Rhinoplasty: Preoperative examinations – 2022


Rhinoplasty: Preoperative examinations

In preparation for rhinoplasty, necessary examinations are general blood, blood coagulation and blood sugar control, electrocardiogram and chest x-ray.

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Rhinoplasty: Preoperative examinations

In preparation for rhinoplasty, necessary examinations are general blood, blood coagulation and blood sugar control, electrocardiogram and chest x-ray.

In special cases of rhinoplasty, a nasal bone x-ray is needed. However, when visible nasal polyps and / or suspected polyps in the sinuses coexist, then an x-ray or even a computed tomography of the sinuses is required.

All examinations are done before the operation, even on the day of the operation, as long as the person concerned has had a light and early dinner the night before. It is also advisable to avoid taking aspirin, smoking and alcohol for a week before and after surgery.

Anesthesia in rhinoplasty

For further safety during the operation, various machines (monitors) are used, in order to be constantly monitored by the responsible anesthesiologist, the function of the heart, the blood pressure, the pulses, as well as the saturation of the hemoglobin of the blood in oxygen.

Rhinoplasty is performed in fully organized and equipped surgical clinics, which have the ability to offer modern and state-of-the-art technological equipment, as well as specially trained nursing staff, according to international standards of medical services.

Performing rhinoplasty

Rhinoplasty is a complex operation with many peculiarities and extremely delicate and flexible surgical techniques. As a rule, all incisions are made inside the nose, inside the nostrils.

This is done on the one hand to avoid visible scars and on the other hand so that the surgeon does not risk being outside the boundaries of his surgical field. The method of this surgical approach is called by experts “closed rhinoplasty”.

A different approach to the technique of closed rhinoplasty is the technique of “open rhinoplasty”, which is a technique of choice, only in special cases.

First the mucosa is detached from the nasal septum and then the skin is detached from the nasal skeleton. Appropriate rhinoplasty surgical techniques are applied, where, depending on the case, cartilage and / or bone sections are removed or added, in order to form a new symmetrical nasal pyramid.

The straightening of the nasal septum is then sought, depending on the shape, form and size of the desired nose. This is exactly what is called “rhinoplasty with simultaneous plasticity of the nasal septum”.

Following the operation, the skin adapts, without difficulty, to the new nose. In a few cases there is a need for small external incisions in the skin, at the base of the nose, such as e.g. for narrowing the nostrils in people with very wide nostrils.

After suturing all the incisions with very thin sutures, there is a light plugging (placing a tampon inside the nose) and immobilizing the nose with a plaster cast (splint) on its entire surface. This last phase of the operation is as crucial for the final result as the operation itself.

The average duration of rhinoplasty for an experienced rhinosurgeon is one hour.

Laser – Laser in rhinoplasty

Lasers – Lasers in Rhinoplasty are another remarkable tool in the hands of an experienced rhinosurgeon. They are used inside the nose, mainly in the surgery of the nasal passages.

With the use of Laser – Laser in rhinoplasty, the risk of postoperative bleeding becomes almost non-existent, a large nasal plug is not required and a faster recovery is achieved.


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