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Plastics of nose


Rhinoplasty is a surgical intervention which purpose is to change the shape and (or) the size of the external nose.

The nose is an important aesthetic element, occupying central position on the face of a person and playing a key role in the symmetry and proportionality of the face.

The nose that does not correspond to the proportions of the face brings aesthetic discomfort and entails the development of a number of complexes.

The reason for rhinoplasty can be congenital (violation of the shape of the nose at the embryonic stage of development) or acquired deformity of the nose in consequence of the injuries.

Also, the purpose of plastic surgery on correction the shape of the nose can be the restoration of nasal breathing.

Often, rhinoplasty is carried out in complex with the elimination of deformation of the nasal septum (seploplasty) and is called rhinoseptoplasty.

Today, there is an opportunity to correct any deformation of the external nose surgically.

Modern methods of operation in the hands of a highly qualified specialist guarantee a successful and safe outcome of rhinoplasty.

PERIOD OF REHABILITATION AFTER rhinoplasty:  2-3 weeks


  • Disrupting the proportion of the face nose (large, long, wide nose).
  • Aquiline nose.
  • Lateral curvature of the nose.
  • Wrong nose tip shape.
  • Saddle-shaped nose.
  • Unaesthetic shape of the wings of the nose and nostrils.
  • Snub nose.
  • Difficult nasal breathing, snoring.
  • Various acquired deformities of the nose.


With open rhinoplasty, access to the bone-cartilaginous structure of the nose is provided by incisions along the inner surface of the nose wings with the transition to the skin of the columns of the nose (columella), and then the skin is separated from the cartilaginous tissues. Plastic surgery is performed under full visual control.

After the completion of the surgical intervention the self-absorbing threads are applied (they do not require removal), the nasal cavity is swabbed and a gypsum dressing is applied.

Open rhinoplastics is used in those cases when it is impossible to achieve the desired results with a less invasive procedure, for example, with repeated rhinoplasty.

Advantages of the method: full visual control allows diagnosing and eliminating all anatomical changes that led to external deformation.

Disadvantages of the method: higher traumatism, duration of the operation and rehabilitation period in comparison with closed rhinoplasty.


With closed rhinoplasty, the modification of the nose structures is performed through internal incisions, the number of incisions depends on the purpose of the surgical intervention. This operation is less invasive, it does not affect the column of the nose and does not damage the arteries.

After the completion of the surgical intervention the self-absorbing threads are applied (they do not require removal), the nasal cavity is swabbed and a gypsum dressing is applied.

Advantages of the method: absence of scars on the column (columella) of the nose, less pronounced edema and short rehabilitation period.

Disadvantages of the method: due to the difficult view of the nasal cavity, the accuracy of manipulations is reduced, it is not always possible to correct the essential defects.


At the meeting, we will discuss your medical history, especially as regards previous injuries (damages), allergic reactions and previous plastic surgeries, if any.

We will consider in detail all the problems that you are experiencing, which, you think, are undesirable and must be corrected.

After examining nose, we will discuss in detail your wishes and on how much, in our opinion, the operation will meet them.

Also you will be informed about all the details of the upcoming rinoplastics, its duration, rehabilitation period and possible complications.


  • When preparing for rinoplastics, medical examination is mandatory to determine possible contraindications to the operation. And preoperative photographs are also taken. Before the operation, we will thoroughly analyze these images, and we will use them together with the data obtained after the examination to compile an individual operation plan.
  • Also before this operation it is necessary to perform a CT scan (computer tomogram) of the bones of the nose and paranasal sinuses in order to identify the level and scale of the existing problem.
  • 3D modeling of the shape of the external nose is performed. As a result, the patient can see the changes in the shape and volume of the external nose even before the surgery with a 99.9% effectiveness.
  • 14 days before the surgery, you should stop taking aspirin and aspirin-containing medications because they affect normal blood clotting. If you are in doubt about any preparation, carefully read the instructions on the label or consult our clinic. Tell us about all the drugs that you will take before surgery.
  • Also, two weeks before the surgery, it is necessary to give up cigarettes or minimize their number, since nicotine leads to the reduction of blood vessels and can worsen blood circulation in tissues during and after the surgery.
  • 7 days before the operation, it is necessary to exclude from the diet spicy and fatty dishes, as well as to stop drinking alcohol.
  • Do not eat or drink 8 hours before the surgery. For safe anesthesia, your stomach should be completely empty before surgery.
  • Before the operation, perform a thorough sanitation of the nose. If necessary, our nurse will help you to perform sanitation.
  • On the day of the surgery, wear comfortable, loose clothes that will not need to be removed through the head.


  • After discharge from the clinic, you will receive recommendations on the use of painkillers and antibiotics. Strictly follow their instructions.
  • The first 2-3 days the patients should sleep with a slightly raised head. Elevated head position minimizes postoperative edema and discomfort.
  • You will come to bandaging and to a surgeon examination with the frequency that will be prescribed by your attending physician, taking into account the specific course of the postoperative period.
  • On the 6-7th day, silicone splints (tubules) from the nose are removed.
  • Within 2 weeks you should give up cigarettes, nicotine worsens blood circulation in tissues and as a result increases the rehabilitation period.
  • Do not exercise for 2 weeks after the operation, which requires a lot of physical activity. In order to minimize the chance of the postoperative complication, avoid such actions as low slopes or lifting of weights, and also the position when the head is below the body level.
  • After nose plastic surgery, it is not recommended to fly for 2 weeks on airplanes, and 4 weeks – to go in for sports, to visit sauna or swimming pool.
  • You should not wear glasses for at least three weeks after the surgery. The slightest exhalation or pressure of the rim is transmitted to the nasal areas and can lead to the displacement of the nasal bones.
  • Edema and irritation pass away after 6-8 weeks.
  • Be sure to let us know if after the discharge from hospital discomfort or bleeding increases, also if you shiver and have the temperature above 38 degrees Celsius.
  • During the rehabilitation period, food rich in vitamins and microelements should be included into the diet.


  • The patient’s postoperative condition is very rarely accompanied by excessive bleeding. If this situation occurs, we will resort to additional nose bandages, examination and observation.
  • Infection is one of the possible complications after any operation, but it rarely occurs after surgery on the nose. If there is severe infection of the specific area, an additional operation may be needed to properly drain it.
  • Unintentional sudden exhalation through the nose or careless handling can lead to the shift in the nasal structure and loss of the desired shape and symmetry of the nose. If such deviations are detected in time, they are successfully eliminated without additional surgery.
  • There are no frequent cases when a small organ on the septum, responsible for the odor, associated with sexual attraction, is damaged in consequence of the plastics of the nose.

All of the above-mentioned complications after rinoplastics are exceptions that arise periodically despite the leading standards in surgical practice. We have outlined them for the purpose of informing you properly and in no way intimidating.


(RU) Зоя (Ринопластика)

(RU) 22.09.2012

Sorry, this entry is only available in Russian.

(RU) Рада (Ринопластика)

(RU) 11.06.2013

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(RU) Тая (Ринопластика)

(RU) 11.08.2015

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