Rhinoplastik

Rhinoplastik is a surgical procedure aimed at reshaping the nose to improve its appearance, proportion, or function. The goals can be cosmetic, such as refining the nasal tip or reducing a dorsal hump, or functional, such as correcting a deviated septum to improve breathing. The procedure is performed by plastic or otolaryngology surgeons and may involve altering bone, cartilage, skin, or the nasal framework.

Indications for rhinoplastik include aesthetic concerns about nose shape, size, or harmony with other facial features, as well as functional issues like nasal obstruction, breathing difficulties, or congenital deformities. Candidates typically seek improvement in nasal proportion or airway function and should have realistic expectations and stable overall health.

Techniques fall into open and closed approaches. Open rhinoplastik involves a small incision on the columella to lift the nasal skin for broader access to the underlying structures, while closed rhinoplastik uses incisions entirely inside the nostrils. Surgeons may use grafts from the patient’s own cartilage or bone, such as septal, ear, or rib cartilage, and may employ implants in some cases. Procedures may involve reducing or augmenting bone and cartilage, refining the nasal tip, smoothing the dorsum, or correcting a deviated septum. Osteotomies may be used to narrow the bridge of the nose, and suturing techniques help shape the framework.

Recovery typically includes swelling and bruising for several days to weeks, with a splint or cast worn for about a week. Final results emerge over months as tissues settle. Risks include bleeding, infection, adverse reaction to anesthesia, scarring, asymmetry, altered sensation, breathing changes, and the potential need for revision surgery.