Indications for Rhinoseptoplasty
Rhinoseptoplasty is performed to correct both aesthetic and medical defects. Aesthetic concerns include problems such as a saddle-shaped nose, a hump on the bridge of the nose, or a perforation of the nasal septum caused by an injury or previous surgery.
Medical indications include conditions that cause significant physical discomfort, such as:
• Congenital or acquired thickening of the nasal bridge;
• Lateral deviation of the nose;
• Perforation of the nasal septum;
• Chronic rhinitis;
• Chronic maxillary sinusitis;
• Frequent exacerbations of chronic tonsillitis and other conditions;
• Allergic reactions;
• Frequent headaches;
• Difficulty breathing through the nose;
• Frequent nosebleeds;
• Snoring accompanied by sleep apnoea.
Recommendations for Preparing for Rhinoseptoplasty
One month before surgery, the patient should minimise or, preferably, completely stop consuming alcohol and tobacco. Two weeks before surgery, it is important to stop taking blood-thinning medications, including antiplatelet agents and anticoagulants.
On the day before surgery, the patient should have their final meal no later than 3:00 p.m. and avoid emotional and physical overexertion.
Contraindications for Rhinoseptoplasty
Rhinoseptoplasty cannot be performed if the patient has any of the following contraindications:
• Blood disorders;
• Cancer;
• Diabetes mellitus;
• Chronic kidney or liver disease;
• Pregnancy or breastfeeding;
• Moderate or severe anaemia or leukaemia;
• Predisposition to thromboembolic conditions;
• Obesity;
• Cardiovascular disorders;
• Systemic autoimmune diseases;
• Exacerbation of chronic inflammatory conditions;
• Purulent, fungal, viral—including herpes—or inflammatory diseases of the skin and mucous membranes, as well as pressure sores;
• Unspecified neoplasms as a concurrent medical condition;
• Absence of medical clearance from a dermatovenereologist following a positive Wassermann test;
• Absence of medical clearance from an infectious disease specialist following a positive test for hepatitis or HIV;
• Acute or chronic neuropsychiatric disorders or dementia;
• Absence of medical clearance from a relevant specialist confirming that the patient can tolerate surgical treatment;
• The procedure is not performed on patients under 18 years of age. Rhinoseptoplasty may also be postponed due to pregnancy, breastfeeding, or the menstrual cycle.
How Is Rhinoseptoplasty Performed at Dr. Shbair’s Clinic?
As mentioned above, there are several techniques for performing this procedure. However, certain stages are common to all methods. First, the patient’s head is secured on the operating table, after which anaesthesia is administered. The surgeon then treats the skin and nasal mucosa with an antiseptic. Once the surgical area has been fully prepared, the doctor makes the planned incisions through which the bone and cartilage tissues are corrected.
The surgeon’s primary instrument is a piezo device. This innovative technology allows bone tissue to be precisely reshaped using ultrasonic piezo waves. By using the piezo device, the surgeon significantly reduces surgical trauma and the risk of bruising and swelling, thereby shortening the recovery period. During the final stage, the surgeon secures the cartilage of the nasal septum, applies sutures and dressings, and inserts nasal packing.
What Results Can You Expect after Rhinoseptoplasty at Our Clinic?
The duration of the recovery period largely depends on how carefully the patient follows the preoperative preparation instructions. The patient’s behaviour during recovery also affects the final result. When all the doctor’s recommendations are followed, the outcome will be as positive as possible: the shape of the nose will change in accordance with the plan agreed upon before surgery, and the nasal septum will become straighter.
Following the surgeon’s recommendations before and after surgery makes it possible to safely and permanently correct aesthetic defects, eliminate chronic inflammation, and resolve problems such as snoring and many other conditions that negatively affect health.