What is rhinoplasty?
Rhinoplasty is one of the most frequently performed surgical procedures in plastic surgery. This is a surgical procedure designed to modify the shape and size of the nose in order to achieve better facial harmony.
Rhinoplasty can reduce or increase the size of the nose, change the shape of the tip or bridge (dorsum), narrow the nostrils, or change the angle between the nose and upper lip. In addition to being a key element in facial aesthetics, rhinoplasty in many cases fulfils a restorative and functional role as it corrects congenital problems, trauma and some respiratory issues.
Who is the ideal candidate for rhinoplasty?
The ideal candidates for rhinoplasty are individuals who are seeking:
- Solutions to an aesthetic problem.
- An improved appearance, but not an absolutely perfect nose.
The most important thing is to have realistic expectations about the results you can achieve, so it is essential to talk to your surgeon and discuss the desired outcome together.
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What does the operation involve?
La rinoplastia es un procedimiento quirúrgico que suele durar entre una y dos horas y se suele llevar a cabo con anestesia general aunque también se puede realizar bajo anestesia local y sedación, dependerá de la complejidad de la cirugía y las preferencias del cirujano. Consulta con el médico antes de la cirugía qué tipo de anestesia es la más adecuada para ti. Normalmente no se necesita pasar la noche en la clínica.
La parte superior de la estructura de la nariz está formada por hueso y la parte interior por cartílago. La rinoplastia permite modificar la forma incidiendo en el hueso, el cartílago o la piel.
En la Clínica Planas realizamos la Rinoplastia Ultrasónica. Esta técnica fue introducida en España por el Dr. Jorge Planas. Se basa en un dispositivo ultrasónico que maximiza la precisión en la intervención y permite limar y remodelar los huesos propios de la nariz sin dañar los tejidos blandos ni los vasos sanguíneos. Sus principales ventajas son:
- Se reduce el sangrado y los hematomas.
- Postoperatorio más liviano.
- En muchos casos no es necesario utilizar tapones.
La rinoplastia puede realizarse dentro de la nariz o a través de un pequeño corte (incisión) externo en la base de la nariz, entre los orificios nasales. Probablemente el cirujano reajuste el hueso y el cartílago debajo de la piel. El procedimiento consiste en separar la piel de su soporte de hueso y cartílago para esculpir ese soporte y luego adaptar la piel a esta nueva forma.
Existen dos formas de llevar a cabo esta intervención:
Rinoplastia cerrada
La operación se realiza a través de incisiones en el interior de los orificios nasales de tal forma que no queda visible ninguna cicatriz externa. A través del interior de la nariz, el cirujano puede tallar y modelar los huesos y cartílagos nasales y configurar una nueva estructura. De esta forma la piel y las mucosas se retraen y adaptan hasta conseguir la forma deseada.Rinoplastia abierta
Existen casos de una mayor complejidad como la modificación de grandes deformidades de la punta. En estos casos es necesario realizar una rinoplastia abierta. En esta intervención el cirujano accede directamente a las estructuras de la nariz mediante una pequeña incisión en la base de la columela, dejando una cicatriz casi invisible.Otras correcciones de la nariz:
La nariz hundida
Existen muchas causas por las que una persona puede tener la nariz hundida: traumatismos, cirugias anteriores no exitosas, narices de raza oriental o simplemente por ser narices con el caballete deprimido.En cualquiera de estos casos podemos recurrir a la técnica de regeneración dérmica, inventada y publicada por el Dr. Jorge Planas.
La utilización del regenerador dérmico Integra en rinoplastia permite la generación de una dermis de mayor grosor para dar forma a la nariz, incrementar el tamaño y/o modificar el ángulo naso frontal.
Todo esto sin utilizar materiales sintéticos o cartilagos autólogos del paciente.
La rinoplastia de aumento
El objetivo de la rinoplastia no siempre es reducir el tamaño de la nariz; por lo contrario hay pacientes que necesitan dar más relieve a la punta, para levantar un dorso hundido o corregir deformidades tanto de origen congénito como traumático. En estos casos el tamaño de la nariz va a aumentar. Se suele realizar mediante injertos con tejidos del propio paciente para dar forma o sostén a la nariz.Nariz corta
Existen también ocasiones en los que el paciente presenta una nariz demasiado corta, que resta armonía al conjunto del rostro. En estos casos podemos realizar injertos de cartílago del propio paciente para alargar una nariz corta.
Qué es una septoplastia
En muchas ocasiones los pacientes acuden a la consulta del cirujano no sólo por un problema estético sino también por problemas respiratorios. En estos casos, y tras una exhaustiva exploración por parte de un otorrinolaringólogo para determinar cuál es la causa de la mala función, se puede recomendar realizar una septoplastia o cirugía de cornetes en el mismo acto quirúrgico en el que corregiremos la estética de la nariz. Es lo que llamamos una rinoseptoplastia.Benefits of the surgery
The nose is a fundamental part of our face, which is why it is a source of complexes and insecurities for many people. Rhinoplasty allows patients to have a nose that matches their facial features, bringing harmony to the face.
Price of rhinoplasty
Each rhinoplasty is a different case that must be carefully evaluated. It is not just a matter of reducing or increasing the size of the nose, but of adapting it to each person's individual features and characteristics. In this type of cosmetic surgery, dialogue with the patient to compare their wishes and expectations with the possibilities for improvement offered by the procedure is particularly important.
The actual price of the rhinoplasty can only be established after an initial free consultation with the surgeon. This will enable you to assess the particularities of the case and the patient's needs. With this information, we will be able to provide you with a personalised quote.
However, we can provide an approximate cost to give you a rough idea of the cost of the surgery.
