Rhinoplasty operation
Summary of surgery
TIME
2 - 3h
ANESTHESIA
General
HOSPITALIZATION
1 night
RECOVERY
10 days
Video subtitled in English
WHAT IS THE RHINOPLASTY OPERATION?
Rhinoplasty performed by Clínica Sanza in Barcelona is a surgical operation that aims to harmonize the shape of the nose with other facial structures such as the chin, malar, eyes and even the body and essence of the person.
Nowadays, aesthetic surgery no longer seeks to follow a certain mold for all noses, nor does it pretend that all noses are the same. This is a thing of the past and nowadays the successful rhinoplasty is aqueous which gives the whole face an aesthetically adequate profile and projection.
Since the nose is the central area of the face and the most striking prominence, a small change, very well done, can greatly improve the appearance and facial aesthetics.
Clínica Sanza in Barcelona, is a reference center in ultrasonic rhinoplasty operations .
Initial Considerations
It is important to take into account the patient’s age, and it is not advisable to perform cosmetic (elective) rhinoplasty until nasal bone growth is complete. This occurs around 14 or 15 years of age in women and a little later in men.
In addition to this, one must consider realistic expectations of the nose that each person already has, since it is such an important feature of the face, this surgery can completely change the facial features. An exaggerated change is not recommended unless the patient so desires.
What can rhinoplasty surgery do for me?
There are certain features of the nose that are often uncomfortable for many patients and can be easily corrected by a skilled plastic surgeon.
Some of the most common cases of uncomfortable features of the nose are: bony hump, which is the bone that protrudes from the dorsum of the nose, nasaldeviations to the right or left of the nose, wide, drooping or flattened nasal tip, congenital malformations such as cleft lip and cleft palate sequelae, and trauma that alters the physiognomy of the nose in some way.
TYPES OF RHINOPLASTY
In all these cases the rhinoplasty operation can correct or improve the aesthetic appearance of ungraceful features, either by means of a simple rhinoplasty or a complete rhinoplasty, depending on the severity of the case and the desired results.
There are two types of rhinoplasty surgeries: simple and complex.
Simple Rhinoplasty (Video subtitled in English)
This operation can be done under local anesthesia local anesthesia or sedation on an outpatient basis.. It consists of improving small details of the septum, dorsum, wide tip or droop; small details that, when fixed, turn a nose with annoying features into a beautiful nose, harmonious with the patient’s face and personality.
Complete Rhinoplasty (Video subtitled in English)
A more laborious operation than the simple one, itis used for more complex cases, particularly for large tip defects or secondary rhinoplasties. The structures of the nose are accessed through a minimal incision at the base of the columella. Through this incision the entire anatomy of the area is exposed, allowing us to carve and shape the cartilages of the tip of the nose to form a new structure. We also perform complete rhinoplasties for those who also present a respiratory difficulty.
This procedure can be performed under general anesthesia or under local anesthesia plus sedation.
Rhinoplasty does not always have to be reductive, sometimes it will be convenient to increase its size to give more relief to the tip, to lift the dorsum or to correct congenital or traumatic deformities. In these cases it may be necessary to place tissue grafts taken from the patient himself or a nasal prosthesis to shape or support the nose.
Do not confuse rhinoplasty surgery (to correct or improve aesthetic aspects of the nose) with septoplasty surgery (to improve the respiratory, not aesthetic, functionality of the nose). If you still have any doubts, do not miss this article where we explain it in detail.
Book a visit
You can do it in 3 ways:
– Free on-site visit: Call +34 932066540 from Monday to Thursday from 9:00 am to 6:00 pm and Friday from 9:00 am to 3:00 pm.
– Free on-site visit with IMMEDIATE booking: For booking outside office hours. We charge 60 € on your card to avoid false bookings. It is refunded on the day you come to the consultation.
– ONLINE Visit: Video conference using whatsapp or Zoom. Cost of 60 € non-refundable. When booking indicate in the comments that you want videoconferencing and not on-site.
Book a visit
You can do it in 3 ways:
– Free on-site visit: Call +34 932066540 from Monday to Thursday from 9:00 am to 6:00 pm and Friday from 9:00 am to 3:00 pm.
– Free on-site visit with IMMEDIATE booking: For booking outside office hours. We charge 60 € on your card to avoid false bookings. It is refunded on the day you come to the consultation.
– ONLINE Visit: Video conference using whatsapp or Zoom. Cost of 60 € non-refundable. When booking indicate in the comments that you want videoconferencing and not on-site.
