The nose is undoubtedly the most defining aesthetic element of our face. It is located in the center and, consequently, even slight changes in its shape, size or orientation significantly affect our appearance. This is the reason why every year about 500,000 people undergo Rhinoplasty.
Rhinoplasty is the surgical procedure with which we manage to modify and improve the shape, dimensions, and overall external look of the nose, thus making it harmonious with the rest of the facial features. A large hump, a thick or ‘dropped’ tip, a wide or crooked nose can all be corrected in the hands of an experienced and properly trained Surgeon. There are two basic types of modern rhinoplasty: closed and open surgery. In the closed method, any incisions that allow the Surgeon to reach the structures that need to be corrected are made inside the nose. On the other hand, open Rhinoplasty is held with a small, invisible incision in the columella, a method that gives us the necessary access. It is critical that the surgeon is fully conversant with both approaches so that he can be flexible and achieve the best possible result each time. A successful Rhinoplasty not only can improve someone’s appearance significantly, but can also boost their self-confidence and improve their mental health at the same time.
However, apart from the aesthetic repair of the nose, many times it is necessary to also correct its function. In such cases, operation is carried out with simultaneous surgical straightening of a deviated nasal septum, shrinking of hypertrophic nasal turbinates and even removal of nasal polyps using endoscopes. In this way, nose breathing becomes normal, performance in various physical activities increases, annoying snoring and sleep apnea attacks are reduced or disappear, while the same happens with frequent attacks of sinusitis.
On these terms, it is certain that Rhinoplasty will offer a beautiful, natural, and harmonious with the rest of the facial features nose, which at the same time will breathe properly providing the patient with a healthy life.
My philosophy on Rhinoplasty surgery begins with the Surgeon themself and, specifically, the non-negotiable need to have received education entirely focused on the specific field. The ‘nurturing’ of the Rhinoplasty surgeon achieved through their long-term work and training in specialized Rhinology Centers is what will give them the required background, both theoretical and practical, to meet the challenges of Rhinoplasty. The knowledgeable and experienced surgeon is the one who, in collaboration with the patient, will be led to the accurate assessment of the problem initially, and then to its comprehensive and effective treatment.
Personally, I believe that every nose is unique, which makes every Rhinoplasty a special operation that must be in harmony with the needs and aesthetic problems of each person. There are generally accepted aesthetic rules, of course; however, it is the recognition of the specificity of each case that will lead to the selection of those techniques that will guarantee an absolutely natural result that will meet the expectations of the patient.
I believe it is of critical importance that the surgeon be familiar with both closed and open Rhinoplasty, with the latter steadily gaining ground both in my personal practice and internationally. The reason for this is that it offers the required visualization and techniques that guarantee maximum precision in surgical manipulations as well as the ability to deal with even the most complex functional and aesthetic problems.
It is therefore my belief that the perfect training of the Rhinoplasty Surgeon as well as their personal aesthetics, combined with their ability to effectively communicate with the patient, can guarantee an excellent aesthetic and functional result that will last over time.
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The use of the Piezo ultrasound device was introduced in 2013 in modern rhinoplasty as a new revolutionary method. The most important advantages of this technique are that it ensures greater precision in surgical manipulations while protecting the soft tissues from injury at the same time. As a result, it provides an excellent aesthetic result combined with a rapid recovery period for the patient.
The Piezo device exploits the piezoelectric effect based on which it achieves the rapid pulse motion of special metal heads at a frequency of 25 to 29 kHZ. In this way it manages to either gradually melt or precisely cut the nasal bones. At the same time it preserves the integrity of the soft, “noble” tissues of the nose such as cartilage, mucosa and skin which require a significantly higher vibration frequency (above 50kHZ) to be affected.
In conclusion, modern Ultrasonic Rhinoplasty with Piezo, also known as Diamond Rhinoplasty has the following advantages:
In conclusion, modern ultrasonic rhinoplasty with the Piezo device, also known as Diamond Rhinoplasty, offers the following advantages:
Greater precision in the maneuvers performed during surgery
The surgeon performs a true “sculpting” of the nose
Protection of the nose’s soft tissues
Excellent and predictable aesthetic result
Better and faster recovery
Men or women who are bothered by the external appearance of their nose and/or find it difficult to breathe can undergo Rhinoplasty. The conditions required are good mental health and realistic expectations on the part of the patient.
A prerequisite for someone to undergo Rhinoplasty is that their facial features -and therefore their nose- are fully developed. In women this happens at the age of 16-17 years and in men at the age of 18-19 years. As for older ages, there is no cap limit, so any person who feels the need to improve the appearance and function of their nose can undergo Rhinoplasty surgery.
