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When is rhinoplasty indicated?

From an aesthetic point of view, rhinoplasty is recommended for anyone who is dissatisfied with the shape and appearance of their nose, as long as they are in adequate health to undergo the procedure safely.

In addition, cases of tortuosity caused by injury, birth asymmetry and nasal problems that cause respiratory discomfort are indicated for surgery — such as deviated septum or the presence of spongy flesh.

Which professional should perform the surgery?

Rhinoplasty is an intervention that must be carried out by a doctor specialized in plastic surgery. Ideally, this professional should have in-depth experience in the chosen procedure.

Is there an ideal age to have rhinoplasty?

As with most plastic surgeries, rhinoplasty should only be performed when the structures of the nose are completely developed, which usually happens around the age of 16. There is no age limit for undergoing the procedure.

Is it possible to choose the shape of the nose?

Each individual has different facial structures and characteristics, and the shape of the nose after rhinoplasty must respect the aesthetic balance of the face, as well as skin quality and respiratory functionality. It is very common for patients to want a result similar to that of a famous person, but this is not always possible: nose plastic surgery must always preserve the authenticity and balance of the face.

Can everyone have rhinoplasty?

Nose surgery should always be evaluated by a plastic surgeon, as people with specific health problems and adolescents who have not yet completed their development process cannot undergo the procedure.

Is it possible to combine rhinoplasty with another procedure?

Yes. Depending on the patient's needs and desires, it is possible to combine aesthetic rhinoplasty with other nasal corrections — such as septal deviation and turbinoplasty. It is also possible to perform rhinoplasty together with other aesthetic facial corrections, thus promoting better facial harmony for the patient.

The main advantage of combining two interventions is to reduce the costs of the procedures and take advantage of a single period of absence. For this to be possible, however, it is necessary that the total surgery time does not exceed seven hours, that the postoperative recommendations are similar and that the position indicated for the patient during the procedures is compatible.

How important is the pre-operative period?

Prior evaluation by the plastic surgeon, as well as carrying out pre-operative exams, is essential for the specialist to identify whether the patient is in adequate health to undergo the procedure safely. This preparatory period is also important for the surgeon to evaluate the patient's nasal structures and identify the technique that will be applied in the intervention, aligning expectations in relation to the result that can be achieved.

How much does a rhinoplasty cost?

Several factors make up the value of a rhinoplasty, and all of them must be evaluated before defining the cost of the procedure. In addition to the medical fees themselves, it is necessary to consider the costs of hospital stays, exams and medications.

When is rhinoplasty contraindicated?

Rhinoplasty is not recommended in cases where the patient has a health condition that could compromise their safety. In general, nose surgery is not recommended in cases of:

• Diabetes;
• Heart problems;
• Infectious diseases;
• Hypertension;
• Breastfeeding women;
• Diseases that compromise blood clotting.

What is the surgery like?

This plastic surgery can be performed using two methods: closed rhinoplasty (endonasal) and open rhinoplasty (exorhinoplasty). In both techniques, the surgeon makes incisions that allow access to the cartilage, tissues and bone of the nose, which will be remodeled to correct imperfections and breathing problems.

What is the difference between open and closed rhinoplasty?

Open surgery is a methodology in which the surgeon makes incisions that allow the skin of the nasal region to be lifted, so that he has a clear view of all the structures that will be altered. In the closed procedure, small incisions are made inside the nostrils, where the specialist will make the necessary modifications.

What corrections are possible from rhinoplasty?

Nose plastic surgery allows you to change the size of the nose, correct breathing problems, modify the width of the nostrils, change the shape of the tip of the nose, correct nasal damage or birth defects and even modify the angle between the upper lip and the nose. .

What anesthesia is used in surgery?

Rhinoplasty can be performed using general anesthesia or local anesthesia with intravenous sedation. The anesthetic methodology used must be defined in advance, taking into account the patient's general health status, the duration of the procedure and the areas that will be manipulated.

How long is the hospital stay required?

In general, the patient remains hospitalized for 6 to 8 hours after rhinoplasty. Depending on the case, hospital discharge may only happen the day after surgery.

