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Popis zákroku

The nose is the most distinctive feature on a human face. Its shape and size may not appeal to everyone, though. If this applies to you, then it may be a good idea to undergo a corrective surgery, a so-called rhinoplasty. Your nose may be reduced, its tip shaped, nostrils adjusted, or a deviated septum corrected (septoplasty) to solve difficulties breathing.

There are two ways to perform rhinoplasty—a closed, or open method. The closed method involves a “blind” incision which is made inside the patient’s nostrils, ensuring that there is no scarring after the operation. This type of procedure is limiting for the surgeon as it prevents them from seeing inside the nose. That’s why we prefer the open method which employs an additional incision at the bottom edge of the nasal septum.

During surgery, the soft (cartilage), or hard (bone) part of the nose is modified. Alternatively, both can be operated upon. The slight incision on the bottom part of the nose is stitched and the entire nose fixed in place, using adhesive bandaging or a cast/splint. Tamponade is then applied to the nostrils for 24 hours. The cast must be worn for 2 or 3 weeks while the nose heals and acquires a requested shape. Bruising decreases within 3 weeks; small swelling, particularly around the tip, will gradually disappear, over the course of several months. Rhinoplasty leaves no visible scars.

Patients should not undergo this type of surgery if they are below 18 years of age, or older than 50. It’s generally recommended to correct your nose at a young age. Later in life, skin becomes less elastic and adaptable, restricting the surgeon’s ability to guarantee a desired outcome.

Surgery is performed under general anaesthesia and takes 1–2.5 hours, depending on its scope. The patient must consult the physician and undergo a prior pre-operative examination.

Postoperative course

1
After week 1: Medical check-up
2
After weeks 1, 2: Splint and adhesive bandages removed (determined by the physician, depending on the type of operation)
3
Until week 3: Rest
4
After week 3: Decreased bruising, gradual decrease of swelling

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