Rhinoplasty 101

Rhinoplasty 101: What Are The Different Types of Rhinoplasties?

Welcome to our comprehensive exploration of the various types of rhinoplasties, a journey into the intricate world of nose reshaping.
Rhinoplasty, commonly referred to as a nose job, is not a one-size-fits-all procedure. Each individual’s unique facial structure calls for a tailored approach, which is why understanding the different types of rhinoplasties is crucial for anyone considering this transformative surgery.
In this blog post, we dive deep into the nuances of each method, helping you understand the options available and how they align with your aesthetic goals. Whether you’re looking to correct functional issues or enhance your facial harmony, this guide is your first step in navigating the diverse landscape of rhinoplasty options.

Rhinoplasty 101 types of rhinoplasties

What is a Rhinoplasty?

The main goal for a facial plastic surgeon performing a rhinoplasty is for the nose to appear natural and in harmony to the rest of the patient’s face. A rhinoplasty typically straightens a crooked nose or reduces a high profile or Dorsal Hump. It can define a bulbous or rounded nasal tip or narrow the size of nostrils.
Beyond aesthetic needs, a rhinoplasty can restore a broken nose or correct a deviated septum for healthier breathing function. Since humans prefer to breathe through their noses, a rhinoplasty may improve sleep and reduce snoring.
With more than 200,000 rhinoplasties performed annually, it is the MOST COMMON FACIAL PLASTIC SURGERY procedure! With greater technological advancement and changing aesthetic trends, here’s a brief primer to some types of rhinoplasties you may see offered.

Types of Rhinoplasties


The NYTimes recently wrote on the increasing trend of patients choosing to preserve classical ethnic features when undergoing facial procedures such as a rhinoplasty.  Often this means more conservative aesthetic changes to preserve a more natural look.  For example, Black- and Asian noses typically show a very wide and bulbous nasal tip with slight definition and shallow nasal dorsums.

There are three things we look for when we perform a rhinoplasty on an ethnic individual. These are to increase the dorsal height, refine the tip, and reduce the nostril size. But nowadays, patients look to keep the little bumps and seek modifications that reflect the characteristics of their ethnicity in all their glory.


Sometimes a patient might not be happy with an initial rhinoplasty procedure. Maybe there are still asymmetries or irregularities. That’s where revision rhinoplasty comes in. Usually I advise the patient to return to the original surgeon to explain your position before seeking a second opinion or surgery.

A patient should not consider revision surgery until at least 6 months from the initial surgery. Ideally, a patient should wait a full year from surgery, as it takes about a year for swelling to completely resolve.

Revision Rhinoplasty
Patient sought a revision rhinoplasty because was unhappy with original rhinoplasty performed during her senior year of high school.


Ultrasonic rhinoplasty is a new technique that employs a device called a piezotome. A piezotome can cut bone without breaking it, using high-frequency sound waves, to allow sculpting of the nasal bones. This technique allows for a reduction of trauma to surrounding tissue, such as muscle, mucosa and vessels. Because of the precision of the instrument, you can expect a reduction in the amount of bleeding, bruising and swelling. This can hopefully reduce the patient’s amount of healing time.

Whether you’re interested in an ethnic rhinoplasty, a revision rhinoplasty, or an ultrasonic rhinoplasty, you are in great hands with Dr. Diana Ponsky!

As a top Cleveland plastic surgeon specializing solely on the face, Dr. Diana Chuong Ponsky is one of a handful of female plastic surgeons double board-certified in facial plastic AND head and neck surgery. She carries certifications from both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology.

Dr. Ponsky has performed over 1500 rhinoplasties, emphasizing the importance of form as well as function! Her patients come from the northeast Ohio area, as well as from other states.  Click here to view some of the before and after photos of Dr. Diana Ponsky’s rhinoplasty patients and click here to get in touch with the office or schedule a consultation!

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