Rhinoplasty.

Partial rhinoplasty — surface work on select nasal parts, softening facial expression without materially changing the outline of the nose: nose-tip work, nostril correction, or a modest reduction of an aquiline profile. Total cost of partial rhinoplasty, including general anesthesia, is 2,200 GEL.

Total rhinoplasty — changes to the full nasal structure (bone, cartilage, soft tissue): lengthening, removing an aquiline bridge, osteotomy, and repositioning the tip, wings, and nostrils.

Post-traumatic rhinoplasty — corrects deformation from injury, often alongside septum or breathing problems. Combines aesthetic technique with otolaryngological methods, addressing physiological function as much as appearance.

Repetitive (secondary) rhinoplasty — corrects the results of an earlier, unsuccessful operation. Considerably more complex, since it must work with tissue that has already scarred.

The approach is selected individually. Most operations use the closed approach, with no visible surface cuts (endonasal rhinoplasty); some cases call for an open approach instead. Sedation is chosen the same way — general anesthesia for deeper intervention, local anesthesia with intravenous sedation for smaller procedures.

Under general anesthesia, aesthetic rhinoplasty takes about one hour on average, excluding time for anesthesiologist preparation; rhinoplasty combined with nasal-breathing rehabilitation takes around two hours.

Long experience and modern technique let us anticipate, evaluate, and minimize the risks of an undesirable result — even for complex nasal anatomy — and in most cases eliminate them entirely. Closed-approach surgery uses minimal cuts, which makes rehabilitation and healing faster and easier. Success also depends on the patient: following pre-surgery preparation and doctor's recommendations reduces swelling risk and shortens recovery.

We pay close attention to a patient's general health, individual healing tendencies, and allergy risk before surgery, with additional preparation where results are uncertain. Additional computer-based examination may be used to evaluate nasal cavity integrity and any effect of surgery on breathing.

For younger patients, minimum age is 16–17 for girls and 17–18 for boys; rhinoplasty can proceed from age 17. About 30% of our rhinoplasty patients are over 40, where the decision depends mainly on general health. Rhinoplasty is often combined in one session with other facial or body procedures — facelift, blepharoplasty, lip surgery, mentoplasty, mammoplasty, liposuction, and others.

At the first consultation, the surgeon fully examines the patient, assesses nasal anatomy, and analyzes what's possible given the overall facial structure. If surgery is agreed on, we examine the nasal cavity, assess any breathing disorders, and consider how the procedure might affect nasal architecture — additional examination may follow.

For secondary rhinoplasty, patients should bring pre-surgery photographs to help plan the right approach. In the case of recent nasal trauma (such as a fresh fracture of the nasal bone), patients should see a specialist as soon as possible — early treatment is often possible without surgical cuts, and helps avoid more serious intervention, breathing problems, or lasting deformity later.

Recovery is usually painless. A cast is worn on the nose for 6–8 days, replaced several times during that period. Depending on complexity, either a standard tampon (which restricts breathing) or a tube tampon (allowing continuous breathing) is used post-surgery.

Initial swelling and bruising fade over 7–14 days; deeper tissue firmness, invisible to others, resolves fully somewhere between 5 months and a year. Patients should follow all temporary restrictions and individual recommendations closely, and return for follow-up at 3 months, 6 months, and 1 year after surgery.