New trends in rhinoplasty

Rhinoplasty is one of the most interesting and complex aesthetic surgeries. It's main aesthetic and artistic goal is to enhance beauty by creating a harmonious natural looking face. There isn't one and only standard rhinoplasty procedure, but as many rhinoplasties as there are individual patients. Everyone seeks for more wellbeing and self-confidence in the quest of beauty. Along with facial aesthetic, rhinoplasty aims to improve the nasal breathing function, another important factor for patients. Rhinoplasties have evolved in much the same way as other plastic surgeries: more radical; more preserving of the function; and more simple both in concept and in procedure. Rhinoplasty procedures are simplified with the objective of reducing surgical trauma and optimising down time. It remains a surgical act, but newer fields of aesthetic medicine modify its philosophic and technical approach. Furthermore, approaches which propose an external approach and large dissection are now becoming less common. The developpement of aesthetic medicine is also one of the most recent and important "evolution corner" in the indication strategy. We can now modifiy and "sculpt" the nose by using fillers, with or without the use of botulinum toxin. In this article, the author describes his personal surgical strategies and the position of non-surgical solutions in the modification of the nose appearance.