What Is Rhinoplasty?

Rhinoplasty is one of the most common procedures performed in facial cosmetic surgery. It involves reshaping the nose while improving respiratory function. When we correct the nasal septum at the same time as performing a rhinoplasty, we refer to this as a rhinoseptoplasty.

There are basically two rhinoplasty techniques: open and closed.

The main difference between the two is that in open rhinoplasty, the intranasal incisions are connected via an incision in the columella. This incision is not a cosmetic issue. However, although there has been a trend in recent years toward performing many open rhinoplasties, with the latest preservation rhinoplasty techniques, we are once again performing more closed rhinoplasties.

At Clínica Birbe, we have a team of top-notch professionals dedicated to always providing you with the best service and treatments.

Ultrasonic Rhinoplasty

One of the steps in rhinoplasty involves osteotomies, which make it possible to narrow a broad nasal bridge and smooth out the bridge once it has been reduced. When we perform these osteotomies with an ultrasonic scalpel, we refer to it as ultrasonic rhinoplasty.

We know that rhinoplasty is one of the most popular cosmetic surgeries, and here at Clínica Birbe, we want to offer the very best to our patients. For this reason, we would like to let you know that ultrasonic rhinoplasty is now available in Barcelona.

Ultrasonic rhinoplasty is a new technique in nose surgery that uses ultrasound and avoids common instruments such as files and chisels. This makes rhinoplasty a safer and less traumatic procedure.

Benefits of Ultrasonic Rhinoplasty

Advantages of ultrasonic rhinoplasty:

  • Greater safety through control of bone remodeling
  • Preservation of tissues such as cartilage, mucosa, and blood vessels
  • A step-by-step process to make the procedure less traumatic
  • Shorter than usual surgery time
  • Reduced inflammation
  • A nasal pack is not necessary
  • A More Comfortable Postoperative Period
  • Less-invasive surgery

When a nose has already undergone surgery and requires a second procedure, this is referred to as secondary rhinoplasty. When it is the first time the procedure is performed, it is called primary rhinoplasty. When, in the context of an open rhinoplasty, we perform multiple reconstructions using cartilage grafts to restore lost form and function, we refer to this as structural rhinoplasty.

Conservative or preservation rhinoplasty is a type of rhinoplasty in which the nasal dorsum is preserved by reducing it through the depression of the nasal septum, while the nasal cartilages are dissected in a deep subperichondrial plane. Other terms we can use include ” post-traumatic rhinoplasty,” following an accident, or ” nasal reconstruction,” following cancer surgery or trauma.

Depending on the type of nose being treated, we refer to augmentation rhinoplasty, reduction rhinoplasty, or rhinoplasty to correct asymmetries.

Rhinoplasty can be performed on an outpatient basis under intravenous sedation or under general anesthesia, which usually requires an overnight stay at the clinic.

After surgery, we apply a thermoplastic splint to stabilize the new shape of the nose for one week. It is not always necessary to insert nasal packing, which is very comfortable for the patient.

The inflammation is most pronounced during the first week. Starting in the second week, you can resume your normal activities, avoiding strenuous exercise.

The shape of the nose continues to take shape over time, so we cannot consider the results of the procedure to be final until 3 to 6 months after surgery.

Frequently Asked Questions About Rhinoplasty

Rhinoplasty makes it possible to reduce or augment the bridge of the nose, refine the tip, correct deviations, improve breathing, and harmonize the nose with the rest of the face. At Clínica Birbe in Barcelona, we use digital planning to show you a realistic preview of the results and work with you to determine the right changes, without compromising the natural look of your features.

No. Cosmetic rhinoplasty changes the shape of the nose; functional rhinoplasty corrects breathing problems (deviated septum, turbinate hypertrophy). They are often combined into a single surgical procedure: rhinoseptoplasty. This avoids the need for two separate surgeries and yields a comprehensive result, providing both cosmetic and respiratory improvements at the same time.

Swelling is at its worst during the first week, and a nasal splint is worn for 7 days. Bruises usually disappear within 10–14 days. Social integration typically occurs after 2 weeks. The results continue to improve over the course of 6 to 12 months, as the tip of the nose settles into its final shape.

The main change is visible when the splint is removed and, above all, one month after surgery. The final shape becomes apparent between 6 and 12 months, especially at the tip. That is why we schedule checkups at 1, 3, 6, and 12 months. Patience and follow-through are key to appreciating the full result.

Dr. Joan Birbe: Rhinoplasty Backed by ABOMS Certification

Performing nose surgery requires balancing aesthetics and function. The nose is part of the middle third of the face and shares a common structure with the maxilla. Dr. Birbe’s ABOMS certification attests to his rigorous surgical approach: digital planning, open or closed techniques depending on the case, and results designed to ensure patients age well, while maintaining harmony with the rest of the face.

Why Have Nose Surgery at Clínica Birbe?

A rhinoplasty done properly improves both appearance and breathing. We plan it in 3D, taking the entire face into account—not just the nose.
• Preliminary digital simulation to visualize possible outcomes before performing the procedure.
• Open or closed technique, depending on anatomy and objectives, with or without a functional component.
• ABOMS-certified oral and maxillofacial surgeon responsible for treatment planning.
• Coordination with orthognathic surgery or mentoplasty when the rest of the face requires it.
• Long-term postoperative follow-up, until the final outcome is determined several months later.

→ Schedule your appointment at Clínica Birbe Barcelona and design your rhinoplasty with 3D planning.

Real-Life Rhinoplasty Cases at Clínica Birbe

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Clinical Case: Rhinoplasty

Rhinoplasty, Correction of a Nasal Hump and a Drooping Nose Tip

Our patient wanted to soften her profile by removing the dorsal hump and slightly lifting the tip. Thanks to rhinoplasty, we achieve a natural and harmonious result that preserves your facial features and boosts your self-confidence.

Clinical Case: Rhinoplasty​

Cosmetic and Functional Rhinoplasty

In this case, we combine aesthetics with functionality. We correct a deviated septum to improve breathing and reshape the nasal contour, resulting in a straighter, more proportionate, and healthier nose.

Clinical Case: Rhinoplasty​

Rhinoplasty to Correct the Nasal Bridge and Bulbous Tip

The patient had a pronounced dorsal ridge and a broad tip. With a refinement rhinoplasty, we can smooth out the nasal bridge and give the tip more definition, achieving a very natural result.

Clinical Case: Rhinoplasty​

Rhinoplasty: Softening the Profile and Lifting the Tip

This case demonstrates how a rhinoplasty can add a touch of delicacy and femininity to the face. We remove the prominent bridge and raise the tip to create a smoother, more elegant profile.

Clinical Case: Rhinoplasty

Rhinoplasty to Correct a Deviated Nose

The patient had a pronounced nasal deviation and an ill-defined nasal tip. After the surgery, we achieved a straighter nose, better symmetry, and easier breathing.

Clinical Case: Rhinoplasty​

Secondary Rhinoplasty

This patient had previously undergone surgery at another clinic and was not satisfied with the results. We performed a revision rhinoplasty to improve both the appearance and function of your nose.

Clinical Case: Rhinoplasty​

Rhinoplasty for Facial Harmony

This case shows how small changes to the bridge and tip can transform the face. The rhinoplasty resulted in a more balanced profile that harmonizes with her features.

Clinical Case: Rhinoplasty​

Post-traumatic Rhinoplasty

The patient had suffered a nasal deformity following a trauma. Through rhinoplasty, we are able to correct the deviation, improve breathing, and restore facial harmony.

Clinical Case Videos

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