The Art of Rhinoplasty: Reshaping Noses with Precision and Natural Results
Rhinoplasty is one of the most sought-after plastic surgery procedures in the world, particularly for its ability to bring facial harmony and improve both the aesthetics and functionality of the nose. Among the recognized specialists in this field is Dr. Eduardo Lintz, a renowned plastic surgeon practicing in Campinas and Sao Paulo. With extensive experience and a dedication to technical excellence, having served 11 years as staff at Professor Pitanguy's Institute, particularly in rhinoplasty and facial surgery, he stands out for performing two main types of rhinoplasty: open structural and preservation rhinoplasty. Each of these techniques has unique characteristics, suited to different patient needs and expectations.
We will explore these two approaches in detail, explaining their differences, benefits, techniques used, and expected outcomes. By understanding each method, you will gain a better appreciation for how Dr. Eduardo Lintz transforms lives through this highly personalized and sophisticated procedure.
What Is Rhinoplasty and Why Choose Dr. Eduardo Lintz?
Before diving into the specific techniques, it is important to understand what rhinoplasty is and why it is so popular. Rhinoplasty is a plastic surgery procedure performed to correct imperfections of the nose, whether for aesthetic reasons (such as reshaping) or functional reasons (such as correcting a deviated septum or breathing problems). It may be recommended for individuals who wish to:
Correct congenital deformities;
Correct changes that appear during adolescence, after growth spurts;
Improve appearance following trauma or accidents;
Refine the nasal contour to achieve facial harmony;
Correct complications from previous surgeries;
Resolve breathing problems associated with the nose.
Dr. Eduardo Lintz is chosen by many patients for his technical skill, artistic eye, and commitment to natural results. He utilizes the most advanced techniques available today, ensuring safety, precision, and patient satisfaction. Let us now explore the two main approaches he performs: open structural rhinoplasty and preservation rhinoplasty.
What Is Open Structural Rhinoplasty?
Open structural rhinoplasty is a technique widely used in more complex cases, where significant corrections to the shape or structure of the nose are needed. As the name suggests, this approach involves an external incision on the columella (the small strip of skin between the nostrils), allowing the surgeon to fully visualize the nasal anatomy during the procedure.
This technique is called “structural” because it focuses on the complete structuring or reconstruction of the internal nasal framework, using grafts and reinforcements to create a long-lasting and functional result. It is especially indicated for patients with:
Very large or wide noses;
Severe deformities or asymmetries;
Need for functional correction, such as a deviated septum;
Revision cases following previous surgeries;
Correction of significant deviations.
How Does the Technique Work?
During open structural rhinoplasty, Dr. Eduardo Lintz performs a meticulous approach, divided into several stages:
External Incision: A small incision is made on the columella, providing direct access to the internal nasal structures. This opening does not leave visible scars, as it is positioned in a discreet area.
Full Exposure: With the nasal skin elevated, all bony and cartilaginous structures are exposed, enabling precise adjustments.
Structural Reconstruction: The surgeon works with the nasal cartilage, reshaping it or adding grafts when necessary. These grafts may be harvested from the septal cartilage itself, the ear, or in more complex cases, from the rib.
Functional Correction: If there are breathing problems, such as a deviated septum or nasal valve collapse, Dr. Eduardo Lintz also makes adjustments to improve function. In selected cases, Dr. Eduardo Lintz works alongside an otolaryngologist for concurrent functional treatment.
Closure and Finishing: After all adjustments, the skin is repositioned and carefully sutured, ensuring a natural and symmetrical result.
Splint or Packing Removal: Typically, an internal splint -- a plastic or silicone device for septal stabilization -- is used, along with nasal packing in some cases (removed within 24 hours) and an external device (removed after 7 days) when bone treatment (osteotomy) is performed, which may be an Aquaplast cast or a Denver splint (a coated metal device).
Benefits of Open Structural Rhinoplasty
Open structural rhinoplasty offers several benefits, especially for more complex cases:
Absolute Precision: Full exposure of the nasal anatomy allows for detailed corrections and millimetric adjustments.
Long-Lasting Results: Structural reconstruction ensures that the nose maintains its shape over time, even after the natural healing process. The use of cartilage grafts promotes nasal stabilization and reduces potential scar tissue effects on the nose, preventing deviations.
