1. What is the surgery of aesthetic rhinoplasty?

The surgery of rhinoplasty is a surgical intervention for the remodeling of the nose. It is one of the most common aesthetic operations.

Aesthetic Surgery of the nose (rhinoplasty) is a commonly performed operation by plastic surgeons. This surgical procedure can cause changes in the appearance, structure and function of the nose. Rhinoplasty can reduce or increase the size of the nose, change the shape of the tip, narrow or fold the distance between the nostrils or change the angle between the nose (Columela) and the upper lip. This operation can help to correct birth defects, or caused by trauma and can help improve/relieve certain shortness of breath.

  1. Who is a good candidate for aesthetic rhinoplasty?

Many people are concerned about the shape of their nose and turn to rhinoplasty for cosmetic reasons (that is, to improve the appearance of the nose). In this case, the goal of the operation would be to make the nose look straight and make you less concerned about it. So it is very important that you have clarified in your mind what is dissatisfaction with your nose and explain how well you can this to your surgeon. It will then tell you what is surgically possible and what is not. Most of those who are not dissatisfied with their noses have concerns about the bridge or the peak.

  1. The costs of the operation of Aesthetic Rhinoplasty.

The costs of the rhinoplasty operation depend on the operative technique used and concomitant procedures. The cost varies between 2000 EUR-4500 EUR. These costs include the surgeon’s fee, anesthesiologist and hospitalization as well as all the medications and materials necessary for the operation and during hospitalization.

  1. What happens before the operation?

You’ll have a meeting with the surgeon to discuss why you want surgery and what you want exactly. The surgeon will be aware of any diseases you suffer or have suffered in the past. You will also be informed about any medications under which you are, including herbal remedies and medicines that are not prescribed by your doctor. The surgeon will examine your nose, and can do some photographs for your medical records. Will ask you to sign a consent form to retrieve, store, and use your photos.
The surgeon will measure your height and weight to ensure it is safe for you to do this operation. If you are overweight, pregnant or planning to become pregnant, the surgeon may suggest postponing the operation

  1. How can I help the operation to be a success?

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  1. How to make the surgery of aesthetic rhinoplasty?

Rhinoplasty with the aim of changing the shape of the nose is carried out either from the inside of the noes (called closed rhinoplasty) or by making a small cut between noations and lifting the skin (this is called Open rhinoplasty). The precise nature of the operation will depend on the area of the nose that is treated. The scar can be straight, V-shaped or zigzag.

Changing the bridge of the nose

If the operation is carried out on the bridge of the nose, the surgeon removes the bone and cartilage causing the “rooster”. The nose can be broken so that the rest of the pieces of bone can be moved closer to one another to narrow the nose.

Change of Nose tip

If the tip of the nose is operated, the cartilage forming the tip holder must be partially removed or remodeled. This can be done by closed or open rhinoplasty surgery.

Changing the length of the nose

Your surgeon. It will adjust and reduce the septum to help decrease the peak and reduce the total length of the nose. Adjusting the cartilage from the tip of the nose can also reduce the length of the nose.

Changing the width of the nose

Your surgeon can reduce the width of the nose, narrowing it, by breaking the nasal bones and repositioning them closer to the central septum.

Increase of the bridge or peak of the nose

Surgeons can use bone or cartilage or an implant to change the outline of a bridge or a flat nose tip. This is called additional rhinoplasty or augmentation rhinoplasty. The bone or cartilage used can be taken from the nose (nasal or septum bone) or other places such as ribs, hip or ear.

Modification of septum

Where your nose It was flattened by an accident, the septum could be bent, making breathing difficult. It can sometimes be altered at the same time as the surgical intervention explained on the previous page or as a separate operation.

  1. How long does the operation take, hospitalization is required?

Usually the operation is performed in general anesthesia and lasts 2-4 hours depending on complexity. Usually patients remain a night in the hospital but this is not required.

  1. Alternative procedures to the surgery of aesthetic rhinoplasty.

There is no surgical alternative to rhinoplasty. Sometimes it only takes surgery inside the nose to solve problems with the airways in the nose. Non-surgical options, such as filler materials, can be used as temporary treatment for cosmetic purposes.

  1. Risks and side effects associated with the operation

As with all operations, there are risks involving rhinoplasty. Although risks are unlikely, it is important to weigh them in comparison to the potential benefit of surgery. Discuss each of them with the plastic surgeon to make sure you understand the potential complications and consequences.

Specific risks associated with rhinoplasty surgery
  • Damage to the donor site. There are certain situations when a rhinoplasty will be used by cartilage or bone grafts taken from another part of the body. The sampling of these grafts and their use adds risks that are specified by the medical surgeon.
  • Implants. Implants may be used In certain rhinoplasty operations. They may become infected or exposed to the thing that cause their removal. These complications can occur at any time after implantation.
  • Delayed healing. Delayed healing of wounds or fractured bones may occur without there being an identifiable reason before the operation. Skin portions can be necrosis. These things may require frequent dressings or additional secondary surgical procedures. Patients who smoke have a higher risk of cutaneous necrosis and delayed healing.
  • Perforation of the nasal septum. A fistula (hole) of various sizes can occur at the level of the septum. The occurrence of this complication is rare. Additional surgical procedures are necessary to repair the nasal septum, and in certain cases this is not possible.
  • Alteration of the nasal air duct. After a rhinoplasty operation can occur a change in the passage of the air inside the nose that can make breathing more difficult. Most of the time respiration is improved after a rhinoplasty.
  • Complications associated with the abuse of vasomotor substances. Patients who abuse vasoconstrictor inhalers as drugs (cocaine) have a major risk of complications including poor healing and nasal septum perforation.
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  1. What do I expect after the operation?

    The first few days

    On the first day after rhinoplasty, you may feel a sensation of clogging and some pain around your nose may have a slight headache. This discomfort can be controlled by medicines prescribed by your plastic surgeon. You will need to hold your head high on the first day after surgery.

    Patients usually have a slight bleeding, as well as swelling and bruising around their eyes in the early days, which is completely normal. It is somewhat common to have a not quite pleasant appearance in the early days, at first, but after about 3 days, the swelling and bruises will stabilise and begin to fade gradually. Carefully applying cold compressats to these swollen and brusated areas can help you feel more comfortable.

    1 to 2 weeks

    Most bumps and bruises disappear in 2 to 3 weeks. Within weeks of rhinoplasty, you will start to look and feel better. You will most likely return to work as long as your work is not too tiring. After 1 week the external splint will be removed. During this period, there will be removed and the septum that is placed in each noar at the end of the operation and which is maintained for several days up to one week.

    Restrictions during recovery

    You should avoid exercises and activities that can increase your blood pressure. In general, you will want to pay greater attention to the protection of your nose from bathing or makeup. If you wear glasses, you will need to be very careful not to leave them on the bridge of the nose until it heals properly, usually within a month to a month and a half.

  1. Recovery and some tips for a good recovery.
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