Before deciding on this surgery, we recommend:
- Know in-depth what rhinoplasty consists of.
- Explain to your surgeon what your expectations are, what features of your nose you don’t like, and the reasons for this dislike.
- Assess your state of health (allergies, diseases, or injuries to the nose, regardless of whether they are recent or not, other medical tests …).
Closed or open rhinoplasty?
Basically, what distinguishes one type of rhinoplasty from another is the way in which the surgeon accesses the inside of the nose. While in open rhinoplasty, a small incision is made at the base of the nose in order to lift the skin; in closed rhinoplasty, the surgery is performed from inside the nose, through the nostrils. In this second case, the plastic surgeon does not have a direct view of the area that is intervening.
When the tip of the nose is the one that needs more attention, it will be necessary to resort to an open technique. This second modality of rhinoplasty allows working the ala cartilages with greater precision. Otherwise, when it is only a small easel or a slight nasal deviation, what needs to be improved, the chosen technique is usually the closed one.
Ultrasonic rhinoplasty allows us to take care of every millimeter and be very precise in the treatment and remodeling of the bone, without losing the expert artistic conception of the plastic surgeon that will continue to be fundamental”. being less traumatic and gentler; offering stable long-term results; allowing defects to be corrected (very hard, very wide, or voluptuous nose) without the appearance of uncontrolled fractures, even in thin, fragile, or unstable bones; leading to a faster recovery and incorporation into social life, manage to reduce ecchymosis, edema, swelling or bruising, and, ultimately, achieve even more natural results than in classic rhinoplasty
The result of a rhinoplasty takes some time to be final. On average, up to a year, or a year and a half, after surgery, the nose will not have completely deflated, and we also have to bear in mind that, in approximately 10% of cases, minimal reoperation is necessary.
Some asymmetries prior to the operation may remain in the postoperative period or appear as the nose is deflating, so we always inform patients of these assumptions before operating. These touch-ups or re-operations are usually performed after a year when the tissues are moldable again. Then, without inflammatory processes that prevent it, it can be assessed what the final result of rhinoplasty has been
We must differentiate these reinterventions from what we call secondary rhinoplasty, the nose operation that we perform for the second or subsequent time and which consists of fixing and trying to naturalize the result of a poorly done rhinoplasty.
The second rhinoplasty is the great challenge of the plastic surgeon. Due to the high degree of professional intrusion by doctors without the proper qualification, in recent years, poorly performed surgeries in which it is obvious that the nose has been operated on have multiplied. Surgical aggressiveness and the lack of expertise necessary to treat and mold the delicate nasal structures make patients face a problem that they cannot hide and go, this time well informed, to the qualified professional and expert in the field who will perform secondary and restorative rhinoplasty.