nos

This surgery influences 3 areas of a human - psychic, aesthetic and functional. Nose is a centre of a face and creates its characteristics; therefore the aesthetic function is so closely connected with the psychical one. In addition to that, nose has irreplaceable function as an olfactory organ and a respiratory channel.
The first step that must be made is to consult experienced surgeon. The surgeon must know what the patient expects from the surgery and explain to the patient, what is and what is not possible and what risks is the surgery connected with. Patient's motivation is very important - that means what reasons lead the patient to the surgery. The surgeon has to also consider general health and age of the patient, and he must evaluate shape and deformation of a nose, breathing, skeleton of a nose and its soft tissues, skin type. Only upon the overall evaluation the surgeon can decide whether the surgery is suitable or not. The final result of a surgery can be forecasted only approximately and the patient must be aware of risks connected with such a surgery, which are in addition individual both in occurrence and amount.
One has to know that the nose surgery has, like every other surgery, its specifications and good result does not depend only upon the surgeon's quality.
The surgery is only the first phase that can be directly influenced by a surgeon. The second phase, healing, is an individual process of one's organism and a surgeon can influence it only indirectly with his instructions and advice given to the patient.
Post-surgical period is long and individual process. The result can be evaluated at first after 2-3 months after the surgery and the post-surgical period is completely finished after 1 year.

		Nose surgery - rhino plastic
		This surgery influences 3 areas of a human - psychic, aesthetic and functional. Nose is a centre of a face and creates its characteristics; therefore the aesthetic function is so closely connected with the psychical one. In addition to that, nose has irreplaceable function as an olfactory organ and a respiratory channel. The first step that must be made is to consult experienced surgeon. The surgeon must know what the patient expects from the surgery and explain to the patient, what is and what is not possible and what risks is the surgery connected with. Patient's motivation is very important - that means what reasons lead the patient to the surgery. The surgeon has to also consider general health and age of the patient, and he must evaluate shape and deformation of a nose, breathing, skeleton of a nose and its soft tissues, skin type. Only upon the overall evaluation the surgeon can decide whether the surgery is suitable or not. The final result of a surgery can be forecasted only approximately and the patient must be aware of risks connected with such a surgery, which are in addition individual both in occurrence and amount. One has to know that the nose surgery has, like every other surgery, its specifications and good result does not depend only upon the surgeon's quality. The surgery is only the first phase that can be directly influenced by a surgeon. The second phase, healing, is an individual process of one's organism and a surgeon can influence it only indirectly with his instructions and advice given to the patient. Post-surgical period is long and individual process. The result can be evaluated at first after 2-3 months after the surgery and the post-surgical period is completely finished after 1 year.
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		When can one undergo the surgery?
		The minimum age for the surgery is limited with the end of growth of a body (end of pubescence). It is not suitable to interfere with the growing tissues because of the potential deformation. The upper age limit is not set firmly; the optimum is age of 35. The surgery can be done even after this age, but a strict evaluation of an individual is necessary. This is due to the facts that skin elasticity and contractility, mainly important for the reduction surgeries, decreases with the increasing age. Another important aspect for considering the surgery is the age from the psychological point of view. People around the patient at his thirties are used to his appearance and too radical change can create problems. Another thing that cannot be relied upon is that even high-quality surgery can save breaking relationship (here the causes are of a different kind).
		Pre-surgical instructions
Back		At least one month prior to the surgery the patient cannot use any drugs containing acetylsalicylic acid, for example Acylpyrin, Acylkoffin, Aspro, Alnagon. The usage of these drugs highly increases the risk of heavy bleeding during and after the surgery; such patient cannot undergo the surgery!! Starting the midnight of the day of the surgery the patient cannot eat, drink nor smoke. Take a dress that does not need to be pulled over a head. The deposit for the surgery is CZK 5000, the remaining is paid on the day of the surgery. You will receive a receipt for the amount paid. The patient is released on the same day after the surgery and should leave accompanied.
		The surgery itself
		The surgery is strictly individual based on both the face type and the personality of a patient. The nose surgery is one of the most difficult in the area of aesthetic surgery and requires big experience of the surgeon and good aesthetic sense. The nose surgery is done with local anaesthesia, because the overall anaesthesia is rather complication than simplification. The patient can feel the pain only in the first minutes of the surgery during the application of the anaesthetic lotion; afterward he feels only strokes, presses, dabbing when working on area with bones. These can be felt as unpleasant, but not painful. The after-surgical period is also experienced well by the patients. It is necessary to know that the bruises on the upper and lower eyelids and intumescences are common after the nose surgery. After the surgery the gypsum lath is put on the nose and the nose is tampon from inside with the greasy mull (gauze). The time needed for the surgery depends on the difficulty of the surgery. The professional surgeon is able to handle it in approximately 1 hour.

		Post-surgical period
Back		The patient is laid in the bed, is under control, gets analgesics and ice poultices and after the overall stabilization is released accompanied and with the instructions for the first period for the home treatment. The patient must breathe with his mouth because the nose is tampon and puts up cold poultices with compression onto the eyelids. It is necessary to drink more liquids, because breathing with one's mouth leads to bigger losses of liquids from human body. On the fourth or fifth day after the surgery the tampons are removed and the patient cleans his nose every 2 hours with cotton bristles. He may not blow his nose!! He cannot also put off the gypsum lath nor move the plaster fixing the lath; the result of the surgery could be very seriously jeopardized. The control underneath the gypsum lath is made one week after the surgery and 2 weeks after the surgery the gypsum lath is taken off and the patient can freely walk and fixes the lath for the nights for at least next 2 weeks. This is followed with the instructions about the massages and the check-up 1-month after.
		The nose has to gradually adapt to warmth and coldness. We do not recommend sunbathing in the summer. In the winter the nose has to be protected from the frost, because there is a bigger danger of frostbites. During the year this gets stabilized.
		Surgery risks
Back		The specific risks of this type of surgery are scars. The surgery is done from inside the nose holes, so the scar is not noticeable on the skin. Therefore the scars get created in the process of healing underneath the skin of the nose. The thicker scars layer can in the process of post surgical healing negatively influence originally nice shape of a nose achieved with the surgery. Thick oily skin with big pores (or plenty of vassals) is less suitable (and sometimes unsuitable) for the surgery, because it tends to heal with a thicker scar, which in turn increases the risk of unacceptable post-surgical result.