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The goal of rhinoplasty is to have a good size, a good height, a good tip and a nasal dorsum.That the nose has stability of all its anatomy and that it has functionality: that is, it can breathe the same.


What type of rhinoplasty are there?

  Rhinoplasty can be of 2 types : augmentation or reduction.

  • In Negroid, indigenous, Asian races, it is common to perform rhinoplasty increase because of having less projected and wider noses.
  • In Caucasian races, rhinoplasty is usually reductive. It usually has a bony prominence (called a hump), and the tip is usually drooping.

During the consultation, your Plastic and Cosmetic Surgeon César Fernández will analyze your nose, see how it is projected, the length, the tip and the nasal dorsum. Based on a well performed cephalometric analysis, Plastic and Cosmetic Surgeon César Fernández will tell you what you need and the parts of the nose that you should correct. Always keep in mind what are the parts of the nose that most uncomfortable to patients.

In patients who have unrealistic expectations, they should be explained that certain characteristics are not amenable to correction.

The results depend a lot on the patient’s own anatomy, sometimes the patient does not have much substrate to work with.

What are the indications for a nasal surgery?

  • Patients who wish to improve their shape, length, back or tip of the nose.
  • Patients with asymmetric noses.
  • Patients with nasal deviations.
  • Patients who live with clogged nostrils.
  • Patients with small nose, broad tip.
  • Patients with large nose, drop point.
  • Very wide nostrils.
  • Patients with nasal deformity due to nasal fracture.

Can rhinoplasty correct breathing problems?

If as deviations from the nasal septum, spurs and any other anomaly.

The septum is released and reinserted in the correct position improving breathing. This allows to align the nose.

How is the pre-surgical rhinoplasty?

  1. The first thing you will do is have a particular consultation with the plastic surgeon. Plastic and Cosmetic Surgeon César Fernández will ask you about the reasons for performing rhinoplasty, the parts of the nose that you want to improve.
  2. It is very important that the patient reports a history of nasal trauma, nasal allergies or nasal obstructions. Always ask about previous medical history, surgical, allergic, trauma, medicated.
  3. The Plastic and Cosmetic Surgeon César Fernández will perform a careful physical examination, studying the nose, its size, its projection, the nasal angles, the quality of the bone and cartilaginous support.
  4. The type of skin and previous scars will be evaluated.
  5. The presentation of nasal deviations or previous surgeries will be studied.
  6. You have to look at the type of face of the patient, as there must always be a combination and a good relationship between the nose and the type of face.
  7. It is possible that your Plastic and Aesthetic Surgeon César Fernández perform some studies as photographic shots in real scale size. Or the taking of tomographies of sinuses to evaluate spurs or some nasal pathology. Always the Plastic and Aesthetic Surgeon César Fernández will take photographs to study and plan surgery.


  In the second consultation, the surgeon will inform the patient of how the nose surgery will be carried out, what is the best way to do it and the result that will be obtained. In addition, you must pay the cost of the surgery to be able to program it in the surgical band.

Is rhinoplasty better open or closed?

Closed rhinoplasty does not leave a scar. But open rhinoplasty allows to visualize all the structures of the nose completely.

Is the rhinoplasty scar very visible?

Open rhinoplasty leaves a scar on the columella.

Closed rhinoplasty leaves an internal scar in the nostril.

How long is the nose surgery?

The nose surgery usually lasts between 1 and 2 hours , although in complex cases or surgical reinterventions, second or third surgeries may take more time.

How is the surgery of the nose?

During rhinoplasty, the skin of the nose separates from its bone and cartilage. Cartilage grafts of the nasal septum or atrial concha may be used to reinforce the nose. Then the shape is given to the nasal tip with special points. Finally the wound is closed with stitches.

The surgery can be performed open , making an incision on the columella. Or closed rhinoplasty by making an incision in the inner edge of the nostril. The incisions of the mucous membranes suture with absorbable points, that is, they disappear on their own. The skin incisions are closed with nonabsorbable points, that is to say that they must be removed after 5 or 7 days.

Nasal packing with gauze impregnated with antibiotics with oily substances may be necessary.Only in this way is it possible to reduce the recovery time and avoid possible infections.

All patients always leave an external nasal splint designed with plastics or plaster. Then the splint is immobilized with micropore or bandits.

