Rhinoplasty

Indications for Rhinoplasty

Rhinoplasty may be recommended for the following conditions:

• Congenital deformities of the nasal cartilage and bone structures

• Post-traumatic changes (fractures, displacements, deviations)

• Functional disorders that impede normal breathing

• The patient’s aesthetic concerns regarding the shape or size of the nose

• Pronounced asymmetry, tip deformities, or wing deformities of the nose

In addition, many patients report that the procedure has a positive effect on their self-esteem and perception of their appearance.

Contraindications for Rhinoplasty

As with any surgical procedure, rhinoplasty has a number of restrictions:

• Acute inflammatory processes and chronic diseases in the acute stage

• Blood clotting disorders

• Mental health disorders

• Age under 18 (except in special cases with parental and medical consent)

• Oncological diseases

• Severe allergic reactions

Nasal surgery is not performed if contraindications are present, as this could pose health risks. Therefore, the preparation phase requires comprehensive diagnostics.

Methods and Types of Rhinoplasty

Modern rhinoplasty includes several approaches, differing in access and the degree of intervention:

Closed (Endonasal) Rhinoplasty

The closed technique is performed through incisions inside the nasal cavity, leaving no external scars. Advantages include:

• No visible scarring

• Less tissue trauma

• Shorter recovery period

However, this method does not always provide wide visual control, which may limit the surgeon during complex corrections.

Open Rhinoplasty

The open technique involves an additional incision along the columella (the tissue between the nostrils), providing direct visualization of nasal structures. This approach is used in complex and combined cases requiring precise alignment or reconstruction.

Septorhinoplasty

Septorhinoplasty combines aesthetic correction with the elimination of functional disorders caused by a deviated nasal septum. The surgeon simultaneously improves both the nasal shape and breathing function.

Non-Surgical Rhinoplasty

Non-surgical correction is performed using fillers—gel-based substances injected into the soft tissues. This method allows for temporary reshaping of the nose without surgery. Its disadvantages include a short-term effect (up to 12–18 months) and the inability to correct significant deformities.

Diagnostic Procedures

The doctor may prescribe:

• ECG to assess heart function

• X-ray or CT scan of nasal structures

• Consultations with related specialists (therapist, ENT specialist, anesthesiologist)

Only after a comprehensive evaluation is the decision made regarding the feasibility of surgery.

Surgical Technique

Rhinoplasty is performed under general anesthesia and usually lasts from 1 to 3 hours, depending on complexity. The surgeon makes incisions, gains access to the bone and cartilage structures, and reshapes them. Individual templates and specialized instruments are used to ensure high precision.

At the end of the procedure, stitches, a stabilizing dressing, and (if necessary) internal nasal packing are applied. The patient typically stays under hospital observation for 24 hours or longer, depending on the clinical situation.

Recovery Period After Rhinoplasty

In the first 7–10 days after surgery, the patient may experience swelling, nasal congestion, and mild soreness in the nasal area. Full recovery takes several months, during which swelling gradually subsides, and the new nasal shape is established.

What to Avoid After Rhinoplasty?

For successful recovery, it is important to follow these restrictions:

• Avoid physical exertion and bending the head forward

• Do not wear glasses for 1–1.5 months

• Avoid hot baths, saunas, and steam rooms

• Refrain from smoking and alcohol consumption

• Do not touch the nose or attempt to remove the dressing on your own

• Avoid sleeping on your stomach or side during the first weeks

All care instructions should be provided by the attending surgeon, who will also monitor the healing process and schedule follow-up appointments.

Conclusion

Rhinoplasty is not just an aesthetic procedure—it is a way to improve self-image and eliminate physical limitations. In Russia, there is a wide selection of qualified specialists and modern clinics that offer an individualized approach for every patient.

The Marus platform will help you find the right clinic and surgeon in Russia, taking care of all organizational aspects and providing full support. This is especially valuable for international patients seeking safe, high-quality treatment in a trusted medical environment.