Rhinoplasty

Play Video

Information

It is the cosmetic surgery par excellence. It is a procedure that seduces both men and women of all ages.
This operation has always been part of the popular imagination: the first rhinoplasty operations were carried out by the Indians even thousands of years before Christ, who, in order to reconstruct the nose following its amputation, performed what is still called an 'Indian flap'.

Rinoplastica
durata intervento

Duration

1/2 hours

Anaesthesia

General or local with sedation

durata intervento

Recovery

5 days
Sun exposure: after 1 month

controllo mastoplastica

Follow-up

1 Week first follow-up
2 weeks second follow-up
1 month third follow-up

The Results

There are literally hundreds of different techniques to perform such an operation because, precisely, every nose is unique and particular and therefore you will have hundreds of different needs to meet.

Since the nose is at the centre of the face, it is essential that it gives harmony and character to the entire visage. A perfect nose does not always mean beauty: sometimes a slight imperfection can give character to a face by giving it more softness or hardness, and this is what a good plastic surgeon must interpret. It is both a very technical and artistic operation and requires a great deal of experience.

Rhinoplasty has a huge impact on the patient's psyche. In my experience, I have seen patients literally change their personality after such a procedure. People who used to be shy have become self-confident; people who used not to look others in the eye, after such an operation do so without hesitation.

A well-performed rhinoplasty truly gives great satisfaction to both the patient and the surgeon. The duration of the operation varies depending on the technique performed (30 min - 2 hours).

It is an operation that is performed under general anaesthesia and can be done either in day hospital or with an overnight stay.

Post-surgery

Absolute rest for a week during which you will wear a small plaster cast on your nose that you must not touch or wet. For the first few days, sleep with your head held high and eat cold food (ice cream, yoghurt).s

Take prescribed medication.

First check-up one week after surgery, during which the plaster cast and any stitches will be removed.

You will then be able to return to work and everyday life, except for physical activity, for which it is advisable to wait another 3 weeks.
For the first 4 weeks be very careful not to bump your nose to avoid possible complications.
After 4 weeks second check-up.
After 6 weeks last check-up.

Play Video
Play Video

FAQ

Rhinoplasty surgery lasts at least forty minutes, but depending on the case it can take up to two and a half hours.

In any case, the operation is performed in an outpatient hospital, although there may sometimes be a need to keep the patient overnight. No special precautions are required in preparation for the surgery.

The possible outcome is assessed in advance through what is known as pre-surgical morphing: basically, modified photographs are displayed, which make it possible to verify the outcome that could be obtained and also to measure to the millimetre the operations that are to be performed.

The post-operative period is short and neither painful nor traumatic: the return to social life is rapid and there is no risk of bleeding. The bruises and oedemas reabsorb in about 15 days. 

Once the operation has been completed, a mouldable plastic ridge is placed on the nose, which must be left in place for about ten days, in some cases even two weeks.

In the case of septoplasty, nasal swabs are also applied, which are removed within a few hours or a few days at the latest. Within a week you can return to work, and the swelling disappears within ten days. In the month following the operation, it is advisable not to expose oneself to the risk of trauma, and therefore to avoid sports such as basketball, football or volleyball.

The result of a rhinoplasty can be considered definitive more or less after eight months, as bone remodelling takes quite a long time. However, the outcome is already visible after the first month, when the tissues have stabilised.

This operation can be used to correct nasal anomalies of a functional or aesthetic nature.

The bony and cartilaginous structures of the patient's nasal pyramid are removed, modified, adapted or repositioned as appropriate. It may be necessary, for example, to decrease the shape of the tip, or to erase a hump on the nasal dorsum.

In other cases, rhinoplasty is used to correct a nose that is too large, i.e. what is referred to in scientific terms as global hypertrophy of the nasal pyramid. Rhinoplasty, also in the form of rhinosectoplasty, can be applied:

  • for a nose that has too wide nostrils
  • for a curved nose
  • for a noce that causes trouble in breathing
  • for a nose with a deviated septum
  • for a nose which is asymmetrical due to a previous fracture
  • for a nose with a fleshy tip
  • for a nose that has a snub tip

 

In addition, rhinoplasty is useful when the columella is retracted and the upper lip is short, when the tip of the nose is droopy or when the columella is deviated.

This situation is one of the most complicated for rhinoplasty practitioners. However, it is possible to intervene with the aim of centralising the septum: this is done by removing the deviated portion, and not infrequently by using separator grafts with which the septum can be kept in place.

In patients with a deviated nose, the axis of the nasal pyramid is displaced to the side due to the conformation of the cartilage and bone. In many circumstances, the deviated nose is the cause of breathing disorders due to an altered nasal airflow. Intense snoring is one of the most frequent symptoms, along with headache, nasal voice and nocturnal apnoea crises.

Sometimes, in order to achieve an optimal result from an aesthetic point of view, rhinoplasty can be combined with a chin correction – so-called mentoplasty – or with a lip correction – so-called labioplasty: in this case, we are dealing with profiloplasty.

The procedure, however, leaves no visible scars, since the incisions are made inside the nose.

If improving the aesthetic appearance of the face has psychological implications that should not be underestimated in terms of self-esteem and self-confidence, it should not be forgotten that rhinoplasty operations often help to optimise breathing, i.e. the main function of the nose.

Ensuring that proper nasal function can be restored is not superfluous, given the negative consequences that can result from inadequate nasal oxygenation: for example, trouble in concentrating, worsening quality of sleep and thus impaired physical performance throughout the day.

en_GBEnglish