How is the recovery from rhinoplasty?

As important as nose surgery is the care of the patient in recovery.

In the first 24 hours you will have abundant swelling and headache. During this time, you should remain lying down with your head tilted. The plastic surgeon will formulate analgesics to improve postoperative symptoms.

It is normal for bruises to appear under the eyes that worsen on the second and third days. An important recommendation is to apply cold compresses on the cheeks and the nasal dorsum to reduce edema. You do not have to worry All patients who undergo nose surgery go through the same process. After 4 weeks the swelling and bruising will disappear.

Nasal congestion in the first 5 days. In the first 2 to 3 days you will have nasal plugs that will help you to have a clean cavity and avoid bleeding. Improves breathing after removing them.

The plastic or plaster splint will be removed after 10 days. In addition, with the removal of the splint, the points of the intervention will be removed.

Is hospitalization required in rhinoplasty?

After the surgery is finished, your plastic surgeon will transfer you to your bed in the clinic. It is recommended that you last at least 8 hours in recovery and then one night in the hospital. The next day you will have a check with your plastic surgeon to remove the nasal packing.

Calmness and bed rest prevents an increase in blood pressure and prevents bleeding.

The stay in recovery in clinic will always be accompanied by health personnel, you will never be alone in your postoperative. The staff is trained to know what to do after each surgery.

How long do I have to remain disabled?

  • At least 4 days at rest are recommended. Although after the 2nd day you can slowly walk to the bathroom and the kitchen.
  • You must wear a nasal splint for 7 to 10 days, during this time you will not be able to go to work.
  • When the stitches and the splint are removed, you should use a sunscreen. Apply the blocker every day on the nose in the morning for 1 year.
  • You will not be able to play sports until after the 2nd month.
  • The return to daily life and work depends on the type of work the patient does.
  • Patients who wear glasses or are exposed to the sun at work should have disability up to two months.

Will I be able to use glasses again after rhinoplasty?

After the 2nd month. Before, you should use contact lenses.

Are complications frequent after rhinoplasty?

They are rare. Complications can range from nasal bleeding, to bruising under your skin. They may require drainage or reattach the nasal packing. These bruises can generate an irregularity in the future that generates asymmetries and then touch to go back to the operating room.

There are other uncommon but important complications that can happen, such as infection, deviations of the septum, irregularly shaped nose, dehiscence of the wound. Risk of anesthesia such as high blood pressure, shock, atelectasis, pneumonia, heart attacks, death.

When will I see a definitive result in my nose?

After 3 months there is some healing and the edema has decreased, you can see the final result of the surgery.

Although remember that the healing undergoes changes around 12 to 18 months, then after this time will be the final nose.

Benefits of Rhinoplasty

Your health is important.

When the cause is functional by a nose cap or deviated, surgery will improve your life by feeling your breathing better.

Harmony and beauty are synonymous.

When the cause is merely aesthetic, the surgery produces a harmonious nose improving the symmetry on your face. In addition, rhinoplasty will improve your self-esteem by feeling more beautiful and confident about yourself.

Whatever the reason, its success rate is very high and it has benefits that we are going to tell you next.

Benefits of operating with us

Recognized professionals

The Plastic and Aesthetic Surgeon César Fernández is a recognized professional in the field of plastic and aesthetic surgery. He has the necessary training to perform rhinoplasty.

You can check their professionalism and knowledge from the first contact at the medical appointment.


The place where I’m going to operate.

The clinic is one of the most recognized at the departmental and national levels. It is a safe clinic, with all international standards and has its qualified staff to give you an excellent cosmetic surgery. All are trained in the capo of cosmetic surgery from the anesthesiologist to the nursing assistant.


Quality and experience with the latest technologies.

The clinic offers the latest technological advances in plastic surgery, from hospital supplies to surgical instruments. Its recovery facilities are excellent . We will assure you that your postsurgical will be less painful and less durable.

How will your life change after the operation?

  • You will feel more comfortable with yourself.

Your self-esteem will increase. You will be a safer, happier and more optimistic person. Your social life will improve immediately.

  • You will be happier.

Any improvement in your body leads to an improvement in happiness. It will also improve your safety when making decisions in life. Already your nose is not the center of attraction when you are talking with another person






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