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What is Rhinoplasty?
Rhinoplasty, also known as “nose surgery,” is a cosmetic procedure that changes the shape and size of the nose. It can improve the appearance of the nose or correct breathing problems caused by injuries or the structure of the nose.
The nose is a complex structure, and in order to achieve excellent results, attention is required both to its appearance and to its function. In my practice, I believe that aesthetics and functionality are interconnected. Every rhinoplasty is a unique challenge, where surgical precision is combined with an artistic approach to achieve a natural and harmonious outcome.
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Functional and Reconstructive Rhinoplasty
ALL RHINOPLASTIES MUST BE FUNCTIONAL, meaning that along with improving the appearance of the nose, they also address and prevent breathing difficulties, such as correcting septal deviation, turbinate hypertrophy, or nasal valve insufficiency.
Reconstructive rhinoplasty refers to the restoration of complex congenital, secondary, or post-traumatic nasal deformities. In these cases, open rhinoplasty is usually performed, and sometimes cartilage from the ear or even the ribs may be required.
The incisions to correct deformities are made inside the nose and are not visible.
- Reshaping the nasal tip: Adjusting the size, shape, or angle of the nasal tip.
- Correction of the dorsal hump: Reducing the prominence on the bridge of the nose.
- Reduction of nasal size: if necessary.
- Fractures of the nasal bones: This narrows the nasal base.
- Correction of nostrils: Reducing the width of the nostrils or modifying their shape.
Closed Rhinoplasty
In addition to the internal incisions of closed rhinoplasty, there is a small external incision at the columella, the lower part of the nose, which becomes imperceptible once healed.
The procedures performed on the tip, the hump, and the nasal bones are similar to closed rhinoplasty, but we have better visibility and can accurately adjust the nasal features and correct extensive issues, such as severe septal deformities or particularly wide nasal tips, etc.
Open Rhinoplasty
Types of Rhinoplasty
How the procedure is performed
Before the surgery, you will have a detailed session with your surgeon. During this session, we will:
- Discuss the reasons for the procedure, whether for aesthetic changes, functional improvements, or both.
- Review your expectations to ensure they align with realistic outcomes.
- Explain the expected results, possible risks, and recovery process.
- Assess the structure of your nose, including the condition of the cartilage, skin, and bones.
- Evaluate your overall health to confirm you are a good candidate for surgery.
- Discuss the anesthesia options suitable for your procedure.
Rhinoplasty is usually performed under general anesthesia, ensuring that you are fully asleep during the procedure. In some cases, local anesthesia with sedation may be used for less complex surgeries. The type of anesthesia is tailored to the complexity of the procedure and your individual needs.
Rhinoplasty can be performed in two types: open and closed.
Closed Rhinoplasty:
This technique involves making all incisions inside the nostrils, leaving no visible external scar. It is generally used for simpler modifications of the nasal structure.
Open Rhinoplasty:
In this method, the incisions inside the nostrils are connected through a small incision at the base of the columella (the tissue between the nostrils). While this incision may initially appear as a small red line, it usually fades and becomes nearly invisible within six weeks. The open method is often preferred because it offers greater visibility and precision, allowing the surgeon to more effectively address the nasal bones, cartilage, and other complex structures.
Closed Rhinoplasty:
This technique involves making all incisions inside the nostrils, leaving no visible external scar. It is generally used for simpler modifications of the nasal structure.
Open Rhinoplasty:
In this method, the incisions inside the nostrils are connected through a small incision at the base of the columella (the tissue between the nostrils). While this incision may initially appear as a small red line, it usually fades and becomes nearly invisible within six weeks. The open method is often preferred because it offers greater visibility and precision, allowing the surgeon to more effectively address the nasal bones, cartilage, and other complex structures.
After your rhinoplasty, you will spend some time in the recovery room under the supervision of a nurse before being transferred to your room. Most patients are able to return home the same day, provided they feel well enough to do so.
Recovery After the Procedure
Immediate Post-Operative Period (What to Expect): Bandaging and Stabilization: A plaster or plastic splint is applied to the nose for stabilization and protection. Internal splints or packs may also be placed.
Swelling and Bruising: Visible around the nose and eyes, peaking on days 2–3. This is a natural bodily reaction.
Discomfort: Nasal congestion, mild pain, and difficulty breathing may occur due to the swelling and the presence of the packs.
Care Instructions:
Swelling and Bruising: Visible around the nose and eyes, peaking on days 2–3. This is a natural bodily reaction.
Discomfort: Nasal congestion, mild pain, and difficulty breathing may occur due to the swelling and the presence of the packs.
Care Instructions:
- Use the prescribed ointments and drops regularly.
- Avoid getting the splint wet.
- Sleep on your back with your head elevated to reduce swelling.
- Avoid strenuous physical activity, hot beverages and foods, and exposure to high-temperature environments (like saunas or steam rooms).
The splint and external stitches are usually removed about one week after surgery. At this stage, swelling and bruising begin to subside. The nose may appear swollen and slightly asymmetrical — this is normal. In most cases, initial swelling remains at the bridge, sides, and tip of the nose.
Swelling: Noticeable swelling decreases, but mild swelling may persist, especially at the tip of the nose.
Functionality: Breathing gradually improves, but the internal tissues are still healing.
Restrictions:
Functionality: Breathing gradually improves, but the internal tissues are still healing.
Restrictions:
- Avoid physical activity, bending the head downward, swimming, and heavy work.
- Do not wear glasses (if necessary, use supports or contact lenses).
- Avoid direct sun exposure and apply sunscreen on the nose.
- Swelling: Continues to subside, the shape of the nose becomes more defined, but the tip may remain slightly swollen.
- Scars: If open rhinoplasty was performed, the external scar at the base of the nose becomes less visible.
- Return to activities: Light physical activities may be resumed, but avoid any risk of injury.
- Nasal Shape: The final result is visible after 6–12 months, when the swelling has completely subsided.
- Tissues: Internal structures fully heal and the skin adjusts to the new nasal framework.
- Medical Follow-up: Regular check-ups with the surgeon to assess the condition of the nose and adjust care as needed.
Before and After
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- Phone: 2109342702
- Mobile: 6937267018
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