Rhinoplasty is a surgery to change the shape of the nose. Both breathing and the nose’s shape are related. A rhinoplasty can be used not only to change the way the nose looks but also to improve breathing.
Rhinoplasty
1-3 hours
Nose reshaping, improved breathing
Nose
Nasal deformities, breathing problems
Surgical intervention to reshape and improve the function of the nose
Local or general
1-2 weeks for return to daily activities, full recovery in 6 weeks
Improved appearance and function of the nose, increased self-confidence
from €3000
Rhinoplasty begins with a thorough consultation with your plastic surgeon. During this session, you will discuss your goals, medical history and a comprehensive facial analysis will be performed.
Based on your unique needs and facial structure, your plastic surgeon will create a personalized treatment plan tailored to achieve the best possible results.
On the day of surgery, you will undergo general anesthesia to either be comfortable throughout the procedure. Incisions are made strategically either inside the nostrils (closed rhinoplasty) or along the strip of tissue between the nostrils (open rhinoplasty).
Through incisions, the surgeon will carefully reshape the bone and cartilage to achieve the desired shape of the nose. Advanced techniques may be used to improve the function of the nose, narrow the bridge, or address other aesthetic concerns.
Once the reshaping is complete, the incisions are meticulously closed and nasal dressings or splints may be placed to support the new nasal structure during the healing process.
Rhinoplasty is performed to address specific problems, either aesthetically or functionally. The nose is composed of skin, bone and cartilage and rhinoplasty can alter any or all of these anatomical elements in order to reshape its size, shape and structure. In addition to the anatomy of your nose, the surgeon will take into account the rest of your facial features and the condition of your skin in order to create a personalized plan to achieve the desired aesthetic and functional results.
This type of rhinoplasty focuses on improving the aesthetic appearance of the nose. Patients seek cosmetic rhinoplasty to alter the size, shape, symmetry or proportion of the nose in relation to other facial features. The goal is to achieve a more balanced and harmonious facial appearance. Aesthetic rhinoplasty techniques include reshaping the nasal bridge, elevating the nasal tip or correcting asymmetry.
Unlike cosmetic rhinoplasty, functional rhinoplasty prioritizes restoring or improving nasal function, aiming to correct nasal structures for unobstructed airflow and relief from breathing problems. It is aimed at people who are experiencing breathing difficulties due to anatomical problems within the nose, such as a deviated (scoliotic???) septum or nasal valve collapse.
In practice, rhinoplasty procedures often incorporate elements of both types to achieve optimal results that cover both the aesthetic aspect and the functional aspect to ensure unobstructed breathing. The main methods of performing the surgery are open and closed rhinoplasty.
There are several different techniques of rhinoplasty surgery, however, only two basic methods have become predominant. The two main procedures of rhinoplasty surgery include:
Let's look at each of these types of rhinoplasty in more detail.
In open rhinoplasty, the surgical procedure involves a small unseen incision made between the nostrils in the nasal septum. This method provides a comprehensive view of the internal nasal structures through the small folding of the skin. It is used for more complex cosmetic rhinoplasty or functional rhinoplasty procedures (septoplasty or conchotomy). It provides the surgeon with optimal visualization of the internal structures, helping him or her to accurately adjust the nose reshaping, even in difficult cases such as after an injury. In addition, it allows for easier stabilization after surgery, reducing the risk of future nasal complications. Although the scar is very small the surgery tends to be more time consuming and with a longer recovery period compared to closed rhinoplasty.
Closed rhinoplasty is the most traditional method and is performed intranasally, i.e. the incisions are made inside the nostrils, so there is no risk of a visible external scar. This method is usually recommended when the patient wishes to have minor corrections such as reshaping of the nasal septum. Although it has the advantage that the procedure takes less time and has a shorter recovery time, the limited visibility of the surgeon during the procedure may limit the extent of the modifications that can be achieved. This technique can also compromise the structural integrity of the nose, increasing the likelihood of future stability problems.
Augmentation rhinoplasty focuses on strengthening the nasal structure, often using implants or grafts to augment and improve the nasal profile. Whether performed with either an open or closed technique, this method aims to create a more balanced and harmonious nasal appearance, addressing concerns associated with a flat nasal bridge or inadequate nasal projection.
Reduction rhinoplasty, on the other hand, aims to address issues associated with a prominent or oversized nose. Through delicate manipulations, this procedure reduces the size and reshapes the nose, ensuring harmony and balance in the face. The plastic surgeon carefully sculpts the bones and cartilage to achieve the desired proportions in nose reshaping. Visibility is required in order for the surgeon to accurately execute his or her movements, which makes open rhinoplasty the best option for reduction rhinoplasty.
