Rhinoplasty (Nose Surgery)

Rhinoplasty at Estela corrects the size, shape, and profile of the nose — whether for aesthetic reasons or to address a functional breathing concern — under general anaesthesia at St. Anna Faculty Hospital, Brno. The clinic's surgeons use either the open technique (small incision at the columella, allowing maximum visibility) or the closed technique (all incisions inside the nostrils, leaving no external scar), selected according to the complexity of the correction needed. Common goals include narrowing a wide bridge, refining a bulbous tip, correcting a dorsal hump, or straightening a deviated nose. Patients must be 18 or older, as the nasal skeleton needs to be fully developed.

Rhinoplasty is one of the most technically demanding procedures in aesthetic plastic surgery, requiring a precise understanding of three-dimensional nasal anatomy and the way cartilage, bone, and soft tissue interact during healing. At Estela, all rhinoplasty cases are performed under general anaesthesia at St. Anna Faculty Hospital — one of the Czech Republic's leading university hospitals — ensuring full surgical control and a safe environment for the one-hour operative session. The surgeon selects between the open and closed approach based on the degree of correction required. The closed (endonasal) approach places all incisions inside the nostrils, leaving no visible scar; it suits straightforward tip refinements or bridge reductions where the underlying framework is accessible without extensive exposure. The open approach adds a small incision across the columella (the narrow strip of skin between the nostrils), lifting the nasal skin to provide direct visualisation of the entire framework — preferred for complex corrections, secondary rhinoplasties, or significant tip restructuring. Corrections routinely performed include: reduction of a dorsal hump (bump on the bridge); narrowing of a wide or flared nasal base; tip refinement for bulbous or overprojected tips; straightening a crooked or deviated nose; and combined functional-aesthetic rhinoplasty where a septoplasty addresses breathing obstruction at the same time as the aesthetic correction. Recovery follows a structured timeline. Nasal packing and sutures placed at surgery are removed the following day at a check-up. A protective cast worn over the nose is removed at approximately day 10, at which point most patients feel comfortable returning to light social activities. Strenuous activity and contact sports are avoided for four weeks. UV protection for the nose is important for up to eight weeks as tissues settle. Final results, including the full softening of post-operative swelling in the nasal tip, typically emerge at 6 to 12 months — though the primary aesthetic improvement is visible from week two onwards. The minimum age for rhinoplasty at Estela is 18, allowing the nasal skeleton to complete its development. The only preparation requirement specific to rhinoplasty is discontinuing aspirin and aspirin-containing medications two weeks before surgery; the clinic's team arranges the pre-operative medical examination required for general anaesthesia.