nose reshaping_dr Nedeliak

The road to a perfect side face: through the eyes of a rhinoplasty expert

By: | Tags: , | Comments: 0 | August 30th, 2023

Although anybody hardly notices, these details, which we see need changing every time we look in the
mirror, drive us crazy. Can you relate? One of the most frequent complaints connects to the central piece of our face – our nose.

The following text offers expert answers to three popular questions given by clients, who are considering a rhinoplasty procedure. The expert is an experienced ORL doctor, internationally acclaimed in the rhinoplasty and septoplasty field, MUDr. Tomáš Nedeliak.


1) Doctor, what, according to you, should everyone, wanting to undergo rhinoplasty, know about the procedure and the post-surgery treatment? What discomfort can a client expect?

I would like to stress, that the procedure itself is only the beginning of the whole process, and without the appropriate care during convalescence the result can be a disappointment. The surgery itself is carried out in a whole-body anaesthesia. It takes about an hour. Post-surgery, one cannot breathe through their nose until the next day because of the nasal tamponade. The is taken off on the second day. What remains is a fixture on the outside of the nose. One must expect a hematoma and swelling of eye lids – this lasts up to 14 days.
After the surgery, it is important to keep the fixture for approximately 10 days, and after removing it, care for your nose by massaging it in regular intervals over a period of at least 3 months. Over this time, the nose can still be swollen, numb or itchy. It is also common to experience a pulling feeling into the bottom half of the nose. It is rare for patients to complain of sharp, stabbing or dull pain.


2) What should a client expect, when wanting an alteration of “only the tip” of the nose? Can you explain, why the procedure often ends up being a complete rhinoplasty?

This depends very much on each individual. When shifting and lifting the tip itself, the ridge will become more pronounced and a pollybeak nose deformity can happen. I usually advise for a procedure to become a complete rhinoplasty when I see an exaggerated dorso and deformation is possible.


3) Sizing down wide nasal wings is a relatively specific treatment. What methods are applied? Our clients also ask: is there any permanent scarring?

Surgery, the extent of which is given by the length and width of the nasal wing. Sometimes it is possible to thin the nasal wings in terms of surgery on the cartilage of the tip, where the scars are not visible. If the base of the nose is especially wide, it is common to preform excision of skin and the mucous membrane from the inside of the nasal wing. Here remains a small scar on the inner part. And when altering very wide and long nasal wings, an excision of the whole wing is done, and the scarring occurs on the outer part of the wing. The scar is hidden in the natural fold of the nose and is seemingly invisible.


We trust that you have more of your own questions. Do not hesitate to contact members of the ROYAL
MEDICAL team, who are prepared to guide you on your way to the visage of your dreams.

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