Rhinoplasty Aesthetic — Dr. med. Florian Bast
Highly skilled London-based ENT surgeon with a specialist interest in rhinology and facial plastic surgery. Working at Guy’s and St. Thomas´ Hospital and Harley Street London and main work is Rhinoplasties.
Florian Bast, FCRS, Otolaryngology, Rhinology, Facial Plastic Surgery, Rhinoplasty, Septorhinoplasty, Nasal Surgery, Septal perforation, Balloon Sinuplasty, Balloon Dilation, Eustachian Balloon Dilation. Sinus surgery, Chronic Sinusitis, Snoring, Sleep Apnoea, Blepharoplasty, Otoplasty, Pinnaplasty, Scar correction, Filler, Injectables, Harley Street, Harley Street Nose Clinic, quality, German
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Rhinoplasty Aesthetic

Correction of Form and Function of the Nose

Dr. med. Florian Bast

The main reasons for nose surgery are: improvement of nasal breathing (septoplasty); modification of the shape of the nose (rhinoplasty); or a combination of both procedures (functional septorhinoplasty). Possible reasons for a rhinoplasty include:

  • Fracture of the nasal bone or another nasal trauma
  • Hump or saddle nose
  • Bent or buckled nose structure
  • Nose too long or too short
open vs closed

There are two main rhinoplasty techniques: closed and open rhinoplasty.

Closed rhinoplasty corrects the structures through an incision inside the nose and visible scars are avoided. In open rhinoplasty the nose is operated on through an incision at the area between the nostrils (columella), combined with incisions on the inside of the nostrils. The skin of the nose tip is carefully lifted and the nasal cartilages and bones are surgically corrected. At the end of the surgery, the incisions are closed with fine suture material. The small incisions usually heal very well, and in most cases are barely noticeable after a few months.

before and after

Differences between open and closed rhinoplasty.

Most experts agree that excellent results can be accomplished with open as well as closed rhinoplasty.

One advantage of closed rhinoplasty is the absence of visible scars; the advantage of open rhinoplasty is better intraoperative views and access. The choice of procedure is always based on the patient’s needs. Prior to surgery morphed photographs will be used during the consultation process to ensure we agree on the best approach to surgery.

The surgery takes place under general anesthesia. In some cases, small silicone wedges are sewn into the nose at the end of surgery for stabilisation and removed after 7-10 days. A nose plaster is also removed after 7-10 days. No tamponades are used. There is a risk of haematoma (collection of blood), after surgery, particularly in the area under the eyes. This risk can be reduced by the operating technique itself and by applying regular cooling packs to the area, which also helps to alleviate discomfort. A strict regime of self-care of the nose is required following surgery to ensure optimal healing. Patients will receive individual recommendations and check-ups.

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