Rhinoplasty

Anesthesia

general (anesthesia);

Duration

approx. 3.0 h (standard procedure); approx. 4 h reoperations;

Stay in clinic

1 day;

Recovery period

• First week: avoid physical exertion, avoid hard and very hot foods, avoid even trivial injuries (sleep alone on your back with your head slightly elevated, do not pick up small children, avoid playing with animals).
• For 2 weeks after surgery, please do not blow your nose.
• Return to work after 2 weeks (after this time, bruising and significant swelling usually disappear).
• Playing sports after 2 weeks (running, gym, swimming pool).
• Avoid contact sports for up to 1 year after the procedure (risk of injury).
• Protect nasal skin from UV radiation and very low temperatures for 1 year;

Medication after the procedure

• Over-the-counter painkillers.
• For postoperative sore throat related to the intubation tube – first day after the procedure (over-the-counter lozenges).
• For dry mouth when the nose is packed with a seton (lip balm).
• Medications in the form of nasal drops, nasal spray, ointment for the suture line for a period of one week (prescription is issued upon discharge from the hospital);

Follow-up examinations

• The day after the procedure (necessary): removal of setons from the nose, local condition check.
• After one week (necessary) – local condition check, suture removal, cast removal.
• After 2 weeks in some cases, usually repeat nose surgeries (necessary in case of cartilage graft from ears, temporal fascia graft) removal of sutures from behind the ears, from the temples (do not dye hair 1 month after suture removal from the temples).
• After 12 months (necessary) final evaluation of the surgery result.
• At any time, when needed.

Unavoidable consequences of surgery

• Pain/ discomfort;
• Bruising (usually disappears within 2 weeks of surgery);
• Swelling (significant swelling usually subsides within 2 weeks; ultimately, swelling resolves after 1 year);
• Temporary worsening of nasal patency due to swelling (mild runny nose) for even several weeks;
• Disturbances in nasal skin sensation (sensation usually slowly returns within 1 year);
• Temporary disturbances in smell – heightened or dulled;
• Scar/ Scarring (usually a barely visible external scar, internal scarring can be one of the reasons for surgical imperfections – minor irregularities, minor asymmetries);

Complications (may occur)

• Irregularities of the nasal framework palpable under the skin occur frequently, sometimes they are visible through the skin on the surface of the nose – this may require additional procedures (most often with hyaluronic acid, rarely repeat surgery);
• Excessive bleeding/ hematoma (rarely);
• Infection (rarely);
• Excessive scarring/ hypertrophic scar/ keloid (rarely);
• Worsening of nasal patency (rarely);
• Subjective poor assessment of the aesthetic outcome of the procedure, i.e., dissatisfaction with the surgical result; the surgical outcome is assessed subjectively, and therefore satisfaction with the surgical outcome cannot be guaranteed;
• It is not possible to predict the patient's psychological reaction to the occurrence of potential complications.