WHERE DO WE OPERATE?
At Clínica Sanza we rely on the Sagrat Cor Hospital, part of the Quirónsalud group, to perform our surgical procedures.
Its prestige, facilities, medical and healthcare staff, as well as its technology are a guarantee.
BARCELONA: A HEALTH HUB
Do you want to know why it is worth coming to Barcelona for plastic surgery and why so many people come from abroad?
WE ORGANIZE EVERYTHING FOR YOU
Your trip, your flight, your operation, your transfer and your hotel with our support agency. We work with the best travel agencies worldwide.
PATIENT PROFILE
People who present physical alterations, often complexing, due to a nose that is too prominent or too flat, and which sometimes causes breathing difficulties.
SURGERY PROCEDURE
Each rhinoplasty is different and must be evaluated in all its structures. The most common approach is the one known as “closed”, although there is an increasing tendency to practice “open” rhinoplasty.
Closed rhinoplasty is surgery performed through incisions inside the nose in such a way that no external scar is visible. Through these incisions the surgeon can carve and shape the bones and cartilage of the nose to form a new structure.
For more complex cases, particularly for large tip deformities, the so-called open rhinoplasty operation is performed. The structures of the nose are accessed through a minimal incision at the base of the columella. Through this incision the entire anatomy of the area is exposed, which allows us to carve and shape the cartilages of the nasal tip more precisely, configuring the new nasal structure.
DURATION OF THE OPERATION
- 2 to 3 hours of operation
PROTOCOL
Preoperative
- Evaluation of the area to determine the appropriateness of the surgery
- Follow specific guidelines determined by the doctor
- CBC and tests on cardiac and respiratory status
Anesthesia
- Local and sedation, or general
Hospitalization
- Ambulatory or 24 h admission after surgery
Postoperative
- Simple rhinoplasty does not require nasal packing or nasal splinting.
- Nasal packing and protective splint in complete rhinoplasties
- Removal of tamponade between 24 h and 48 h after surgery
- Removal of the splint 7 to 10 days after the surgery.
- Discomfort from packing and splinting, usually painless.
- Medication if required
- Mandatory check-ups after a few days, a few weeks and a few months, according to prescription
Convalescence
- Normal life, but with splint and possible periorbicular hematomas that disappear in one or two weeks.
- Watch not to receive shocks in the treated area for one or two months.
RESULTS
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- Aesthetic change evident from the very first moment
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- Definitive appearance from the first to the third month after surgery
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- Rejuvenated appearance
- Improvement of the patient’s psychological profile and self-esteem.
DEGREE OF DIFFICULTY
- Operation simple-medium
LEVEL OF RISK
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- Low risk surgery
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- Risks inherent to the operation: small asymmetries requiring nasal retouching.
- Risks of any operation: hemorrhage, infection, impaired healing
FINAL CONSIDERATIONS
Each nose is different and gives a personality to each face. If you consider that your nose is not very graceful or there are aspects of it that you would like to improve, Clínica Sanza advises you to make a visit to your plastic surgeon to evaluate your particular case and thus be able to evaluate what type of rhinoplasty and what surgical operation will have the best results in you.
Rhinoplasty is a surgical procedure with excellent results, which can be seen at shortly after surgery and which also bring great satisfaction and improve the self-esteem and self-image of many people.
Dr. Sanza helps many people feel good, not only on the outside but also on the inside. A good image or the desired image allows you to achieve the happiness you need to be well with yourself and the environment around you.
PHOTOS BEFORE/AFTER SURGERY
Whatever your case may be, do not hesitate to contact us.
Sanza Clinic in Barcelona, quality of service
Frequently Asked Questions about Ultrasonic Rhinoplasty
What is the ultrasonic scalpel?
The ultrasonic scalpel is composed of:
a generator, a transducer and a handpiece (terminal) where the different tips necessary to perform the different types of cuts are placed.
How does it work?
Its cutting is produced thanks to the vibration of a high-frequency head. This vibration produces the precise cut at bone level.
What differentiates ultrasonic rhinoplasty?
In rhinoplasty, when removing the bony hump (the small bone), in the past, chisel and hammer were used. This made it quite traumatic for all tissues, as it can damage not only bone but also skin and mucous membranes.
In ultrasonic rhinoplasty, we use an ultrasonic scalpel that only cuts bone, not acting on skin or mucous membranes.
Why don't you cut other fabrics?
It has a special vibration that coincides with the bone tissue, allowing bone mobilization, with minimal bleeding and respecting the skin and nasal mucosa.
