Today, rhinoplasty is positioned as one of the most popular and effective cosmetic surgeries, in which the shape of the nose is modified. Made of bone and cartilage, the nose changes the structure of the face, for better or worse. Those who are not satisfied with their current nose have this option, which can transform not only their face, but also their confidence and quality of life.
What is rhinoplasty?
Rhinoplasty is a surgical intervention designed for modify the structure of the nose; thanks to it we can change the shape, size and proportions of your nose, of course, taking into account your facial features. In addition to the aesthetic aspect, functional conditions of the respiratory system can be addressed, such as correcting a deviated septum or nasal problems that make breathing difficult.
In this way, and as all noses are different, the plastic surgeon will create a custom plan for you, depending on your tastes and needs. It is also important to note that success does not only depend on the operation, but also on the recovery process: patient who follows to the letter the instructions of your surgeon, will be patient with the best possible results.
Benefits of rhinoplasty
There are many advantages to rhinoplasty, not only from an aesthetic point of view, but it can also improve certain breathing difficulties, resolve a congenital defect or compensate for problems caused by an injury. Let's look at some of these benefits:
aesthetic improvement
By correcting problems with the shape and size of the nose, it provides a nose that is more harmonious with the rest of the face, generating satisfaction and greater personal confidence. You look better and your self-esteem increases.
Functionality
The nose is the gateway to the respiratory system. Its function is to allow you to breathe properly; when this does not happen, a solution must be found. Getting used to breathing through the mouth decreases the quality of life. Rhinoplasty corrects abnormalities that obstruct the flow of air, thus improving respiratory function.
Facial rejuvenation
Believe it or not, a change in the nose results in a rejuvenating and freshening effect on the appearance of the face.
Customizable result
Based on the principle that each nose is unique, rhinoplasty surgery is personalized, adapted to your individual preferences and needs.
Durability
The results of rhinoplasty are usually permanent, meaning that patients will enjoy their new look for many years to come. It should also be noted that the nose changes over the years.
What types of rhinoplasty are there?
After the surgeon studies the patient's physiognomy and determines the causes that disrupt aesthetic harmony, he will decide the type of rhinoplasty that is most suitable for that particular person. The most common are:
closed rhinoplasty
In cases where the tip of the nose does not need to be modified because it already has a correct shape, closed rhinoplasty is performed. It is also used in minor surgeries or internal corrections. In this procedure, small incisions are made inside the nostrils, leaving no external scar visible.
open rhinoplasty
In more complex cases, open rhinoplasty is performed, which consists of making a small incision in the columella (the tissue between the nostrils) to be able to lift the skin and have a better view of the nasal structure and access to it. To help shape and support the nasal pyramid, it is common to use different tissues from the patient himself (cartilage or bone) as grafts and, in rare cases, synthetic materials.
If you want to learn more about this topic, here is another article about it. open or closed rhinoplasty and which one suits you best.
Reduction rhinoplasty
It seeks to reduce the size of the nose, either by reducing the nasal septum or reshaping the nasal wings; the latter (reshaping or reduction surgery of the alar base), also known as alloplasty or allotomy, is a procedure aimed at modifying the width and shape of the nostrils and the base of the nose. These modifications are often associated with breathing difficulties.
In other cases, the aim is to reduce the size of the nose due to the prominent hook-shaped bone; in this case, rhinoplasty is characterized by breaking and scraping the bone structure.
Augmentation rhinoplasty
La augmentation rhinoplasty This is a nasal augmentation procedure, known as dorsal nasal implants. It is performed using cartilage or bone grafts or a nasal implant, making a small or flat nose match the rest of the face. It is possible to increase the size of the nose and/or modify its shape. People of Asian origin are the ones who most request this type of surgery.
Revision rhinoplasty
Occasionally, some patients who have previously had rhinoplasty and have not been satisfied with the results request a second operation.
Who is a candidate for rhinoplasty?
Although there are no strict age restrictions, it is advisable to wait until the nose is fully developed, which usually occurs by the end of the teenage years. Therefore, any patient over the age of 18 who wants to modify the shape or function of their nose is a candidate. A detailed consultation with the surgeon and a thorough examination will determine your suitability for the procedure.
