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Rhinoplasty (also called nose correction or plastic surgery of the nose) is a surgical procedure to improve the aesthetic appearance of the nose.
In our clinic the functional aspect (nasal breathing) of the nose is always addressed during the same procedure.
A rhinoplasty can enhance the beauty of the entire face enormously by improving its natural balance: the nose will become less noticeable and features like eyes and lips will become more noticeable.
Rhinoplasty and revision rhinoplasty are considered the most difficult of facial plastic procedures. Over the years we gained abundant experience in this field and wrote 2 text books and many peer reviewed scientific articles about this subject.
- Safe procedure, when done correctly result lasts for the entire life
- Both aesthetic and functional aspects of the nose are addressed in one procedure
- Enhances facial harmony
- Can be combined with other aesthetic treatments – blepharoplasty, facelift, brow lift etc.
Rhinoplasty, or nose correction, is a surgical procedure performed to improve the appearance of the nose. In the same procedure the functional aspect of the nose (improvement of nasal breathing) is addressed.
Recommended for patients with:
- A nose size too big or too small
- A nose that is too long or too short
- A crooked or deviated nose
- A hump or a depression (saddle) of the nose dorsum
- A nasal tip that is too thick, too round or uneven, drooping, upwardly turned or hooked
- Large nostril or asymmetric nostril size
- Impaired nasal breathing because of a deviated septum or obstructed nasal valve
Not recommended for patients with:
- Extremely thick skin
- Unrealistic expectations
WHAT RESULTS TO EXPECT?
During your consultation for rhinoplasty, the surgeon will assess the anatomy of your nose and make a detailed analysis of your face.
Your goals and motivation for rhinoplasty will be discussed as well as your psychological status. If you also have impaired nasal function, your surgeon will ask additional questions and possibly make additional tests in order to diagnose its cause and to also make a proper functional surgical plan.
On the gallery of this websites you can observe a large variety of pictures noses taken before and after surgery. You can enlarge the pictures to see what results are realistic to expect. Most cases are accompanied by a short explanation of the corrected features.
With all our surgeries, but especially after rhinoplasty, we try to create a natural, ‘not operated’ look.
HOW TO PREPARE FOR TREATMENT?
Rhinoplasty is performed in
general anesthesia, for which we will perform some preoperative investigations:
- Laboratory tests and electrocardiogram on indication
- Medical evaluation by the anesthesiologist in our OR center
- Your surgeon will ask you about your past medical history, including medications you are taking, allergies, smoking habits, previous surgery and more. In any case, to make the surgery result better, you need to stop smoking both preoperatively and postoperatively for at least 2 weeks. Also, you should avoid taking aspirin or any other anti-inflammatory drugs or supplements (based on garlic, fish oil, etc.) as they can increase bleeding and bruising.
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Rhinoplasty can be done using two different approaches: open and closed. The decision on which approach to use depends on your anatomical and functional problems and will discussed with you during your first consultation. Excellent results can be achieved with both the closed and the open technique and in both cases scars are practically invisible.
When performing revision rhinoplasty after surgery in another center, sometimes simple technique like removing some extra cartilage or bone, or reshaping the cartilages of the nasal tip will be sufficient to improve the result. In more severe cases the nose needs to be restructured by adding cartilage support and grafts. For this purpose, cartilage sometimes needs be harvested from the nasal septum, the ear, or the rib.
Examples of indications for revision rhinoplasty are :
- Nasal hump unsuccessfully corrected (too little or too much)
- Tip remains wide and lacks definition
- Tip is still droopy
- Nostrils are too wide
- Operated ‘look’
- Unnatural pinched tip
- "Pig nose" – over-rotated tip
- Collapsed middle bridge also called inverted V deformity
Time to heal
You will be able to go home at the day of the surgery, or in some cases the following day.
To avoid bleeding Dr. Lohuis or Dr. Filipović will leave packing in the nasal cavity. This will be removed the next day after which you will be able to breath through nose. After the packing is removed you will be instructed to rinse the nasal cavity with water and to apply anti-bacterial ointment on the suture knots for a period of two weeks to clean the inside of your nose.
In the first 24h you can notice some swelling or hematoma in the periorbital region in case the nasal bones were broken, especially if your skin is thin. This will disappear in the next 7 days.
In some rare cases we will place a
piece of silicon foil on the inside of the nose to provide support and to
improve healing. These foil splints are usually removed after 7 days.
At the end of your rhinoplasty a protective splint is placed over your nose to protect the new structures during the initial healing. This splint will be removed on 7th postoperative day together with any sutures. The small sutures on the lower part of your nose (columella) need to be cleaned with saline and anti-bacterial crème for 7 days, after which your surgeon will remove them.
To help you with your recovery
specific information will be provided:
- Home care for the surgical site
- Medications to speed healing and reduce infection
- Some follow up appointments with your surgeon
In case you experience any issues, you will be provided with a telephone number to assist you 24h a day. When necessary you are connected to your surgeon during the recovery period.
Most patients return to their usually activity in about 10 day after having their surgery.
While initial swelling after rhinoplasty decreases within some weeks, it may take up to 6 months to a year for your new nose to fully refine to the final outcome
The choice to have a rhinoplasty is personal balancing surgical goals versus outcome and potential complications.
The most common side effect of the surgery is slightbruising of the periorbital region, which usually subsides within a week. Makeup can be used for camouflage. Another side effect can be slight numbness of the nasal tip which slowly disappears in a period of months.
Other potential complications of rhinoplasty are rare
and may necessitate additional treatment:
- Poor scarring
- Failure to meet patient’s expectations
- Difficulty in breathing
These risks will be fully discussed prior to your consent. It is important that during your consultation you address all your prepared questions with your surgeon.
They will take care of you
MEET THE TEAM
PETER JFM LOHUIS, MD PHD
BORIS FILIPOVIĆ, MD PHD
BOŽO GORJANC, MD
MAJA KOVAČEVIĆ, MD
FREQUENTLY ASKED QUESTIONS
· Rhinoplasty or revision rhinoplasty can be performed using a large variety of techniques, all of which are performed in our clinic.
· The final decision which technique to use will depend on your nasal anatomical features, wishes and needs.
· The recovery period after rhinoplasty is usually up to 10 days.
· However, you may start doing your low intense daily routine as soon as the second or third day after surgery.
· In case a complication occurs, we will analyze it and treat it immediately.
· Revision surgery is ideally postponed to a year after the initial surgery to give the nose a chance to heal appropriately.
· The result of your rhinoplasty is immediately visible.
· The final result will appear over the period of 3 months to a year after all post-surgical swelling has resolved.
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