Skip to content
Dr. ChinskiRhinoplasty

Treatments

Primary rhinoplasty

The first nose surgery. We aim to bring the nose into harmony with the patient's face, with a natural result and no obvious surgical traces.

Rhinoplasty team of Dr. Hernán Chinski and Dr. Luis Chinski

Primary rhinoplasty result

Goals of rhinoplasty

Our goals in plastic surgery of the nose are:

  • Bring the nose into harmony with the patient's face.
  • Aim for natural results.
  • Maintain or improve breathing.
  • Fulfil the patient's aesthetic wishes as far as is technically possible.
  • Achieve a result with no obvious surgical traces: one that doesn't look operated on.
  • Advise the patient on the changes worth making, from the surgeon's point of view.
Making the nose look natural and in harmony with the face requires greater technical sophistication.

One of the most complex surgeries

It is recognised worldwide that cosmetic nose surgery is one of the most complex procedures. That's why it must be performed by a specialist in nasal aesthetics and function.

For example, when we file down a hump on the nasal dorsum, we make sure it doesn't drop excessively but stays straight, with a harmonious relationship between the dorsum and the tip. When we treat a bulbous tip, we make sure it doesn't collapse or look pinched afterwards.

Open or closed rhinoplasty

In the closed technique, the incisions are made inside the nostrils and are invisible. The open technique adds a small incision on the columella, which leaves an almost invisible scar. We choose the open approach in the vast majority of cases, because it lets us better reproduce the result we are aiming for.

What the surgery involves

The procedure takes 2 hours on average. Only a very short part of that time is spent removing tissue or making the nose smaller. If only that part were done, the nose would look artificial, with obvious signs of surgery. We spend the rest of the time making it look natural.

Anaesthesia and hospital

We prefer general anaesthesia, with the patient fully asleep. The surgery is performed in the operating room of a high-complexity hospital, never in a private office, and it is outpatient surgery: patients are discharged about 3 hours later.

The current paradigm is to always think of the nose from both perspectives: it should look beautiful and allow proper breathing.

Recovery

The recovery is not usually painful. Most patients don't take painkillers; the usual symptoms are mild discomfort and a feeling of nasal congestion.

  • After 48 hours: light activities at home.
  • Between 5 and 10 days: activities outside the home.
  • Between days 9 and 12: check-up and splint removal.
  • Between 3 weeks and a month: intense physical activity.
  • Between 30 and 45 days: direct sun exposure, always with sunscreen.

At 2 months about 70% of the result can be seen. The nose keeps losing swelling, minimally, throughout the first year.

Risks

As with any surgery, there is a risk of complications. In a healthy patient, with controlled and planned general anaesthesia, that risk is minimal.

Complications are rare: bleeding requiring some kind of intervention (less than 0.5%), healing problems and infection (less than 1%). As for the result, worldwide statistics report that around 5% of primary rhinoplasties need a further operation.

Frequently asked questions

Yes. At the first consultation we run a computer simulation on your photos, to agree on an achievable goal rather than an unattainable ideal.

Once 90% of the nose's growth is complete: generally from age 14 in girls and from 15 in boys.

They are never restricted. For the first few days they rest on the splint and afterwards on the tapes.

It is set after assessing your photos and includes the fees and hospital costs.

Before and after

Ask about your case

Message us on WhatsApp or book an in-person or video call appointment.

Message us on WhatsAppOther ways to consult