Versatility: Ideal for correcting a wide range of issues, from aesthetic to functional concerns, in both primary and revision cases.
Natural Appearance: Despite the complexity, the final result is always harmonious and proportional to the patient's face. Nasal structuring aims for predictability and long-term maintenance of results.
Recovery and Postoperative Care
After open structural rhinoplasty, it is normal to experience edema (swelling), ecchymosis (bruising), commonly referred to as bruises, and mild discomfort during the first few days. Dr. Eduardo Lintz provides detailed instructions to ensure a smooth recovery, including:
Use of nasal splints to protect the new structure;
Avoiding strenuous physical activity for 4 to 6 weeks;
Keeping the head elevated during sleep;
Following recommendations for cleaning and scar care.
Final results begin to appear after 3 months, but the nose continues to adapt and refine for up to 12 months.
What Is Preservation Rhinoplasty?
Preservation rhinoplasty is a modern, minimally invasive approach that has been gaining popularity in recent years. Unlike the open structural technique, it seeks to preserve the original nasal anatomy as much as possible, making adjustments without removing large amounts of tissue or cartilage. This technique is primarily indicated for patients who desire subtle refinements and already have well-defined nasal structures. The preservation of the dorsum in particular, with minimal intervention, leads to fewer scar-related changes.
Preservation rhinoplasty is ideal for:
Patients with slightly wide or bulbous noses;
Those seeking faster results with a less invasive approach;
Cases where nasal function does not require significant correction;
Individuals who prefer a more conservative approach;
Patients with a dorsum that has no major irregularities.
How Does the Technique Work?
Preservation rhinoplasty follows different principles from the open technique, prioritizing the maintenance of the original nasal structure. The steps include:
Internal Access: Incisions are preferably made inside the nose, avoiding visible scars.
Cartilage Preservation: Instead of removing portions of the nasal cartilage, the surgeon makes subtle adjustments, such as rasping or reshaping, to achieve the desired contour.
Dorsal Reduction: One of the hallmarks of this technique is the preservation or careful removal of excess bone or cartilage from the nasal dorsum (upper portion of the nose) without compromising the underlying structure. In this approach, dorsal treatment is achieved by lowering the nasal framework while preserving the “roof” -- meaning the upper portion of the dorsum is not opened. Instead, the base structures are lowered.
Nasal Tip Elevation: To create a more refined nose, Dr. Eduardo Lintz uses suture techniques to shape and elevate the nasal tip while maintaining its functionality.
Finishing: After the adjustments, the skin is naturally repositioned, resulting in a nose with a recovery period that typically involves less swelling.
Benefits of Preservation Rhinoplasty
Preservation rhinoplasty offers unique advantages for patients seeking a gentler approach:
Faster Recovery: Less surgical trauma means less swelling and a quicker return to normal activities.
Natural Results: Preserving the original anatomy ensures a more authentic appearance, avoiding the “operated” look.
Lower Risk of Complications: It reduces the risk of issues such as nasal valve collapse or post-surgical deformities.
Invisible Scars: All incisions are internal, eliminating concerns about visible marks.
Recovery and Postoperative Care
Recovery from preservation rhinoplasty is generally faster and less painful. Dr. Eduardo Lintz recommends:
Avoiding the use of eyeglasses or any pressure on the nose for at least 4 weeks;
Performing nasal cleaning as instructed;
Avoiding direct sun exposure during the first few months.
Results begin to become apparent after 2 to 3 weeks, with final refinements after 6 months to 1 year.
Piezoelectric Surgery in Rhinoplasty: Precision and Safety Redefined
Technological advancements in plastic surgery have introduced revolutionary tools that enhance the precision and safety of procedures. A notable example is the use of the piezo, or piezoelectric device, during rhinoplasty. Dr. Eduardo Lintz incorporates this advanced technology into his surgeries to ensure more precise, less invasive results with a lower risk of complications.
What Is the Piezo and How Does It Work?
The piezo is a device that uses high-frequency ultrasonic vibrations to cut hard tissues, such as bone, without damaging soft tissues like cartilage, skin, or blood vessels. This characteristic makes it an ideal tool for rhinoplasty, where precise manipulation of bony and cartilaginous structures is essential. During the procedure, the piezo emits microvibrations that fragment the bone into small pieces, allowing the surgeon to remove or recontour specific areas with extreme precision.