No. The operation can deliver the same good results and be followed by an equally rapid recovery regardless of the season in which it is performed. Of course, in any case it is necessary that the patient follow the post-operative instructions. Thus, the date of the operation practically depends on the schedule and the time frames of the patient and the surgeon.
Rhinoplasty is performed in organized nursing centers. Before the operation, a pre-operative check-up (blood tests, evaluation by a cardiologist and an anesthesiologist) is necessary, which in most cases is carried out on the day of the surgery, a few hours before the operation. The patient is then transferred to the operating room where the procedure takes place under general anesthesia. They are then taken to their room where they stay for at least 6 hours. After this period, and depending on their wish, they can return to their home or, alternatively, they can spend the night in the clinic and be discharged the next day.
Certainly. Along with the aesthetic problem of the nose, the experienced and trained Nose Surgeon can correct any breathing issue in the same operation, by straightening a crooked nasal septum, executing reduction of the hypertrophic nasal turbinates and doing endoscopic removal of nasal polyps.
Rhinoplasty is a unique operation for each patient. Nevertheless, it is governed by some generally accepted basic aesthetic rules, the application of which, to the extent possible, can contribute decisively to an excellent aesthetic result. In this light, it is advisable to highlight some differences, in terms of the desired result, for women and men who undergo rhinoplasty, without of course, these differences always being an inviolable rule. Thus, the nasolabial angle, that is, the angle formed between the nose and the upper lip, in women should ideally be between 95 and 110 degrees, while in men it should be between 90 and 95 degrees. In other words, for women, a slightly more “upward rotated” tip (but on no occasion an excessively rotated tip that refers to a “French” nose) is aesthetically acceptable and can add beauty and refinement to the whole face. Especially for people of shorter height, this feature is considered more suitable. On the contrary, the aim for men is an almost right (90 degrees) angle that matches the rest of their masculine features. By analogy, the aim for women is for the bridge of the nose to be slightly lower than that of men, which makes the tip stand out subtly, giving the nose a more feminine profile. On the contrary, the aim for men is for a bridge that is almost at the same height as the tip and gives the image of a “strong” male profile. In any case, modern rhinoplasty includes a multitude of available techniques, the application of which allows us to ensure an aesthetic result that will meet the preferences and expectations of each individual patient.
Modern rhinoplasty offers exceptional capabilities, making it possible to simultaneously correct a range of anatomical and aesthetic issues of the nose. This allows us to achieve an excellent result that is in full harmony with the rest of the facial features.
The most common aesthetic concerns we address during nasal surgery include:
In the vast majority of cases, it consists of both bone and cartilage. Its removal during rhinoplasty can significantly enhance the nasal profile, often transforming the overall appearance of the entire face.
This is one of the most common aesthetic concerns among patients seeking rhinoplasty. It is typically caused by overgrowth of the lower lateral cartilages, which shape the tip of the nose. In some cases, thick skin in the nasal tip area also contributes significantly to the problem.
Treatment involves the careful and controlled removal of portions of cartilage, followed by reshaping using sutures. This approach helps refine the nasal tip and brings it into better harmony with the other anatomical structures of the nose, creating a smooth and natural continuation of the nasal dorsum rather than an element that looks disproportionate.
Ideally, the nasolabial angle, the angle between the nose and the upper lip, ranges from 95° to 110° in women and 90° to 95° in men. When this angle falls below 90°, we refer to it as a drooping nasal tip.
In addition to its aesthetic impact, a drooping tip can also cause nasal breathing difficulties, as it may obstruct airflow through the nasal passages. Correction involves specialized techniques that allow us to reposition and support the nasal tip cartilages, ensuring they remain in their new, elevated position permanently.
When the nasal tip projects excessively forward, it creates a significant aesthetic concern that must be addressed during rhinoplasty.
The surgical approach typically involves reducing the length of the cartilages that shape the tip. In some cases, it is also necessary to reduce the size of the anterior nasal spine, a bony structure that supports the tip via the septum. These techniques help restore facial balance and create a more natural nasal contour.
In this case, the nasal tip lacks adequate projection, giving the appearance of a small nose that is disproportionate to the other facial features or the patient’s overall facial structure.
Correction involves specialized manipulation of the nasal tip cartilages. In many cases, cartilage grafts, taken from other parts of the nose, are used to “build” a new, more defined and projected tip, enhancing balance and harmony with the rest of the face.
When the nose visibly deviates to one side, it causes a significant aesthetic concern for both women and men.
In such cases, it is usually necessary to simultaneously straighten both the nasal septum and the nasal pyramid using osteotomies (controlled bone cuts). Additionally, special cartilage grafts are often used to support and maintain the corrected alignment, ensuring both functional and aesthetic improvement.
In both cases, one or more anatomical structures of the nose have been significantly damaged. A common deformity is the saddle nose, in which the nasal support is lost—either due to trauma or excessive cartilage removal during surgery.
