Rhinoplasty

 

What is it?

Rhynoplasty 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 this intervention?

The candidates for rhynoplasty are those patients who do not feel comfortable with their nose’s global morphology or with any particular aspect. 

What is the intervention about?

The surgeon will study the nose’s shape and, keeping in mind your current features will evaluate those points that need intervention. Besides assessing about the multiple factors intervening in the surgery and its results, including the shape of the face, skin’s thickness, age and 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

The intervention lasts from two to 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, it can be done in an outpatient basis and, exceptionally, with local anaesthesia and sedation. 

Results

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

The rhynoplasty 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

The patient’s recovery is quite fast, and after the rhynoplasty he/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 rhynoplasty

What can be improved in a nose?

It will depend on each person, but the tip, the back, the nasal septum, if it is 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.

The surgery is the same in men and women?

Not exactly. There are slight differences between female and male rhynoplasty, 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.

This surgery can be done at any age?

It is important not to do it 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 too 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 apart from the nose, like the auricular cartilage, the costal cartilage or skull bone to be able to carry out the reconstruction.

When will the final results be appreciated?

In more or less three weeks you will be able to notice an approximate result, but a nose that has undergone a rhynoplasty can show slight changes during months; half a year is the evolutionary 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 rhynoplasty but, in the majority of cases, it can be done, although before it has to be discussed to assess each case individually. 

 

 

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Surgery Video

Rhinoplasty

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