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Cosmetic Surgery


Rhinoplasty – Nose Surgery


Rhinoplasty is a surgical procedure which is usually performed by either an otolaryngologist (head and neck surgeon), maxillofacial surgeon, or plastic surgeon in order to improve the function (reconstructive surgery) or the appearance (cosmetic surgery) of a human nose.

Rhinoplasty is also commonly called "nose reshaping". Rhinoplasty can be performed to meet aesthetic goals or for reconstructive purposes to correct trauma, birth defects or breathing problems. Rhinoplasty can be combined with other surgical procedures such as chin augmentation to enhance the aesthetic results.

Nose forms the centre of the face and can make either a good or a bad statement. The surgery of the nose involves changes to all or some parts in the nose and reshaping. People who are unhappy with the shape of the nose and also have a difficulty in breathing can be improved simultaneously. Septum can be corrected at the same time resulting in being able to breathe better. This is the cosmetic surgical procedure most frequently performed all over the world. A good treatment plan and the understanding of your requirements is very important for a successful treatment outcome. The results achieved are permanent and very pleasing.

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Before Rhinoplasty

During the first consultation, your surgeon will explain the operational procedure in detail, assess your case, discuss with you the possibilities of surgery and choose the most appropriate one for you. This part of preparations is very important. You and your surgeon should try to be open and both agree on final result. Many clinics work with software modeling or with photography. Nose surgery presents change in total facial expression and you should be ready for this change. Surgeon has to take into account your individual facial proportions. They form total profile and therefore larger impacts into shape of the nose are followed by change of lower jaw and chin.


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During facial analysis following proportions are assessed : -

  • Fronto-nasal angle (change from forehead to the bridge of nose): If the angle equals zero, patient has so-called Greek profile.
  • Nasal bridge: We assess its continuity and symmetry. Male nose has straight nasal bridge, slightly upturned. Female nose is curved to the opposite side.
  • Nasal root breadth: Ideal width is about 2-4 mm less than width of nasal wings.
  • Nasal tip evaluation: Basic figure is symmetry of the nostrils, their size and type of skin. Another assessed parameter is size of the tip according to the root. Also the continuity from the bridge to tip is evaluated.
  • Nasal-labial angle (change from nose to the upper lip): This angle varies depending on the female or male nose. It ranges from 90-100° for male noses and 100-110° for female noses.
  • Nasal axes
  • Skin quality
  • Function of nose: Breathing, smell, sound resonance. Nose serves also as an acoustic breaker.

Risks and Benefits of Nose Surgery

Rhinoplasty carries the same risks as any other surgery. Bleeding, infection, and reactions to medications or anesthesia are possible side effects of rhinoplasty surgery. In addition, there are several risks that are unique to plastic surgery of the nose. These include burst blood vessels that can lead to red spots and small scars on the underside of the nose. You might also require a revisionary second procedure at some point in the future to remove or correct tissue. Explore this site to learn more about the risks and benefits of rhinoplasty surgery.


Recovery

The recovery takes a couple of weeks. Swelling of the nose may stay a few weeks longer. Most people resume their daily activities in a couple of days and resume office work in a week. There are small paper tapes over the nose to keep the changes in shape. Splint may be used if bony changes are made. There is always some stuffiness of the nose when work has been done on the nasal septum. Pain is minimal and is controlled with medications. Bruising occurs around the eyes if bones are rearranged but will fade within a few days. Discolouration usually disappears in 2 weeks.

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