Αισθητική και επανορθωτική επέμβαση από τον πλαστικό χειρουργό Μάνο Παντελίδη στην Αθήνα

Rhinoplasty – Aesthetic and Functional Nose Reconstruction

Rhinoplasty for facial harmony and improved breathing

Rhinoplasty is a plastic surgery procedure performed on the nose area, with the aim of either improving its appearance or restoring functional problems, such as difficulty breathing due to a deviated septum.

The nose is located in the center of the face and has a decisive influence on the overall harmony of the features. This is why rhinoplasty is considered one of the most demanding plastic surgery procedures. It requires delicate manipulations, experience, aesthetic perception and the right choice of technique, so that the result is natural, functional and perfectly harmonized with the face.

What is rhinoplasty?

Rhinoplasty is the surgical procedure that corrects the shape, size, symmetry and function of the nose.

It can be carried out:

  • For aesthetic reasons

  • For operational reasons

  • For a combination of aesthetic and functional restoration

The goal of the surgery is not to create a "standard" nose, but a nose that fits the face, respects the natural features, and supports proper breathing.

What can we fix with rhinoplasty?

Rhinoplasty can correct:

Operational problems

  • Crooked diaphragm

  • Difficulty breathing

  • Nasal turbinate problems

  • Anatomical deformities affecting nasal function

Aesthetic problems

  • Nose size

  • A bump or hump on the bridge of the nose

  • tip rhinoplasty

  • Asymmetry

  • Flat or dropped top

  • General disharmony of the nose with the rest of the features

Proper rhinoplasty improves the nose without altering the identity of the face.

Types of rhinoplasty

Rhinoplasty is mainly divided into closed and open.

Closed rhinoplasty

In closed rhinoplasty, the incisions are made internally, within the nasal mucosa. It is usually chosen in simpler cases, such as corrections to the tip of the nose or the bridge of the nose.

Its main advantage is that there is no external incision.

Open rhinoplasty

In open rhinoplasty, a small incision is made in the styloid process, that is, in the area between the nostrils.

This technique offers the plastic surgeon better visibility and greater precision in correcting the nasal skeleton. It is often chosen in more complex cases, especially when aesthetic and functional problems coexist.

In cases of functional rehabilitation, the surgery can be performed in collaboration with an ENT specialist, so that the respiratory system can also be properly treated.

Who are suitable candidates?

Suitable candidates for rhinoplasty are men and women who:

  • They have completed their development

  • They want aesthetic improvement of the nose

  • They experience difficulty breathing.

  • They have a deviated septum or other functional problems

  • They have good general health

  • They have realistic expectations.

  • They want a natural result that suits their face

The first visit to the plastic surgeon

During the first visit, the plastic surgeon proceeds with a complete evaluation.

The process includes:

  • Medical history recording

  • Discussion of the reasons why you want rhinoplasty

  • Checking for aesthetic and functional problems

  • Reporting allergies, illnesses or medication

  • External examination of the nose

  • Nasal corner measurements

  • Checking the inside of the nose

  • Evaluation of the septum, nasal conchae and mucosa

The goal is to determine the patient's physical suitability and design the technique that will provide the best possible result.

Postoperative course

After rhinoplasty, the patient remains in the clinic for a few hours or, for precautionary reasons, overnight.

Should not drive for the first 24 hours.

It is normal for:

  • Edema

  • Bruising around the nose and eyes

  • Feeling of heaviness or discomfort

  • Nasal congestion

These symptoms gradually subside and usually improve significantly within the first week.

The special splint remains on the nose for approximately 10 days and helps stabilize and reattach the osteochondral skeleton.

Is rhinoplasty painful?

Although many believe that rhinoplasty is painful, in reality the pain is minimal to non-existent.

Any discomfort is easily treated with mild analgesics, according to the doctor's instructions.

Possible complications

As with any surgery, there are possible complications, although they are rare.

They may present:

  • Nosebleed

  • Contamination

  • Aesthetic deformities due to incorrect manipulations

  • Need for re-intervention in rare cases

Infection is extremely rare, as antibiotics are administered before and after the procedure. Choosing the right specialized plastic surgeon is crucial for safety and the quality of the result.

Rhinoplasty for a natural result and balance on the face

Rhinoplasty is a procedure that can dramatically improve facial harmony and, when necessary, respiratory function.
With proper planning, a specialized plastic surgeon and a personalized approach, the result can be natural, balanced and perfectly adapted to the characteristics of each face.

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Advantages of rhinoplasty

Rhinoplasty can offer:

    • Improving facial harmony

    • Natural and balanced result

    • Correction of nasal deformities

    • Improving breathing when there is a functional problem

    • Dealing with a crooked diaphragm

    • Profile improvement

    • Boosting self-confidence

    • Long-term effect

    • Combination of aesthetic and functional restoration

What is the appropriate age for rhinoplasty?

