Semi-fancy rhinoplasty and everything you need to know
Semi-fantasy rhinoplasty is one of the most popular styles of nose surgery. In this aesthetic procedure, the structure and appearance of the nose are modified in a way that enhances facial harmony along with beauty. Surgeons consider this nose shape as a balance between natural and fantasy forms, since it features a narrower nasal bridge with a milder curve. This type of rhinoplasty is among the most delicate and complex cosmetic surgeries, as it requires alterations to the bone, cartilage, and various soft tissues of the nose. Even the slightest error can result in breathing problems, nasal septum deviation, or a shortened nose.
Considering these important points, it’s essential to have complete information about this cosmetic surgery and to choose your surgeon carefully. To learn more about the procedure and the skills your surgeon should have, continue reading this article with Dr. Benyamin Rahmati.
What is semi-fantasy rhinoplasty?
The nose is an important part of the human respiratory system and consists of two main parts: the outer and inner structures. The outer part has a pyramid-like shape and rests on the facial bones. It is supported by two symmetrical nasal bones at the top (the nasal bridge) and a pair of cartilages at the tip. The inner structure is more complex, made up of specialized cell layers and includes airways and nasal valves. It is responsible for filtering, warming, and humidifying the air before it reaches the lungs. In addition to its role in breathing, the nose also has a significant impact on a person’s beauty and self-confidence. Sometimes, factors like genetics or physical trauma can alter both the internal and external structure of the nose, changing its appearance and causing dissatisfaction. In some cases, nasal function is also affected, leading to issues such as breathing difficulties, sinus infections, and headaches.
In such situations, individuals often decide to undergo nose surgery or rhinoplasty; In rhinoplasty, you can choose your desired nose shape. The most well-known styles include natural, fantasy, and semi-fantasy types.
The semi-fantasy nose, also known as the “French nose,” is among the most popular styles. In this procedure, the bony and cartilaginous structures of the nose are reshaped to remove the dorsal hump and create a refined curvature. In many cases, the nostrils also need to be reduced in size, which involves removing parts of the alar cartilage. Along with improving appearance, this surgery also addresses functional issues such as nasal septum deviation, asymmetry, and breathing difficulties.
The nasal curve in a semi-fantasy nose is subtler and more natural compared to a full fantasy nose. The angle between the upper lip and the nose in this style ranges from 95 to 110 degrees, indicating that the upward tilt is less than that of a fantasy nose.
Depending on the necessary changes to achieve the semi-fantasy look, the surgery can be performed using either the open or closed technique. It’s important to note that the choice of technique does not affect the result — the success of the procedure relies primarily on the surgeon’s skill.
In most cases, special implants are used during this cosmetic surgery to support the nasal tip and maintain the desired curvature. These implants are custom-designed based on your preferred shape and are placed beneath the skin during the operation.
Who Can Undergo Semi-Fantasy Nose Surgery?
Generally, the structure of the nose continues to change until the age of 18. After this age, genetics no longer affect the appearance of the nose, and only physical trauma can alter it. Therefore, anyone over 18 can opt for semi-fantasy rhinoplasty to achieve their desired look. However, some individuals with certain medical conditions may not be suitable candidates for surgery, and rhinoplasty could be risky for them. These conditions include:
How Is Semi-Fantasy Rhinoplasty Performed?
To undergo semi-fantasy nose surgery, you typically need to go through the following steps:
Physical Examination and Pre-Surgery Preparations
At first, the surgeon examines the external structure of your nose and asks you to describe your expectations regarding the outcome of your rhinoplasty. Then, using a special device called a speculum, the internal parts of the nose are assessed to identify any structural or functional issues. After the full examination, you will be required to take a facial X-ray. The surgeon may also recommend a 3D facial scan or, in some cases, a CT scan. A complete blood test and evaluation of respiratory issues are also necessary. In the follow-up appointment, you will present the test results and scans to your surgeon. During this session, you must inform the doctor about any medications or supplements you are taking. Based on this information, the surgery method and necessary changes are planned, and the surgery date will be scheduled.
