nose surgery (rhinoplasty)

Nose surgery is the procedure that enables a correction of the defects in the shape or dimension of the nose. When other than a cosmetic defect there are also breathing problems, SETTOPLASTY septum surgery is performed in the same section, combining the correction of the functional defect and cosmetic remodeling through a rhino-septum surgical procedure.

Two weeks before the operation all medicines containing acetylsalicylic acid
(eg. Aspirin, Cemerit, Vivin C, etc..) and anti-inflammatories must be suspended. The main blood tests are required, the COAGULATION TEST, electrocardiogram, and chest X-rays. Photographic documentation of at least four perspectives (two profiles, front and from below)

There does not exist a standard nose for every face. The planned correction must be suitable to the face and in proportion to it. The new profile must consider the patients
desires, but above all the anatomical structure and dimensions of the forehead and chin (PROFILOPLASTY)
The surgery plan is based on direct observation and graphic changes performed directly on printed photographic documentation or by computer programs
This enables the surgeon to evaluate the correction and the main aspects of it, while the patient can evaluate the hypothesis based on real corrective possibilities.
Another important aspect in the pre-operation evaluation is the skin thickness, above all on the top of the nose. A thick skin in this area does not permit a thin tip, even if desired by patient or surgeon.
The surgery is performed under general anesthesia and a stay in hospital for at least 24 hours (48-72 in case of RHINO-SEPTUMPLASTY) is advised.
The incisions are inside the nostrils and consequently there are no visible scars. In some cases (for example Secondary Rhinoplasty) an external incision at the level of the COLUMELLA (the part of the nose that borders the lips) is preferred to obtain a better vision of the parts to be reduced/modified.
In the case of particularly thick or long nostrils, external incisions hardly visible, must be performed in addition to those described above.
According to the nose shape, first the bone section is reduced and then the remodeling of the nose tip is performed, or vice versa. In cases of INSELLATI? CONCAVE? noses, an ìincreasingî Rhinoplasty is performed, and the defect is filled with a bone graft or equivalent bone material, or cartilage obtained from the septum or the ear. The tamponamento of the nostrils, the immobilization with plasters and plakets or plaster concludes the operation.
In the first few days the nose is swollen, which could affect the eyelids. The bruising disappears after 8-10 days. Complete use can begin after around 10 days. If there are no external incisions it is not necessary to remove the suture. After removing the bandages the swelling reduces gradually, starting from the top parts and slowly until the tip of the nose that can take up to six months or more to take on the definitive look.