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Rhinoplasty

Rhinoplasty, or surgery to reshape the nose, is one of the most common plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip of the nose or the bridge, improve nasal aperture or change the angle between the nose and upper lip holes. You can also correct a birth defect or injury, or help improve breathing problems.

It is also important to consider that the nose is the central element in the face. For this reason, on the one hand, it changes the appearance of the entire face but, on the other, must be in harmony with the other elements of the face. For this reason you should study not only the nose but their relationship to the maxilla and mandible including the chin.

Rhinoplasty can thin the tip, modify or increase the back, change the angle of the nose in relation to the forehead or upper lip and rectify the nostrils. With respect to the partition, the sheet that separates the two nostrils, the irregularities that disturb the air column can be improved, and treat turbinates.

Before deciding to undergo this surgery, think carefully about your expectations and discuss them with the plastic surgeon, because there are structural skin features that are specific to each individual and that no surgery will change. He will advise you on the best option, alternatives, limitations, risks and care you should take.

Frequent questions

How much does a rhinoplasty cost in Colombia?

Rhinoplasty is one of the 5 most performed surgeries in Colombia, for this reason the offer of this procedure has been growing in several parts of the country. The problem constitutes the increasing illegal procedures, interested people are concentrated on finding surgeries with low costs, but most people who perform these procedures are not qualified), this implies a high risk for the patient. Dr. Dario Juris Lopez, a plastic surgeon from Colombia, currently working in Bogota, tells us that the important thing is that the patient investigates the clinic where the surgery will be performed, make sure it meets all standards for plastic surgeries. It is essential not to be guided by prices only. Raise awareness in people is the most difficult, but it is a key factor to avoid performing cosmetic procedures in informal places, like “garage clinics”. Many people question the price of rhinoplasty, but the most important is to investigate to confirm the clinic meets all standards, and the surgeon is a member of the Colombian Society of Plastic, Reconstructive and Aesthetic Surgery. Dr. Dario Juris, a member of the Colombian Society of Plastic, Reconstructive and Aesthetic Surgery, performs various aesthetic surgeries, including rhinoplasty, tells us that the price of this surgery depends on several factors, as each person is different and in each case a prior assessment is made. This initial part helps the surgeon to determine the best way to perform the surgery, so he can guide the patient about the best option, alternatives, limitations, risks and care that should be considered in rhinoplasty. It is therefore important that people consult their expectations with their plastic surgeon. He will tell you the cost of the procedure, cares that must be taken, because there are structural and skin characteristics that are specific to each individual and that no surgery will modify.

Does the procedure leave any visible scar?

It depends on the technique used. With the closed technique there is not any residual scar. However, if the open technique is performed, there will be a small scar that with the passing of time will become imperceptible.

Does Rhinoplasty cause any pain?

Rhinoplasty is not a painful surgery, but the person becomes inflamed in the area of the nose and eyes.

What is the difference between an open and a closed rhinoplasty?

There are several approach techniques, according to the case, where no scar is made in the skin but only on mucous membranes. And the open technique, where an incision is made at the level of the columella, which with the passing of time will be imperceptible.

How long is the surgery?

The surgery takes about two hours.

What is the age limit for surgery?

There is no age limit for surgery, only clinical conditions.

In what cases cannot be done the rhinoplasty?

Among the cases in which rhinoplasty it cannot performed, we include diseases that alter the coagulation process or other concomitant diseases that endanger the patient’s life. Another case would be when the expectation of the patient exceeds the reality of what can be achieved.

Does the procedure affect my breathing?

Rhynoplasty is only aesthetic, so it should not affect breathing. If it is an aesthetic and functional rhinoplasty breathing should improve.

How long should I keep the bandage?

A splint should be kept the first 8 days. Later, a micropore tape is kept for 8 days.

Will bruises appear?

Possibly, and in most patients some bruises appear in the periorbital area or around the eyes.

Does the surgery only work to change the shape of my nose?

The surgery can change size and shape of the nose, and also assist in the functional part.

How is the rhinoplasty procedure?

Rhinoplasty is a procedure that can be done under general or local anesthesia. There are several approach techniques, according to the case, where no scar is made in the skin but only on mucous membranes. And the open technique where an incision is made at the level of the columella, which with the passing of time will be imperceptible.

Do I need nasal packing following the surgery?

The nasal packing is not required and it depends on the surgeon and the bleeding that the patient had had during the procedure, as well as the treatment that had been performed at the level of the nasal septum.

What should I consider when undergoing a rhinoplasty?

The first thing to consider is to find a certified plastic surgeon. Secondly, verify the physician’s experience in this type of surgery, and thirdly, be clear about what you want to change of your nose.

How long is the disability period after rhinoplasty?

The disability will depend on the activity carried out by each patient, may be from 3 to 8 days. The main disability is exposure to sunlight; the patient must avoid it at least for three months.

What age I can undergo a rhinoplasty from?

You can undergo rhinoplasty from the age of 16.

What tests should I have?

You should perform routine tests such as blood count, coagulation tests and in case of patients older than 40 years should have an electrocardiogram and a CT scan of the own bones of the nose and sinuses.

What are the risks of rhinoplasty?

The risks that exist are general like any other surgery such as bleeding, hematoma, infection, skin necrosis, deep vein thrombosis, and death.

How patients are evaluated for rhinoplasty?

First, the patient’s expectations are identified, then the face is evaluated, the  defects are to be corrected are diagnosed; it is also important to check the quality of the skin and all of this together should give us an idea of how the nose should look appropriately  for that kind of face.

What care should I have after surgery?

Avoid shocks, exposure to the sun for at least 3 months and follow the directions of medical treatment such as antibiotic, analgesic and anti-inflammatory.

Are the results definitive?

If the results are definitive, definitive reduction of inflammation will be complete in 6 months up to 1 year.

Can I use glasses after surgery?

You cannot use glasses the first month after surgery, then they can be used without any problem.
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