Rhinoplasty - Nose Jobs
Rhinoplasty is performed under general anesthesia or local anesthesia and in case of uncomplicated process it takes 1-2 hours. A cartilage and even bony part of nose is shaped. The nose is fixed with plaster splint for 7-14 days after the treatment. There is a tamponade in the nostrils to prevent bleeding. It is necessary to stay at the hospital for 1 day. In the post-surgical period there are visible frequent swellings and blood bruises of the face.
What is a nose job?
A nose job or rhinoplasty is one of the most common but technically most difficult plastic surgery procedures. Anyone is eligible for a nose job, as long as their nose has finished growing. Rhinoplasty can reduce or increase the size of your nose; correct the shape of the tip or the bridge or narrow the span of the nostrils. The plastic surgeon can shorten or prolong the nose, although more often it is a complex surgery that changes nose asymmetry.
Nose Job Surgery
Deviated septum surgery
Are you a good candidate for a nose job – rhinoplasty?
The best candidates for rhinoplasty abroad are people who are looking to improve their look. If you are healthy, psychologically stable and realistic in your expectations, you may be a good candidate for a nose job. Rhinoplasty can be performed to meet aesthetic goals or for remodeling purposes to correct birth defects, such as cleft deformities, or breathing problems. You can view before and after photos of nose jobs abroad in our photo gallery. Age may also be a consideration. The surgery should not be performed before the development and growth of the person is finished. Usually, this is around 18 years of age for men and 16 years of age for women. Upper age limit is not strictly set; it depends on the quality of the skin, which is getting worse after 35 years. It is hard to heal oily and very porous skin. Patients with disposition to scars are not recommended to undergo rhinoplasty. Surgeon will not perform the surgery if you or in your family occurred bleeding disease or thrombosis (blockages of arteries or vessels). It is possible to change the state of patient by medicaments so that he/she will be able to undergo the surgery. In patients with internal problems significant surgical procedures are not recommended at all.
During the first consultation, your surgeon will explain the operational procedure in detail, assess your case, discuss with you the possibilities of surgery and choose the most appropriate one for you. This part of preparations is very important. You and your surgeon should try to be open and both agree on final result. Many clinics work with software modeling or with photography. Nose surgery presents change in total facial expression and you should be ready for this change. Surgeon has to take into account your individual facial proportions. They form total profile and therefore larger impacts into shape of the nose are followed by change of lower jaw and chin.
Remodeling of noses with humps
During facial analysis following proportions are assessed:
Fronto-nasal angle (change from forehead to the bridge of nose): If the angle equals zero, patient has so-called Greek profile.
Nasal bridge: We assess its continuity and symmetry. Male nose has straight nasal bridge, slightly upturned. Female nose is curved to the opposite side.
Nasal root breadth: Ideal width is about 2-4 mm less than width of nasal wings.
Nasal tip evaluation: Basic figure is symmetry of the nostrils, their size and type of skin. Another assessed parameter is size of the tip according to the root. Also the continuity from the bridge to tip is evaluated.
Nasal-labial angle (change from nose to the upper lip): This angle varies depending on the female or male nose. It ranges from 90-100° for male noses and 100-110° for female noses.
Function of nose: Breathing, smell, sound resonance. Nose serves also as an acoustic breaker.
Be sure to tell the surgeon if you have had any previous nose surgeries or any injuries to your nose, even if it was many years ago. You must also inform the doctor if you suffer from breathing problems. It is assumed that no acute illness (viral illness, cold etc.) will have occurred in the period preceding the surgery. Inform your surgeon about any illness.
You will be sent to internal pre-surgical examination. If you take warfarin, aspirin or other medicaments against inflammation, you should stop at least one week before the surgery. Talk to your surgeon that prescribes these medicaments to you, whether to replace them with others that will not complicate rhinoplasty. You should limit smoking for at least two weeks before the surgery and for the recovery period. While preparing for your nose job, be sure to arrange for someone to drive you home after your surgery and to help you for a few days, if needed.
How to choose a good surgeon
Invest enough time to choose a good surgical clinic and surgeon that you trust to. Do not measure only the price because even in the most expensive and most famous place you have no guarantee that you will get along well with the surgeon and that you will be able to express your expectations. On contrary at clinics that are much less expensive than the others there is danger that you won’t get complete care that the procedure desires. Find out where in your vicinity is rhinoplasty performed. Make an appointment in two or three of these clinics. This way you can find out how they differ from your own point of view. You will assess professional attitude of the surgeon and the way of communication with him/her. Total costs may increase a little bit, although the initial consultation ranges from 300 to 1000 CZK, which is not such an investment. Do not be afraid to ask the surgeon on his/her qualification. Choose a surgeon that is professionally trained in the field of plastic surgery and has several years of experience with nose job surgeries. Ask how often he/she performs rhinoplasties and ask for some sample pictures.
In some case rhinoplasty is indicated and therefore even covered by insurance company. Patient has the right for rhinoplasty after an injury or with congenital deformity like cleft of nose or upper jaw or with breathing problems that are caused by asymmetric position of nasal septum. In all these cases insurance company covers the surgery. Only problem could occur if the clinic that you chose does not have a contract with your insurance company. Septoplasty is often performed in ordination of otorhinolaryngologist. If the patient desires septoplasty and cosmetic nose surgery at the same time, it is good to visit clinic, where otorhinolaryngologist cooperates with the specialist from plastic surgery.
How long will the effect of nose surgery (rhinoplasty) last?
The results of a nose job are lasting. It is however necessary to realize that the final result may not be apparent for up to one year after the operation.
This text has been created with the kind assistance of Tomas Dolezal, M.D.
Frequently Asked Questions
- According to what criteria should I choose a clinic before undergoing nose surgery?
- What regimen and restrictions are awaiting me after nose surgery?
- What are the main risks of nose surgery?
- What do I do if I'm not satisfied with the outcome of rhinoplasty?
- How much does nose surgery cost?
- What are the funding options for nose surgery?
- In what cases is it not possible to perform nose surgery?
- What does the procedure of nose surgery involve?
- Will the scars after nose surgery be visible?
- Under what circumstances does health insurance contribute to nose surgery?
- What type of anaesthesia is used during nose surgery?
- How long does the healing take after nose surgery?
- How do I perform a pressure massage after nose surgery?
- What is the difference between septoplasty and rhinoplasty?
- How long after nosejob is it necessary to wear a plaster bandage?
- Is there an age limit for nose surgery?
- What does the nose surgery preoperative consultation include and how much is it?
- Will I have visible scars after the nose surgery?
- How long is the recovery period after nosejob?
- Runny nose before the surgery
- Nose job vs. change of the facial expression
- What can be done with my nose? (born with a cleft pallet)