Rhinoplasty for reduction of the hump in Barcelona

Rinoplastia de reducción de giba nasal

One of the parts most important of the face is the nose, which due to the fact that it is situated in the centre of the face. It takes on a great importance from an aesthetic point of view, since it is constantly visible.

Una gran parte de las personas de ascendencia europea presentan una nariz que se caracteriza por tener un dorso proyectado (también llamado giba). Más concretamente, la nariz mediterránea. Además de presentar un dorso proyectado, suele tener una punta algo caída y tener unos cartílagos alares de excesivo tamaño (los cartílagos alares dan la forma a la punta nasal).

It is essential to carry out a computer simulation

To determine how much of the hump needs to be removed, it is essential to carry out a computer simulation of the desired outcome. This allows the image to be overlaid onto that of the nose prior to surgery. This allows us to determine the order of magnitude of the hump to be removed, the amount of rotation required at the tip and/or the amount of projection reduction to be carried out (if necessary). A frontal simulation can help give an idea of the final result, but it is less predictable, so it is usually used to simulate cases where the nose is crooked.

Rhinoplasty for reduction of the nasal hump

It is usually performed via an incision that is hidden inside the nose (closed rhinoplasty). This means that no visible scar is left after the operation. Once the hump has been removed, the nasal base (the bones on either side of the septum) is usually reshaped to achieve the correct shape at the very top of the nose and prevent an ‘open roof’ deformity.

Although the removal of the hump may seem the part that is easiest of a rhinoplasty, it is the one that requires the most precision and meticulousness. This is to prevent collapse of the cartilages quadrangular (cartilages which lie on either and both sides of the middle part of a33> the nose; if they collapse, the nose may appear crooked).

The alar cartilages are preserved correctly using the Split Hump technique, described by the Dutch surgeon J. Lohuis in 2012. Once we have successfully shaped the upper and middle parts of the nose, we move on to the tip. A comprehensive description of the techniques that can be used to manage the nasal tip can be found in the chapter ‘Management of the nasal tip’.

It is not just a matter of tapering the tip, but of ensuring it looks natural, avoiding excessive angularity, and ensuring it rotates and projects correctly.

Specialist in rhinoplasty in Barcelona

Dr Joan San Miguel holds a degree in Medicine from the University of Barcelona and in Dentistry from the European University of Madrid.

He holds a PhD from the University of Navarra and is a specialist in facial and maxillofacial surgery, having trained at the prestigious Navarra University Hospital (CHN). A member of the Barcelona Medical Association (COMB) (no. 39345), he is also accredited to practise in Belgium, where he completed a European Fellowship in Cosmetic Facial Surgery at the University Hospital of Brussels (UZ Brussel) under the supervision of Dr Maurice Mommaerts, who is arguably one of the world’s leading facial plastic surgeons.

He is a member of the European Association of Facial Plastic Surgery (EAFPS), the European Association of Cranio-Maxillofacial Surgery (EACMFS) and the Spanish Society of Oral and Maxillofacial Surgery (SECOM), and sits on the board of the Catalan-Balearic Society of Maxillofacial Surgery (SCBCMF).

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Frequently asked questions about rhinoplasty for hump reduction

How long does a nose job to reduce a hump take?

The processing time can vary, ranging from 1 hour to 2 hours, although it is important to remember that it is more important than the result is good than doing it quickly, as suggested by some authors with the use of the technique “rinofast”.

To ensure that every detail is properly addressed, it is important to take your time and be thorough. Once the surgery is complete, the nose must be properly cared for by inserting packing (a strip of gauze soaked in an antibiotic ointment is placed inside each nostril to prevent wound infection), applying adhesive strips (known as Steri-Strips, these are applied from the tip towards the bridge, and along the entire bridge, to help the skin adapt to the new shape achieved during the surgery) and fitting a splint (a sort of plastic ‘cast’, which serves to hold the bone in a position determined by the surgeon).

The patient will then be taken to the recovery room, and subsequently to the rehabilitation ward, where they may be accompanied by their family or friends for a period of between 2 and 4 hours, until they have fully regained consciousness. During the post-operative period, antibiotics, painkillers and anti-inflammatories are prescribed until the splint is removed, which is usually 6–7 days after the operation. The dressings are removed 2–3 days after the operation (provided they were applied beforehand).

When are the results of a reduction rhinoplasty visible?

The basic results are already visible from the seventh day after the operation (the profile of the bridge, the shape of the tip, and any asymmetry); however, the nose is still swollen, and it will take several months for the skin to adjust to the new shape.

It is often necessary to use Steri-Strip-type plasters to help the skin adjust, for at least 12 hours a day, over a period ranging from a few weeks to two or three months, to ensure a better and more stable result. The final result will be visible after one to two years.

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Clínica de cirugía plástica en Barcelona

Pedralbes Clinic es una de las mejores clínicas de cirugía maxilofacial en Barcelona. Dispone de unas instalaciones de vanguardia y un experimentado equipo médico estético.

Tanto la intervención como el tratamiento pre y postoperatorio serán realizados en las propias instalaciones de la clínica situada en el Paseo de Manuel Girona, 14, en Barcelona.