Rhinoplasty — Soft Tissue (Rhinoplastika měkkých tkání)

Soft-tissue rhinoplasty refines the appearance of the nose by reshaping the skin, cartilage, and subcutaneous tissue without altering the underlying bone structure or nasal septum. This is the right approach for patients whose concerns are limited to tip shape, nostril width, or minor profile irregularities in the lower third of the nose. At Plastická chirurgie A-Z Olomouc, the procedure is performed by specialist microsurgeons who use surgical loupes for precise tissue handling, reducing the risk of asymmetry and optimising healing. Because bone work is not involved, recovery is generally faster than for full rhinoplasty.

Soft-tissue rhinoplasty addresses the nasal anatomy below the bone — cartilage, skin envelope, connective tissue, and nasal tip. Common indications include a bulbous, boxy, or asymmetric tip; broad or asymmetric nostrils; soft bumps or depressions in the lower profile; and tip ptosis (drooping). Because the nasal bones and septum are not modified, the procedure avoids the nasal packing, extended swelling, and bruising associated with osteotomy-based rhinoplasty. The operation is performed either under general anaesthesia or deep sedation, both of which require a separate anaesthesia fee. The incisions are typically concealed within the nostrils (closed rhinoplasty) or along the columella (open rhinoplasty), chosen based on the complexity of the correction needed and the surgeon's assessment of the anatomy. Surgical time is 90–150 minutes. MUDr. Zálešák and MUDr. Stehlík both use surgical loupes routinely — this microsurgical habit is unusual in general plastic surgery practice and provides finer cartilage suturing and skin closure, which translates into more precise shaping and less conspicuous scarring. Post-operative recovery involves mild swelling of the nasal tip that is most noticeable in the first two weeks and gradually resolves over two to three months; the final result is typically fully visible at 12 months as the skin redrapes. Social downtime is approximately ten days. Strenuous exercise should be avoided for four weeks, and contact sport or anything that risks a blow to the nose for three months. This procedure is self-pay; health insurance does not cover cosmetic rhinoplasty. Patients considering both a cosmetic and a functional correction (deviated septum causing breathing difficulties) should discuss whether a combined septorhinoplasty would be more cost-effective.