Nose surgery should be considered in the following situations:
- When there is discomfort regarding the shape, size or angle of the nose.
- When the nose is too large or too small or out of proportion with the face.
- If there are breathing difficulties due to a problem with the internal or external nose structure.
- If there is nasal hump (bone or cartilage prominent on the bridge of the nose), or a nasal tip that droops, protrudes, or is enlarged.
- In cases of congenital problems where the patient seeks an improvement in aesthetic and functional results.
By adding or removing bone and cartilage the size of your nose can be reduced or increased and the nose may be shortened or lengthened.
There are two basic techniques to perform the surgery: open and endonasal rhinoplasty. At the endonasal approach, the incisions are made inside the nasal passages, offering excellent visualization of nasal structures and a more limited dissection of nasal tissues, allowing a faster recovery and without visible scars. In the open approach, the incisions are made in the columella (the underside region of the nose between the nostrils), that then connects with other internal incisions of each nostril. It has the advantage of providing better visualization of the nasal structures allowing in some cases better accuracy during surgery.
It is extremely important that patients talk to the surgeon about their concerns, surgical possibilities and associated complications.
The choice of the surgeon is fundamental and the patient should be aware of some details:
- Check training and education of the professional that will perform your surgery (college where he graduated, where he held residence of general surgery and plastic surgery). Prefer surgeons from traditional and renowned institutions.
- Make sure the chosen professional has a board-certification in the particular surgical specialty. Eg SBCP – Brazilian Society of Plastic Surgery, AExPi – Association of Former Students of Professor Pitanguy, ASPS – American Society of Plastic Surgeons, etc.
- Preferably choose surgeons who are experienced in performing rhinoplasty since this is a complex surgery.
- Find out the places where the doctor usually operates. Whether at a hospital or a clinic they must provide full security.
- Look for references from people who have undergone the surgery with the professional, to know more about the level of satisfaction, medical care and support from the doctor and the staff.