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Amsterdam Plastic SurgeryAmsterdam Plastic Surgery Amsterdam Plastic Surgery


Doelgroep: Mannen en vrouwen
Verzekering: Nee

Rhinoplasty is an operation designed to re-shape the nose. It is one of the most common cosmetic procedures performed in both men and women with patients reporting increased self-confidence as a result of improvement in their appearance. The most common request is to reduce the size and shape of a large nose or tip, but occasionally an increase in the height of the profile is also requested. In most instances the incisions are within the nostrils leaving no visible scars on the outside. A detailed consultation and examination are essential before Dr. Pirayesh can make a precise surgical plan.

Nose Correction (Rhinoplasty)

It is important to avoid taking any Aspirin or products containing Aspirin for 2 weeks either side of the operation since Aspirin has an adverse effect on bruising. The same is true for non-steroidal anti-inflammatory drugs (such as Ibuprofen and Diclofenac). If you are a smoker it is helpful to stop for two weeks before surgery and for a week afterwards so as not to restrict the circulation to the skin. While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days at home.

The surgery is performed at the highly advanced annatommie surgical facilities in Utrecht Dr Pirayesh operate as a Consultant in Plastic and Aesthetic Surgery. You will usually be admitted on the day of surgery, and go home the same day stay.

Rhinoplasty is usually performed under a general anaesthetic, so you’ll sleep through the entire operation.

Surgery is usually performed via a 3 mm incision below the nostrils therefore leaving virtually no external scars. Occasionally there is a need for external scars, particularly when reducing nostril size (alar base reduction) .In such an event this will be discussed carefully during your pre-operative consultation. Whenever this is performed Dr. Pirayesh will always place such scars within the natural shadows of the nasal contour to reduce their visibility.

During surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. Any bump on the bridge is removed with a delicate file to give a new profile. The nasal bones, depending on the circumstances, are then usually broken and reset in a careful way to allow them to meet in the middle and narrow the bridge line. Finally the tip of the nose, comprised of cartilage beneath the skin, is adjusted in size and shape to refine the nose so that it matches the new profile. When the surgery is complete, small dissolvable stitches are used inside the nostrils and nasal dressings are inserted. Finally a plaster cast is placed on the bridge, which is held in place by tape on the forehead and cheeks. This protects the position of the bones over the first week whilst they are setting.

Rhinoplasty usually takes between 2 – 4 hours depending on the complexity and the amount of work that needs to be done. Dr. Pirayesh will discuss the procedure, realistic expectations and outcomes and possible risks with you during unhurried consultations. Contact our clinic today to have your nose shaped towards the way you would like it to be.

Remarkably, pain after rhinoplasty is not usually a problem. It is carefully controlled by painkillers in the first few hours following surgery and subsequently with a mild analgesic (pain killer) such as paracetamol or codeine as necessary.

Rhinoplasty can create a “stuffy” feeling in the nose similar to suffering from a cold due to swelling inside the air passages. In order to reduce this you will be nursed sitting up after the surgery and also asked to sleep slightly sitting over the first few days. If the nasal bones are broken and reset, there is usually some swelling around the lower eyelids and cheeks along with a little bruising. Most of the swelling will settle within 10 to 14 days. Any internal stitches within the nose will dissolve spontaneously but on the occasions when external sutures are used these are generally removed between 7 after surgery along with the splint.

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