Correction of the nose, commonly referred to as a „Nose Job“, is one of the most common cosmetic surgery (so-called Rhinoplasty). If, besides the change of form of the nose in the same procedure carried out and correcting deviations of the nasal septum, which is often the case, then this operation has the addition of aesthetic and functional character (so-called Septorhinoplasty). Due to the three-dimensional complexity of the nose, a large number of different forms and tissue structures, and compound funcionalnog with aesthetic, this operation represents one of the most challenging and the most complex operations in plastic surgery. Outside the nose is often left to answer the internal “perception” of the nose in humans. The reasons may be different: congenital or acquired trauma. This is why some people feel uncomfortable, especially when the nose is very striking, and in contact with others, during the conversation instead of eye sight is directed toward the nose.
During the correction of the nose may change its form and size in its entirety, as well as its individual parts (root, back, tip, nose wings or bases). The nose can be shortened or extended, reduce or expand and increase. It is important to observe the nose when the correction as a part of the face, and not as an isolated part. It should also be noted that the patient’s expectations of the outcome of the correction should be more realistic, because there is no perfect nose, as such, because I’m not a patient, the surgeon is not the same, can not be 100% influence on the process of healing and scarring wounds and the nature of patient.
There are two operational approaches to rhinoplasty:
One so-called „closed approach“, during which all the cuts on the inside of the nose, so that there are no visible scars on the nose and the other so-called „open approach“, during which, apart from the above mentioned cuts inside the nose, there is a small vertical incision in the narrowest part of the nasal septum between the nasal nostrills so-called Columella. This cut is after a period of healing wounds almost invisible. This approach is recommended for those nose surgery which required fine adjustment tip of the nose as well as Revisions ie. Repeated operation.
Every person is different, so as the nose and every nose present a unique combination. There is not two same noses. It is understandable that each nose correction should be individuell, because there is no “standard” Rhinoplasty. It should be in harmony with other parts of the face and should correspond to only one person … You.
Preparation for surgery begins with the first contact and handling. Intuition, “gut feeling”, confidence, and “chemistry” must match. It is very important for the surgeon to be able to understand the patient’s disorders and concerns regarding the nose. In one conversation this is impossible. Therefore, at least two or more extensive conversations, as well as a nose exam, are required for the surgeon to understand both the wishes and expectations and motivation of the patient for surgery. after surgery. At your first appointment, your surgeon will ask you to look at your nose in the mirror and show exactly what part of your nose is bothering you and how it should change. It is also important to inform the surgeon when talking about previous illnesses, allergies, medications you may be taking, or surgery, especially those in the nasal region.
The interview is followed by a clinical examination of the nose and its structures, both as a whole and its individual parts. Finally, photo documentation, diagnostics of air passage through the nose (rhinomanometry), and odor test (olfactometry) follow. It is very helpful to look together with the patient and comment on pictures of other people (known and unknown), which would indicate a model of the nose that is desirable and which does not. Still, the pictures speak more than words. It may be best to show pictures of already operated patients, where the patient himself would be convinced of the real possibilities of surgery and where its limits lie. This will further create the impression of safety for patients as well as eliminate any ambiguities. The second interview gives a detailed explanation of the surgery and care that should be done after surgery. Post-operative care is just as important as surgery itself.
Two weeks before and after surgery should not be taken Asprin (ASS), vitamin E and estrogen, as well as fish- and flaxseed oil. It is also not advisable to do surgery in women 3 days before and after, and during the menstrual cycle. 8 hours before surgery is forbidden to eat and drink, and smoke cigarettes.
The operation is performed under full anesthesia and lasts between 1 to 3 hours depending on the scope and requirements. At the end of the operation to stabilize the nose. Both internally (through silicon thin splints), and out putting a plastic Aquaplast or thin Alluminium-Splint.
After the surgery, you will be transferred to the care and monitoring department. The stay in the clinic is between 1 to 2 days, and may be short ie. ambulance, where the patient goes home after surgery on the same day. Whether this is reasonable should be decided together in conversation with the surgeon.
All the information on the postoperative course and care, as well as the necessary medications, will be obtained in conversation with the surgeon and via Mail, as a PDF document, so that you always have at hand the complete concept.
If the nose is responsible for disturbances in breathing, for example. as a result of birth or other trauma, surgery costs, in principle, take over complete health insurance company. (Ie. functional Rhinoplasty).This requires a written confirmation of health insurance companies.
UIf the breathing disorders in the nose responsible guilty nasal septum or enlarged turbinates, and at the same time that there is a desire for correction forms the nose, it is possible that part of the operation costs and take health insurance company. (Ie. Functionally-aesthetic Rhinoplasty).
If there is a desire to change the form of the nose, then the cost of operations takes the patient himself. (Ie. Aesthetic Rhinoplasty).
The cost of the operation ranges from € 2.500 to € 6.500 (including MwSt), depending on the scope and the required adjustments. Anesthesia costs should also be added to these costs depending on the duration of the surgery, the operating room lease, and the length of stay in the clinic.
- The operation at full anesthesia
- Ambulant or short hospital stay to 2 nights
- Duration of operation 1 – 3 hrs
- Open or closed Approach
- Aquaplast for 7-10 days
- Septum-Splint 5-10 days
- Removing stitches after 7-10 days
- Without tamponade in the nose
- Returning to work after 2-3 weeks
Dr. (Univ. Belgrade) Nikola Krizmanić
- Specialist in ORL
- Subspecialists for plastic surgery
- Specialist for Rhinoplasty
- Over 17 years of experience
- More than 3800 operations in the area of the nose (of which over 1700 Rhinoplasty)
- On average 100 Rhinoplasty per year
Do I realy need nose surgery?
This is for me the most important question in connection with this operation. And so it is very important that the desire and the decision is yours, and only just yours, and not the wishes of others..
What is the percentage success and a guarantee of a correction whose nose?
In 90-95% of cases is the result of a successful and lifelong. Excluded are natural changes that occur aging process and provided that the nose can not be beaten. Since the surgeon by their nature can not control the process of healing and tissue scarring, as well as the nature of the patient, can never speak of a 100% guarantee the success of the operation.
When can I see the Result?
In the first 3 months you will not be happy, and not unhappy with the result of the operation because the wallow forms a slight appearance of the nose. From experience we know that ca.80-90% of the final results can be seen after 3 months. The remaining 10-20% of the swallow will last up to a year, but it is, as such, only visible to you.
Are there any pain after the surgery?
Pain may occur rare after surgery. More describes the pain as the pressure in the nose which is in turn caused by the swallow in the first 24h to 72h. With medication, which you will receive after surgery, these problems give reduced to an acceptable “pain”.
Can I breath after surgery?
As long as the so-called Septumsplints are inside the nose (ca. 7-10 days) respiration is not entirely possible. Later than 6 weeks after surgery is the recovery of fully free to breathe through the nose.
When can I do a Sport and Training?
In principle the easiest types of sport (eg. Bike) after 4 weeks are possible, while striving aspects of sport (eg. Fitness and body-building) after 3 months are possible. Also everything else that can cause excessive sweating should be avoided for at least 3 months (eg. Sauna, solarium and Sun)
Is there a perfect and ideal nose?
A perfect or ideal nose that would fit to every person as such does not exist. Therefore, the “perfect” nose is something individuell and inconspicuous that only your face fits.
What still needs to know about the surgery?
Everything you read on this site or sites from other surgeons, exchange of information with other patients, as well as e-mail communication with other surgeons offer you only a rough and general information on this topic. This information is not, and can never and will not be, a substitute for a personal interview with an experienced surgeon.