Rhinoplasty

 

What is rhinoplasty?

Rhinoplasty is a surgical technique that allows remodelling the nose’s anatomic features, aiming to correct the primary (the natural ones) or secondary (caused by surgical or traumatic injuries) defects.

In those cases where necessary, it also solves the problems related with nasal ventilation. 

Who is a good candidate to undergo rhinoplasty?

Candidates for rhinoplasty are those patients who do not feel comfortable with their nose’s global morphology or with any particular aspect of it. 

What is rhinoplasty about?

The surgeon will study the nose’s shape and evaluate which parts of the nose require intervention. Other factors the surgeon will bear in mind include the shape of the face, the skin’s thickness, age and the patient’s expectations.  

The intervention is about detaching the nose’s skin from the osteo-cartilaginous shell to be able to access it and give it the desired shape.

Duration, anaesthesia and hospitalization of rhinoplasty

The intervention lasts between two and three hours.

It is done under general anaesthesia and requires a one-night hospital stay. Only in those cases when the procedure is very local, can it be done as an outpatient and, exceptionally, with local anaesthesia and sedation. 

Rhinoplasty results

This is a surgery with a great aesthetic impact, not only for the perception the patient had of his or her nose, but also for the impact that the softer nose features have on the face’s global aspect.

Rhinoplasty scars are imperceptible, both those which are inside and outside the nose. The patient, who will be able to notice the first results after 15 days, will be noticing slight changes throughout the first year. 

Postoperative recommendations for rhinoplasty

The patient’s recovery is quite fast, and after the rhinoplasty he or she will have nose plugs that will be removed after 24 to 48 hours. It is important to keep in mind that depending on the person and the kind of intervention, some bruises might appear, although they will then disappear in a few days.

Frequently asked questions about rhinoplasty

What can be improved in a nose?

It will depend on each person, but if the tip, the back, or the nasal septum are too big, if there are breathing problems… or everything at the same time can be improved. But the objective should not only be the nose, but the harmony of everything around it.

Is the rhinoplasty surgery the same in men and women?

Not exactly. There are slight differences between female and male rhinoplasty, both in the intervention itself and in the desired features. For a woman, a more juvenile nose, with a slightly lifted tip, that softens and rejuvenates the patient’s features; in a man, we work to achieve a nose with more identity that represents the patient’s masculinity, with a straighter tip.

Rhinoplasty can be done at any age?

It is important not to have a rhinoplasty before the face has fully developed, i.e., not before 18.

Can we intervene an excessively small nose?

Yes. There are addictions and deforming diseases that force reconstruction. There are also cases of people from other ethnic groups with flat noses that long for a more occidental look. In these cases, we will need tissue contributions that will have to come from areas far from the nose, like the auricular cartilage, the costal cartilage or skull bone to be able to carry out the reconstruction.

When will the rhinoplasty final results be appreciated?

In about three weeks you will be able to notice an approximate result, but a nose that has undergone a rhinoplasty can show slight changes during the months following the procedure. Half a year is the period needed to fully appreciate the final changes.

Can we attune a nose with almost no cartilage, as it is the case of Afro-Americans?

It is a more complicated surgery than a usual rhinoplasty but, in most cases, it can be done; although each case has to be discussed and treated individually.

 

 

 

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