What is Rhinoplasty?
Rhinoplasty is the most popular type of aesthetic surgery. It corrects nose imperfections and noticeably improves the general look of the face, smile, the balance between nose and upper lip, as well as the profile of the face.
- the plastic surgeon
- the ENT specialist
- the maxillofacial surgeon
Each of these specialisations contribute their diagnostic, planning, technical and surgical skills.
Plastic surgery contributes the surgical techniques of rhinoplasty, in particular the ability to change the size and shape of the nose so as to harmonise it to the other aesthetic units of the face (chin, cheekbones and paranasal area).
The maxillofacial surgeon contributes the ability to evaluate the nose in accordance with the position of the jaw and of the occlusion of the teeth, as well as the surgical skills necessary to correct complex jaw-nose dismorphisms.
The ENT specialist contributes the know-how necessary to diagnose and surgically correct nasal-breathing obstructions (such as deviations of the nasal septum, nose-valve deficiencies, sinusitis, polyps, nasal hypertrophies).
The collaboration of these three specialities have brought about the complex techniques of nose reconstruction surgery necessary to repair the damage caused by traumas and skin tumours of the nose pyramid.
Thinking about the final result
The first visit is of the utmost importance in order to evaluate the shape of the nose, to assess the patient’s requests, to verify if their expectations are realistic and to study how to best modify the nose according to the shape of the face.
Sometimes the patient isn’t sure of what he or she doesn’t like about their nose:
- it is therefore necessary for the surgeon to suggest the viable corrections and modifications necessary for a successful rhinoplasty. Correcting a small chin in order to improve the patient’s profile (profiloplasty) is a good example of this.
- Collaboration between doctor and patient is possible during the first visit, by reproducing and demonstrating the necessary rhinoplastic modifications to the nose in an interactive way.
Rhinoplasty surgery imagine
This moment is of great importance to the surgeon, who is therefore able to understand the patient’s wishes.
It is furthermore helpful for the patient, who is able to understand which possibilities are available.
The candidate for rhinoplasty can interact with the surgeon: the photographic elaboration program uses an extremely simple software, which can be used by anyone.
In this manner, the surgeon can see and understand the patient’s wishes.
Rhinoplasty: the surgical operation
- Hospitalisation: day hospital
- Anaesthetic: local
- Access incisions: Inside the nose, not visible. In some cases open rhinoplasty may be applied: in these cases the access incision is applied to the skin between the two nostrils (columella nasi) and the resulting scar disappears after a few weeks.
- Post-operation pain: despite common belief, rhinoplasty (like all nose surgery) is NOT a painful operation. Almost all patients that undergo such operation have no need for pain-killers afterwards.
- Duration of surgery: from 1 to 3 hours
- Tampons: are NOT used. Although the operation is applied to the breathing parts of the nose (septoplasty, turbinoplasty…) I personally use techniques that don’t require the use of tampons.
- Following days: edema (swollenness) and bruises appear around the eyes during the following days. These effects disappear after 7-10 days.
Recovery after rhinoplasty surgery
A rigid application is applied to the bridge of the nose for 7 days. Patients can resume work activities after 7 days and can resume sport activities after 20 days. Sun exposure is possible only after the disappearance of swollenness and bruises.
Surgical operations that combine with rhinoplasty: Often, during a first visit, complimentary imperfections are found that can also be improved upon. Such is the case of recessive chins, small cheek-bones and poorly visible paranasal areas. All of these can be solved by using increase-surgery (PROFILOPLASTY) so as to improve upon both the final result of the rhinoplasty as well as the all-around harmony of the face.