Rinomodelation intervention

English subtitled video

The rhinomodelling consists of improving small depressions or nasal defects by injecting a substance to make the dorsum straighter. It is an operation that we carry out at Clínica Sanza’s surgery in Barcelona.

It is part of what we call aesthetic medicine, i.e. it does not involve surgery. They are infiltrations that are done in the surgery, without having to go to hospital for anything, because it is a very simple and economical change. It is important to note that it has limitations in terms of what can be done, it does not serve for major changes.

To make this improvement we can normally use calcium hydroxyapatite or hyaluronic acid.

WHERE DO WE OPERATE?

At Clínica Sanza we rely on the Sagrat Cor Hospital, part of the Quirónsalud group, to perform our surgical procedures.
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PATIENT’S PROFILE

Generally, men that desire to improve their nose’s appearance by increasing its size.

Patients who have undergone a previous rhinoplasty and have had some complication without the need to intervene again.

PROCEDURE

It is much practiced in small noses with oriental or negroid features that desire a more prominent or straight nose but also in noses with small humps, where an injection with hydroxyapatite of calcium is used in the nasal root and between the nasal back and tip to make them straighter. This procedure is used instead of scratching or filing the nose in order to achieve a better look.

DURATION OF THE INTERVENTION

Between 20 and 30 minutes

PROTOCOL

Preoperative

Area evaluation to determine appropriateness of the treatment.
Follow specific guidelines as determined by the doctor

Anesthesia

Not needed, or ocassionally it is local.

Hospitalization

Ambulatory

Postoperative

Medication if required
Mandatory revisions after a few days, a few weeks and a few months according to prescription.

Convalescence

Not required

OUTCOME

Immediate results.
Evident aesthetic change from the beginning.
Rejuvenated and improved appearance.

DEGREE OF DIFFICULTY

Simple intervention

RISK LEVEL

Very low
No allergy testing required

BEFORE/AFTER PHOTOS

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Frequently Asked Questions about Nose Surgery (Rhinoplasty)

When will I see a definitive result after a Rhinoplasty?

There are many factors that influence, the type of surgery, the patient’s own characteristics, previous interventions, etc. In a general way in 15 to 21 days you can already see some approximate results, but usually is until the third month until the result is more or less definitive. However, the nose may undergo small changes for up to a year.

At what age can I have a Rhinoplasty?

It is not advisable to operate on any patient until they have completed their natural growth process. In girls this is usually given at 14 or 15 years old, in boys it is usually until 18, so in general terms we do not recommend carrying out this type of intervention until after adolescence.

Can nose deviation and shortness of breath be corrected in the same surgery?

Yes, it is very frequent to see patients who breathe badly because they have some degree of septal deviation that affects the correct flow of air inside the nose. Correcting this deviation or obstruction improves appearance and restores respiratory function. That is to say, we correct the aesthetic and functional part.

What type of anesthesia is used in Rhinoplasty?

It depends on the type of intervention we have to carry out. If it’s just the cartilage (tip of the nose) to be corrected, it can be perfectly done with local anesthesia and a small sedation. In cases in which we have to carry out corrections of the septum or osteothomies it is essential to perform it under general anesthesia.

Should I stay in the hospital after a Rhinoplasty?

The intervention itself does not require overnight, but we must distinguish whether we perform a simple (cartilage) or a complete (bone+cartilage) rhinoplasty. In the first case it is ambulatory and in the second case it may be necessary to spend 24 hours of hospitalization, specially due to the residual anaesthesia effects, more than because of the procedure itself.

Do I have to wear nasal plugs?

Nasal plugs are not always necessary, only when the nasal septum is modified. If required, they will be removed the day after surgery, or if you don’t bleed within 48 hours.

Do I have to wear a cast or splint after a rhinoplasty?

Not all nose interventions require the use of a cast or splint, only in cases of osteotomies, and it has to be used normally for one week. In other cases it is possible to use a support splint for one to 5 days, depending on the inflammation.

What exams do I need before performing a Rhinoplasty?

If we speak of a simple procedure with local anesthesia, only a complete analysis is required. In the case of more complex procedures under sedation or general anesthesia, though, we will add a chest x-ray and an electrocardiogram.

How long does the intervention last and what is it like?

1 or 2 hours approximately. Aesthetic rhinoplasty consists of modifying the shape of the nose through small incisions or openings that are 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 can I go back to work?

It depends on the surgery and the type of activity you do. In cases that do not involve more physical exercise can return to normal work after 3 days, but it should be noted that for this time there may still be inflammation and some bruising in the area of the nose and eyelids. Usually after 7-10 days there are no signs of the intervention and after one month intense physical exercise and sport can be carried out.

Does it hurt?

There is a legend that rhinoplasty, both simple and complete, is very painful, but that’s just not true. It doesn’t hurt a bit. Only if you touch the nose you’ll feel the pain, but generally there’s no need to take any painkillers.

If I don’t like it, can I rectify it?

Yes, of course you can. You must feel well with yourself. But it cannot be touched up until at least 6 months after the surgery.

Is it always the same shape, when it comes to nose surgery?

Not at all. Many years ago, it was the same procedure for all nose jobs, but nowadays you can choose the way you want it done.