Nose correction or rhinoplasty

The nose is the most visible and striking part of our face and even the slightest irregularity can draw undesired attention to itself. No two patients' noses are identical, and it is important to take a holistic approach to the problem and find the most harmonious ratio within the individual's face to achieve a balanced, beautiful and natural-looking facial appearance. Cosmetic nose surgery may also improve a breathing problem or correct abnormalities caused by an unfortunate accident or sports injury.

THE RESULT

Instant

DURATION OF INTERVENTION

2-4 hours

RECOVERY

up to 14 days

SUSTAINABILITY OF THE EFFECT

permanently

About the operation

The ideal nose is symmetrical and fused with facial features, the attention of the interlocutor is so focused on the eyes and the mouth during the conversation. The ideal nose is therefore imperceptible.

The nose may be too large, too long, asymmetrical, with a split tip, too tight, too small or proximal. Breathing problems are often present.

During the procedure, we can transform the tip, nasal backs and nostrils. Nose can be narrowed, lifted, shortened,repairing the appearance of the nostrils, eliminating asymmetry, which can be congenital or the result of injury.

A woman's nose must be light, in line with facial features, may be slightly frowned.

Preoperative review and discussion of desires, expectations and opportunities are critical in planning the intervention. Before the procedure, we will discuss the extent of the procedure and the scars.

The procedure is performed in local or general anesthesia and lasts about 2-4 hours.

After the procedure, the client remains on a shorter observation, then patient is dismissed home with a nasal tamponade   and detailed instructions.

A few days after the procedure,  the tamponade is removed , 1 week after the procedure we remove te splint. During this time swelling and bruises are reduced, the pain persists for a few days.

Due to swelling and bruise, clients are advised to take a 1-2 week sick leave from work.

After surgery, we recommend resting with a raised head.

Since the nose is the main facial protrusion and as such is remarkably noticeable, each slight irregularity already receives greater attention and therefore is even more disturbing. A large nose can be a property of the whole family, but it depends on the individual whether the nose is disturbed. Often people with a slightly larger or irregular nose avoiding photographing from the side or choosing hair-covering, while others carry a big nose with confidence and effortlessly. 

Although each individual has a different nose depending on his form of face, ethnicity and gender, there are nose movements that are universal and common to all noses in their attractiveness:
A tall, flat nasal back, which passes through the recesses from the forehead, is desirable for both the male and the female nose. At the passage of the nasal back to the tip, the line slightly rises above the plane of the nose, this is a detail that significantly contributes to the beauty of the nose. 

The length of the nose is supposed to be in the ratio of the golden cut with its projection. 

The ideal nasal tip is well defined, but gentle, not too broad and not too narrow, symmetrical, with right projection and rotation. A too wide tip can result from excessive thickness of soft tissue or cartilage shape. These can be excessively dome-shaped and form a box-shaped nasal tip or the split in the middle. A straight nose tip is one that is most difficult to transform. The surgeon, who is the master of nasal tips, is at the same time a master of nose design.

From the front we evaluate the width of the nose; the width between the sides of the nostrils should be equal to the distance between the inner ocular corners. A tall, humpy nose will seem to appear narrower at the front view, while the low nose will act extensively and at the same time optically widen the distance between the eyes. In the face analysis, coherence and matching of the geometric relationships of the nose and face are also important.

Before deciding on an operation, the client must express his or her wishes and expectations. Expectations must be realistic, so we can familiarize the client with the anatomical features of her nose, with operational options and a possible final appearance or result. Here we help with standard photos and projections of the future nose with a computer simulation. To the client, we describe the nose in relation to other parts of the face, and also the individual elements of the nose separately.

When the chin is small, the lower third of the face is less developed or shifted back, the nose that dominates the middle third of the face will be optically larger and more pointed. Therefore, with a simultaneous or isolated beam correction, a more harmonious profile of the individual is obtained. In cases of greater median distance, the wider nose will be optically acquired by lowering the nose, not by balancing the nasal membrane. Otherwise, in the so-called boxing wide and low-lying nose, with the rise of the nasal back, the nose optically tightens.

After 30 years of age, the skin of the nasal tip becomes thicker, loses its elasticity, and the pores become more visible due to the activity of the skin glands. Such skin responds to surgery with a more extensive formation of collagen-rich scar tissue, so it is not always possible to achieve outstanding voluminous and unrealistic design goals of the clients. Before the intervention, we carefully listen to the wishes of the party and confront it with the potential.

In aesthetic surgery, a plastic surgery for the nose is one of the most demanding and complexest, where the surgeon combines aesthetic criteria and goals according to the complex nasal structure. Rhinoplasty is not just sculpting and design, but architecture and biodynamics at the same time, in achieving the desired shape, it is necessary to know the movement and transformation of tissues in the process of aging . Nose surgery covers a number of techniques designed to transform the nose, sometimes just to solve the breathing problems.

During the procedure, we can transform the tip, nasal backs, lap and nostrils. The nose can be narrowed, raised, shortened, smoothing the nasal bumps, repair the appearance of the nostrils, the nasal base width, the shape of the tip, eliminate the asymmetry that can be congenital or the result of injury ... Closed technique of rhinoplasty is suitable only for minor repairs, especially repairs to the nasal back and bases. An open technique enables full transparency of all the important elements that the surgeon can accurately shape.

With LDO/PDO technique, the nasal hump is reduced or transformed into any desired shape without removing any bone or cartilage from the nasal dorsum. The advantage of this is that the natural structure of the nasal dorsum is conserved. By this means, the patient both maintains the naturalness and gains an aesthetic appearance.

 Tiny cuts are usually placed on the inside of the nostrils and over the column, so they are almost invisible. At the same time, by correcting the shape of the nose, we can also perform procedures that correct the respiratory tract.


Most often, the entire nose operation is performed in a closed or open technique. In open rhinoplasty, most cuts are inside the nose, except for incision via columella (skin between the nostrils), while in closed rhinoplasty all cuts are inside the nose.

The most common risk for rhinoplasty is the failure to achieve the desired result. It can be a minor irregularity, which is not disruptive, and is accepted by both the client and the doctor. On the other hand, the worse result of the operation may be unacceptable, and another intervention is required to correct the irregularity. Revision rhinoplasty is 5-15%, mostly minor corrections in local anesthesia. Occasionally, the operation may have a disrupted respiratory tract, but at the same time, in the presence of an adequate understanding of the anatomy of the airway and the three-dimensional structure of the nose, such a complication is rare.

After the procedure, the pain of the goods is up to three days. Usually, mild analgesics, which the clients receive after the procedure, are sufficient. Swelling may be small, rarely larger. After a week, the swelling is almost inconspicuous, but in rare cases it lasts for a longer period of  time. The bruises usually disappear after 14 days. 

 After nose surgery, sleeping with a raised head is recommended, thereby reducing swelling and bruising. 

At least 14 days before the procedure, the client must stop the consumption of alcohol and medicines that affect blood clotting, otherwise there may be a greater risk of bleeding during and after the procedure. After the procedure, the client is taking an antibiotic, painkillers and anti-swelling drugs. 

A major physical activity should be avoided for about a week or two, and contact sports should be avoided for at least 2 months. During this time, the nasal bones reach most of their strength.

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