What Is Rhinoplasty—and What Can It Change?
Rhinoplasty, commonly called nose surgery or a nose job, is a surgical procedure that changes the shape, size, or proportions of the nose.
Because the nose sits at the center of the face, even a carefully measured adjustment can influence the appearance of the entire profile. Successful rhinoplasty is not simply about making the nose higher, smaller, or sharper. It is about creating better balance while preserving the features that make you recognizable.
What Can Rhinoplasty Address?
Depending on your anatomy and goals, rhinoplasty may help improve:
- A flat or low nasal bridge
- A wide, rounded, drooping, or bulbous nasal tip
- Wide or uneven nostrils
- A prominent hump along the bridge
- A crooked or asymmetrical nose
- Changes caused by an injury or previous treatment
The procedure may involve reshaping the nasal bone and cartilage, refining the tip, adjusting the nostrils, or adding structural support using an appropriate cartilage graft or implant.
Starting Prices
Rhinoplasty Options and Starting Prices
Your final treatment plan and quotation will be provided after the NDV MED doctors assess your anatomy, previous treatments, and desired result.
Tip Rhinoplasty (Tip Plasty)
Starts at 35,000
Alarplasty
Starts at ₱35,000
Silicone Rhinoplasty
Starts at ₱60,000
ePTFE or Gore-Tex Rhinoplasty
Starts at ₱150,000
Autologous Rib Rhinoplasty
Starts at ₱200,000
Revision Rhinoplasty
Starts at an additional ₱20,000
Starting prices are estimates and may not represent the final treatment cost. Your quotation will depend on the complexity of the procedure, surgical approach, implant or cartilage graft selected, previous nose surgery, threads or fillers, anesthesia, facility charges, and your personalized treatment plan. Revision rhinoplasty carries an additional fee starting at ₱20,000 on top of the applicable procedure price.
Rhinoplasty Materials: What Are the Options?
Not every rhinoplasty requires an implant. The appropriate option depends on how much augmentation or support is needed, your existing nasal structure, skin thickness, previous treatments, and personal preferences.
| Option | Common Uses | Potential Advantages | Important Considerations |
|---|---|---|---|
| No Implant | Bridge reduction, tip refinement, nasal-bone narrowing, nostril adjustment, or repositioning existing cartilage. | No synthetic material and no cartilage-harvesting incision. | May not provide enough material for significant bridge augmentation or major structural support. Standard surgical risks still apply. |
| Septal Cartilage | Tip support, smaller structural grafts, and reinforcement of the nasal framework. | Uses the patient’s own tissue and does not require a separate external donor site. | The available amount may be limited, particularly after previous nasal or septal surgery. |
| Ear Cartilage | Tip grafting, camouflage of small irregularities, and support for softer or naturally curved areas. | Uses the patient’s own tissue and may be useful when septal cartilage is insufficient. | Softer and more curved than rib cartilage, making it less suitable when a large, straight, rigid graft is needed. Harvesting requires an incision around the ear. |
| Silicone Implant | Selected cases requiring increased height or definition of the nasal bridge. | Predictable shape, readily available, no cartilage donor site, and generally easier to remove than tissue-integrating implants. | Possible concerns include infection, movement, deviation, visible edges, skin thinning, exposure, extrusion, and revision surgery. |
| ePTFE or Gore-Tex | Selected nasal-bridge augmentation cases. | Soft and flexible, available in different thicknesses, and allows limited tissue integration that may reduce movement. | Possible concerns include infection, deviation, contour irregularity, and more difficult removal after tissue ingrowth. |
| Autologous Rib Cartilage | Significant bridge augmentation, major tip support, complex reconstruction, and revision rhinoplasty. | Provides a large amount of strong structural material and uses the patient’s own tissue rather than a permanent synthetic implant. | Requires a chest incision and may involve donor-site discomfort, scarring, longer surgery, warping, resorption, or contour irregularity. |
What Does Implant “Rejection” Mean?
“Rejection” is a term patients often use for different implant-related problems. Research does not report one universal rhinoplasty rejection rate.
