Corrective and aesthetic nasal surgery. Rhinoplasty

Rhinoplasty is an aesthetic intervention the aim of which is to perfect the shape of the nose. It is undertaken to improve respiration when there is a deformity that causes a reduction in the capacity of air flowing through the nose.

When considering Rhinoplasty one endeavours to obtain a harmonious and logical balance between with the rest of the facial structures and shape of the head. An adequate result is considered when a nose with a pleasing appearance is achieved and which does not look like a 'nose job', that is to say: it has a natural look.

Even after meticulous planning and in the expert hands of surgeons, anatomical and genetic conditions along with other factors such as ageing of skin tissue, do not allow for a 100% success rate. Patients who wish to undergo a rhinoplasty have to accept that certain imperfections can persist in approximately 10% of cases which may eventually require further minor surgery.

Rhinoplasty is usually done under general anaesthetic for which a pre-operative assessment based on your age and medical history will be conducted beforehand.

Normally, surgical intervention is undertaken inside the nasal cavity and leaves no external scarring, although in specific cases direct access through the columella is recommended.

The operation involves the removal or repositioning of the cartilage and bone deformities which cause a non-aesthetic nasal pyramid. Occasionally, when there are sunken areas they are filled with cartilage removed from more voluminous nasal areas or in the case of large defects cartilage taken from the ear or rib is used.

Admission to the Clinic is at 7am on the day indicated. No food or drink is permitted from 12 pm (midnight) the day before. You will be operated on in the morning according to theatre scheduling. Under normal conditions you will be discharged the following morning and continue with postoperative treatment as prescribed.

A nasal splint, usually made of aluminium or thermo-malleable plastic, will be fitted for 10 days after which it is removed.

An absorbent nasal plug is also put in each nasal cavity which is removed between 48 and 72 hours after surgery.

No pain is experienced either during or after surgery. However, in all likelihood, bruising will occur under the eyes during the first week which will disappear promptly if ice is applied after the operation together with the administration of anti-inflammatory drugs.

Although the nose will have its correct shape immediately after surgery, the healing process takes a long time, from 6 months to a year, during which it will be observed how at first the bone and cartilage harden and then finally soften in shape and texture.

Glasses should not be worn for the first 3 months. Normal exposure to sunlight is not dangerous although it is advisable not to sunbathe.

You should avoid direct blows to the face.

The healing process as a whole has an element of unpredictability and depending on the nature of the skin tissue it is sometimes necessary to perform minor surgery, usually under local anaesthetic, in order to perfect the result.