Respiratory disorders, congenital esthetic defects, previous rhinoplasty, outcomes of congenital malformations (eg labio-palatoschisis)
local anesthesia with sedation or general, depending on the surgical procedure
Incisions inside the nostrils or outside on the columella
45 minutes / 5 hours
Postoperative clinical checks at:
3 days with removal of swabs and change of nasal dressing
7 days: containment and suture removal
21 days: removal of para-septal plates
2 months check and photo, from here you go to the sun with protective cream, yes to glasses
6 months and 1year check and photo
Rhinoplasty is the most requested cosmetic surgery and is aimed at correcting both aesthetic defects and functional defects such as respiratory deficiency due to anatomical and structural alterations such as the deviation of the nasal septum or the lamina of the osteo-cartilaginous septum or turbinate hypertrophy.
The preoperative evaluation must focus primarily on the patient’s clinical status through the study and evaluation of function and aesthetics and on the psychological aspect. The preliminary visit is instrumental to the surgeon’s analysis of both the normo-functional aspect of the nose, and to its functionality that can be investigated through inspection, palpation and rhinoscopy. The aesthetic aspect, is studied through a meticulous detailed analysis of the proportions of the nose and is supported by a documented photographic processing before and after surgery. The instrumental examinations such as rhinomanometry and cone beam TC allow an overall evaluation of all the elements necessary to plan the surgical procedure most suited to the patient.
The operating technique
Today’s operative techniques allow us to correct the aesthetic-functional defects of the nose through the nasal cavities respecting the adjacent healthy tissues and therefore without leaving visible scarring outcomes.Through the operation of rhinoplasty, the surgeon modifies, through incisions made inside the nostrils or through an incision on the outside, which remains in the natural folds at the base of the nostrils themselves, the bone-cartilaginous structure of the nose.
Varies depending on the type of operation and post-operative course (day surgery or one day hospitalization).
The back of the nose is immobilized for about a week with stripes and a rigid dressing (plastic restraining).
Frequent bruises are mostly evident around the orbito-palpebral region, which usually disappear within eight to ten days. Endo-nasal swabs will be placed which will be removed after 4 days and the sutures that will be removed after 7 and 15 days, together with the protective shield. Internal sutures are generally re-absorbable. Intra-oral antibiotic and anti-inflammatory therapy is prescribed.
The definitive shape of the nose will take place after 6-12 months, in which the patient will also see a gradual resume of its natural elasticity. The normal activities can be taken after a week, except for sports, for which it will be necessary to wait a month. It is advisable to avoid direct exposure to sunlight for at least 2 months: useful in this sense is the local application of full-screen sunscreens.