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Rhinoplasty Surgery

2022-06-11 21:42:55

Dr. Fariba Azadikhah
Reviewed by:
Dr. Fariba Azadikhah

The nose is one of the most prominent components of the face that has a great impact on the appearance of beauty. Some people are not satisfied with the size and shape of their nose and this can overshadow their self-confidence. Problems with the nose can be congenital or develop over time following a blow to the nose.


Indications for rhinoplasty surgery

  • Increase and decrease the size of the nose
  • Narrow the nostrils
  • Change the angle of the nose and upper lip

 Rhinoplasty surgery can also have a functional aspect and help to eliminate respiratory problems and treat deviation of the middle septum of the nose.

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Classification of rhinoplasty surgeries

nose plastic surgery. When the patient has no breathing problems and only wants to make his nose look more beautiful.

Reconstructive nasal surgery. When the patient is not satisfied with the result of his initial nose surgery and wants to fix the problems of the first surgery.

Functional Rhinoplasty. When the patient suffers from functional problems in the structure of his nose such as deviation of the middle septum or respiratory problems.


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Reasons for rhinoplasty surgery

Existence of a hump on the bridge of the nose

Large, wide and drooping tip of the nose


People who want to have rhinoplasty should:

Be physically healthy.

Have reasonable and realistic expectations of the outcome of the surgery.

Be aware of the potential risks of this surgery.

Their nasal bone growth is complete.

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Preoperative measures and care for rhinoplasty surgery

One of the important points about rhinoplasty surgery is choosing a skilled and experienced plastic surgeon in this field. During the consultation sessions, the doctor will thoroughly examine the internal structure of the nose as well as the face, consider the patient's goals, and then the best technique will be considered. 

Three-dimensional imaging of different angles of the nose is one of the procedures performed by a physician for rhinoplasty surgery.

If the patient has had rhinoplasty in the past, he or she should discuss this with his or her doctor.

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Necessary measures before rhinoplasty surgery

Before rhinoplasty surgery, a series of tips and cases are presented by the doctor that the patient is obliged to follow. Items such as:

1. Perform relevant tests before rhinoplasty surgery

2. Quit smoking two weeks before and even after surgery. Statistics and research show that smokers are more likely to develop complications after rhinoplasty surgery than other people.

3. Stop taking anti-inflammatory and non-steroidal anti-inflammatory drugs such as aspirin, gelofen and novafen. These drugs increase the chance of bleeding after rhinoplasty surgery.

The important thing is that the patient should inform his doctor about any medication taken, such as herbal supplements or vitamins. Sometimes, if necessary, a new drug will replace the drugs used.

Fasting before surgery. The patient should refrain from eating or drinking food for six to eight hours before rhinoplasty surgery.

One of the important things that a doctor should check before surgery is the thickness of the nasal skin, the strength and the presence of cartilage and bone in the nose. Because these two cases directly affect the outcome of rhinoplasty surgery.

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Details of rhinoplasty surgery process

Rhinoplasty involves cutting a bone, cartilage, or both.

Rhinoplasty surgery is performed in two ways, open and closed. In the open method, our incisions are made between the columula, the tissue that separates the nostrils. This will give the surgeon more access to the inside of the nose.

In closed rhinoplasty surgery, incisions are made inside the nose and after the operation, no scar will be identified.

Rhinoplasty surgery is performed under general anesthesia and takes about one to two hours. During surgery, small incisions are made inside the nose or in the coagulase area. Then, the soft tissue of the nose is removed to allow access to the bone and cartilage to shape the nose.

During rhinoplasty surgery, it is also possible to flatten the middle septum and treat a deviated nose. This surgery will be performed with the aim of improving the patient's respiratory condition.

At the end and after making changes, the incisions are sutured.


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Recovery and post-rhinoplasty care

After rhinoplasty surgery, a splint is placed on the nose to maintain the new shape of the nose.

The pain after rhinoplasty surgery is such that the patient can tolerate it, however, if the pain intensity is not tolerable for the patient, painkillers prescribed by a doctor such as acetaminophen can be used.

It is perfectly normal to see swelling around the eyes and nose or bleeding from the nose until a few days after rhinoplasty surgery, there is no need to worry and the swelling will decrease over time. To reduce swelling, ice packs can be used several times during the day.

