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Rhinoplasty

Rhinoplasty

The nose is a decisive part of the face, and as such an extremely important in respect of the appearance and personality of the wearer. A disadvantageous nose can put its owner in a disadvantage in the public and private sphere.

Accordingly, a well-managed rhinoplasty can bring the patient an exterior appearance-, inner harmony, self-confidence, social-corporate and private life prosperity, saltatory positive change.

Our goal is to give the face a harmonious overall effect in which the nose constitutes an aesthetic, beautiful center.

It is possible in rhinoplasty, what is a corrective surgery for a formal failure of the nose, which, if necessary, means the transformation of the nasal bone and/or cartilage skeleton, the bending of the soft parts to the new frame, allowing the nose formed to the desired shape.

Dr. Kathó Jenő, with a 35-year-old ear-nose-and-throat and 22 years of plastic surgical experience specialist performed a large number of successful rhinoplasty.

What age it comes up to?

The minimum age for performing rhinoplasty for women is 16, for men is 18, which may be postponed later if growth is not yet clearly closed

What anesthesia is used?

The surgery is mostly done by anesthesia, but in some cases it can be done in local anesthesia?

What does the full or partial nasal correction, what is the secondary nasal correction?

The total nasal correction means that both the bone and cartilage vases of the nose, and the corresponding soft parts should be corrected. If it is necessary to change on the bony part, it is always necessary to adapt the cartilage portion to the new bony nose. If the bony nose does not require any change, the so-called partial nasal correction is also sufficient, which means the cartilage nose - the nose tip - if necessary, correcting the soft parts of the nose wings. Secondary nasal correction means the re-correction of the nose which have already undergone one (or more) not complete successfully performed rhinoplasty surgery. Such surgery is always more complicated, difficult than the first surgery, since the surgical site scared, the part of the tissues may be missing, other parts of their can be in disadvantageous location. The healing may be prolonged in these cases, the nose is prone to swelling for a prolonged period of time, it can be sensitive to cold for a prolonged period of time, it may develop over a longer period of time the final shape of the nose.

How to imagine the operation?

Surgical penetration is in most cases only inside the nose - accordingly visible scar of the operation will not remain.
Rarely needed a few millimeters incision healing with a barely noticeable scar in the separating pontic of the two blowholes in the corner of the upper lip - in special cases it is also possible in the rake of the nose wings and face skin.

How long is the operation?

In average case it takes approx. 1,5 hours. A secondary rhinoplasty is longer than a first operation.

In average case it takes approx. 1,5 hours. A secondary rhinoplasty is longer than a first operation.

At the end of the operation we put a stabilizing track for a week, - rarely, in case of sloped nose for two weeks. A tampon is inserted into the nose for a day.
After the surgery, the two eyes surrounded by haematoma, swelling arise, the nose itself will be swollen too (actually the procedure focused on the bone is a tendential, controlled nasal bone fracture), which accompanying symptoms for shorter or longer time are gone.
It is advisable to sleep propped up for 7 to 10 days to moderate these swelling.
It may occur during the postoperative period the crusting of the nose, it may be necessary to use nasal ointments.
For 2 weeks to blow nose, force, to eat hot and spicy, spicy foods, drink alcohol, sunbathing are prohibited! Sunbathing is not advisable for further 5 weeks.
The hematomas absorption time is approximately 2 weeks, after which the nose is still a little swollen, but are essentially already outside of that does not give the impression of an operated nose to external observer.
A week - rarely two weeks - after the mounting rail is removed. The internal stitches are absorbable thread performed so removing that stitches are not necessary.
If external sutures are, 1 week later, when the plaster is taken off, removing together. It's very important to protect the nose after surgery for about 6 weeks even minor trauma, and a cold for weeks (and the first winter) can be sensitive.
In the case of partial rhinoplasty the bone of the nose is not affected by surgery, so plaster fixation is not always necessary, although it often occurs to prevent nasal swelling.
All other notes related to the total correction surgery are also valid in the case of a partial nasal correction (any complications, risks, lifestyle instructions).

What is to be expected in long time?

The final shape of the nose takes only months (max. it takes about 1 year), since it takes such a long time for the skin to adapt to the underlying bony porous skeleton. The final form of the nose may not be guaranteed in 100% -in guarantee in formation of the surgery. Individual surgical results greatly depending on the postoperative period in the body's own reaction from scarring. In regard that during the surgery knowingly executed nose braking not healing in bone, it is just connective tissue healing, the resistance of the nose against rough trauma is weakened. This means that, with normal lifestyle, you do not have to fear of the nose is getting deformed, but it's a combat sport, ball game, or the competitive performance of any sporting activity that may involve melee attacks or punctuation of the nose is not advisable.

When it is recommended to perform nose correction and nasal septum surgery at the same time?

If the patient has:
- There is such a nasal septum leaning constriction that causes a nasal breathing obstruction, or
- It is expected to cause a nasal breathing disorder in the nose that is somewhat narrower after plastic surgery
- or the nasal bridge leaning cannot be corrected without the correction of the nasal septum leaning, a nasal surgery is also performed in one seat

This is a combined operation, which is actually two surgeries in anesthesia in every case.
Although the nasal swab remains longer in the nose (at the second to third day after surgery, is removed in two portions), and after the operation the patient may return home and return to the swab removing at the agreed time.

Is it possible to perform rhinoplasty by hyaluronacid injection?

The certain fromal errors of the nose can be corrected in a hyaluronic acid injection. Although, this procedure is much simpler than the surgical correction, however, it is effective only in limited cases.

You can find here further informations about Hyaluronacid injection.


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