Face plastic surgery

Nose Reshaping Surgery

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The nose reshaping surgery or rhinoplasty is most often recommended to patients whose nose size or shape does not fit the rest of their face. When you have a crooked nose or a nasal hump, a nasal bone needs to be aligned but when your nose is too wide, protruding or has an asymmetric tip then the nasal cartilage needs correction (no need to correct the nasal bone). Patients quite often complain about breathing difficulties caused by a nasal obstruction. In this case, a deviated nasal septum must be repaired to improve patient overall comfort. However, in most cases a total rhinoplasty, including a combination of all above procedures, is performed.

The following results may be achieved with a nose reshaping surgery:

  • Shorter, smaller and straightened nose
  • Nasal hump removed
  • Nasal tip corrected
  • Nostril reduced
  • Deviated septum repaired

The procedure is usually performed under a general anaesthesia, especially in case of the total rhinoplasty when one day stay at the clinic is required. During the surgery, the nasal skin is separated from the bone and cartilage structure and the nose is formed to the desired shape. Finally, the skin is placed back on the restructured cartilage and bone framework. Depending on individual needs, incisions are made only inside the nose or small incisions are also added at the base of the columella.

Facial swelling and bruising are visible for a few days after the procedure. You may also feel discomfort caused by pain in the nose area or headache. Once the cast is removed (8 – 10 days after the surgery) bruising should disappear. Your nose may be still slightly swollen but swelling is hardly noticeable. The complete healing process takes up to 12 months and only then the final results are evaluated. The thicker the skin the longer the healing period. A follow-up visit is scheduled six months after the nose shaping surgery to assess the healing process and in most cases, this this the final visit.

Useful information

Procedure duration ca. 90 - 120 minutes
Required lab tests blood group, complete blood count, ESR, clotting screen (APTT and INR), creatinine, glucose level, electrolytes (Na, K), urine test, hepatitis B vaccine, ECG
Type of anaesthesia general
Length of stay one day
Convalescence up to 10 days
Setons removal on day 1 when septum is not repaired; on day 2 when septum is repaired
Suture removal first sutures removed on day 5-6
Cast removal on day 10
Contraindications bleeding diathesis, coagulation disorders, unregulated high blood pressure, unregulated diabetes, purulent infection of the skin and mucous membranes, pregnancy

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