How is it the procedure?
Initial medical consultation
At the study for a rhinoplasty In advance, you will discuss your expectations and the reasons for this surgery openly with your surgeon. He will observe the general proportions of your face and profile in order to conclude what is most suitable. Remember that the key to rhinoplasty is not to find the perfect nose, but rather the nose that harmonizes with your face and gives it a natural appearance.
Remember that during your first consultation, we will perform a simulation so you can see what your rhinoplasty would look like:
In addition, a physical exam will be performed during this initial consultation, which will determine how rhinoplasty will affect your breathing. The doctor will also want to know your history of nasal obstructions, surgeries, and any medications you are taking.
Last but not least, photographs of your nose will be taken from different angles; this will serve as a reference for the "before and after" image we all want after plastic surgery.
Anesthesia
At the time of surgery, anesthesia is administered, which is a medication to induce a sleep-like state. The type of anesthesia used will depend on the complexity of the surgery and what the surgeon and patient have previously discussed. It may be general or local anesthesia, along with sedation.
incisions
Depending on the type of rhinoplasty agreed upon, the corresponding incisions are made, which may be closed or open. The incision will be made inside the nose, if it is a closed rhinoplasty, or a small external cut will be made at the base of the nose and between the nostrils, when it is an open rhinoplasty.
Modification of the nasal structure
Here the surgeon will work his magic, working on your bones and cartilage in your nose to make the necessary changes, which will give you better breathing and a nose that looks harmonious on your face.
Incision closure
Once the modifications to the nasal structure are complete, the nasal skin and tissue are replaced, and the cuts are closed with sutures.
Application of the splint
Your surgeon will place a splint on your nose to provide support and protect the new shape of your nose during the recovery process. You will need to wear this splint for the first week.
How long is the procedure?
Depending on the complexity of the case to be treated, rhinoplasty can last between 1 and 3 hours.
Preparation for rhinoplasty
Before rhinoplasty you should prepare yourself, according to medical indications, in order to maximize the results and minimize risks. Some preparations in the preoperative rhinoplasty include:
Adjustment in medications
A few days before surgery, you should apply a liquid antibiotic to your nostrils to decontaminate them. Also, stop taking any drugs sold in herbal stores, aspirin, or anti-inflammatories three weeks before surgery. These drugs affect coagulation, causing bleeding and postoperative edema or prolonged inflammation.
Quit smoking and avoid alcohol
If you are a smoker, I know you must be sorry to read this, but here's the deal: you must stop smoking three months before the procedure. We don't want to take any risks with regard to the patient's healing and recovery. So, do it. Your health will thank you.
Regarding alcohol, it is not essential to give it up completely, but it is essential to drink in moderation and in small quantities.
Planning for recovery
Find someone who will accompany you and assist you during your first night in the hospital and then at home on your days of rest. It is also important to purchase in advance the medications you will take after surgery and the nasal cleansing solutions. Your doctor will inform you about this.
How much does it cost? What is the price of rhinoplasty?
On average, the price range is between 3.500 and 8.000 euros. Because it is considered an elective cosmetic procedure, it is not covered by social security, so it is essential that you discuss all costs with the surgeon during the initial consultation.
Tips for choosing the best surgeon
Don't skimp on finding a good surgeon, after all, your nose will be with you for the rest of your life. Consider a few things:
Check accreditations
In addition to making sure that the surgeon is certified by the relevant medical society, find out if he or she has demonstrable experience in rhinoplasty. Also, check out social media, where you will find out what other patients think.
Check out the “before and after”
Photographs of the surgeon's previous patients are the most readily verifiable demonstration of his work.
Get to know the clinic
It is very important to know the clinic and make sure it has good facilities and high standards of medical care.
When will the final result be seen?
Recovery and postoperative care
The recovery period after rhinoplasty is so important that the final results depend on it. Take into consideration the following aspects:
Break time
The ideal is to stay at home for 7-10 days of rest, to allow the body to begin recovery.