Piezo Applications in Rhinoplasty
In rhinoplasty, the piezo can be used at several critical stages, especially when the goal is to adjust the nasal dorsum (the upper bony and cartilaginous portion of the nose). Some of the most common applications include:
Nasal Dorsum Reduction: When there is excess bone or cartilage on the nasal dorsum, the piezo allows Dr. Eduardo Lintz to refine the area with millimetric precision, avoiding damage to adjacent structures. This results in a smooth, natural nasal contour without irregularities.
Controlled Osteotomies: Osteotomies are cuts made in the nasal bones to narrow or reposition the dorsum. With the piezo, these cuts are more controlled and less traumatic, reducing the risk of complications such as hematomas or unwanted fractures.
Soft Tissue Preservation: One of the major advantages of the piezo is its ability to preserve soft tissues while working on delicate areas. This minimizes surgical trauma, accelerates recovery, and reduces postoperative discomfort.
Osteoplasty: The ability to treat the nasal bones by reshaping them, sometimes without fracture (osteotomy).
Benefits of Piezo in Rhinoplasty
The use of the piezo offers numerous benefits for both the surgeon and the patient:
Exceptional Precision: The ability to work with extreme accuracy allows for more refined and personalized results, aligned with the patient's expectations.
Reduced Surgical Trauma: By preventing damage to soft tissues and reducing bleeding, the piezo contributes to a faster and less painful recovery.
More Natural Results: The technique minimizes irregularities on the nasal dorsum, providing a final result that is more harmonious and proportional to the face.
Enhanced Safety: The low invasiveness and precise control significantly reduce the risk of complications, such as infections or post-surgical deformities.
Why Choose Piezo with Dr. Eduardo Lintz?
Dr. Eduardo Lintz stays current with the most advanced technologies available in plastic surgery. His expertise in using the piezo demonstrates his commitment to delivering the best possible results for his patients, combining artistic technique with technological innovation. Regardless of the complexity of the rhinoplasty, he uses the piezo to ensure that every detail is executed to perfection, providing a nose that is both functional and aesthetically pleasing.
Comparison: Which Technique Is Best for You?
The choice between open structural rhinoplasty and preservation rhinoplasty depends on several factors, including:
Case Complexity: The open technique is better suited for complex cases, while preservation rhinoplasty is ideal for subtle adjustments. Nasal tips with more significant aesthetic alterations may call for the open approach, with a columellar incision, to allow direct visualization during treatment.
Patient Expectations: If the goal is a subtle refinement, the preservation technique may be sufficient. For more significant changes, the open approach is preferred.
Recovery Time: Preservation rhinoplasty offers a faster recovery, while the open technique may result in more swelling.
Personal Preferences: Some patients prefer the safety and versatility of the open technique, while others value the simplicity and natural feel of the preservation approach.
An important advancement in rhinoplasty is the combination of the structural and preservation approaches -- the hybrid rhinoplasty.
Hybrid Rhinoplasty
In hybrid rhinoplasty, Dr. Eduardo Lintz performs a surgery that combines the advantages of both approaches, preserving the dorsum while structuring the tip.
Suitable for the majority of cases, hybrid rhinoplasty offers a highly precise approach, preserving what is already well-formed while structuring the tip and any structures that require reconstruction.
Dr. Eduardo Lintz conducts a thorough consultation before any procedure, assessing your individual needs and helping you decide which technique is best suited for you.
It is worth emphasizing that regardless of the technique used, achieving natural, non-stigmatized results -- without the “operated look” -- is the guiding principle behind all of Dr. Eduardo Lintz's nasal surgeries.
Are you ready for this new change? Call now and schedule an appointment!
Rhinoplasty is much more than a plastic surgery procedure; it is a journey of self-esteem and confidence. With his expertise in advanced techniques such as open structural rhinoplasty, preservation rhinoplasty, and hybrid rhinoplasty, Dr. Eduardo Lintz transforms noses and lives, delivering natural and long-lasting results. Whatever your needs or desires, he is prepared to guide you every step of the way.
Contact us today to schedule your consultation and discover how rhinoplasty can transform your face -- and your life. With Dr. Eduardo Lintz, you are in safe and talented hands.
