Properly balanced features in symmetrical harmony are what make the human face attractive. Even minimal deviations that disturb the symmetry of the face, such as the shape and the angle of the nose, or a disproportionate nose, can significantly spoil an otherwise charming face. The nose can change its shape most often as a result of an injury. We always correct post-injury deformities while striving to assess deviations in detail and to propose the most appropriate solution in order to achieve the maximum result.
Who is rhinoplasty intended for?
Surgical treatment of the nose is definitely not just a matter of cosmetic surgery. This surgery contributes to improving a patient's ability to breathe and improves his/her quality of life. While the performing the operation greatly improves the patient's breathing or, if applicable, treats chronic snoring, the aesthetic impact the operation has on the life and psychology of the patient is invaluable. Successful surgery contributes to overall physical and mental well-being. For this reason, this operation is among the three most common types of facial cosmetic surgery, as the nose significantly influences the look of a person.
Surgery can achieve:
- a reduction in, and compensation for, the inequities of the nasal dorsum
- an angular adjustment and nose tip projection
- a correction of the deformities caused by the trauma and attainment of the natural shape of the nose
- harmonisation of the face with the nose.
Before surgery
In the first plans for nasal surgery, the nose should be examined in detail to prevent the eventual deviation of the septum that should be corrected during the procedure. We use two approaches during surgery: open rhinoplasty if we need to adjust the tip of the nose; or secondary rhinoplasty when the nose tissue is already altered by the presence of scars and the procedure is more complicated.
Closed rhinoplasty is suitable for primary and uncomplicated procedures, the bone and cartilage parts are operated on from the internal mucosal part, without a visible scar from the outside.
Professional assessment of the correct approach to various deformations and the specific requirements of the patient are based on the physician's experience. Subsequently, the physician will describe the course of the operation, expected outcome and healing time so that the patient can properly plan the recuperation time.
During surgery
Surgery is performed under general anaesthesia to ensure greater comfort of the client. In the case of a less extensive procedure, it may be performed under local anaesthesia. This surgical procedure takes about an hour or more, depending on its extent.
The surgeon moulds the nose by reducing or enlarging the size, removing protrusions and finally adjusting it to the desired final appearance of the nose tip and dorsum, which forms a significant part of the face’s profile. At the same time, this procedure enables the treatment of a patient's breathing difficulties, if any are present. The operation may be combined with the removal of the defects of the nasal septum. The procedure can be performed by internal access or through the open approach, where a small scar remains on the nose’s columella.
The return to active life after surgery takes about 2 weeks. Smaller bruises and swelling after surgery should disappear within a week. If the bone has been modified, it is necessary to fix the nose for a few days with a splint. The conclusive outcome of the procedure can only be assessed after half a year, when the formation of soft nose tissue is finished.
After surgery / Recovery
Uncomplicated rhinoplasty is an outpatient procedure. After more extensive procedures, hospitalisation is recommended. After the surgery, you will receive a nasal splint which you will be required to wear for about 1 to 2 weeks all day. Your physician will then determine how long you will wear it overnight. The tamponade is removed on the 3rd-4th day. The stitches are removed on the 7th-10th in the case of unabsorbable stitches. The common side effect is temporary swelling and bruising in the area around the nose and eyes, tiny nose bleeds and a feeling of nose obstruction due to post-operative swelling. All these side effects will disappear. It is not recommended to blow your nose for 1 week. The process of healing can be accelerated by a massage that the doctor will show you at a check-up. It is not recommended to play sport for 1 month – especially ball games, do boxing and the like, not to go to the solarium or to sunbathe in the summer for at least 8 weeks after surgery. Returning to work is allowed approximately 14 days after operation. After surgery, daily use of creams with high UV protection levels is recommended.
Possible complications
Possible complications of the nose surgery include infection, asymmetry, unsatisfactory nose shape, and incomplete improvement requiring additional surgery.
