Rhinoplasty (Nose job)
- What is rhinoplasty
- Types of rhinoplasty
- How much does rhinoplasty cost
- Contraindications for rhinoplasty
- Rhinoplasty procedure step-by-step
- Rhinoplasty recovery
- Rhinoplasty FAQ's
What is rhinoplasty
Rhinoplasty or nose job is a plastic operation on nose intended to harmonize a shape and size of the nose according to the face harmony norms. It is also carried out to correct breath impairment as well as to reconstruct facial damages resulted from trauma, cancer removal or congenital defect.
Types of rhinoplasty
There are three groups of rhinoplasty surgeries:
- Septoplasty or functional rhinoplasty
- Aesthetic or cosmetic rhinoplasty
- Ethnic rhinoplasty
Also known as septoplasty, it corrects breathing difficulties caused by congenital defects or physical trauma. It is also used for reconstruction of facial structures damaged as a result of accident or cancer removal. Functional rhinoplasty includes correction of deviated septum, enlarged turbinates, removal of nasal polyps and treatment of nasal fractures and is usually performed by otolaryngologist. Depending on severity of the problem, implantation of donor bone or cartilage may be needed.
The goal of cosmetic rhinoplasty is to improve appearance of the nose by changing its shape or size. Prior to the procedure a rhinoplasty surgeon evaluates individual features of the patient’s facial structure and discusses the further changes focusing on preserving and enhancing uniqueness of the face. Cosmetic rhinoplasty surgeries involve correction of the radix, straightening of the shifted or crooked nose, reduction of its tip, width, nostrils, improvement of nasolabial angle and projection. Some cases may require revision rhinoplasty.
Ethnic rhinoplasty suggests all types of nose job provided to patients of particular ethnics. Though each face is unique, each ethnicity has its typical features. The aim of ethnic rhinoplasty is to enhance appearance of the patient’s nose while preserving his or her ethnic features. This mainly refers to patients of Asian, African, Middle East and Hispanic origin. Rhinoplasty surgery for these patients differs from this of Caucasian patients and requires specific methods and skills of rhinoplasty specialist.
Both functional and cosmetic and ethnic rhinoplasty can be open or closed. During open (or external) rhinoplasty a plastic surgeon makes an incision on the outside part of the nose - columella, while during closed rhinoplasty (also called endonasal) an incision is made inside the nose. When considering open vs closed rhinoplasty it is obvious that each technique has its advantages and disadvantages. Closed rhinoplasty leaves no visible scars, lasts shorter and causes less postoperative swelling of the tip. Open rhinoplasty is preferred in case of complex deformities of the nose because it provides direct exposure and better visualization of nasal structures. The decision on which technique to use is left to the rhinoplasty specialist.
How much does rhinoplasty cost
The cost of rhinoplasty depends on:
- fee of the clinic;
- operated area;
- specialist who carries out the procedure;
- type of anaesthesia etc..
The cost of rhinoplasty in different countries:
Country and leading clinic
Turkey - Estethica Clinic
from € 1,400
Poland - KCM Clinic
from € 1,500
Korea - JK Plastic Surgery Center
from $ 6,000
Israel - Sourasky Medical Center
from $ 6,000
Contraindications for rhinoplasty
The only specific contraindication for rhinoplasty is age of the patient - it cannot be provided to patients under 18, because growth of his or her face is not finished yet and can affect the final result of the procedure. The only exception is when the surgery is provided for medical reasons. Patients with blood clotting disorders belong to risk group and plastic surgeon can advise against rhinoplasty. Prior to the surgery the patient undergoes medical examination which will confirm that his or her physical condition enables performing of rhinoplasty.
Rhinoplasty procedure step-by-step
Step 1 - Anaesthesia
At the first step of rhinoplasty the patient receives anaesthesia which can be local or general. The decision on which type of anaesthesia to use is made by anesthesiologist.
Then the rhinoplasty surgeon makes incisions inside or outside the nose (depending on rhinoplasty type - open or closed) and starts reshaping. It may include reduction of cartilage or bone, straightening of deviated septum, implantation of grafts etc.
Step 4 - Closing of incision
When the nose is reshaped the surgeon rearranges and models the skin and makes stitches to close the incisions. Sometimes a splint on the nose and cotton packs inside the nostrils can be used to support the new shape.
Normally, the procedure lasts 1-2 hours and does not require in-hospital stay. Severe cases involve significant changes of nasal structures and last longer with following 1-2 days of stay in the inpatient department. After the procedure the patient is monitored for several hours in the ward until he or she is ready for discharge. It is important to keep the head elevated to avoid immense swelling or bruising. One week after the surgery the patient can return to work avoiding physical activities during 4-6 weeks as well as sun exposure which can cause permanent skin discoloration. The nose will have its final shape and size in up to 6 months when all healing processes are finished and the patient can compare the results of rhinoplasty before and after.
Potential rhinoplasty complications include:
Bookimed medical specialist in plastic surgery Irina Stoyanova has prepared Rhinoplasty FAQ's to clarify the most frequent questions of patients who have intention to make rhinoplasty.