These operations aim to eliminate congenital or trauma-based nasal deformities and to ensure the harmony of the nose and face … ‘A beautiful face is a silent recommendation’, F.Bacon… The face is a kind of a person’s business card, and the nose is the central and the most exterior part of the face. A nose shape can significantly change a person’s facial expression. For example, a hooked nose will always age, a slightly snub nose will rejuvenate and exhilarate, and a post-traumatic nose will bring in the aggressive tone…
Consultation before the surgery
A general analysis of the patient’s nose and face is performed during consultation, involving an assessment of profile and tip deflection, examination of possible curvature of the nose axis, assessment of the nose width, and evaluation of the lips-nose and the nasal-frontal angles.
For the optimum surgery result the patient’s and the surgeon’s uniform understanding of the expected post-operative outcome is essential. The consultation includes digital photography and computer simulation of the expected surgery results, assessment of the respiratory history, and examination of the nasal passages.
Closed and open rhinoplasty is possible.
A surgery performed through incisions inside the nasal mucosa (Fig. 1) is referred to as a closed rhinoplasty. In the event of an open rhinoplasty, an additional incision in the nasal septum is made.
During the surgery, corrections are made to the cartilage tip of the nose or the bone-cartilage nose deformity, and, if necessary, the nasal axis curvature.
At the end of the operation, incisions are sutured and special splints and patches are applied, which maintain the desired shape of the nose until the bone heals back.
Like any intervention, correction of the nose may have undesirable effects, such as reaction to anaesthesia, eye irritation, postoperative pain or wound infection. You can discuss possible complications or other adverse reactions with the plastic surgeon during the consultation.
Healing usually lasts for several weeks, but the splint is removed after a week. After a week, the surgical sutures of the nasal septum are also removed. Bruising persists for about 2 weeks and swelling remains for a little longer. Nasal trauma should be avoided for 3 to 4 months, but physical activity is allowed 2 to 3 weeks after the surgery. The final aesthetic result is visible only after full healing (1 to 1.5 years), but changes in the nasal shape are visible almost immediately after surgery.
Rhinoplasty produces a long-term effect.