Of how many types is the rhinoplasty operation?

  • Closed rhinoplasty: the incisions are hidden on the inside
  • Open rhinoplasty: an incision is made on the columella, the thinner portion that separates the nostrils

WHAT COMPONENTS OF THE NOSE CAN BE MODIFIED BY RHINOPLASTY?

Although the nose shape is the result of heredity, its aspect can be changes by anterior trauma or surgery. Rhinoplasty can modify:

  • Nose dimension, in correlation with the other face structures
  • Nasal root width
  • Nose profile with humps or deviations of the nasal crest
  • The nose profile if it’s too big or bulbous, felt or lifted
  • Big, wide or twisted nostrils
  • Asymmetry or nasal deviation

WHAT CAN RHINOPLASTY DO?

Nose aesthetic surgery is an individualized interventions and you should do it for yourself and not to satisfy other’s whishes or to match an ideal image. A rhinoplasty is a good option for you if:

  • The facial growth process is complete and you have over 18 years
  • You are healthy
  • Non-smoker (preferable)
  • You have specific purposes, but realistic, for improving your aspect

HOW MUCH DOES A RHINOPLASTY COSTS?

The rhinoplasty is one of the most complex and delicate for the doctor if we refer to aesthetic interventions. The price varies, depending on the complexity, between 1500 euros and 2800 euros.

Rhinoplasty: pre operatory preparation. What am I and what am I not allowed before rhinoplasty?

  • With 2 weeks before the operation aspirin and drugs that have in their composition this substance are forbidden
  • Usually the operation must be made outside the menstrual period
  • In case of a cold or infections, the operation must be delayed
  • Avoid sun exposure before the operation
  • Do not follow a drastic diet before the intervention because it can delay the healing
  • Do not eat or drink after midnight before the operation

What analyses are necessary for the rhinoplasty?

The doctor decides what analyses and investigations are necessary before the surgical procedure. There is a necessary blood sample set and an EKG that will be recommended to the patient during the consultation.

How does the rhinoplasty unfolds?

The anesthesia
The anesthetic options include intravenous sedation or general anesthesia. Our surgeons and anesthesiologists will recommend best solution for you.

The intervention
Nose surgery can be realized either through a closed procedure (closed rhinplasty), in which the incisions are hidden on the inside, either through an open technique, in which an incision on the columella is made, the thinner part of tissue separates the nostrils. With the help of these incisions, the soft parts that cover the nose are gently lifted, assuring access for remodeling the nose structure. Nose surgery can reduce or, the contrary, can grow nose structures by using cartilage graft, collected from other parts of the body. Frequently, are used pieces of cartilage from the nasal septum, from the middle part of the nose. In some cases, a piece of ear cartilage and, rarely, costal cartilage, are used. Is the septum is deviated, this will be straighten, and the projections inside the nose are reduced to improve breathing. Once the sustaining nose structure is shaped in the wanted form, the skin and tissue are rearranged and the incisions are closed. Extra incisions can be made at the base of the nostrils to reduce sizes.

Rhinplasty: Post operatory indications

In the first week after rhinoplasty, a splint and internal tubes might be needed to maintain the nose shape. Although the initial edema retreats in few weeks, it takes up to 1 year until the final shape of the nose to be complete. In this interval you can observe graded changes in the nose aspect, as this evolves to a permanent result. In the first post operatory year, the swelling can appear and disappear, being more intense in the morning. A nasal intervention, for the improvement of obstructed respiratory pathways, needs a closer evaluation of the nose structures. The correction of a septum deviation is one of the most frequent causes of respiratory problems, it is made by adjusting the nasal structure in order to obtain a better alignment.

In the first 2-3 weeks avoid nose blowing. Same with wearing eyeglasses in the first 45 days (period in which it is recommended using eye lenses) if the doctor doesn’t decide elsewise. Generally, in 10-12 days you can retake your daily activities, and intense physical activities can be retake only after 2 months.