Nasal tip rhinoplasty focuses on improving and reshaping the nasal tip, enhancing symmetry and definition. This specialized technique involves subtle adjustments to the cartilage and tissues to achieve a more defined and aesthetically pleasing nasal tip while maintaining or improving nasal function.
The combination of rhinoplasty with genioplasty (buckling) or with implants (prostheses, implants???) of the chin (chin) aims to achieve overall harmony and balance of the face in the case of mandibular hypogonalisation. Simultaneous treatment of both the nose and the pineal can significantly improve facial aesthetics by ensuring appropriate alignment between these prominent features. This integrated approach addresses the interaction between the nose and the pineal, improving their proportions to create a more harmonious facial profile.
Problems involving the septum and nasal niches often lead to obstruction of nasal airflow. The septum, a thin wall of bone and cartilage that separates the two sides of the nose, is often crooked and unsymmetrical, which obstructs breathing and causes symptoms such as snoring, sleep apnea, headaches, nosebleeds or infections. Also the nasal niches that warm, filter and moisten the air before it enters the lungs, when they become hypertrophied cause dry mouth, altered sense of smell, runny nose or even facial pain.
Diaphragmoplasty and conchotomy both are effective procedures to correct these problems. Diaphragmoplasty aims to straighten the crooked septum by restoring normal airflow dynamics, while conchotomy addresses the hypertrophy of the nasal cavities, restoring their functionality.
The plastic surgeon will provide you with details of the visit schedule.
Recovery after rhinoplasty can range from simple to very difficult. Recovery varies for each person depending on individual factors and the type of surgery. Follow your doctor’s instructions for a faster recovery.
Recovery time after rhinoplasty surgery depends on the severity of the surgery and your individual healing process. However, in general, you can expect to return to your daily activities within a week or two after open rhinoplasty and within a few days after closed rhinoplasty.
Immediately after surgery:
Patients experience disorientation on awakening. A responsible person is recommended to drive you home and stay overnight with you.
Rest and adherence to the dosage of prescribed medications is important.
1-3 days after surgery:
You will be able to remove the gauze from the inside of your nose.
1 week after surgery:
Use cold compresses and anti-inflammatory medications to relieve swelling, bruising, bleeding and congestion.
Strict avoidance of actions that put pressure on the nose, such as blowing the nose, pressing on the surgical site or wearing glasses.
Light movements indoors are encouraged. However, vigorous exercise should be avoided.
2 weeks after surgery:
Possible return to work or routine activities, depending on the type and extent of surgery and the nature of the work.
Gradual resumption of light activities such as short walks, housework and driving if you are comfortable and not taking painkillers.
2 – 4 weeks after surgery:
Resuming exercise is generally safe after four weeks, but caution is recommended to avoid injury, especially in activities where there is physical contact such as football or basketball.
1-2 days after surgery
You will be able to remove the gauze or splints. You can expect to experience some swelling and bruising, but usually the symptoms are less severe than in open rhinoplasty.
1-2 weeks after surgery
You will be able to resume most of your daily activities.
2-3 weeks after surgery
The swelling and bruising should have subsided and you should be able to see the final results of your rhinoplasty. As with open rhinoplasty, you should avoid strenuous physical activity during your recovery.
In general, rhinoplasty has proven to be a safe surgical procedure. The risks of rhinoplasty are small, transient and serious complications are rare.
Although extremely rare in medical practice, more serious complications have been reported after rhinoplasty, as is the case after any major surgery.
Choosing an experienced physician is a crucial factor in avoiding complications.
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The average cost of rhinoplasty in Greece starts from 2.800€. However, the cost is individualized and may increase depending on the patient’s needs, the type, techniques and extent of the surgery. In addition to the average cost of the surgery, you should take into account fees for medical examinations, prescription drugs and possibly in some cases costs of repeat surgery.
The complexity and nature of the rhinoplasty procedure, whether it is a basic or repeat surgery, will affect its cost. Repeat rhinoplasty, which addresses previous surgical results, requires specialised expertise and more complex techniques, resulting in higher costs compared to the initial surgery.
If cost is a concern, at our clinic we offer affordable prices and can recommend payment sharing solutions over time or customized treatment plans that meet your needs without compromising quality and safety.
It is normal for your nose to look swollen for the first few months after surgery. About 90% of the swelling is expected to subside after about three months and the rest, which is barely noticeable, will gradually disappear within a year.
Most patients experience some discomfort during the initial recovery phase, but the pain is generally manageable with prescription medication.
