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Rhinoplasty

Rhinoplasty (nasal plasty) is a surgical correction of the nose shape via changing its bone-cartilaginous structure. Nasal plasty is intended to correct physical defects (e.g. nose hump or collapse of its dorsum, nose deviation both in its bone and cartilaginous parts, excessive nose height or width) or restore impaired breathing function, e.g. after traumas or chronic inflammatory diseases.

Nose is one of the most conspicuous and prominent elements of a human face. Its look, together with other facial features, largely impacts your appearance. Moreover, the nose performs a number of essential functions: it is due to the nose that the air for breathing is supplied and the air flow conditioning is controlled before it reaches the lungs. The olfaction function is also performed by the nose.

Evident nasal flaws are frequent but not always associated with internal defects leading to the airway obstruction. Nasal defects may become the result of previous nasal trauma, heredity or other causes.

Structurally, the external nose may be presented as a triangle, if viewed when the head is deflected backwards. Lateral nasal walls form the external edges of a tripod, and the septum (dividing the nose into two parts internally) is its central support. When the nose is broken or injured, the fissures are very frequently formed in both external walls of the tripod (nasal bones) and in its central internal support (nasal septum). When the septum is deviated, fractured or otherwise injured, this may lead to the obstruction of nasal airways running between the tripod edges. To properly straighten the septum surgically, it is, as a rule, necessary to correct both internal and external parts of the nose.

This plastic operation, among many others, is aimed at improving the nose appearance and is called rhinoplasty. The purpose of operations in this field is to improve those specific features of the nose that distort facial appearance, and obtain more harmonic aesthetic agreement between the nose and other facial elements. In its structure, the nose is an extremely complex organ. Each human nose is unique in its way. Its aesthetic contribution in facial appearance is tremendous both in good and bad senses. Due to the unique structure and look of your nose, it necessary during rhinoplastic operation, probably more than in any other operation on sensory organs, to admit and respect the individuality of nasal structural elements ant their harmony with other facial features. When making up the plan of your operation, we will always try to preserve all “positive” peculiarities characterizing your appearance. It will be absolutely illogical to picture in our imagination an “ideal nose” and try to embody this image on your face. This approach ignores such an essential moment as the agreement of your nose with your face, and will for sure lead to result “not becoming your face”. To change specific undesired features of your nose for achieving its more harmonious agreement with the rest of your facial features is the goal that we pursue during rhinoplastic operation.

Moreover, ignoring these principles will for sure result in that your nose will be “overcorrected” and will have the “overcorrected” appearance. Perhaps, in no other operation on sensory organs the principle of conservatism is not of so much importance as in rhinoplastic operation. With this aim in mind, we will give you time necessary to discuss those peculiarities of your nose which you consider undesired, and will discuss with you the safe method of correcting them to avoid the “corrected” or “operated” appearance frequently seen after rhinoplastic surgery.

Rhinoplastic technique will depend on the tasks posed before a surgeon and conditions available. The essence of every rhinoplasty is to correct the bone and cartilaginous structures forming nasal framework. There exist two rhinoplastic techniques: with external incision in the septal skin (“open” rhinoplasty) and with the use of intranasal incisions alone (“closed” method). In a “closed” method one incision is made inside each nostril. The incisions are inconspicuous externally and in some time they are difficult to notice even during medical examination. An “open” rhinoplasty leaves a scar on the septal skin, which is usually seen just slightly. Besides, additional incisions are sometimes made at the nostril base. Scars after these incisions are, as a rule, almost inconspicuous. Both methods enable good results to be obtained.

After talking to you and giving you the relevant examination, we will do all depending on us to precisely and clearly present you our judgment as to the possibility to improve surgically those facial features that give you trouble, and make this with high reliability and minimal risks. Any cosmetic operation involves a certain trade-off. We will try to clearly define it for you and answer all the questions that may arise.

All operations pursuing the objective to change nasal shape are performed under a general anesthesia – narcosis. After your examination and selection of the surgical technique, we will make a decision regarding the type of anesthesia. You will feel no pain and will not remember what was happening to you during operation.

After your discharge from the clinic you will be given clear recommendations.

Rhinoplasty may become a remarkable event both for you and a surgeon. To achieve the desired results, it is necessary to have full mutual understanding and awareness as to a patient’s wishes and surgical prospects to be determined in accordance with specific individual features of your nose structure.

During consultation we will provide you with additional, more detailed information concerning all the issues contained in this informational brochure.