After operation, in the interior of the nose meshes or internal tubes and external a splint and a bandage can be placed to sustain and protect new structures in the initial phase of healing. You will be offered specific instructions on how to take care of the area of the body where the intervention took place, healing and reducing risk infection recommended medication, specific care of the operated area and post operatory consultations (control).

Although rhinoplasty results are generally permanent, the cartilage care continue modelling and move the tissue, which can, in time, modify the results of the operation.

How are the first days after rhinoplasty?

After the intervention the surgeon will introduce meshes in the nostrils which will block bleeding and adherence of the mucosae to the septum. An alternative is the silicone tubes through which the patient can breathe. These are removed at 48 hours from surgery and then you will establish with the doctor on coming back to consultations. The doctor recommends using ice compresses on the eyes and placing the head in a much more lifted position to diminish the edema. The doctor will prescribe nasal drops, and likewise antibiotics and pain killers.

You must know that generally the rhinoplasty operation doesn’t involve pain. In the first days after the intervention (4-5 days) you will have your face and eyes swollen, and likewise bruises will appear around the eyes. The intensity of these effects varies a lot from patient to patient. The medic will prescribe creams that will help reduce the bruises.

Strictly respecting your doctor’s indications is the rhinoplasty operation key of success. It is important not to traumatize the surgical incisions during recovery. Avoid clothes that are pulled above the head. Your doctor will give you all the necessary indications for the whole recovery period.

FAQ’s

How long does it take until the swelling of the nose submits after the rhinoplasty operation? How long does it take until you completely recover after the rhinoplasty operation?

The results of rhinoplasty are long term. Many months, even one year, can pass until the edema completely retreats – sometimes even more – until obtaining complete results from rhinoplasty operation.

Of how many hospitalization days do you need for the rhinoplasty operation?

The hospitalization period is one night, with second day discharge.

At what age is the rhinoplasty operation indicated?

The doctor recommends this operation after the age of 18 years when the cartilage and tissue growth process ends, and the patient is mature. Plastic and aesthetic surgery are one excellent instrument for curing some problems, but it is extremely important for some rules to be respected, so that the results be the best.

After how much time after rhinoplasty can I practice sports?

You can retake sportive activities that involve a bigger effort after 2-3 weeks after operation. For simple ones, like jogging or running, you can begin them even after one week.

In how much time after rhinoplasty can I expose to sun/ solar?

In one week after operation you can expose to sunlight without any problems, if you use a protecting hat, including UV protection sunscreen lotions. If you insist on going to solar, the doctor will recommend you to cover the scarred area so it won’t colorize differently and look unaesthetic afterwards. This is the sunlight exposure risk of in case of rhinoplasty, unpleasant colorization of the scar.

Rhinplasty: Risks and possible contraindications

The decision of doing this intervention is extremely personal and you will have to calculate if the benefits truly represent what you proposed and if the risks and potential complications are acceptable. Our surgeons will explain you every in detail the associate risks of this intervention. You will be asked to sign forms to express fully understanding of the procedure, risks and potential complications.

  • Small blood vessels breakage from the nose surface
  • Infection
  • Slow injury healing
  • Bleeding (hematoma)
  • Nasal asymmetry
  • In case of longer surgical intervention, cardiac and pulmonary complications, which can appear, might be associated with the increasing of the number of blood clots from the venous system
  • Modifications of the skin level sensorial perceptions (numbness, losing sensibility)
  • Alterations of the upper respiratory pathways that can produce following a rhinoplasty or septoplasty, and that can cause breathing problems
  • Nasal septum deviation (a hole in the nasal septum) can occur, but it is very rare; it might be necessary an extra surgical treatment but, in some cases, this complication cannot be corrected
  • Pain that can become persistent
  • Unaesthetic scar following the rhinoplasty
  • Uneven skin contour
  • Skin depigmentation and swelling
  • Sutures can burst on the skin surface, become visible and produce irritation, needing to be removed
  • The possibility of other correcting interventions