Rhinoplasty (nose correction)

Who is rhinoplasty suitable for?

Rhinoplasty is suitable for people who are unhappy with the appearance of their nose or experience problems with how it functions. Some common reasons for rhinoplasty are:

Cosmetic reasons:

• A bump on the bridge of the nose.
• A nose that is too large or too small in proportion to the face.
• A wide nasal bridge or asymmetry of the nose.
• A drooping or overly upturned nasal tip.

Medical reasons:

• Difficulty breathing because of a deviated septum.
• Correction after a nose injury, such as a fracture.
• Repair of congenital abnormalities or deformities.

The procedure is generally suitable for adults, because the nose must be fully developed. In younger patients, the procedure is only performed in exceptional cases.

How does rhinoplasty work?

Rhinoplasty is performed under general anaesthetic or, in some cases, under local anaesthetic with sedation. The surgeon chooses between an open or closed technique, depending on the complexity of the procedure:

• Closed rhinoplasty: all incisions are made inside the nose, so there are no visible scars. This is usually used for smaller corrections.
• Open rhinoplasty: a small incision is made on the underside of the nose (in the columella area), which gives a better view of the underlying structures. This technique is suitable for more complex procedures.

The surgeon can then:

• Remove, adjust or reposition bone and cartilage to correct the shape.
• Use implants or cartilage from elsewhere (for example the ear or rib) to add structural support.
• Straighten the nasal septum to improve breathing.

The procedure usually takes 1.5 to 3 hours, depending on the nature of the correction.

Recovery after rhinoplasty

The procedure is followed by a recovery phase in which it is important to follow the doctor's advice carefully. Some points about recovery:

• Swelling and bruising: these are normal after the operation and usually disappear within 2 to 4 weeks. However, swelling can persist for up to a year before the final result is fully visible.
• Splint and nasal packing: a splint is applied to protect and stabilise the nose. In some patients, nasal packing is placed to keep the nasal cavity open.
• Returning to work: most people can resume light daily activities after 1 to 2 weeks, but intensive activities should be avoided for about 4 to 6 weeks.
• Result: the final result is usually visible after 6 to 12 months.

During the recovery process, it is important to protect the nose from knocks and not to wear glasses that can put pressure on the bridge of the nose.

Benefits of rhinoplasty

• Aesthetic improvement: the nose is brought into better harmony with the rest of the face.
• Functional improvement: improved breathing and relief of symptoms caused by, for example, a deviated septum.
• Self-confidence: many people experience more self-confidence after a successful procedure.

Possible risks and complications

As with any operation, rhinoplasty carries risks. Possible complications are:

• Infection or bleeding.
• Scarring (usually minimal).
• Asymmetry or dissatisfaction with the result, which may require a corrective procedure.
• Temporary numbness or a reduced sense of smell.

An experienced surgeon minimises these risks by working precisely and giving clear aftercare instructions.

Please note: Kliniek het Bolwerk does not carry out this treatment

At Kliniek het Bolwerk we do not perform nose corrections (rhinoplasty). This procedure falls under specialised plastic surgery care. We do, however, think it is important that you are well informed about the various options within facial surgery. That is why we share this information through our knowledge base.

If you are considering a nose correction, we advise you to contact an experienced plastic surgeon who specialises in rhinoplasty. They can assess which treatment option best suits your anatomy, symptoms and wishes.

Cost of rhinoplasty

The cost of rhinoplasty depends on the complexity of the procedure and the reason for the operation (cosmetic or medical).

• Cosmetic rhinoplasty: is generally not reimbursed by your health insurer.
• Functional rhinoplasty: may be partly or fully reimbursed if there is a medical indication, such as a deviated septum that causes breathing problems.

The costs and any possible reimbursement are discussed in detail during a consultation.

Conclusion

Rhinoplasty can improve the balance and function of the nose, offering both aesthetic and functional benefits. It is important to have realistic expectations and to choose a qualified surgeon with experience in nose corrections.