Rhinoplasty

Rhinoplasty is a type of surgery for ose shape changing, by which nose size, shape and structure can be changed. This type of cosmetic nose surgery is occasionally combined with septoplasty – a surgical correction of deviated septum (deviation). It is a condition in which the wall dividing nasal passages is bent. Septoplasty is designed to improve breathing, while rhinoplasty is usually made for aesthetic reasons. The procedures can be performed simultaneously – with a single surgery and recovery period. Under specific circumstances, cosmetic rhinoplasty also includes alarplasty, which narrows nostrils (alae) and decreases nostril dilatation.

What can rhinoplasty achieve?

This type of nose plastic surgery procedure can be fully personalized for the patient's anatomy and aesthetic goals. No matter what your personal causes to choose a nose surgery are, it can create the best nose shape for your face by:

Decreasing a protruding swelling or hump

Narrowing the nose tip to rationalize a bulbous nose

Elevating a drooping tip or lowering an upturned tip

Straightening a curved bridge

Fixing asymmetry

Balancing the face pattern with a shorter or smaller nose

How should you prepare for rhinoplasty?

Several actions before surgery can help reduce any swelling and bruises, helping you to recover sooner:

  • You should consult our team on any drug interactions which can occur with the drugs which you already take. You should stop the intake of aspirin or drugs containing aspirin, nonsteroidal anti-inflammatory drugs or any herbal supplements since they all increase the risk of bleeding. It is possible for you to get a prescription for analgesics and antibiotics after surgery;
  • Provision of some consumables for recovery in advance is recommended to achieve a better treatment and comfort. Such as the following: Antibiotic cream, nasal spray, cotton swabs, ice packs;
  • You should undergo the required blood tests and consultations with a cardiologist and an anaesthesiologist. If you have an existing fracture in the nose area, an X-ray examination is desirable;
  • Do not take anything orally (food and water) on the day of surgery;
  • For women – consider the date of surgery in relation to your menstrual cycle.

Does rhinoplasty require general anaesthesia?

The type of anaesthesia for rhinoplasty which you will receive will depend on the complexity of your procedure, your personal preferences and your surgeon's preferences.
It can be performed:

  • with local anaesthesia and conscious sedation.
  • with general anaesthesia, which puts you in a condition similar to sleep.

Duration of the intervention?

Usually, the duration of the intervention is about 1-2 hours, depending on a number of circumstances which you must discuss with your plastic surgeon.

What does the surgery itself entail?

The procedure starts with the application of certain anaesthesia so that you feel comfortable during the surgery. Before making any incisions, the surgeon often draws directions on the nose with a pen showing the areas which will be modified.

There are two main approaches to nose surgery: open and closed.

With a closed approach of rhinoplasty, two small incisions are made in both nostrils, hence no visible scar remains.
With open rhinoplasty, small incisions are made on the columella (the tissue at the bottom of the nose, between the nostrils) and on both nostrils. This enables a full access to the main nose framework.

Once the nose is remodelled, the surgeon closes the incisions with absorbable sutures. Your nose will be anchored with a gypsum longetta or splint which you will wear for the first week of recovery. It will later be removed during your next visit.

How long is the recovery period?

Recovery after rhinoplasty takes about two weeks. Expect swelling, bruises and sensation of an obstructed nose, but not necessarily pain. The splint is removed after one week.

Our team will give you advice for quickerrecovery. Such as the following: avoid wearing glasses in the first month, if needed, sneeze with open mouth, avoid sports in which you may be injured in the face area for at least three months.

Swelling after rhinoplasty may affect the appearance of your nose for months. The extent of swelling depends on your body and the surgeon's technique. After about three months, the majority of oedema will resolve and you will have a clear idea of the final result. Six months after surgery, about 90% of oedema will disappear, and the rest will be in the tip.

Frequently Asked Questions

Potential complications occur in less than 10% of all cases and can be associated with the healing of the bone and cartilage structures, the adaptation of skin and soft tissues to the new nose skeleton, or the formation of fibrotic tissue in the tip. Several options to solve these problems are available:

  • surgical correction 1 year after the initial manipulation;
  • dDermatological procedures in the problem area;
  • corticosteroid injections applied in solid tissues.
In case of a satisfactory result, a second rhinoplasty is not required. In rare cases, a retouch may be required to improve the final result. In some patients, a complete reconstruction after the first surgery is required due to impairment of nose anatomy and correspondingly a need of rebuilding. For this reason, it is important for the patient to select their physician carefully, while the latter, on their hand, must provide information on expectations and possible complications.
Oedema subsides at a different rate in different patients due to individual differences in skin types, hormonal balance and general health state. The proper and regular washing of the skin three times daily is crucial for avoiding the risk of microinfections. For patients with oily skin or hormonal problems, visiting an endocrinologist and a dermatologist after surgery is recommended. At the Derma-Act clinics, a team of experienced dermatologists will prescribe an appropriate protocol for facilitating lymphatic drainage of the face, which will contribute to a faster recovery period.

Before and After