Rhinoplasty – Aesthetic and functional surgery of the nose

In rhinoplasty, the nose is reshaped for aesthetic reasons and related to respiratory disorders. It is performed under general anesthesia.

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Rhinoplasty – Aesthetic and functional surgery of the nose

Rhinoseptoplasty is a surgical procedure that allows the achievement of a balance between aesthetics and function, aiming to modify the bone and cartilage structure of the nose in order to improve its shape and breathing.

In rhinoplasty, the nose is reshaped for aesthetic reasons and related to respiratory disorders. It is performed under general anesthesia. Convalescence after rhinoplasty is relatively short and not too annoying. Clearly it can vary according to the patient but, in the norm, the return to normal life occurs in one / two weeks.

General information of the intervention

With rhinoplasty we intervene on the nasal pyramid, remodeling its external forms. Specifically, work is done on the nasal bones, soft tissues and cartilages with an intervention aimed at achieving the desired appearance. The osteocartilaginous portion of the nasal pyramid is subjected to remodeling in order to obtain a natural and harmonious result; therefore it is always a balanced intervention between the repositioning of the tip and the line of the nasal spine.

It is not correct to think that the nose can be improved by only removing a hump or with a small retouching of the tip. This surgery takes place under general anesthesia and requires a minimum stay of 24 hours. The operation is performed under general anesthesia and involves the simultaneous correction of any functional defects such as deviation of the septum, hypertrophy of the lower and middle turbinates and inflammation of the paranasal sinuses.

Nasal swabs are not used, but thin silicone plates positioned between the septum and turbinates that prevent the formation of post-operative synechiae. The hospital stay is usually 24 hours, the patient can in fact be dismissed with plaster and an external restraint headband at the level of the nasal pyramid the morning following the surgery.

Primary rhinoplasty is surgery on a nose that has never undergone a previous surgery.
Secondary or revision rhinoplasty is an operation on a nose that has already been operated on at least once without achieving the desired goal.

Results and expectations of the intervention

Despite being fast healing Rhinoplasty is a delicate and complex procedure that requires great experience and care. Some popular voices feature the nose as a piece of marble that can be sculpted to a shape identical to that of a model taken from a magazine. In reality, it is always necessary to keep in mind the starting point, the characteristics of the skin, the sex, height, age and shape of the patient’s face.

The current generation is deeply influenced by aesthetic models in vogue in the world of entertainment and fashion; in this panorama the role of the surgeon is fundamental in guiding the patient towards a conscious choice and suggesting aesthetically pleasing solutions without however distorting the characteristics of the face.

The crucial factors to be taken into account in determining what the outcome of the intervention will be are:

• the characteristics of the skin;
• the configuration of the bones;
• the characteristics of the cartilages;
• the patient’s age.

Phases of development and execution of the intervention

All this information serves to establish the best result from a functional and aesthetic point of view. For this reason, there are four phases before proceeding with the intervention:

• discussion on the rationale for rhinoplasty;
• nose analysis;
• nose design;
• discussion of the intervention.

During the discussion phase of the rhinoplasty motivation, I will submit the patient to an interview through which I will listen to the expectations and hopes that the same places in the intervention. This phase is necessary to ascertain the reasons why the patient intends to undergo the surgery and what he expects from the same. The discussion phase also serves to clarify whether the patient’s expectations can be respected or disregarded based on what will be ascertained in the next phase.

The second phase concerns the analysis of the nose and takes place through a series of profile photographs with which the shape is analyzed as a function of expectation. This phase is immediately followed by the design phase which takes place through a computerized digital re-elaboration of the images.

The design of the nose is functional to discuss the most suitable shape for the patient’s face in accordance with his expectations and functional breathing problems. Finally, the patient will be informed point by point on the procedures for carrying out the intervention and on the post-operative recovery methods. A home convalescence of 8-10 days with outpatient dressings 2 times a week is recommended.

On the tenth post-operative day, the nasal patches, the external restraint arch and the anti-synechia paraseptal plates will be removed.

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