PHILOSOPHY OF RHINOPLASTY AND SEPTOPLASTY
Before & After
Before & After
Rhinoplasty or Nose Surgery
Nowadays, rhinoplasty is one of the most popular facial plastic surgical procedures. Many people are unhappy with the nose they were born with, while others have had the shape of the nose distorted from an injury.
Disorders of nasal breathing often complicate the situation.
A range of techniques are used to fully address the desired change in appearance as well as to improve nasal breathing.
The most common goals that a successful rhinoplasty achieves include improvement of the size and shape of the nose, removal of a hump and refinement of the nasal tip.Because it is one of the most technically difficult procedures in cosmetic surgery, rhinoplasty requires a strong sense of aesthetics coupled with a profound understanding of anatomy to provide an attractive, natural-looking nose that functions properly.
During your initial consultation you can discuss your expectations with the surgeon. He will evaluate the structure of your nose and face and discuss the various possibilities of restructuring with you. He will also discuss all the factors that can possibly influence the final outcome. These include things like the anatomy of your nasal bones, the shape of your face, the thickness of your skin etc. The technique (open or closed) and type of anaesthesia used, will be described and any possible risks will also be discussed. We advise you to ask any questions you may have during the consultation.
Once you have made the decision to proceed with surgery you will be required to attend a pre-operative screening appointment at least 2 weeks prior to your surgery. This will include a blood test, blood pressure check and in some cases an ECG or any other specific test requested by your surgeon. In certain situations we may need to contact your GP for further health related information in which case we will ask your permission. Photographs of the area to be treated are usually taken and kept in your private & confidential file. We will not use your photographs for any promotional purposes without your written permission.
The operation is usually carried out under general anaesthesia. An anaesthetist is constantly in attendance throughout the procedure to control and maintain the level of sedation. The technique used will depend on the level of improvement/correction required. An ‘open’ rhinoplasty is usually the preferred procedure as it allows much better access to expose and control all the small cartilages and the bones involved in the anatomy of the nose. Therefore subtle or more drastic changes can be achieved. A small exposure incision is made across the columella of the nose, between the nostrils. The incision heals rapidly and leaves an almost invisible scar. It is also in the shadow line of the nose – so it is not visible on views from the front or the side. In some cases a ‘closed’ procedure which involves incisions only in the inside of the nose is chosen. The best options will be discussed at the time of consultation.
Pain is minimal and often absent. Discomfort of a blocked nose is the most common complaint. You will be issued with anti-inflammatory agents and mild painkillers. Your face will be slightly puffy and slight bruising and swelling around your eyes will possibly set in and be visible for 7-10 days. You should not blow your nose for a number of days after the procedure, therefore you will be advised to do regular nasal douches. You may go back to work after a few days; however it is recommended that you try to take 7- 10 days off work to facilitate initial healing. Do not partake in any strenuous aerobic activities during the 3 weeks following the procedure. Moderate walking as soon as possible after the procedure is advisable. Drink as much fluid in the form of water and fruit juices as possible.
You will have the opportunity to meet privately with ENT Consultant, PHD Rhinoplasty/Septoplasty Specialist Mr. Michael Tsounis.