We know through experience that the decision to have a rhinoplasty is generally preceded by a long decision making process. With this information we would like to help you with this process, by advising you about the procedure itself and the possibilities and risks involved in this operation. This advice, does not however, replace the need for an extensive personal consultation with your surgeon who will thoroughly address your specific questions.
When is a rhinoplasty useful?
What is the aim of a rhinoplasty?
What do I have to consider before a rhinoplasty (pre-operative phase)?
What do I have to consider after a rhinoplasty (post-operative phase)?
What are the possible risks with a rhinoplasty?
Which result can I expect after a rhinoplasty and what are the chances of success?
More than just a cosmetic problem. The nose is the central part of the face and contributes significantly to its harmony and appearance. Whether a hump nose, broad nose, long nose, crooked nose or bulbous nasal tip – these characteristics of the nose can considerably interfere with the physical and mental well-being of those affected. Misalignment of the nasal septum can cause breathing problems and in these cases correction is also advisable. A rhinoplasty is best carried out once growth has stopped.
The aim of a rhinoplasty is the production of an aesthetic overall picture and a balance of proportion. In addition, functional disturbances can be rectified so that normal nasal breathing can be achieved.
Procedure. The surgical approach for a rhinoplasty is located inside the nostril, so that no external scars are visible. In rare cases, a breaking of the nasal bone and a small (3-5 mm) cut at the root of the nose is necessary. In certain nasal deformities or after multiple operations on the nose, a cut in the area of the nasal septum may also be necessary. From the internal approach the cartilaginous and bony nasal skeleton can be accessed and here any necessary changes (hump removal, corrections to the cartilage, etc.) can be made. The surgical access is then closed with fine stitches and a nasal tamponade inserted. To splint the newly-formed nose, a cast is necessary, which is then worn for two weeks.
Type of anaesthesia. This procedure is usually carried out under general anaesthetic.
Go without make-up. On the day of the operation make-up should not be applied and face and eye cream should not be used. Information on general measures and the necessary preliminary examinations will be put together for you personally in a pamphlet which you will receive at your consultation.
The nasal tamponade remains inserted in the nose as an internal dressing for a few days and is changed daily. The blowing of the nose is not allowed at this time and any nasal discharge can be wiped with a handkerchief. Until the removal of the nasal tamponade breathing is only possible through the mouth and there is generally no pain after a rhinoplasty. After the operation, it is necessary to sleep with the upper body elevated, not to bend down and to avoid physical exertion and strain.
Swelling and bruising of the eyelids and cheeks regularly occurs after surgery although these swellings usually subside after a week. The use of cooling packs can also accelerate the reduction of swelling. A nasal cast must remain in place for two weeks, but after one week, a change of cast is carried out. A residual swelling can, to a lesser extent, be present for several weeks and a loss of sensation in the nose area is possible for a few weeks, although this will usually return to normal.
Recovery. The nose is particularly sensitive to shock after the procedure and therefore strenuous physical activity and sports should be avoided for 4-5 weeks. Heat from external sources (such as a sauna) should be avoided for around 1 month and sun protection is necessary until all bruising has faded away.
No procedure is without risk. The general risks of surgery include the possibility of bleeding, thrombosis and infection. Specific risks associated with a rhinoplasty are that pressure points can be caused by the wearing of the nose cast, there may be an excess of bone formation at the site of the bone cut and internal scar growths may affect nasal breathing. Also for people with very thin skin, bone edges and cartilage may be seen.
A well-formed nose. With a rhinoplasty, both aesthetic and functional disorders of the nose are corrected. Through surgical procedures, a complete and permanent correction of the nose can be achieved, which increases self-esteem. The final result can be assessed after approximately 2 to 3 months.