You will notice the appearance of your new nose in 3 to 4 weeks and the final results in one year after the procedure.
Advanced techniques, personalized approaches and the surgeon's experience ensure natural results that are in harmony with the rest of the patient's facial features.
Allergies do not affect the surgical techniques used in rhinoplasty. However, symptoms of allergic rhinitis, such as runny nose and congestion, can potentially make your recovery time more difficult.
The answer is no. During pregnancy and breastfeeding, the risks of complications increase as this is a time when the body is vulnerable to infection. Rhinoplasty carries a risk of infection that affects tissue healing and requires the use of medications, including anaesthetics that can interact with the body.
The nose continues to develop during adolescence, and rhinoplasty can affect its further development. This is why doctors recommend surgery after the age of 18.
There is no age limit for rhinoplasty. Older people can have a rhinoplasty as long as they are healthy and have realistic expectations of the results of the surgery.
The decision to have a rhinoplasty depends on your existing health problems. People with serious medical problems such as heart disease, breathing problems or diabetes mellitus are not recommended to undergo rhinoplasty. Before you decide, it is important to discuss with your doctor to evaluate whether the procedure is safe for you.
There are some categories of medical conditions that can be a barrier to rhinoplasty:
● Heart conditions: The general anesthesia required may increase the risk of heart problems.
● The general anesthesia that may be required for a heart attack may increase the risk of heart failure: The procedure can affect breathing, meaning it is dangerous for people with breathing problems.
● Diabetes mellitus: Healing can be affected, increasing the risk of complications.
● Other conditions: Other medical problems such as depression, neurological diseases or bleeding disorders may make rhinoplasty dangerous.
If you are concerned about your health and the procedure, discuss it with your doctor or a qualified plastic surgeon.
It is necessary to stop smoking before and after rhinoplasty. Rhinoplasty requires general anaesthesia and smoking can significantly increase the risks. Smoking adversely affects blood flow, can slow tissue healing, increase the risk of infection and create scarring that will affect the final result.
If you are a smoker and are preparing for rhinoplasty, you should stop smoking at least two weeks before the procedure and continue to smoke for at least two weeks afterwards. This will significantly reduce the risks of complications, speed up recovery time and increase the chances of a successful result.
The possibility of undergoing rhinoplasty may depend on the nature of the medications you are taking. There are medications that may interact with those you will be given during the procedure or may affect the recovery process.
There are certain categories of medications that may have an effect on rhinoplasty:
It is important to tell your surgeon about any medications you are taking, including prescription, over-the-counter, dietary supplements and herbs. The doctor will advise you on which medications you can continue or discontinue before surgery.
The choice to have rhinoplasty after a recent surgery depends on the type of previous surgery and how recently it was performed.
If you have had another surgery within the last 6 weeks, you will probably not be ready for rhinoplasty. Your body needs time to fully recover from previous procedures.
Some factors to consider are:
If your plastic surgeon believes you are ready, your compliance with healing instructions is important to reduce the risks.
The possibility of undergoing rhinoplasty after a recent facial injury requires a specific evaluation by your plastic surgeon. Whether to have surgery depends on the severity and type of injury, as well as the length of time between the injury and the time of surgery.
Examples of injuries that affect your eligibility for rhinoplasty include fractures, burns, sharp objects or any other physical damage to the facial area.
Factors to consider when assessing suitability for rhinoplasty following a facial injury include:
● Severity of the injury: A severe injury may require waiting until it is fully healed before surgery.
● Severe trauma: An injury near the nose area can increase the risk of complications.
● Overall health: There are medical conditions that may affect your ability to recover from such a procedure.
The plastic surgeon will examine the injury and decide whether or not you are a candidate for the surgery.
A bloodless rhinoplasty, also known as a wet rhinoplasty, involves injecting hyaluronic acid fillers into the bridge or tip of the nose. It is offered as a quick, relatively painless alternative to surgery. The results last 4-6 months and cannot correct functional problems of the nose.
Dr. Ioannis Dalianoudis is an experienced plastic surgeon, a graduate of the University of Ioannina with a professional career that includes work in several countries, including France, Denmark and Ireland. Specializing in plastic, reconstructive and cosmetic surgery, he trained in Germany in facial cosmetic surgery. He has performed a variety of procedures including eye surgery, facelift, rhinoplasty, bariatric surgery recovery and body contouring. In addition, he is a member of the "European Board of Plastic Surgery (EBOPRAS)" and is dedicated to patient satisfaction, making him a trusted choice for plastic surgery seekers. His dedication to patient satisfaction, his expertise and his vast experience in the Greek and international arena make him a reliable choice for those looking for plastic surgery.
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