Semi-Fantasy Rhinoplasty in the Operating Room
To begin the surgery, either local anesthesia or general anesthesia must be administered. The choice of anesthesia and the drugs used depend on the duration of the semi-fantasy rhinoplasty, the surgeon’s preference, and yours. If major changes are required and the surgery is expected to be long, general anesthesia is typically preferred. After administering anesthesia, the nose is disinfected to prepare for incisions. Based on the surgical plan, incisions are made along the nostril rims and the inner parts of the nasal openings. If the surgeon determines that the open technique is more appropriate, an incision is also made on the columella to lift the nasal skin entirely. After the incisions are complete, the surgeon proceeds with structural and cosmetic corrections. The common adjustments in semi-fantasy rhinoplasty include:
After completing the incisions, the surgeon proceeds with the structural and aesthetic corrections. Once the implant is placed, the incisions are sutured, and a nasal cast is applied. At this stage, you will be transferred to the recovery room until the effects of anesthesia wear off. Once fully awake, you will be moved to your hospital room. In most semi-fantasy rhinoplasty cases, patients stay one night in the hospital and are discharged the next day.
The typical corrections made during semi-fantasy rhinoplasty include:
Removing the Nasal Hump
One of the most critical parts to be altered in semi-fantasy rhinoplasty is the nasal bridge and dorsal hump. The surgeon uses special rasps to smooth the bone and create the ideal curvature.
Shortening the Nasal Bridge
In this procedure, the nasal bridge—formed by two bones—is shortened. The surgeon carefully fractures the bones in a controlled manner and repositions them based on the 3D model to achieve a narrower nose.
Reducing the Nostrils
In semi-fantasy rhinoplasty, the nostrils are typically reduced. This is done by removing excess alar cartilage and suturing the remaining tissue to the nasal base.
Reshaping the Tip Cartilage
In the semi-fantasy style, the tip of the nose should appear delicate and small. In bony noses, this is achieved by trimming and reshaping the nasal cartilages. In cases of fleshy noses, excess fat along with cartilage is removed to refine the tip.
Adjusting the Angle and Shape of the Nasal Tip Cartilage
After removing the excess cartilage and fat from the nasal tip, the surgeon sutures the cartilage together to create the desired angle and form, shaping it into a semi-fantasy model.
Correcting Functional Issues
If your nose has problems like septal deviation or narrowed nasal valves, the surgeon will also correct these issues during the rhinoplasty procedure.
Implant Placement for Support
After completing the corrections, the surgeon places a custom-designed implant beneath the nasal skin to support and preserve the newly created structure.
Post-Operative Care After Semi-Fantasy Rhinoplasty
Post-rhinoplasty care is one of the most critical steps to ensure the best possible outcome. Surgeons usually recommend the following precautions to minimize side effects and prevent unwanted complications:
(Final results of semi-fantasy rhinoplasty may take up to 10 months to fully appear, so you’ll need to be patient. During this time, your surgeon may recommend steroid or filler injections to the nose, which you should follow as advised.)
- Avoid showering for the first week after surgery.
- Visit your surgeon’s clinic after one week for suture removal and dressing change.
- Do not engage in exercise or strenuous physical activities until your surgeon gives you permission.
- Avoid lifting heavy objects.
- For one month, keep your head elevated above heart level while sleeping.
- Take all prescribed medications, especially antibiotics, as directed.
- If you have been prescribed heparin injections, use them exactly as instructed.
- In case of shortness of breath or any concerning symptoms, consult your surgeon immediately.
- Bruising and swelling are normal for several months after surgery, so don’t be alarmed.
Are There Serious Risks with This Type of Surgery?
Like any surgery, semi-fantasy rhinoplasty—despite its many benefits—may also carry potential side effects. Rhinoplasty is a highly popular procedure, but as mentioned earlier, it is quite complex and delicate. Achieving the desired result largely depends on the surgeon’s experience and expertise.
If your surgeon lacks sufficient skill, not only might you be dissatisfied with the outcome, but you could also experience complications.
Some of the most common complications associated with semi-fantasy rhinoplasty include:
(All of these side effects are rare and can be avoided by choosing a qualified and experienced surgical team.)
Like other types of rhinoplasty, semi-fantasy nose surgery is a complex procedure that requires in-depth knowledge of facial anatomy. That’s why ENT (ear, nose, and throat) specialists are considered highly qualified for this type of surgery.
Dr. Benyamin Rahmati, with his expertise and experience in cosmetic nasal surgeries, can help guide you toward a successful rhinoplasty.
To book a consultation, call 08634021631 or 09123340587.