For this reason, if the tip is placed on the skin or mucous membranes, it has no effect.
Is ultrasonic rhinoplasty more precise?
It is highly precise, the cut is millimetric and very accurate, as for scars the only visible one is at the level of the columella (between both nostrils) and then becomes imperceptible after about 2 to 3 months.
Is there less inflammation?
This technique results in less inflammation and therefore less pain and bruising. Inflammation always has several factors: personal factors of the patient, time of the year, and medications taken by the patient. But generally speaking, ultrasonic rhinoplasty considerably reduces swelling.
So to summarize:
- More precision, we know exactly where we cut and how much. Healing will be much more controlled and directed.
- Less inflammation, as it preserves the tissues.
- Less pain, as it has less inflammation and is less traumatic.
- And consequently, a faster recovery.
- Better Results: More accurate and predictable technique.
Can all rhinoplasties be ultrasonic?
Treatment of the bony hump and the necessary lateral fractures can always be performed with the ultrasonic scalpel.
The only limitation for the use of the ultrasonic scalpel is that the rhinoplasty must be OPEN (with that small cut between the nostrils that in a few months becomes imperceptible).
Can closed rhinoplasty (no cut between the nostrils) be ultrasonic?
We are developing new tips and advances to be able to use ultrasonic rhinoplasty in a closed way but it is still necessary to make a small cut in the columella (area between the nostrils), to be able to perform ultrasonic rhinoplasty properly.
No more hammer and chisel?
The hammer and chisel that patients fear so much and that causes great inflammation and hematomas, we have left it aside, greatly increasing the comfort of patients.
The use of the hammer caused not only more inflammation, but also lack of precision and unsatisfactory results.
In the case of wanting to perform a CLOSED rhinoplasty, we must still use the hammer and chisel, which will result in greater swelling and bruising at the beginning.
In which cases do we indicate an ultrasonic rhinoplasty?
The surgery is especially indicated for people who wish to:
- To improve Respiratory Function
- Changing the appearance and shape of the nose
- Increasing or decreasing nasal size
- Raise or lower the nasal tip
- Correct congenital (birth) or acquired defects (due to previous rhinoplasty or accident).
Are there differences in the postoperative period?
As mentioned above, there is less chance of bruising. But if they do occur, they will disappear much faster than in conventional rhinoplasties: 7-15 days.
The swelling is also minor, if it appears it is greater up to one week and then decreases rapidly.
This makes the postoperative period more bearable and you will be able to return more quickly to your usual tasks with little appreciable swelling.
Some residual swelling may continue in the area of the tip and osteotomy for up to a few months after surgery, so we must be patient to wait for the final result of the procedure.
Is it necessary to use earplugs after ultrasonic surgery?
We no longer use conventional plugs, we use a special silicone splint that allows the patient to come out of the surgery BREATHING, which greatly increases the comfort and peace of mind of the patient.
When are the stitches and nasal splint removed?
The nasal splint and stitches are removed after 7 days. Until that day you must keep the stitches clean and prevent crusting.
When can I do sports?
After 20 days we could start with light lower body exercise such as cycling or some leg exercise. After 30 days we could do almost any exercise: gym, swimming pool, running.
In case of contact sports such as Boxing, Judo, Basketball, Soccer, we should wait until 3 months or use some type of rigid facial protection (mask type).
When can I put on my glasses?
You should wait up to one month to wear glasses over the nasal dorsum, in case you need to wear them we recommend contact lenses or we will explain how to hold them so that they do not fall on the fracture area.
When can I drive the car?
You should wait at least 20 days, ideally one month, to drive after surgery.
Frequently asked questions about nose surgery (rhinoplasty)
When will I see a definitive result after a Rhinoplasty?
At what age can I have a Rhinoplasty?
Can nose deviation and shortness of breath be corrected in the same surgery?
What type of anesthesia is used in Rhinoplasty?
Should I stay in the hospital after a Rhinoplasty?
Do I have to wear a cast or splint after rhinoplasty?
What tests do I need before performing a Rhinoplasty?
How long does the procedure take and what is it like?
The operation takes approximately 2 to 3 hours. Aesthetic rhinoplasty consists of modifying the shape of the nose through small incisions or openings made inside the nose, or at the base of it in such a way that there is no external scar or it is practically imperceptible.
When will I be able to return to work?
Does it hurt a lot?
There is a legend that rhinoplasty, both ultrasonic and conventional, is very painful, but this is not true. It hurts almost nothing. Only if you touch it is sore, otherwise you do not need to take any painkillers.
