Surgical procedure that reshapes the bony and cartilaginous framework of the nose. Performed to relieve breathing problems and to correct trauma-related or congenital structural deformities.
Indication
- Breathing difficulty due to internal nasal narrowing or septal deviation
- Post-traumatic deformities of the nasal skeleton (fracture, depression, displacement)
- Congenital structural deformities (including those associated with cleft lip and palate)
- Inadequate healing or functional loss after previous nasal surgery (revision rhinoplasty)
- Anatomical narrowing contributing to recurrent sinus infections (with specialist evaluation)
- Septal deviation causing nighttime obstruction together with associated turbinate hypertrophy
Preparation
- No food or fluid for 8 hours before the procedure (for the anesthesia plan)
- Blood thinners, aspirin, and herbal supplements are adjusted with physician approval
- Smoking impairs wound healing and should be stopped before and after surgery
- Blood tests, ECG, and an anesthesia consultation when needed are performed
- Nasal photographs and, when necessary, a CT scan are used to plan the surgery
How it's performed
- Performed under general anesthesia, or local anesthesia with sedation
- A closed (intranasal) or open (small columellar incision) surgical approach is used
- Nasal bone and cartilage structures are reshaped according to the surgical plan
- If septal deviation is present it is corrected; cartilage grafts may be used when needed
- The skin is redraped over the new framework and the incisions are sutured
- Small nasal packs or silicone splints may be placed inside the nose, with an external cast or splint applied
Post-procedure
- Usually same-day discharge or one overnight stay in hospital
- During the first week, keeping the head elevated and applying cold compresses helps reduce swelling and bruising
- Nasal packs and the external splint are removed within 5-10 days
- Avoid pressure from glasses on the bridge of the nose for the first 3-4 weeks
- Complete healing and full resolution of swelling can take 6-12 months; regular follow-up is recommended
Risks
- Bleeding, hematoma, and infection (possible with any surgical procedure)
- Asymmetry, depression, or unwanted irregularities in the shape of the nose
- Persistent or worsening breathing difficulty
- Temporary reduction in the sense of smell; rarely, permanent loss of smell
- Anesthesia-related reactions and the possible need for revision surgery
FAQ
Will rhinoplasty solve my breathing problem?
If breathing difficulty is caused by septal deviation or structural narrowing, these structures are corrected during surgery to improve airflow. Results vary from patient to patient and require a detailed examination.
How long does recovery take?
The splint and most visible swelling subside within 7-10 days, and return to social activities is usually possible in 2-3 weeks. The nose takes its final shape over a period of 6-12 months.
When can I return to sports and physical activity?
Light walking can resume after 1 week; vigorous exercise and contact sports may be resumed after 6-8 weeks with physician approval. Activities with a risk of impact to the nose should be avoided for 3 months.
Does smoking affect the procedure?
Yes. Smoking impairs tissue healing and increases the risk of infection and tissue necrosis. Avoiding smoking for at least 4 weeks before and 6 weeks after surgery is recommended.
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