RHINOPLASTY

The condition

The nose is one of the most conspicuous parts of the face, its deformities may cause severe psychological problems. Nose deformities may be congenital, or acquired (i.e. post trauma). The difference may be in size (too big, too small,) shape (hooked, pug, wide, crooked, etc.), anatomy (deviated nasal septum, narrow, deformed nostrils) and may cause esthetic, or functional complaints(i.e. breathing difficulty).

Treatment options

Most of the problems can be corrected surgically. The patient needs to openly discuss his or her expectations with the surgeon, however one has to keep in mind that the outcome to be expected is improvement of shape and contour and never the achievement of a perfectly ideal condition. The surgery will enhance your appearance and self-confidence and if impaired nose-breathing is present will solve that as well.

One day surgery

"One day surgery" means, that patients can leave the outpatient center on their own feet, accompanied by an escort, within 24 hours of surgery (usually after few hours of observation), and continue the healing process in the familiar confines of their own home. "One day surgery" requires strict professional, social, and various other preconditions that are discussed at the stage of the consultation when the need for surgery becomes clear. (i.e. good general health, absence of serious systemic disease, patient must take responsibility for arrangement of transportation and home care, must have phone to contact the clinic or the surgeon if necessary, etc).

Preparation for surgery

The patient is evaluated by the plastic surgeon prior to the procedure. After the exam the surgeon discusses options with the patient that might affect his or her decisions with regard to the surgery (the desired changes in form or shape). Then we inform the patient whether he or she is a candidate for one day surgery. At this point we also discuss one day surgery as a special treatment option, the lab tests and other accessory studies (ENT and medical consultations) that are necessary, types of surgical anesthesia, possible complications, home care-related issues, phases of healing, in one word, all the information that is necessary for the patient to determine which treatment option to chose.

The procedure

Rhinoplasty is usually performed under general anesthesia, or if the deformity is minor local anesthesia may be used. The procedure involves sculpting the bones and cartilage of the nose to the desired shape and securing the nose in the new position. Surgical incision is made inside the nose thus the scar after healing is not visible from the exterior. An exception to this is the procedure for reduction of the nostrils where a skin excision made at the site of attachment will appear as a thin linear scar after surgery. If deviation of the nasal septum is present this will be corrected first by an ENT surgeon, then are deformities of the visible areas of the nose corrected by the plastic surgeon. Rhinoplasties complicated by nasal septum are usually operated simultaneously, but may also be performed in two separate sessions. Following rhinoplasty, after surgery nasal packs are placed into the nostrils, and a plaster splint is applied to the nose externally.

Possible complications

No doctor can guarantee a complication-free procedure. Complications may occur despite maximum care. Early complications: postoperative bleeding, inflammation if recognized early are easy to treat. The purpose of the 4-6 hour postoperative observation is recognition of early complications. If at home, after leaving the clinic, you notice the slightest sign of complications you should call your surgeon immediately who will provide treatment for the complication. Late complications: necrosis of the skin or cartilage, temporary sensory deficit, breathing difficulty, abnormal scar formation (keloid). The latter can be treated with injections within 3 months after surgery. Other, esthetic complications: irregular surface contour, asymmetry, change in skin color may be avoided with correct surgical technique. This procedure like other surgical interventions carries risks, but is very commonly performed in our clinic and our patients always leave satisfied.

Postoperative care

Following this procedure at least 16-18 hour observation is necessary. During this time vital functions (blood pressure, urine, stool) stabilize. Since the procedure involves a relatively large area taking antibiotics and analgesics is recommended. Nasal packs placed during surgery are removed the next day and the patient is discharged home accompanied by an escort. Plaster splints need to be worn for one week. Local pain can be expected for 2-3 days and may be controlled with usual oral analgesics. For a few days after removal of nasal packs serosanguinolent fluid may drain from the nares, that can only be wiped off. Blowing the nose or leaning forward should be avoided since they might cause postoperative bleeding. Swelling of the surgical area around the nose or eyelids may cause transient annoyance by interfering with breathing or vision. Hematomas formed on the face are entirely harmless and are usually resorbed within 8-10 days. Plaster splints are removed during the first follow-up at one week. Following removal of the splints special attention should be paid to avoiding injuries to the nose since these may result in new deformities. Following splint removal the swelling around the nose gradually diminishes but the final results may not be apparent for weeks or even months.

Fees

Charge for examination and consultation: 10.000 HUF > Euro
Surgery in local anesthesia: 230.000 - 380.000 HUF > Euro
Charge for general anesthesia: 80.000 HUF > Euro
Charge for overnight stay: 30.000 HUF > Euro

50% of the total cost has to be paid as a deposit before the surgery.
These are estimated charges and may also be affected by the severity of the condition.

Appointments: Monday - Friday, 8 am - 8 pm.
Telephone: + (36 1) 266 7766