Does the procedure involve risks?

Every surgical procedure involves risks and the possibility of complications, even if rare. In the case of rhinoplasty, mainly cases of nosebleeds and infections can occur.

What are the types of rhinoplasty?

Rhinoplasty is an aesthetic procedure that can be both aesthetic and functional, depending on the objectives to be achieved. Aesthetic rhinoplasty aims to correct the external appearance of the nose, solving aesthetic imperfections that bother the patient. Functional rhinoplasty, in turn, corrects specific respiratory problems.

How long does the procedure last?

The average duration of the surgery is two to six hours, varying according to factors such as the number of changes to be made, the technique that will be used in the procedure and the association of rhinoplasty with other surgical procedures.

Is the surgery painful?

Post-operative pain after rhinoplasty is considered mild and bearable, although each person's limits are different. Discomfort is controlled through the use of painkillers prescribed by the surgeon.

What is functional rhinoplasty?

This is a nasal plastic surgery that aims to correct functional problems and respiratory disorders caused by deviated septum, nasal turbinate hypertrophy, sinus pathologies and trauma.

When is functional rhinoplasty indicated?

Functional rhinoplasty is indicated for all cases in which the patient's breathing is compromised.

What respiratory changes can be treated?

Functional rhinoplasty can treat problems caused by incorrect development of the nose and its structures, such as deviated septum, turbinate hypertrophy and facial sinus pathologies. In the case of trauma and respiratory diseases, surgery can help relieve and correct fractures, septum perforation, rhinitis, nasal polyps and rhinosinusitis.

What is rhinoseptoplasty?

Rhinoseptoplasty is a procedure that combines aesthetic rhinoplasty with septoplasty, a surgery that aims to correct structural problems in the nose — usually a deviated septum. This is an alternative for those who want to harmonize their nose and improve their quality of life at the same time.
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Does rhinoplasty leave a visible scar?

The scars resulting from rhinoplasty are imperceptible, regardless of the technique used. In most cases, they are located inside the nostrils and nasal grooves.

What is the post-operative care?

Rhinoplasty requires seven days of absolute rest, during which time the intake of soft foods is recommended. It is expected that the patient will present bruising and edema in the operated area, as well as localized pain. The surgeon will prescribe medications to alleviate these discomforts and avoid postoperative complications, and the proper administration of these drugs is essential for the success of the surgery.

Other important post-operative care are:

• Do not wear glasses for 15 days;
• Clean the dressings and nostrils as per medical advice;
• Sleep on your back and with your head raised;
• Avoid sun exposure.

How long is the rest period after rhinoplasty?

Nose plastic surgery requires the patient to rest for seven days, in addition to moderate rest for the following seven days. The patient will be able to resume their routine activities after two weeks, awaiting medical clearance to practice physical exercise and more intense activities.

After how long can results be seen?

It is expected that the nose will be swollen in the first few days after rhinoplasty, which requires patience throughout the healing process. After 30 days, it is possible to observe the results of the surgery, but it is necessary to wait at least a year for the new nasal contour to be completely defined.

Are the results considered definitive?

Yes, the results of rhinoplasty are considered permanent. However, it is necessary to remember that the patient's cartilage and body continue to suffer the consequences of aging and environmental factors, which can alter the result over the years.

Is breathing impaired after rhinoplasty?

During the immediate post-operative period, the nose is expected to be swollen, which may slightly compromise breathing in the first few days. As healing progresses, breathing tends to return to normal. In cases where rhinoplasty was performed with the aim of correcting respiratory problems, breathing after the procedure will be even better than before.

What if I don't like the result?

It is essential to align expectations before the procedure, so that the patient understands what is really possible to achieve through rhinoplasty. Even so, however, the result may not be what the patient expected. In this case, it is possible to opt for a rhinoplasty correction.

When to have a secondary rhinoplasty?

The second rhinoplasty is recommended when the patient presents a respiratory or healing problem after the first surgery, or when the results achieved were not satisfactory for the patient.