Rhinoplasty (Nose Surgery)

Rhinoplasty at EsteticUsti reshapes the nose through an endonasal (closed) surgical technique — all incisions made inside the nostrils, leaving no visible external scarring. The procedure, performed by medical director MUDr. Blanka Vraspírová under local or general anaesthesia (patient's choice), takes approximately one hour. Internal reshaping can correct a dorsal hump, wide or bulbous tip, deviated septum components, or overall nasal proportions relative to the face. A nasal cast is worn for two weeks post-surgery, with the first inspection at one week; initial results emerge at 2–3 months as swelling resolves, and the final healed result is assessed at one year.

The endonasal (closed) rhinoplasty technique used at EsteticUsti places all surgical incisions within the nasal vestibule, avoiding the small columellar incision that defines the open approach. While the closed technique offers slightly less exposure to the nasal tip cartilages, it eliminates the columellar scar and typically reduces post-operative tip oedema — an important consideration for patients seeking predictable early results. The technique is appropriate for structural corrections of the dorsum (hump reduction), osteotomies to narrow the nasal base (closing an 'open roof' deformity after hump removal), tip refinement (alar cartilage suturing and reshaping), and correction of mild septal deviation. For 'soft tissue rhinoplasty,' only the soft tissues — skin, subcutaneous fat, and fibrofatty tissue at the nasal tip — are addressed without direct cartilage intervention. This is appropriate for patients with thick nasal tip skin seeking definition improvements without skeletal changes. Anesthesia options are discussed at pre-operative consultation: local anaesthesia with IV sedation is sufficient for most cases and reduces systemic risk; general anaesthesia is available for anxious patients or complex cases requiring longer operating time. Pre-operative requirements include blood work post-consultation, cessation of aspirin and anticoagulants one month before surgery, NPO (nothing by mouth) from midnight before, and avoidance of smoking throughout the healing period. Post-operatively: nasal packs are removed at days 4–5; the cast is inspected at one week and removed with application of a night splint at week two. The night splint is worn for at least 14 additional nights to maintain the corrected position. Initial swelling resolves over 2–3 months to reveal early results; the final profile stabilises at 12 months as all internal scar tissue matures.