It is recommended to rinse the nose with saline saline for two weeks and several times during the day to remove any dried blood left inside the nose.

Note that anti-inflammatory and non-steroidal anti-inflammatory drugs such as gelofen and naproxen, aspirin and aspirin-containing drugs are prohibited for at least two weeks, as they increase the risk of bleeding.

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Regarding physical activity after rhinoplasty surgery, we must say:

The person should rest at home as much as possible, keep his head up and put one or two pillows under his head while sleeping to reduce the severity of nasal swelling.

Walking is one of the procedures that the patient is able to do after rhinoplasty surgery. This prevents blood clots in the legs.

Doing strenuous physical activity and exercising is prohibited for at least four weeks until complete recovery.

The use of glasses is prohibited for several weeks. During the recovery period and with decreasing swelling, the nasal tissue is changing shape. Applying any pressure to the nose can ruin the results of rhinoplasty surgery.

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What is rhinoplasty surgery?

Rhinoplasty helps to improve the size, symmetry and appearance of the nose and creates a better fit than other parts of the face. This surgery can have amazing results when performed by a skilled and experienced plastic surgeon. Rhinoplasty surgery involves long-term changes and can change a person's overall appearance. People who want to change the face and shape of their nose apply for this surgery and the purpose of the surgery is to make the appearance of the nose as natural as if the person had the same shape of the nose from the beginning.


What changes can be made to the nose?

The purpose of nose reshaping is different in each patient. By changing the structure of the nose, ie the bone, cartilage and skin of the nose, the appearance of the target can be approached. Here are the different goals of rhinoplasty surgery:

Correction of nasal fractures

Flatten the nasal hump in the area of ​​the bridge of the nose

Reduce the length of the tip of the fallen nose

Resize the tip of the nose

Narrow nose too wide to face

Shrinking the size of the nose is too big.

Nasal symmetry as a result of injury or accident

Correct respiratory problems by opening blocked nasal passages

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Who is a good candidate for rhinoplasty surgery?

Adult women and men can benefit from this surgery. Rhinoplasty is one of the most popular cosmetic surgeries among teenagers. Of course, it is necessary to pay necessary attention to these patients to select the appropriate age for rhinoplasty surgery. Nasal growth must be complete before this surgery can be performed. The nose usually develops fully at the age of 14 for girls and 16 at the age of boys. Younger patients need to reach emotional maturity and have a thorough understanding of the rhinoplasty process.

It is important for patients to have realistic expectations of rhinoplasty surgery. One person cannot be completely like another person, and that is not the purpose of rhinoplasty. Rather, the goal of rhinoplasty is to make the nose look its best and to be in good shape with respect to other aspects of the face. An experienced plastic surgeon explains all the possibilities to the patient and uses appropriate techniques to achieve the best shape of the nose.

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Choice of rhinoplasty surgeon

Rhinoplasty is one of the complex surgeries that requires the experience and expertise of a surgeon. Choose a doctor for your rhinoplasty who is highly experienced and has performed an acceptable number of rhinoplasties.

When looking for a rhinosurgeon and attending consultation sessions with these surgeons, ask the necessary questions about whether the surgeon has performed several surgeries. Be sure to look at the photos before and after the doctor's surgery. The result you see should be natural and only the defects of the nose should be removed and the patient should not have a completely different face.

Types of rhinoplasty procedures

Rhinoplasty can be performed with different techniques depending on the shape of the nose and the ultimate goal of rhinoplasty. Each patient's nasal anatomy is examined and what changes the patient wants to make. For example, some patients only want to correct the nasal hump, or some patients want to change the tip of the nose and do not need to change the bridge of the nose. An appropriate technique is used for each patient.

Open rhinoplasty

Open rhinoplasty is one of the most common rhinoplasty techniques. In this surgical technique, a small incision is made under the tip of the nose and between the nostrils. In this way, the surgeon can have full access to the internal structure of the nose. The nose is shaved to the desired shape and due to the full access to the nose, a large deformation can be created on the nose. The result of the scar on the nose is well hidden under the natural lines of the nose.

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Ermateb is a facilitator in the medical tourism industry. One of the important goals of this company is to provide the best medical services with the highest quality. In this Group, we consider the commitment and responsibility for the welfare and comfort of patients as a turning point to provide the best services in the field of medical tourism, and we are committed to this covenant.

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