Primary rhinoplasty

Rhinoplasty is a surgical procedure performed in order to improve the unsatisfactory appearance or size of a human nose – hooked nose shape, double tip of the nose, wide nose shape and other inborn or gained deformities.

Rhinoplasty can also be performed to heal breathing problems and improve the unsatisfactory results of the previous rhinoplasty (Revision/secondary rhinoplasty).

Operation

Operation is performed under a general anesthetic. The operation lasts for 1,5-5 hour. The incision is made only across the columella (the pole of skin separating the nostrils).

The post-operation scar is unseen. The interference is made on soft tissues of the nose, cartilage and bone. As a result we have beautiful nose that looks harmonious with the face.

In case of problems with nasal breathing function may be performed septoplasty, turbinectomy (in case of turbinate hypertrophy), polypectomy and adenoidectomy.

In some cases of revision rhinoplasty it is unavoidable to use auto-cartilaginous transplants, that make it possible to restore lost elements of bone-cartilaginous tissue.

Post-operation period

After operation special tampons are put in nose hole. We remove them in 3-6 days; it depends on character of the operation (aesthetic rhinoplasty, septoplasty, revision rhinoplasty).

We use modern tampons and it is painless to remove them.

To preserve the outcome nose is put in plaster, which is removed in 5-11 days, depending on the character of operation.

The patient is discharged on ambulatory treatment on the 2nd day after the surgery and returns to work on the 3rd day.

Sutures are usually removed on 6th  day  after the surgery.

The skin of the tip of the nose might lose it’s sensibility for a while.

The patient can drive car on the 3rd day after the surgery.

The swell and hematoma appears individually and disappears in 1-2 weeks.

It is not recommended to wear glasses for 2 months after the surgery.

The nose gets its final shape in 6-12 months after the surgery.

Individual approach and prolonged observation makes it possible to take notice of the stable results we achieve.

Technology

In lots of clinics the standard method of rhinoplasty without strengthening of cartilaginous tissue is used. After taking off the plaster the patient has precise nose bridge with slightly raised tip of the nose:

But after a while the tip of the nose goes down and gets a “beak”-shape:
 
The patient before and 3 months after the surgery.

 


Schematic image of tip of the nose going down.

As you can clearly see from the pictures without the adequate strengthening of the tip of the nose it goes down and gets the “beak”-shape.

In our clinic we always strengthen the cartilaginous tissues of the tip of the nose and it gives us great aesthetic and stable outcome.

Our main rhinoplasty goal is to make patients’ nose suitable to their faces and characters, at the same time nose must not look as a surgery outcome and the results must be stable. To achieve this goal we use microsurgical method, which gives the opportunity to make the operation most precise and non-traumatic. As a result, decreases the traumatism of the surgery, post-operation swell and it is possible to have an outcome in cases where traditional method is powerless.

We also use different methods of strengthening cartilaginous tissues and it gives us the opportunity to have stable outcome and avoid going down of the tip of the nose in post-operation period and old age.


Schematic image of tip of the nose strengthening.

 


Patient before and 2 weeks and 3 years after the surgery. As you can see from the pictures tip of the nose does not go down after its proper strengthening.

In our clinic for the correction of the shape of the cartilaginous tissue of the tip of the nose we use suture technology, using this method it is possible to change the length, width and height of the tip of the nose without destruction of the cartilaginous tissue.


Schematic image of tip of the nose modeling.

 


Tip of the nose before and 3 months after the surgery.

 


Tip of the nose before and 2 months after the surgery.

 


Tip of the nose before and a year after the surgery.

Septoplasty and turbinectomy is performed using microsurgical and endoscopic methods.

Every patient is under our observation. We control every single outcome, which is the guaranty of the good and stable outcome.

 

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