Keep your head up
It is very important to sleep with your head elevated for the first 5 to 7 days; this way you help reduce swelling and prevent blood from accumulating in the nose.
Use of splint
The splint that the surgeon has placed on your nose is used to protect the nasal structure, and you will have to wear it for the first week. In the case of nasal plugs, the doctor will remove them on the third day.
Avoid intense physical activity
Sports, exercise, and lifting heavy objects should be kept out of your activity schedule until your doctor tells you otherwise. Anything that can increase blood pressure or cause trauma to the nose should be avoided.
Avoid blowing your nose and wearing glasses
If you feel congested, nasal washes with saline solution will help relieve it and keep your nose clear. On the other hand, if you wear glasses, you should use a support for them, since you will not be able to rest them on the bridge of your nose during the first 6 weeks.
Risks and side effects of rhinoplasty
Every visit to the operating room carries certain risks and side effects. In the case of rhinoplasty, the most common are:
Bleeding
The nasal structure is very sensitive, in some cases bleeding may occur in the postoperative period.
Infection
Although rare, infections do occur in some cases and are a potential risk that must be taken into account.
Bruising
Rhinoplasty as a surgical procedure can result in bruising around the eyes and nose due to tissue manipulation. Read more about the hematomas in rhinoplasty.
Visible scars
Some people develop more noticeable scars, and even keloids may appear, but remember that not all people heal in the same way.
septum piercing
Surgery may create a hole in the wall between the two nostrils and require additional surgery.
Frequently asked questions about rhinoplasty
Is rhinoplasty painful?
The perception of pain varies from person to person, but in general terms, it is described as a mild to moderate discomfort, easily controlled with painkillers. In the postoperative days, it is the inflammation that is more uncomfortable than the pain.
When can I exercise after surgery?
Your doctor will provide specific guidelines based on your recovery progress, but the general recommendation is to avoid strenuous exercise for at least 4 to 6 weeks after rhinoplasty.
What are the scars like after rhinoplasty?
Depending on the type of rhinoplasty, the scars will be more or less visible. In other words, in the case of closed rhinoplasty, the incisions are internal and there are no visible scars. If the surgery requires open rhinoplasty, the scar from the small incision made in the columella tends to fade and become less visible over time.
Can the nose become deformed after rhinoplasty?
The results of a rhinoplasty are long-lasting, but external factors such as physical changes, aging or trauma must be taken into account, which can affect the shape of the nose in the long term.
Which is better traditional rhinoplasty or ultrasonic rhinoplasty?
La ultrasonic rhinoplasty It is an innovative technique that is completely different from traditional rhinoplasty. Ultrasonic rhinoplasty is considered superior because it allows the nasal bone skeleton to be moderated, since it is performed in a more precise and predictable way (using ultrasound). The advantages of ultrasonic rhinoplasty are many:
Less trauma and faster recovery
By using ultrasound instead of mechanical tools, tissue damage is minimized, reducing inflammation and bruising. This allows for a faster and less painful recovery.
Results without visible scars
In ultrasonic rhinoplasty, internal incisions eliminate external scars, offering a more aesthetic result.
Greater precision and naturalness
Ultrasound ensures precise changes in the nasal bones, achieving smooth and harmonious results with the facial features.
Lower risk of complications
The precision of ultrasound makes the technique safer and more controlled, reducing possible risks.
In our Plastic Surgery Clinic in Madrid, you will find the Dr. Gustavo Sordo, plastic surgeon in Madrid, and one of the best rhinoplasty surgeons in Europe. He has more than 15 years of experience as a specialist in ultrasonic rhinoplasty in Madrid, and is dedicated to offering personalized solutions for each patient, with an aesthetic and functional focus.
Conclusion
Without a doubt, rhinoplasty is a surgical procedure that offers unique opportunities to improve not only facial aesthetics, but also respiratory functionality, so important to having a quality of life. Having a specialized and trusted plastic surgeon is essential to ensure a satisfactory outcome and minimize associated risks. Regardless of any nose type.
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