Rhinoplasty in Barcelona starting at €7,500. This price includes:
- Complete preoperative care
- Specialist anaesthetist
- Our proprietary operating theatres
- Inpatient
- Nursing
- 24-hour post-treatment service.
Rhinoplasty Before and after
Estos son algunos casos de antes y después de Rinoplastia. En estas imágenes podemos apreciar diferentes ejemplos de los resultados que puede ofrecer esta cirugía. No obstante, cada paciente es único, por eso ofrecemos una primera visita gratuita con un cirujano experto.
Feedback tras la cirugía de nariz
Preoperative care: How to prepare
Before scheduling rhinoplasty, you should meet with the surgeon to discuss the important factors that will determine whether the surgery can work well for you. A thorough medical history, physical examination, photographs, and a discussion of the patient's motivations and expectations are key to achieving a satisfactory and realistic outcome from the surgery.
It is essential to undergo a medical examination beforehand to detect any possible abnormalities that could contraindicate surgery. Naturally, the skin of the nose area must be clear of any inflammatory conditions or infections. It is also essential to take care of any flu or cold that causes symptoms of nasal congestion.
If necessary, an ENT specialist will assess the patient's respiratory function in order to prescribe the appropriate treatment.
Postoperative care
When the surgery is complete, a plastic splint is placed to help maintain the new shape of the nose. This will be removed 6 days after the procedure.
Depending on the technique, nasal plugs may or may not be placed in both nostrils to prevent bleeding and stabilise the nasal septum. We use a technique known as ultrasonic rhinoplasty at Clínica Planas, so there is no need for these plugs. However, if in any specific case the surgeon has to insert plugs, they will be removed after 3 days.
The return to normal
The postoperative period following rhinoplasty is not painful at all. After surgery, and especially during the first 24 hours, you may experience slight swelling and discomfort in your nose. Discomfort that is well controlled with medication.
You will notice that the swelling and bruising around your eyes will increase, reaching a peak after 2 or 3 days. In any case, you will feel better than you might appear to be.
Most bruising and swelling will disappear within about 2 weeks.
It is normal to experience slight bleeding from the nose during the first few days. Try to blow your nose gently during the first week until the tissues heal.
If you have had nasal plugs inserted, they will be removed in 1 or 2 days.
After a week, or at most two, if a plaster cast has been applied, it will be removed, along with any stitches, if applicable.
Most patients who undergo rhinoplasty feel well within two days and are able to resume normal activities in about a week. However, you should not perform certain activities until several weeks have passed. Follow the instructions given to you by your surgeon.
We also recommend refraining from any type of strenuous physical activity (jogging, swimming, push-ups, etc.) for 2 to 3 weeks, and stay away from any activity that puts you at risk of hitting your nose. Moreover, do not sunbathe for 8 weeks.
Wash your face and apply make-up carefully. You can start wearing contact lenses as soon as you like, but if you wear glasses, you must take certain precautions.
F.A.Q.
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When will I be able to sunbathe?
During the first month, you should protect your face from sun exposure, especially the lower eyelid area. Sunbathing could leave a dark spot on the skin that would take a long time to disappear.
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Will I be able to wear glasses?
Although it is not specifically contraindicated, it is recommended not to wear glasses continuously during the first month after surgery. Not wearing glasses will protect against marks on the swelling caused by the operation, which persists during this first month even though it is not visible.
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Can I correct both a cosmetic problem and a respiratory function problem at the same time?
In most cases, yes, following diagnosis by an ENT specialist. This specialist will work alongside the cosmetic surgeon to carry out the septoplasty or turbinate surgery.
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What is the minimum age to have the operation?
The minimum age for this procedure is usually between the ages of 15 and 17, when the ossification process of the facial bones is complete. However, it is usually recommended to wait until the age of 18 before making the decision.
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Is the surgery painful?
Rhinoplasty is not a painful procedure. In some cases, discomfort can be alleviated with common painkillers.
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What are the associated risks?
All surgical procedures entail some risk. However, rhinoplasty is a very safe procedure with few complications. When the ossification process of the facial bones is complete.
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Will I be able to breathe through my nose?
In practically all cases, as no plugs are used, the patient can breathe through the nose from the outset, although this may be somewhat difficult at first due to the inevitable post-surgical inflammation.
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When will the results of rhinoplasty be visible?
Six days after the splint is removed, your nose will already look almost final, though there will be some slight swelling. It will take approximately six months to determine whether we have achieved the final result.
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Can I have rhinoplasty in Barcelona if I live somewhere else?
Of course, at Clínica Planas we offer the possibility of consulting with the surgeon online. You will only need to travel to Barcelona for the surgery and post-operative check-ups.
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Does the price of rhinoplasty include everything?
After the initial complimentary consultation with the surgeon, we can provide each patient with a personalised quote. This price for rhinoplasty includes:
1. Complete preoperative care.
2. Specialist anaesthetist
3. Our proprietary operating theatres
4. Inpatient
5. Nursing
6. 24-hour post-treatment service.
Expert opinion
Dr. Jorge Planas
The nose is a key feature in facial expression and balance, which is why, for many people, it can become a source of complexes or insecurities. Rhinoplasty offers the possibility of achieving a nose more in harmony with one's features, enhancing facial harmony and boosting self-confidence.
Dr. Pau Bosacoma
Member of the medical team at Clínica Planas.
Related treatments
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Ultrasonic Rhinoplasty
Rhinoplasty is a surgical procedure designed to correct nasal deformities in order to improve facial balance and harmony. -
Secondary Rhinoplasty
Secondary rhinoplasty is a surgical procedure that corrects aesthetic and functional problems following a previous rhinoplasty. Find out more now. -
Preservation rhinoplasty
Preservation rhinoplasty focuses on preserving as much of the natural nasal structures as possible.
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