The shape of the nose contributes a great deal to the appearance of the face. A deformed nose gives the face an unpleasant appearance. The nose may be deformed by birth or may be injured in an accident. If the shape of the nose is not symmetrical, this too changes the appearance giving an unpleasant look. The deformity can be corrected by reconstructive surgery.
The nose is a complex structure that is made up of a bony skeletal framework, combined with a unique type of specialized bone-like elastic tissue called cartilage and soft tissues constituting of muscles and skin. To reconstruct the shape of the nose, a graft has to be taken from other parts of the body. But a major concern is that the color of the graft taken should match the color of the nose otherwise it will result in an ugly scarred appearance. To avoid this, a graft taken from the forehead is the best choice. The forehead is very close to the nose and also its color matches that of the nose perfectly.
Orthognathic surgery is basically surgery performed on the bones of the jaws to change their position and size. It involves repositioning all or part of the upper or lower jaw or chin in alignment. Sometimes, bone may be added, taken away or reshaped. When the jaws are moved forwards or backwards, up or down, or rotated, the soft tissue in the chin, cheeks, lips and tip of the nose move accordingly. Therefore, once the jaws are correctly positioned, the architecture of the facial skeleton is changed and a harmony between the facial features is achieved. This results in a facial profile that is pleasing or in fact even more beautiful to look at.