Surgery of outer nose and nasal septum (rhinoseptoplasty)

Rhinoplasties: form and function

The functional and aesthetic surgery of the external nose and nasal septum (rhinoplasty) is a surgical intervention that aims to improve nasal breathing and the appearance of the external nose, i.e. the improvement of both the form and function of the nose.
This goal is achieved by correcting a bent nasal septum as well as the external nose e.g.:

  • the reduction or increase of the nose size,
  • the modification of the shape of the tip of the nose,
  • changing the angle between the nose and upper lip,
  • the correction of nasal defects,
  • removing post-traumatic complications.

Each surgery ought to be adapted to the patient’s individual needs.

During the surgery, the doctor makes incisions which can be performed intranasally (the intranasal technique) or outside the nose (the open technique) depending on the type of surgery; then, the cuts are hidden in inconspicuous nose skin areas.

Patients qualified for rhinoseptoplasty ought to be in good health and mental condition, and have realistic expectations for surgery outcomes.

The surgery may be connected with a change in the appearance of the face.

Pre-surgery preparation:
  • An interview as for co-existing diseases, medications taken, surgeries performed, allergies.
  • Explaining questions about the surgery.
  • Vaccination against hepatitis B (2 doses) in the event of insufficient levels of antibodies in the blood (the family doctor).
Post-surgery care:
  • Post-surgery control 2-3 times at 2- and 7-day intervals to remove anterior tamponade, external dressing, stabilizing plates, stitches, the toilet of nasal cavities. Remote control 6-8 weeks and one year after surgery.
  • Antibiotic: Augmentin or Biofazolin 2×1 tabl. for 10 days.
  • Daily multiple repeated moistening of nasal cavities with saline or preparations: Hysan/Euphobium/sea salt.
  • Oxycort or Atecortin ointment to lubricate the nasal vestibule and column 4 times a day for 3-4 weeks.
  • A careful lifestyle – avoiding hot baths, excessive physical exertion, hot and spicy food and drinks, alcohol, blowing the nose forcefully for 2 weeks, bathing in the swimming pool.
  • Refraining from sneezing.
  • In the event of fever or other disturbing symptoms, consultation with the surgeon is recommended.
Risk connected with the surgery:

Bleeding, infection, scarring, damage to deeper structures, numbness, asymmetry, pain, skin abnormalities, allergic reactions, delayed wound healing, nasal septum perforation.

A detailed discussion of the aforementioned risk will take place with your doctor.