Rhinoplasty : Beauty & functionality

 

Rhinoplasty or aesthetic and functional plastic surgery of the nose is one of the most  popular surgeries worldwide.
Main factors to have in mind to get to fix the shape, as also the function of the nose must be the sex, the age and of course the personality of the patient.

The outcome of a rhinoplasty has to be a beautifully shaped nose which allows normal expressions and movements of the face while the patient is speaking, and at the same time help the nose to function properly and  improve the nose breathing.

The surgery

The surgery consists of two distinct but also interrelated parts

During the functional part of a rhinoplasty all the necessary work inside the nose is made in order to achieve the best breathing result and support effectively all nose skeleton as also take the necessary grafts which we will afterwards use.

During the aesthetic part of a rhinoplasty we intervene in the outer side of the nose in order to modify the shape, size and proportions so as to ensure a beautiful nose which will fit to the specific face.

Surgical steps

Due to the particularity of the surgery, every patient istreated  like a unique case, and we  use different techniques depending the case .

Some general rules though are:

  1. 1 to 3 tiny incisions are made in the interior of the nostrils
  2. Nasal hump removal
  3. Nasal septum straightening
  4. Acquisition of the necessary grafts from the septum
  5. We enhance the lower part of the nose, the tip of the nose
  6. All the lower part of the nose is reshaping(thinning, lifting, flattening)
  7. We shorten some or all of the dimensions of the nose if needed, or enhance them using grafts
  8. We reinforce the lower cartilages in case of collapse when breathing
  9. We increase the amplitude of the nasal valve in case we have a very narrow nose causing breathing difficulties
  10. We take the necessary grafts of the following  areas: nasal septum, other nose cartilages, ear, chest ribs
  11. We reduce the size of the nostrils if necessary
  12. We close internal incisions with absorbable sutures and in an open rhinoplasty we place three small sutures to close the incision (6.0 nylon)
  13. We place inside the nose a very light packling for 1 day or no packing at all
  14. We place on the back of the nose a discreet thermoplastic splint for 6 days

Anesthesia

Local anesthesia combined with general anesthesia is the best option

If there is contraindications for granting general anesthesia we can proceed with granting sedation or only by local anaesthesia

The duration of surgery

Depending on the case the duration might vary from 1 to 1.5 hour to 4 hours, even in case ofa very demanding revision

Exit from the clinic

The patient may leave the clinic same day in the afternoon. Six hours after the surgery the body eliminates the necessary percentage of anesthesia drugs,so the patient is ready to go home

 Result of surgery

The result of the rhinoplasty is Permanent.

In cases of post-op nasal breathing problems or nose deformities you should contact a qualified rhinoplasty surgeon to perform properly the  reoperation

A successful rhinoplasty

The success of a rhinoplasty depends on the selection of an experienced rhinoplasty surgeon, who in cooperation with the patient will give him the appropriate nose for his face. It is commonly accepted that rhinoplasty may be the most attractive and popular among all cosmetic procedures, but it is in the same time the most difficult and complicated plastic surgery of all.

 

rhinoplasty: photo of a man after nose surgery

 

Every surgical rhinoplasty must keen the perfect aesthetic and functional result. After a correct rhinoplasty your nose will be beautiful and at the same time will breath properly.

 

rhinoplasty : woman profile after nose surgery

 

The swelling of the nose area is usually very limited and in about two weeks is reduced almost completely ,the 80% of your rhinoplasty result is clearly perceived.

 

rhinoplasty : man after nose surgery

 

After a rhinoplasty the pain is minimal. The same happens with the removal of the packing which is particularly lightweight and its removal is painless.

After rhinoplasty

Some simple instructions to be followed after a rhinoplasty surgery:

Rhinoplasty: Postoperative instructions

  • The patient leaves the clinic same day in the evening or next morning
  • The day after light packing is removed
  • The patient must wash the inside of the nose and use nasal ointment, one month three times a day
  • A week after surgery the small splint is removed
  • No need for painkillers
  • Precautionary antibiotics are given for 4 days

The internal sutures don’t need to  be removed, as they will be absorbed. In the case of an open access three very fine sutures are removed at the same time with the spling removal.

The swelling at the nose area is usually very limited. In two weeks it has vanished, and an 80% of the result is perceived. In about three months almost all of the result can be seen. The final result, the stabilization and strengthening of the nasal skeleton is perceived in about a year from the surgery.

The right choice

Rhinoplasty is one of the most demanding and important cosmetic procedures. That’s why the choice of a specialized

Rhinoplasty center is essentialso that theoperation which you will get, achieve the desired and ideal result for you in a secure and peaceful environment.

What means “functional rhinoplasty” and what’s the importance of an ENT surgeon

Functional rhinoplasty is the operation which ensure a good function of the nose (breathing) in combination with a good looking nose.

In modern rhinoplasty we use extensively grafts from the nasal septum in order to ensure the desired aesthetic effect.

This fact combined with the frequent coexistence problem of the nasal breathing makes the presence of an ENT surgeon necessary, to ensure the settlement of even the most difficult problems that arise during the correction of the septum and the interior of the nose as also to obtain often extensive grafts.

What makes unique Exelixis Medical Institute

Exelixis MI is the only specialist Rhinoplasty center in Greece which features the Vectra 3D Imaging System of Canfield Scientific, NJ USA.

The special three-dimensional simulation of your Rhinoplasty results provide the opportunity to see your future nose  in all dimensions.

We undertake the most difficult cases of nasal malformations, reoperations (revisions rhinoplasty) of non satisfied patients from previous failed surgeries.

The proper and full clinical examination for the demanding surgery of rhinoplasty

A complete Initial visit and discussion for rhinoplasty should last about 1 hour and includes:

  • Clinical evaluation
  • Endoscopy of the nose and recording to a computer
  • 3D simulation using the Vectra 3D Imaging System

It is impossible a short visit of 10 to 15 minutes to the doctor to cover properly such a special surgery. Unfortunately this will lead to many misunderstandings and lacking information of the patient. Patients coming to us realize exactly what they are going to get, or even learn about problems that were anaware, for example possible polyps in their  nose or residues of adenoids from their childhood.

At the specialized center of Exelixis MI, Dr. Moireas George ENT specialist, with expertise precisely on functional rhinoplasty, is always ready to thoroughly examine you ,as also listen to your needs and expectations about your rhinoplasty and to guarantee you the ideal outcome safely and securely.

At Exelixis MI with our on-line surgical planning of Medical tourism , we are serving patients not only residents of Athens but from all over Greece, Cyprus and from abroad.