Rhinoplasty (nose surgery) is a surgical procedure that addresses both the external shape of the nose and its breathing function. As an ENT-trained surgeon, my approach is to evaluate the septum, turbinates and internal nasal structures in the same operation while planning the appearance of the nose, because an aesthetic result and comfortable breathing cannot be considered separately.

On this page you will find my areas of work in rhinoplasty in one place: primary rhinoplasty, revision rhinoplasty, functional rhinoplasty (septorhinoplasty), the piezo (ultrasonic) technique, open and closed approaches, male rhinoplasty, nasal tip and dorsal hump correction. Each topic page describes the path I follow from the first examination to post-operative follow-up.

Planning is individual: facial proportions, skin thickness, cartilage and bone structure, previous operations and a breathing assessment are considered together. The decision to operate is made after a face-to-face examination and a discussion of expectations. The information below is for general guidance; diagnosis and treatment decisions are made during examination.

Rhinoplasty Pages

Rhinoplasty: Frequently Asked Questions

Rhinoplasty is a surgical procedure in which the bone and cartilage structure of the nose is reshaped. Along with appearance, the septum and internal nasal structures are evaluated; if needed, corrections for breathing function can be performed in the same operation.

Septoplasty corrects a deviated septum inside the nose and aims at breathing; rhinoplasty changes the external shape of the nose. When both are performed together, the operation is called septorhinoplasty, addressing aesthetics and function in one session.

A purely aesthetic rhinoplasty does not change breathing. If the examination reveals a deviated septum, enlarged turbinates or nasal valve narrowing, these structures are addressed in the same operation; for patients with breathing complaints, functional assessment is part of the planning.

In the open technique a small incision is made on the columella between the nostrils and the structures are worked on under direct vision; in the closed technique all incisions are inside the nose. The choice depends on the nasal anatomy and the extent of the planned corrections and is decided during examination; there is no single right method for everyone.

The piezo device shapes the nasal bone with a fine tip vibrating at ultrasonic frequency; bone cutting and thinning are performed with less contact with the soft tissues. It follows the same planning principles as the classical method; its suitability for a given case is assessed during examination.

It is a second or subsequent operation on a nose that has already been operated on. Scar-altered tissues, possibly reduced cartilage and lack of knowledge of the previous plan make the procedure more complex; ear or rib cartilage may be used when needed.

It can be performed in people whose facial and nasal development is complete (generally 18 years and older), whose general health allows surgery and whose expectations are realistic. Suitability is determined by examination and the necessary tests.

Rhinoplasty is usually performed under general anaesthesia and takes about 2–4 hours depending on the technique and nasal structure. Patients usually stay in hospital for one night; the duration and follow-up plan are set individually.

Swelling and bruising are noticeable in the first days and largely subside within the first weeks; complete settling of tip swelling and the final shape may take months. These periods vary from person to person depending on skin thickness and the extent of the procedure.

As with any surgery there are risks of bleeding, infection and anaesthesia-related complications; specific to rhinoplasty, asymmetry, breathing problems, changes in sensation and the possibility of needing a second operation can occur. The risks are explained in detail and individually during examination.

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