The nose is an essential structure of the aesthetics of the face. The integration of the nose in the global facial morphology must be meticulously studied and a rhinoplasty is today no longer a stereotyped gesture.
It is only after the result of a long discussion, often with photographic simulations that the surgical gesture is accurately and well defined.
On the other hand, the functional role of the nose in breathing, is important and a deviation of the nasal wall can be a nuisance and can create infections of the sinus or ears.

Correction of nasal tip and of the bump under local anaesthesia

The operation is practised under local or general anaesthesia and lasts 1 to 2 hours.
Incisions are more often located in the nostrils.
The surgical gestures which can vary, associate a reduction (bump) and an increase (graft) according to the modifications decided before hand.
If necessary a correction of the nasal wall is practised.
The end of the operation consists in the packing with gauze of the nostrils and the putting in place of a nasal splint.
It requires an ambulatory hospitalisation or 24 hours, depending on surgical gesture to be performed.

The gauzes are removed 2 to 4 days later. The splint is worn for a week.
A swollen nose, ecchymoses ("a black eye") and a respiratory nuisance can vary and will disappear within 2 to 3 weeks. The nose remains fragile for several months and the result will be judged after 6 months.

Apart from the rare and usual complications of any surgical act (anaesthetic accidents haematoma, infection and healing problems) there are very few specific problems concerning rhinoplasties.
The healing process inside the nose may occasionally result in a retouch unwanted modifications which can justify a retouch, often under local anaesthesia, in 10 to 20 % of cases.

Classical rhinoplasty under general anaesthesia


© Dr van der Stegen 2001
Creation, conception: NIKOPOL