Also known as rhinoplasty, nose surgery improves the appearance and proportion of your nose, enhancing facial harmony and self confidence. Surgery of the nose may also correct impaired breathing caused by structural abnormalities. While the shape of your nose is usually hereditary, the appearance may have been altered due to an injury or during prior surgery.
Rhinoplasty is performed under general anesthesia. Prior to surgery, preoperative examinations will have to be carried out (blood work, in some cases ECG and CT-scan) and also a medical evaluation has to be performed.
Surgery of the nose is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils.
Through these incisions, the soft tissues that cover the nose are gently raised, allowing access to reshape the structure of the nose. Surgery of the nose can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body. If the septum is deviated, it is straightened and the projections inside the nose are reduced to improve breathing.
Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications that you currently take. It is important for you to provide complete information. Be prepared to discuss why you want the surgery, your expectations and desired outcome. We will also discuss your options and recommend a course of treatment and talk about the likely outcomes of rhinoplasty and any risks or potential complications. In addition we take photographs for your medical record. We will provide you with additional pre – and postoperative instructions. Once you know that rhinoplasty is right for you, you may schedule surgery several days or weeks from the time of your consultation to assure you have had enough time to understand and accept all aspects of the operation.
The surgery is performed as an inpatient in Estonia´s finest private hospital which provides round the clock care. (There is a 24 hours duty at the hospital. )Our patients have full board and rooms with all comforts (toilet, shower, TV, alarm clock). We offer our customers a complete package. We arrange the round-trip ticket between Helsinki and Tallinn, transport from the ferry port to the hospital and back. The price also includes 1 night at the hospital,, complete care, anesthesia, surgery, medications and aftercare services at the Helsinki office, such as counseling, removal of sutures and follow-up care.
We have 2 rhinoplasty experts: Margus Luht and Andrey Kremnev. Nose reshaping is their area of expertise specialization.You can decide on the surgeon yourself. You will meet your surgeon at the hospital. Your surgeon will examine your nose, your ears and throat. The operation takes place shortly after your discussion with the surgeon. It is very important not to eat or drink anything (not even water, gum or mints) for a minimum of 6 hours prior to surgery. A general anesthetic is administered, which means you will be asleep throughout the procedure. The surgery usually takes 2-4 hours to complete. When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Splints and internal tubes will likely support the nose as it begins to heal for approximately one week. Avoid wearing any clothing that must go over your head.
You will be provided with effective medication for postoperative discomfort and pain. Usually patients spend one (1) night under observation. On the first postoperative day the plastic surgeon will check the operated area.
You will notice swelling and bruising, which is to be expected. While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome. Swelling may come and go and worsen in the morning during the first year following your nose surgery.
You will be given specific instructions on how to care for the surgical site, medications to apply or take orally to aid healing and reduce the potential infections, specific concerns to look for around the surgical site or in your general health, and when to do follow-up visits.
You may also notice some numbness over some parts of the operated area, and this may persist for several months. It is important to realize that the amount of time it takes for recovery varies greatly among individuals. Depending on the extent of your bruises and swelling, you may be able to return to non-strenuous work 10 days after surgery. In many instances, you can resume most of your normal activities, including some form of mild exercise, after 1 month.
Generally, stitches and splint will be removed in approximately 10 days. You will return to some of our co-operation partners for follow-up visit 6 months postoperative. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact us.
Our co-operation partners offer our patients safe postoperative care, such as suture removal, counseling and follow-up appointments.
As with any surgery, rhinoplasty does have some risks and complications associated with it. The complications are rare, but for safety reasons, all our patients get a mobile phone number, from where our patients can reach us anytime. In Helsinki we have a co-operating surgeon, who is able to provide additional do extra check-ups if needed and to prescribe any additional medication if so required.
A rhinoplasty costs 4 000-6 500 €.
The price includes everything except the examinations that are required prior the operation.