Rhinoplasty — Bone & Septum (Rhinoplastika s korekcí skeletu / septa)

Full rhinoplasty with bone reshaping and septum correction addresses the complete nasal skeleton — the upper third (nasal bones), middle third (upper lateral cartilages), lower third (tip cartilages), and the central partition (septum). This comprehensive approach suits patients with a nasal hump, a crooked bridge, breathing difficulties from a deviated septum, or who require a balanced change across the full nose profile. The procedure is performed under general anaesthesia at Plastická chirurgie A-Z in Olomouc by microsurgeon-trained specialists who apply loupes-precision technique to cartilage suturing and soft-tissue closure.

Full rhinoplasty with skeletal and septal correction is the most comprehensive nasal reshaping operation. It allows the surgeon to address a dorsal hump (the bony-cartilaginous bump visible in profile), a deviated or wide nasal bridge requiring osteotomy (controlled bone cuts to narrow or straighten the nose), a crooked or obstructing septum, and any combination of tip and nostril refinements — all in a single operative session. The procedure is performed exclusively under general anaesthesia and takes 2–3 hours. The surgeons at Plastická chirurgie A-Z use either a closed approach (all incisions inside the nostrils, no visible external scar) or an open approach (a small incision across the columella providing full surgical access), selected based on the degree of correction required. Surgical loupes are worn throughout — a precision tool that allows suture-level accuracy in cartilage work and skin closure. Osteotomy involves carefully controlled fractures of the nasal bones using fine chisels or a piezo (ultrasonic) device, repositioned and stabilised by the anatomy itself and by the post-operative splint. Where the septum is deviated enough to obstruct breathing, septoplasty is performed concurrently; this functional component may be eligible for partial VZP insurance reimbursement — the surgeon will assess eligibility at consultation. Post-operative recovery includes a nasal splint for 10–14 days; significant bruising under the eyes (periorbital ecchymosis) that resolves over two to three weeks; and residual swelling, particularly of the tip, that may take 6–12 months to fully resolve. Most patients return to desk work at two weeks and exercise at four to six weeks. Contact sports must be avoided for three months. Patients considering rhinoplasty at this clinic benefit from the surgeons' combined microsurgical background, which is uncommon in Czech plastic surgery practice and contributes to precise tissue handling.