Rhinoplasty – Δρ. Χρήστος Αγιαννίδης | MD fDAFPRS | Dr. Christos Agiannidis | Plastic Surgeon

Rhinoplasty

Rhinoplasty is one of the most frequently performed operation worldwide. The goal is to provide you with a nose that brings balance to the other facial features without drawing attention to itself.
It is considered one of the most specialized procedures that requires the highest levels of expertise.
The nose is a prominent facial feature and plays an important role in the individual’s self image.
In folk tradition the nose was used as a stereotypic feature to identify behaviors. In cartoons we see that the nose is always overemphasized in relation to the face.
Of course the character is certainly not defined by the shape and size of the nose but even a minor disproportion always draws attention and could be a potential source of psychological disorders from an early age.
On the other hand we have to emphasize another important aspect of the nose’s role, the nasal function and it’s contribution to the normal, unobstracted breathing. It is important to understand that any manipulation on the nose is a constant balance between form and function.

Of the outmost importance is the fact that any intervention on some part of the nose might lead to a dysfunction of another if not performed correctly.
That is the reason why rhinoplasty is a very demanding operation to do properly with a steep learning curve.
Not every surgeon has the adequate training, expertise and experience to perform this challenging operation. That may result in the so-called ‘’poor’’ rhinoplasties where the patient after surgery seeks help to repair the mistakes done in the primary operation.
The good thing is that in the same procedure we can address both the form and the function of your nose. Frequent functional problems that cause nasal obstruction are the deviated septum, deficiency of the nasal valves, turbinate hypertrophy and other nasal pathology.
A successful rhinoplasty is closely associated with high levels of patient satisfaction. The improvement in quality of life is impressive.
Rhinoplasty patients differ from the average aesthetic surgery patient because the majority doesn’t want their new nose to draw attention and have the ‘’operated’’ look. On the contrary they seek their nose not to dominate their face but rather to balance it.
That’s exactly the goal of modern structural rhinoplasty: the new nose doesn’t draw attention but harmoniously compliments the face.
More than any other aesthetic procedure, requires a good understanding of the patients goals and wishes during consultation.
Rhinoplasty reshapes the nose, bringing it in proportion with the rest of the facial features and resolves breathing problems.
The result is absolutely natural without the telltale signs of an ‘’operated’’ nose. Nothing to do with the extremely ‘’curved’’ noses with the pinched tip and the collapsed look that unfortunately still see today.
Dr. Agiannidis is specialized in rhinoplasty and was trained in the biggest rhinoplasty center in Marienhospital Stuttgart by Prof. Wolfgang Gubisch and also in The Netherlands by Prof. Gilbert Nolst Trenite.
Every patient is unique so is the rhinoplasty that Dr. Agiannidis performs. No copy-paste solutions.
Can be very successfully combined with mentoplasty or profile-plasty.
Dr. Agiannidis has been trained and has experience in advanced cases that have been unsuccessfully operated before, the so called revision rhinoplasties. He is also experienced in treating saddle nose deformity.
During the same operation Dr. Agiannidis will restore functional nasal issues with the use of the scope (endoscopic septoplasty).
The patient should always have in mind that form and function are addressed together. Choosing the right doctor for your nose should be based on the surgeon’s expertise both on the aesthetic and the functional aspects of this operation.

Non-surgical rhinoplasty

Non-surgical rhinoplasty under no circumstances can replace a surgical procedure, regardless if it’s intended for aesthetic or functional reasons. Opinions like these frequently recycled in our days in blogs and recently among the scientific community, are totally unreliable and anectodal.
Nevertheless, the non-surgical rhinoplasty can correct minor deformities.
Examples are: a small dorsal hump, low radix, an asymmetric tip, a retracted columella and so forth.
The treatment lasts a few minutes and it’s very well tolerated by the majority of patients.
The preference is for non-permanent materials; permanent fillers were associated with a lot of complications in the past that we encounter even today.
The result lasts for approximately 12 months.
One thing is for certain; treating this highly demanding area requires a lot more than an experienced injector. It requires a rhinosurgeon familiar with the area’s surgical anatomy. 2 day cosmetic workshops for injecting the nose undertaken by non-surgeons won’t substitute extensive training and thorough knowledge of nasal anatomy and won’t guarantee the results no matter the experience someone has as an injector in general. The nose won’t forgive any mistake even a minor one. To treat an area with such close relations between different structures requires excellent knowledge of both nasal anatomy and physiology, otherwise a small correction of a certain structure easily could cause the dysfunction of another.

Revision Rhinoplasty

Rhinoplasty has been associated with an increased reoperation rate, reaching up to 10-25% of the total number of rhinoplasties.
Poor surgical technique is not the only cause.
Bleeding, intense scar tissue formation and also poor compliance of the patient to the post operative period are some additional reasons.
Revision rhinoplasty requires a careful and accurate assessment of the underlying problems as well as a realistic operative plan.
Very frequently we encounter an extensive damage of the cartilaginous or bony skeleton that requires the use of cartilage from other sources, usually from the own patient’s ear or rib.
Every reoperation is challenging by definition since the surgeon has to deal with an altered anatomy and scar tissue from the previous operations.
On the other hand, the result of a successful revision rhinoplasty are truly amazing for the patient’s self confidence.
Dr. Agiannidis has been trained in such challenging cases by two of the leading Rhinoplasty Surgeons worldwide: Prof. Wolfgang Gubisch (Stuttgart, Germany) and Prof. Gilbert Nolst Trenite (Netherlands).

Endoscopic Septoplasty

Endoscopic septoplasty is a very precise and minimally invasive procedure, which is carried out with the help of a very thin endoscope, connected to a camera.
This technique requires specialized training and accurate knowledge of the endoscopic anatomy of the nasal cavity.
The advantages are obvious: minimal down time compared to standard septoplasty and a very short healing time. With the scope we can achieve optimal visual conditions in order to treat precisely areas otherwise hard to visualize.
In that way the operation becomes very targeted.
Its very useful in secondary or revision cases and especially for deformities concerning the posterior septum which is rather hard to inspect with the human eye.