Rhinoplasty is the surgery that modifies the shape of the nose, and is one of the most frequently performed surgical procedures in plastic surgery. Rhinoplasty can reduce or increase the size of the nose, change the shape of the tip or the back, narrowing the nostrils or change the angle between the nose and upper lip. Also corrects congenital problems, trauma, and some breathing problems.
It is the most common cosmetic surgery, not only because it provides functional benefits improving the patient's breathing), but also for the countless aesthetic benefits it produces.
It is suitable for those looking for an improvement in the aesthetic appearance of their nose in any of the following situations:
- People who are unhappy with the shape or size of their nose and want to improve their appearance
- People who are unhappy with their physical appearance and this may lead them to have psychological problems
- People with nose too big for the size of the face, if bulging or sinking in the nose, nose too wide, tip of the nose too thick, aquiline nose,
- People with malfunctioning nose as crooked nose, too small holes, correct injuries or other deformity that impedes breathing, deprived of smell or continuous bleeding, solve snoring problems if these are due to poor nasal structure
Age should also be considered. Most plastic surgeons prefer not to perform a rhinoplasty until completion of the development, i.e. until 14 or 15 years in girls and more for boys. It is also important to consider the social and emotional adjustment of adolescents, and be sure that they are, and not their parents, those who want a rhinoplasty.
Not recommended when:
- Patients with active infection
- Pregnant and lactating
- Patients with poor healing / coagulation (diabetics, hemophiliacs,)
Not recommended in patients psychologically unstable. In case of mental illness, it is recommended to wait for treatment or stabilization with its resolution.
Despite being safe, as any operation there can always be complications (rare and minor) and risks (such as infection, nosebleed or anesthetic reactions). Sometimes after surgery may appear small red spots on the skin, which are small broken vessels, are usually very small, but they are permanent. There are usually no problems with scars because the incisions are inside the nose; even in open rhinoplasty the scar is imperceptible. In about 1 out of 10 cases this requires a revision surgery to correct minor defects.
Rhinoplasty is always performed in an operating room in a clinic or hospital. Normally, the patient stays in the clinic the day of the surgery, leaving the hospital the next day.
Rhinoplasty can be performed under local anesthesia with sedation, or what is more common with general anesthesia, depending on the complexity of the surgery and the surgeon's preferences. A rhinoplasty usually takes between 1 and 2 hours, although in complex cases may take longer. During surgery, the skin of the nose is separated from its holder, made of bone and cartilage which is sculpted to the desired shape. Finally the skin is redistributed on this new medium. Many plastic surgeons perform this procedure from within the nose, making small incisions inside the nostrils; others prefer to do an open rhinoplasty, especially for more complex cases, in which a small incision is made in the columella (the area that separates the two nostrils).
Information contained on this page in no case intends to replace the information provided by your plastic surgeon. If in doubt, your plastic surgeon will provide appropriate clarifications. If you are thinking about having an intervention of Plastic or Cosmetic Surgery, see a specialist in Aesthetic Plastic Surgery.
Source: SECPRE (sociedad Española de Cirugía)