DR. FILIPPOS PAPATHEODORAKIS
AESTHETIC PLASTIC SURGERY
As the central feature of the face, the nose must strike a delicate balance, directing the gaze to the eyes and the smile, while functioning efficiently as a mechanism of breathing. If you suffer from a nose that is disproportionately large, long, asymmetrical, or find flaw in your nasal tip, bridge or nostrils, the rhinoplasty procedure can help to correct these imperfections. It can also address structural problems such as a deviated septum
Rhinoplasty is an operation used to alter the shape and function of our nose. Two types of patients usually ask for rhinoplasty. The ones that were always concerned for their nose shape and the others that although they have mainly functional problems want in one surgery to slightly improve their nose shape.
Rhinoplasty is an operation not to be taken lightly. The main reason is that it permanently alters a primary characteristic of our face. Every patient that will eventually choose to go under the knife must fully understand the significant change that will experience post surgery. If we all thing about it when it comes to defining what makes a nose beautiful its not an easy task. Symmetry and balance are key factors. Personal taste sometimes is not always correlated with expected results. For example a man with thick skin and big "hump" should never expect a curvy "french" nose. If that's not clear before surgery disappointment is imminent.
In rhinoplasty more than in any other surgery patient doctor communication is vital. If you have a different idea of the result than what your doctor predicts then you will be hugely frustrated. So the "big" issue with rhinoplasty is what we plan rather than what we do. At present there are many applications for smartphones and tablets that will reshape your nose. Long gone are the days of expensive desktop programs that only doctors used. So probably you have tried or will try to self modify your nose. That's ok as long as you remember that actual results will differ. I emphasize that to all my patients. Its a good idea for both patients and doctor to know what they both consider as beautiful. To put it simple if you and me have different plan or idea for the end result of your rhinoplasty we are going to run in to problems. Realistic expectations are of most importance I will never stop repeating this.
The operation is performed under general anesthesia. Depending on the deformity to be treated I may choose to go with closed or open approach. That means you may have an incision inside your nose or at the collumella. As in all operations there is never one "unique" way of doing things so adjusting to your needs will bring optimal results. Never consider that a rhinoplasty can be minimal. When we alter one element of your nose all others must also treated in order to balance appearance. When functional problems co-exist appropriate treatment will be performed from my ENT associate. Septal surgery or turbinate surgery will allow you to breath better and will therefore improve the quality of your life. Rhinoplasty surgery has changed the last few years from just a "reduction" surgery to a "balanced" surgery. That means that some areas of your nose will be augmented using septal grafts to better shape the final result.
Following surgery your nose will be plastered for 7 days and the nostrils will be packed for 24 hours. Usually there is no real pain, just a discomfort as if you have cached a cold. Minor bleeding from the front is present. The next day the packs are removed and you can breath better. Bruising under the eyes occurs sometimes. It will gradually resolve depending on your body type (white skin people bruise more and it lasts longer). Usually the surgical effect is obvious for the first couple of weeks. From then on you may seem "changed" or "swollen" to others. Intense physical activities should be avoided completely for 3 weeks, we recommend doing sports after 6 weeks.
Patients should always keep in mind that although not socially noticeable the swelling following the operation will fully resolve after 1 year for women and 1,5 years for men. To put it simple you will see even 1 week after a change in shape but the result will be finalized long time after. So don't jump in to early conclusion of looking "good" or "bad" when the plaster is removed cause you can be wrong. Having said that my patients are always warned that globally a 15% of rhinoplasties will eventually need a touch up procedure. This is not considered major surgery but if you choose to do rhinoplasty you must keep this scenario at the back of your head.