Rhinoplasty — Nose Reshaping Surgery

ILK's plastic surgery team performs rhinoplasty using both open and closed techniques depending on the extent of reshaping needed. Closed rhinoplasty uses entirely internal incisions — leaving no visible external scar — and is suited to cases involving cartilage reshaping, minor tip refinement, and mild hump reduction. Open rhinoplasty accesses the nasal framework via a small incision across the columella (the tissue between the nostrils), allowing the surgeon full visualisation of the internal structures for more complex cases including full septal deviation correction, significant hump removal, and structural reconstruction. The procedure takes 1–2 hours under local or general anaesthesia; the primary recovery with visible swelling is 2 weeks and the final permanent result becomes apparent over 6–12 months as residual tissue remodelling completes.

Rhinoplasty at ILK offers both functional and aesthetic nose surgery by the clinic's plastic surgery team. The most common requests are hump reduction (removing the dorsal convexity seen in profile), tip refinement (reducing, defining, or rotating the nasal tip cartilages), septum correction (addressing a deviated septum causing nasal obstruction), and nostril width adjustment. Closed rhinoplasty — using incisions entirely inside the nostrils — avoids any visible external scar and is the preferred approach when the surgeon can access the relevant structural components through the endonasal route. Open rhinoplasty involves a trans-columellar incision — a small step-cut or straight cut across the narrow columella between the nostrils — that, when properly placed and healed, is nearly imperceptible. This approach provides direct, unobstructed visualisation of the full lower two-thirds of the nasal skeleton and is used when more complex structural modification is needed, such as repositioning the lower lateral cartilages, placing grafts, or correcting a severely deviated septum from a superior vantage. The cartilaginous components (upper lateral and lower lateral cartilages) are the primary structures modified in tip and mid-vault work; the nasal bones are managed by controlled osteotomy when dorsal hump reduction requires narrowing the bony vault. Soft tissue correction (from 13,000 Kč) covers cases where the work is limited to the cartilaginous and soft tissue envelope without bony modification. Post-operative care involves a nasal splint for 10–14 days, elevation of the head during sleep, and avoidance of glasses and strenuous activity for 4–6 weeks. Primary swelling resolves in 2 weeks; subtle tip oedema may persist for up to 12 months in some patients before the final result is fully visible. Results are permanent.