The minimum age to undergo rhinoplasty is usually 18 years.

The surgery should not be performed before the development of the bones and cartilage of the nose is complete, as there is a risk of asymmetry in the future.

It is equally important that the candidate has intellectual maturity, emotional stability, and realistic expectations for the outcome.

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Preparation before blepharoplasty

Before the operation, the plastic surgeon takes a detailed medical history and examines the eye area.

Particular attention is paid to:

  • Allergies

  • Dry eye problems

  • Glaucoma

  • Retinal detachment

  • Previous eye surgeries

  • Taking anticoagulant medications

If there is a history of glaucoma or retinal detachment, an examination by an ophthalmologist is required before blepharoplasty.

If you are taking anticoagulant medication, the doctor may request a temporary interruption for a few days to reduce the risk of complications.

Are the results permanent?

The results of blepharoplasty last for many years.

In the upper eyelid area, over time and due to normal aging, excess skin may reappear and the surgery may need to be repeated.

In the lower eyelid area, the results are more permanent, as bags and excess fat are treated more definitively.

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Useful information about treatment

Informationmore Information
Type of surgeryAesthetic or functional rhinoplasty
TechniquesClosed or open rhinoplasty
AnesthesiaUsually general
AgeFrom 18 years and above
HospitalizationA few hours or 1 night
Return homeOn the same or the next day
SplintAbout 10 days
Swelling / bruisingUsually subside in about 1 week
PainMinimal to none

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Where are the incisions made?

The incisions are designed in such a way as to be as inconspicuous as possible.

In upper blepharoplasty, the incision is made within the natural crease of the eyelid. Initially, it may be visible when the eyes are closed, but over time the scar fades and becomes inconspicuous.

In lower blepharoplasty, the incision is made just below the eyelashes and is not easily noticeable.

When access is made internally from the eyelid conjunctiva, there are no external signs.

Upper or lower blepharoplasty?

Blepharoplasty can be performed individually or in combination.

If the problem is located only in the upper eyelid, an upper blepharoplasty is performed. If it only concerns the bags or the lower eyelid, a lower blepharoplasty is performed.

In most cases, however, sagging and signs of aging affect both areas, which is why combined upper and lower eyelid blepharoplasty is often performed.

How long should I wear the special corset?

The special pressure dressing is worn continuously for approximately 7 to 10 days.

Its use is particularly important, as:

  • reduces swelling

  • it helps in the proper re-adhesion of the tissues

  • contributes to shaping the final result

Improper use may increase the likelihood of hematoma formation.

frequently asked questions

When can I have rhinoplasty?

Usually after the age of 18, when the nose has completed development.

Is open or closed rhinoplasty better?

There is no one technique that is best for everyone. The choice depends on the problem, the anatomy of the nose, and the result we want to achieve.

Will I be able to breathe better after rhinoplasty?

If there is a functional problem, such as a deviated septum, rhinoplasty can be combined with functional rehabilitation to improve breathing.

Will the incision be visible in open rhinoplasty?

The incision is made on the styloid process, between the nostrils. Over time, it usually becomes inconspicuous.

How long will I wear a splint?

The splint usually remains in place for about 10 days.

Does rhinoplasty hurt?

Not particularly. The pain is minimal to non-existent and is treated with mild analgesics.

When do bruises go away?

Bruising and swelling usually subside significantly within about a week.

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How is rhinoplasty performed?

Step 1: Introduction to the clinic

The patient is admitted to the clinic on the day of the surgery. Admission the day before is not required.

Step 2: Preoperative check-up

The usual tests are performed before each surgery, such as a complete blood count, a complete urinalysis, and an electrocardiogram.

Step 3: Anesthesia

Rhinoplasty is usually performed under general anesthesia. In rare and simple cases of closed rhinoplasty, involving only the tip of the nose, local anesthesia or sedation may be applied.

Step 4: Choosing a technique

The plastic surgeon chooses the closed or open method, depending on the patient's needs.

Step 5: Nose correction

The necessary manipulations are performed on the bony and cartilaginous skeleton of the nose, in order to achieve the desired aesthetic and functional result.

advice before and after treatment

​Advice before rhinoplasty

  • Tell the doctor about your complete medical history.
  • Please mention any allergies or medications.
  • Discuss clearly what bothers you aesthetically or functionally.
  • Have realistic expectations for the outcome.
  • Follow the surgeon's preoperative instructions.
  • Complete the necessary preoperative checkup.

 

​Advice after rhinoplasty

  • Apply cold compresses under the eyes.
  • Do not bend over for about 2 weeks.
  • Avoid sun exposure.
  • Do not wear eyeglasses or sunglasses for about 1 month.
  • Do frequent washes with saline.
  • Avoid blowing or "sucking" your nose vigorously.
  • Do not brush your teeth forcefully.
  • Prefer comfortable and loose clothing.
  • Avoid strong facial expressions.
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