelling and bruising are normal and may take months to fully resolve.

• The final shape of the nose is typically visible 6–12 months after surgery.

How to Reduce Swelling After Bony Nose Surgery

Swelling after bony nose surgery is one of the most natural reactions of the body to surgery. While it usually decreases within a few weeks to months, following specific guidelines can accelerate the healing process and improve overall recovery.

1. Keep Your Head Elevated While Sleeping

To minimize swelling, keep your head higher than your body while sleeping. Using two or three pillows can help reduce fluid buildup in the nose and surrounding tissues, speeding up the healing process.

2. Apply Cold Compress During the First 48 Hours

Cold compresses on the cheeks and around the nose during the first two days after surgery can help reduce inflammation and bruising. However, avoid placing ice or compresses directly on the nose, as it may put pressure on the newly shaped structure.

3. Limit Salt and Spicy Foods

Excess salt causes water retention, which can worsen swelling. Avoid salty snacks, sauces, and highly seasoned foods during the first weeks of recovery.

4. Stay Hydrated

Proper hydration is essential for faster healing. Drink plenty of water, natural juices, and anti-inflammatory herbal teas (such as chamomile tea) to support recovery and reduce puffiness.

5. Avoid Bending Over and Heavy Activities

Bending forward, lifting heavy objects, or engaging in intense exercise increases blood pressure, which can worsen swelling. Refrain from these activities for at least two weeks after surgery.

6. Protect Yourself From Heat and Sunlight

Heat can intensify inflammation and swelling. Avoid direct sun exposure, saunas, hot baths, and overly warm environments for a few weeks after surgery.

7. Take Prescribed Medications

Your surgeon may prescribe anti-inflammatory drugs or medications to reduce swelling. Take them exactly as directed to ensure faster and safer recovery.

8. Gentle Massage (If Recommended by Your Surgeon)

Some surgeons may suggest light massages after the first month to speed up swelling reduction. Always follow your doctor’s specific instructions to avoid unnecessary pressure on the nose.

9. Be Patient — Swelling Takes Time

Swelling is a natural part of recovery, and full reduction can take 6 months to a year. In the first weeks, your nose may look swollen or slightly asymmetrical, but the shape will gradually refine and stabilize over time.

Risks and Complications of Osteoplasty Nose Surgery

Like any surgical procedure, osteoplasty nose surgery (rhinoplasty for bony noses) may involve certain risks and side effects. While most cases are safe and successful, it is important to know the possible complications before making a decision.

Common and Temporary Side Effects

• Swelling and bruising: This is normal after surgery, especially around the nose and under the eyes. It usually improves within a few weeks but may take months to fully disappear.

• Nasal bleeding and discharge: Light bleeding or mucus discharge may occur during the first few days. Severe bleeding should be reported to the surgeon immediately.

• Breathing difficulties: Temporary nasal congestion is common due to internal swelling and usually improves within a few weeks.

• Temporary numbness or reduced sense of smell: Especially at the nasal tip, which typically resolves after a few months.

Less Common Complications

• Infection or inflammation: Rare, but possible if post-operative care and prescribed antibiotics are not followed.

• Asymmetry or unsatisfactory results: In some cases, revision surgery may be required.

• Visible scarring: In open rhinoplasty, a small scar may remain on the columella (the tissue between the nostrils), though it often fades over time.

• Thin skin issues: In patients with very thin skin, the underlying bone or cartilage may become visible.

Rare but Serious Risks

• Adverse reaction to anesthesia: Such as nausea, dizziness, or low blood pressure, usually temporary.

• Recurrence of nasal hump or unwanted changes: Due to natural healing or external pressure during recovery.

• Long-term breathing problems: If the nasal structure is not properly corrected.

Recovery Period After Osteoplasty Nose Surgery

The recovery period after osteoplasty rhinoplasty (bony nose surgery) usually takes about 1 to 3 weeks, while complete healing may last for several months.

• First week: Patients should avoid heavy physical activities and protect the nasal splint until the surgeon advises its removal. Swelling and bruising around the nose and under the eyes are common in the first days but usually improve within two weeks.

• Care tips: Sleeping on your back with your head elevated, applying cold compresses during the first 48 hours, and avoiding salty or spicy foods can help reduce swelling faster.

• Returning to daily life: Light daily activities can often resume after 1–2 weeks. However, strenuous exercises or sports should be postponed for at least one month.

• Final results: The fully defined shape of the nose becomes visible after 6–12 months, as swelling gradually subsides and the nasal structure stabilizes.

➡️ Following your surgeon’s instructions and protecting the nose from trauma or pressure during this period is crucial for achieving the best results.

Best Osteoplasty Nose Surgery Clinic in Tehran

Choosing the right clinic and an experienced surgeon is the key to achieving safe and natural results in rhinoplasty. Tehran, as a hub of cosmetic surgery in Iran, offers many options, but one of the most reputable centers is the Iranian Clinic.

Why choose Iranian Clinic?

• Board-certified and experienced rhinoplasty surgeons

• Use of the latest surgical techniques and advanced medical equipment

• Personalized consultations to design the most suitable nose shape for each patient

• Strict adherence to hygiene and safety standards

• Comprehensive follow-up during the recovery period to ensure faster healing