Studies instead measure specific complications such as infection, implant exposure, extrusion, displacement, deviation, warping, resorption, or the need to remove or replace an implant.
Cartilage taken from your own septum, ear, or rib is not normally rejected through the immune process associated with organ transplantation. However, cartilage can still become infected, shift, warp, partially resorb, or create a contour irregularity.
What Do Published Studies Report?
- A meta-analysis of polymer-based synthetic nasal implants reported pooled rates of 2.75% for overall complications, 1.91% for infection, 0.72% for deviation, 0.70% for irregularity, 0.78% for extrusion, and 6.40% for revision surgery. 3
- A Philippine study of 1,054 Southeast Asian patients receiving ePTFE bridge augmentation reported infection in 0.38%, deviation in 1.04%, and an overall undesirable-outcome rate of 2.28%. 1
- A meta-analysis of 1,648 autologous rib-cartilage rhinoplasty patients reported pooled rates of 3.05% for warping, 1.45% for infection, 1.20% for resorption, 1.53% for contour irregularity, and 2.25% for revision surgery. 2
- A separate meta-analysis found lower overall complication and secondary-surgery rates with autologous cartilage than with silicone implants. Cartilage nevertheless has its own potential graft and donor-site complications. 4
Published rates describe groups of patients and cannot predict an individual result. Risk varies according to patient anatomy, material selection, surgical technique, previous treatments, healing, aftercare, follow-up duration, and how each study defines a complication.
How Does NDV MED Choose the Appropriate Option?
There is no single best implant or cartilage graft for every patient. The NDV MED doctors consider:
- The amount of augmentation required
- Skin thickness and soft-tissue coverage
- The strength of the existing nasal framework
- Whether the tip, bridge, or both require correction
- Available septal or ear cartilage
- Previous surgery, nose threads, or fillers
- Your preference regarding synthetic materials
- Your willingness to accept a cartilage donor site
- The risks, limitations, and cost of each option
Some patients may need no implant. Others may benefit from their own septal, ear, or rib cartilage, a synthetic bridge implant, or a carefully planned combination.
Your doctors will explain why a particular material is being recommended before you decide whether to proceed.
Every Rhinoplasty Should Be Different
There is no single nose shape that suits every face.
At NDV MED, treatment planning begins with your anatomy. Our doctors consider the relationship between your nose, chin, lips, cheeks, forehead, and overall profile before recommending a procedure.
We also listen carefully to what you want—and what you do not want—to change.
The objective is not to give you someone else’s nose. It is to create a result that looks balanced, natural, and appropriate for your features.
Is Rhinoplasty Right for Everyone?
Rhinoplasty may be appropriate if:
- Your facial growth is complete
- You are generally healthy enough for surgery
- You have a specific concern about your nose
- You want a structural or lasting change
- You understand that healing takes time
- You have realistic expectations about the outcome
- You are choosing surgery for yourself
Suitability can only be determined after a personal medical assessment.
In some cases, a non-surgical treatment may be more appropriate. In others, the safest recommendation may be to postpone treatment or not proceed at all.
Begin With an Informed Consultation
You do not need to know which implant or cartilage graft you want before visiting NDV MED.
Simply tell us what concerns you, what treatments you have previously received, and what you hope to improve. Our doctors will assess your anatomy, explain the appropriate options, and help you understand what can realistically be achieved.
Ready to Explore Your Options?
Schedule a Rhinoplasty Consultation at NDV MED ↗
Individual results and recommendations vary. A medical consultation is required to determine suitability.
References
- Expanded polytetrafluoroethylene as dorsal augmentation material in rhinoplasty on Southeast Asian noses: three-year experience. View study
- Complications Associated with Autologous Costal Cartilage Used in Rhinoplasty: An Updated Meta-Analysis. View study
- Prevalence of complications associated with polymer-based alloplastic materials in nasal dorsal augmentation: a systematic review and meta-analysis. View study
- A systematic review and meta-analysis of the efficacy and complication rates of augmentation rhinoplasty with autologous cartilage and silicone prosthesis. View study