Plastic surgery

Nose Correction (Nose Job, Rhinoplasty)

Nose surgery is one of the most difficult branches of plastic surgery. It enables to correct post-traumatic deformities, congenital defects, as well as deformities caused by diseases or individual features.

Nose surgery is performed under general anaesthesia and takes approximately 3 hours. It includes shaping the cartilaginous and bony framework of the nose, removing the hump and repositioning the nasal septum to increase airflow. Sometimes the procedure also involves nasal wings reduction.

After the surgery, the patient needs to wear a plaster cast on the nose for 7 days to support the nose’s new shape. For 3 months after the surgery the nose must be carefully protected from any injury and strenuous physical exercise must be avoided.

Nose swelling which is especially strong during the first 14 postoperative days, will resolve within 2 months. The final shape of the nose may be evaluated after approximately 12 months from the surgery.

The surgery is performed on patients who are in general good shape and have normal lab results.

 

Contraindications to the surgery

  • unrealistic expectations of the patient
  • active infectious disease
  • mental illness
  • untreated hypertension
  • untreated heart diseases
  • untreated diabetes
  • untreated hormonal imbalances
  • untreated bronchial asthma
  • venous thrombosis
  • menstrual bleeding
  • pregnancy

Lab tests required

General anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)
  • glucose
  • creatinine
  • anti-HCV and anti-HIV antibodies
  • urinalysis
  • electrocardiogram
  • chest X-ray

Local anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)

The patient must be vaccinated against hepatitis B virus.

Preparation for the surgery

Before the scheduled surgery, you have to inform the doctor about any existing medical conditions as well as about any medications you are taking or allergies you have.

  • at least 4 weeks before the scheduled surgery you have to stop taking any hormonal contraception or replacement therapy (HRT);
  • at least 3 weeks before the scheduled surgery you must refrain from smoking
  • 14 days prior to the surgery you should not take any salicylates (Aspirin, Polopiryna, etc.) or other substances affecting blood coagulation (e.g. herbs, garlic);
  • 3 days before the surgery you must refrain from taking pain medication: paracetamol, pyralgin and NSAID drugs (e.g. Ketonal, Ibuprofen, Naproxen, etc.);
  • 6 hours before the surgery you must refrain from eating, drinking or chewing gum;
  • you must take your chronic medication with a small amount of water.