Other frequent anatomical issues include asymmetry of the nasal bones, irregularities along the nasal dorsum, tip deformities, and septal deviations.
Treating such cases requires specialized training, extensive experience, and surgical precision, as complex techniques are often necessary to achieve complete nasal reconstruction and restore both form and function.
αισθητικής και λειτουργικής ρινοπλαστικής
Rhinoplasty is a delicate and highly demanding surgical procedure. The primary goal is to achieve the best possible result, regardless of how long it may take. On average, the operation lasts between 1 and 3 hours, depending on the extent of the functional and aesthetic issues that need to be addressed.
The patient is typically discharged 6 to 8 hours after the surgery or the following day. A small nasal splint is usually placed and is removed on the 7th postoperative day at the clinic, along with the columellar sutures in the case of an open rhinoplasty. A short course of antibiotics is prescribed, and nasal rinses with a special solution are recommended for several days.
Rhinoplasty is a painless surgical procedure. General anesthesia ensures the absence of pain during the operation, and after surgery, most patients require little to no pain medication.
Following rhinoplasty, we usually recommend one week of relative rest. Any postoperative swelling starts to subside significantly around the third day, allowing the patient to resume light activities.
By day 10, it’s unlikely that anyone will notice you’ve had surgery.
The cost of the procedure is personalized and determined after evaluating each patient’s specific needs.
Today, rhinoplasty is financially accessible and is no longer reserved for an elite group of patients.
With proper research, anyone can achieve excellent results at a very reasonable price.
That said, your choice of surgeon should primarily be based on the trust and confidence you feel during your interaction.
The ideal surgeon for a successful rhinoplasty should have years of specialized training specifically in nasal surgery. Additionally, they should have extensive experience and daily involvement with this complex procedure.
Rhinoplasty is widely regarded as one of the most technically demanding surgeries in plastic surgery. The surgeon’s role is twofold:
To enhance the nose aesthetically, and
To restore or preserve nasal breathing.
For this reason, especially in cases where there are both cosmetic and functional issues, the most suitable choice is a board-certified ENT specialist with expertise in rhinoplasty—a rhinoplasty-trained otolaryngologist.
How do I choose the right surgeon?
In today’s information-rich world, finding the right surgeon can feel overwhelming. Here are some important tips to help you make the right choice:
Read the surgeon’s CV carefully. Don’t stop there. Also, verify their credentials and professional background.
Ask to see a wide range of before-and-after photos of actual patients. These photos should not only be from the immediate postoperative period, but request to see results after 6 months, 1 year, or more. Also, make sure the photos show the nose from multiple angles (profile, front view, ¾).
Visit the doctor’s clinic in person. Get to know them both as a person and as a medical professional. Allow them to examine you and pay attention to how they approach your concerns.
Have an honest conversation. Clearly explain what you would like to change about your nose. Ask them to share their scientific opinion on what issues they identify and what can realistically be done to address them.
Take your time. Rhinoplasty is not an urgent procedure. It can and should be done in a calm, planned manner, once you feel confident that you’ve found the right surgeon for you.
Open or closed functional rhinoplasty?
Functional rhinoplasty can be done with either the closed or the open approach. Depending on the case, the two methods can offer excellent results both aesthetically and functionally. But it is an indisputable fact that open rhinoplasty is the most appropriate for the most demanding cases. The reason lies in the fact that it provides a clearly better surgical field than the closed one. It thus allows more and finer surgical manipulations, while at the same time provides the possibility for easier retrieval and more precise placement of grafts.
In closed rhinoplasty, the surgeon makes small incisions inside the nose, through which they gain access to all the anatomical structures that need correction.
It is a reliable and well-established technique that can deliver excellent both aesthetic and functional results, without leaving any visible external scars.
In open rhinoplasty, access is achieved through an incision made at the base of the columella, which extends into the inner part of the nostrils. This approach allows the surgeon broad and direct visibility of all nasal structures, enabling a detailed and accurate assessment of the entire area.
The surgical field is significantly wider than in closed rhinoplasty, making it possible to evaluate and modify all anatomical components while keeping them in their natural position, without pulling or distortion.
At the same time, open rhinoplasty allows for easier placement and more secure fixation of cartilage grafts when needed. The incision at the columella is closed meticulously with very fine sutures, and within three to four months, it typically becomes invisible or barely noticeable, posing no aesthetic concern for the patient.
Rhinoplasty is the surgical procedure during which any aesthetic deformity and imperfection of the nose is repaired. The aim is to improve the overall shape of the nose so that it is harmonious with the rest of the facial features. In addition to the aesthetic part, it is often combined with the surgical repair of a crooked nasal septum for functional reasons.
