Rhino plastics – correction of nose
Rhino plastics is one of the most frequent operative procedures in plastic surgery. Corrective rhino plastics may ensure the change in size, width of nose, hump may be removed from dorsum, change the tip and the width of nostrils as well as the angle between the nose and upper lip.Beside these esthetic problems, it is possible to remove a number of functional disturbances that result from nasal septum deviation.
A rhino plastic is not performed on patients younger than eighteen except in urgent traumatic states, because it corresponds to the completion of growth of nasal bone structure, which excludes postoperative deformities of a patient’s nose.
A nose consists of cartilage and bone skeleton and skin layer. Nasal wings build alary cartilage together with accessory cartilage; sides of the nose create lateral cartilage that forms lateral cartilage, which then creates, together with bone structures, a fine nasal pyramid. Nasal septum divides nasal hole into two nasal passages. Septum consists of membrane, cartilage and bone parts. External area of the nose is covered by skin. All the structures may be reconstructed if needed.
At the first examination your wishes and aims will be taken into consideration; everything will be written down. Then, detailed examinations will be performed and the plan of the operation that fully corresponds to your needs will be created. Preoperative photos are used so that the procedure and the final result will be fully followed and step-by-step explained to the patient. During the examination the patient is informed about possible risk and limitation. Our aim is to give all the information to the patient so that s/he would have a clear picture of what to expect.
Corrective rhino plastics may be performed under either general or local anesthesia, which depends on the volume of the intervention itself. Length and complexity of the intervention depend on individual factors such as nose structure, thickness of skin, age, and, certainly, on your wishes.
After the operation, the patient wears tampons in nasal passages and a small plastic mask over the nose. Tampons are removed 3-5 days after the operation and the mask remains on the nose for 5-7 days. Immediately after the operation, the patient must breathe through the mouth and they have hematomas on their face and eyelids. There is no pain after such operations and if it occurs, it is possible to relieve it by analgesics prescribed by the surgeon. It is most advisable to spent first several days in bed with the head positioned higher than usually, applying cold compresses on eyes that prevent increase of swellings.
Most patients are able to get out of bed two days after the operation and usually get back to regular daily activities after two weeks. Physical activities, such as jogging, swimming, aerobics and riding a bicycle should be avoided for three weeks after the operation.
