Functional rhinoplasty helps the patient to improve any breathing problems as well as possible complications of the upper respiratory system such as sinusitis and otitis, thus improving the quality of sleep (without “snoring”) and providing greater well-being.
Rhinoplasty is one of the most common operations in plastic surgery and the most popular in men. The plastic surgeon can intervene in both the aesthetic and functional problems of the patient.
Rhinoplasty can help with both breathing problems (functional rhinoplasty) as well as balancing your facial features (aesthetic rhinoplasty) by creating a highly functional nose that is in better harmony with the rest of your face and can significantly help to increase your self esteem. Increase your confidence and improve your overall quality of life.
Open rhinoplasty :
Open rhinoplasty gives us the ability to see the whole of the nose through a very small incision in the columella and therefore greater surgical precision. It is the method of choice mainly in cases of reoperation , in congenital abnormalities, in post-traumatic changes of the nasal skeleton and more commonly in cases of modification of the tip and the bridge of the nose.
Closed rhinoplasty :
Closed rhinoplasty is usually used for simpler cases, mainly for the removal of the hump of the nose and for smaller interventions to the tip. Surgical access is performed through very small invisible incisions inside the nostrils.
Non Surgical Rhinoplasty :
Finally in special cases, minor corrections to the shape and size of the nose can be made by injecting fillers. This is an office based procedure under local anaesthetic.
From a technical point of view, rhinoplasty can be performed at any time after the completion of the nasal development. Nasal development is usually complete by the age of 16 years. However, an emotionally mature patient is also a prerequisite for a successful rhinoplasty. In rare cases, surgery can be performed at younger ages when there is a severe functional deficiency or other medical indications that dictate it.
In most cases, general anaesthesia is necessary. However, in cases requiring minor corrections such as minor modification of the tip of the nose surgery can be performed under local anaesthesia and mild sedation.
The hospital care offers the benefit of intravenous medication and a 24hour nursing support, so one day hospitalization in a private room is mainly preferred for patients who have undergone general aneasthesia.
Each of the rhinoplasty techniques has specific indications and contraindications that MUST be preoperatively evaluated by the surgeon and discussed in detail with the patient.
Closed rhinoplasty refers to a technique of restricted surgical access in which all surgical incisions are hidden inside the nostril. Although some surgeons prefer the closed approach, as it avoids a potentially visible scar, it also severely restricts surgical exposure, making it difficult or impossible to use many of the most effective rhinoplasty techniques. As a result, many surgeons prefer the open rhinoplasty approach, which connects the incisions to the nostril with a subtle incision in the columella. This provides great surgical precision but also a direct visualization of the nasal skeleton. Although the incision is initially visible, it is often completely lost in the first 6 months after surgery.
In special cases, minor corrections to the shape and the size of the nose can be made by injecting fillers. This is an operation performed in the office under a local anesthetic.
Rhinoplasty surgery takes about one and a half to 2 hours depending on the case.
Relaxing is strongly recommended during the first week after the surgery to accelerate recovery and minimize bruising and edema. Although some bruising may be evident by removing the bandages one week after surgery, patients with office based jobs can then safely return to their workplace. Those whose jobs require physical activities (athletes. Firefighters, etc. ) may need 2-3 additional weeks before returning to full-time work. In any case, it is recommended to avoid exercising for about a month.
Some examples from our results
- Case 1
- Case 2