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Nose job (rhinoplasty)

The nose is the dominant feature in the face, so any changes to it must be considered carefully. Changes to the nose can have a fundamental impact on the face.
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BRIEF INFORMATION

Resolves aesthetic as well as lingering medical problems
Permanent solution for the shape, width and/or length of the nose or nostrils
We perform surgical Europeanization of the nose

Were you born with a nose that doesn’t seem to fit your face, or have you suffered an accident involving trauma to the nose? Whether it is too large, small, hooked or unnaturally bent, a solution does exist: rhinoplasty, commonly known as a nose job. Since the nose holds such an essential position in the face, our surgeons take any changes to it very seriously and approach it with care in order to avoid disrupting the harmony of the face, while offering some improvement.

WHAT IS RHINOPLASTY?

Rhinoplasty can partially or completely change the shape of your nose, depending on whether you opt for work on the soft part only, meaning the tip of the nose and narrowing hypertrophied alar cartilage, or the underlying bone as well. For “ethnic noses” we can perform Europeanization, usually involving a graft (cartilage, bone or implant such as SuPor) to lift the nose and narrow the nostrils. Some people have rhinoplasty for aesthetic reasons alone, while others do so seeking treatment for health problems usually associated with a deviated septum and the related breathing problems. In such a case you will need to with an ENT specialist as well as a plastic surgeon

In certain exceptional cases minor correction of the nose is possible through non-surgical means such as thread lifting or hyaluronic acid based fillers. Neither of these methods, however, can offer the permanent results of rhinoplasty.

TIP-ONLY RHINOPLASTY – CORRECTION OF ALAR CARTILAGE

A tip-only procedure takes about 30 minutes and can be done under local anesthesia. This procedure reshapes the tip of the nose without changing the profile. If you are interested in more extensive changes, you will need to undergo full rhinoplasty.

For clients’ comfort full rhinoplasty is performed under general anesthesia. Rhinoplasty can be performed either “closed” (where the incisions are made inside the nose and scars are invisible) or “open” (where the incision and thus scar is made along the outside of the nostril or just under the nose). The goal of this operation is to change the overall shape of the nose by modifying the cartilage in the tip of the nose as well as the underlying bone. This surgery is usually performed to remove unwanted bumps or to narrow the nose, although in some cases we also raise the nose using special techniques or implants.

If you have rhinoplasty for health reasons as well as aesthetic concerns, such as a deviated septum making it difficult to breathe, we perform a combined rhinoplasty and septoplasty (correction of the septum) in conjunction with ENT specialists. This operation can also be performed on its own, of course.

Minor defects of the nose can be corrected with a thread lift to the tip of the nose under local anesthesia. This technique is ideal for clients who are concerned about surgery but want at least a short-term effect. Hyaluronic acid fillers can also be used in some cases to correct minor defects.

WHO IS A GOOD CANDIDATE FOR THIS OPERATION?

Rhinoplasty is suitable for anyone who is dissatisfied with the appearance of their nose, whether natural or as the result of an injury, or who suffers from breathing problems. Due to bone growth this operation can be performed only upon reaching adulthood.

RHINOPLASTY IN PRAGUE

Before making a decision on having rhinoplasty, you will need to have an initial consultation with a plastic surgeon. If you decide to visit ABClinic Art & Beauty for this operation from another country, you can have the first consultation based on photographs or online. 

Since changing the shape of the nose also changes your face in a significant way, our plastic surgeon will propose some form of comparing the results of the operation, either using before/after photographs or a specialized computer program. The surgeon will then recommend a suitable technique based on their years of experience. If you suffer from breathing difficulties, after consulting with an ENT specialist we can operate on your septum at the same time as doing the rhinoplasty.

Rhinoplasty is performed under general anesthesia, so you will need to have a pre-operation examination at our clinic or with your GP. This examination should be done one week before the operation and includes blood work, including coagulation values, and evaluations of the heart, liver function, mineral content, etc.

ON THE DAY OF THE OPERATION

Since the procedure is performed under general anesthesia, you will need to arrive at the clinic on an empty stomach. Our staff will take you to your room and the surgeon will go over the operation procedure with you once again, take photographs and draw the incision lines.  Lastly you will both sign the informed consent form. You will also have a brief meeting with the anesthesiologist, who will go over the anesthesia questionnaire with you. Shortly before heading to the operating room, our nurses will get you ready for the operation.

OPERATION

The operation takes about 45 minutes to an hour depending on the planned scope. If septoplasty is to be performed as well, the process takes 30 minutes longer. Based on the interview before the operation, the plastic surgeon will perform either closed or open rhinoplasty and reshape the tip of the nose and underlying bone as desired. After carefully stopping the bleeding, the surgeon will close the incisions, cover the nose in a special bandage and fix it with a splint made of plaster, metal or plastic. You will also need to wear nasal tampons to stop any minor post-operative bleeding.

AFTER THE OPERATION

Immediately after the operation, we will place you in an intensive care recovery room for a short time so you can remain under observation with our experienced nursing staff. After you wake up fully we will move you to your room, where you will receive medication for pain relief, antibiotics and anti-thrombosis medication as needed. After 24 hours (or 48, depending on your condition) we will remove the nasal tampons and release you to home care with the approval of your operating surgeon.

Instructions for caring for your operating site will depend on the operating surgeon’s chosen technique and preferences. In general we recommend cleaning and disinfecting the inside of the nose three times a day and regular application of antibiotic cream to the scars. Immediately after the operation we recommend a liquid diet. After five to seven days the plastic surgeon may propose changing the splint holding the nose in place and resuming a solid diet. After 14-19 days you can remove the splint and begin massaging your nose.

You will have three to four checkups with your operating surgeon during the first month to six weeks after the operation. At this point you will no longer need to wear the splint or bandage, but your nose will still be healing. One week after the operation, you can resume light office work, although we still recommend sleeping on your back.

Over the next six to 12 months you will have checkups with your operating surgeon, who will keep you informed as to the healing process in your nose. Regular care will help ensure good results from your rhinoplasty.

Unfortunately the effects of aging and gravity on the body cannot be avoided forever. The aging process will of course impact the long-term stability of your rhinoplasty results. In order to maintain good results from the operation, our specialists will be happy to recommend regular procedures and therapies designed to slow down the aging process in the face. Preventive care products by Dermaceutic Laboratoire as well as therapies using JEISYS devices and comprehensive exclusive procedures from the Monaco-based RENEVE will help you retain a youthful appearance longer. 

DOCTOR'S GALLERY

BEFORE / AFTER
BEFORE / AFTER
BEFORE / AFTER
BEFORE / AFTER

PRICE

The final price for rhinoplasty will depend on the operating technique and scope of the operation and will be discussed at the consultation with your operating surgeon. Please note that the price given in our price list is for orientation purposes only.

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