Rhinoplasty - aesthetic and functional surgery of the nose
WHAT IS RHINOPLASTY?
Rhinoplasty – aesthetic and functional nose surgery, in other words means shaping the nose. If surgical correction of the nasal septum (septum) is also needed, we are talking about septorinoplasty .
Probably the most common consultation in head and neck plastic surgery is certainly the one about the possibilities of improving the function and appearance of the nose. The reasons can be different: poor appearance of the nose since childhood, changes caused by aging or the result of an old injury. It is undeniable that the nose has the greatest impact on the appearance of the face, and even small changes in its appearance can contribute to significant improvement, and thus the overall aesthetic harmony of individual parts of the face. The main goals of the operation are to improve the aesthetic appearance so that the nose is in a better relationship with the rest of the face.
Images of our patients before and after rhinoplasty faithfully illustrate this concept.
AESTHETIC AND FUNCTIONAL NOSE SURGERY - CONSULTATION
Whether the reason for the operation is functional (breathing difficulties) or aesthetic, choosing a qualified operator is the most important step in making a decision. The head and neck plastic surgeon is trained to perform nose, ear and throat surgeries and head and neck plastic surgery, which guarantees safe operation. Duty and professional standards oblige the operator to answer all your questions. In this way, you get complete information about the possibilities and limitations of rhinoplasty, as well as the mandatory safety for the patient , which must be taken into account when making a decision for or against surgery.
Important topics of consultation are skin type and age of the patient. The thickness and type of skin can affect the success and final appearance of the nose after surgery. Before surgery can be performed, the patient needs to reach the end of full body growth, which is normal 15. or 16th year of life. The exceptions are very severe deformities with difficulty breathing, when surgery can be performed at an earlier age.
Photographing and planning the surgical procedure are an integral part of the preoperative preparation. It will be explained to you how the cartilaginous and bony structures of the nose can be shaped to give the nose a new shape and how, for example, reshaping the chin can further improve the desired results when making
SURGICAL TECHNIQUES OF RHINOPLASTY
Rhinoplasty – aesthetic and functional surgery of the nose, begins with incisions (incisions) to access the cartilaginous and bony structures of the nose. Most incisions are made inside the nose, ie. they are invisible from the outside. In other cases, the incision is made in the area of the columella (skin between two nostrils). In the next step, the cartilage and bone are removed, added or reshaped to give the nose a new look. For example, if the tip of the nose is too large, the operator can reduce its size in this way. The angle that the nose makes with the upper lip can also be changed to make it more acceptable and meet aesthetic criteria.
At the end of the operation, the incisions are closed with surgical sutures, and immobilization (plasters and a plastic splint) is placed on the outside of the nose. The nose is usually tamponade from the inside on both sides to maintain the stability of the nasal septum (septum) and keep the shape achieved at the end of the operation. There is a possibility of placing a soft tamponade that allows breathing through the nose immediately after the operation.
Risk factors for rhinoplasty are generally small, but all of them will be discussed in consultation.
AFTER THE OPERATION
Minor swellings and hematomas around the eyes and surrounding facial tissue may appear in the first few days after rhinoplasty. In this case, cold compresses help reduce swelling and the feeling of pressure. In case of pain, analgesics are given. If the nose is tamponade, the tamponade is removed 3. – 5. the day after surgery, and sometimes earlier.
After detamponade, severe nasal swelling should be avoided for the next week. Immobilization serves as protection against trauma, ie. to keep the structure of the nose stable for 5 – 7 days. It is very important to follow the instructions of the operator, and especially to keep your head raised while lying down and sleeping for a short time after surgery. Increased physical activity should be avoided for several weeks after surgery.
Excessive sun exposure, strenuous exertion and the risk of injury should also be avoided. If you wear glasses, be careful not to press on the skin of the nose in the sensitive operated area. It is necessary to adhere to the recommended controls for the purpose of monitoring healing. Any unusual changes should be reported to the operator.
Finally, we bring another example of the results of nasal surgery – rhinoplasty, where long-term stability and projection of the nose and proper breathing function were maintained.