Published by Dr MIguel Fernadez Calderón: 20/10/2023
A combined intervention of rhinoplastyand otoplasty at the same time is a very common desire of our patients. The face is a determining area in our attractiveness and retouching both areas is quite simple and effective. The question is, can both procedures be performed at the same time? What are the pros and cons? We tell you about them below.
Criteria to be considered for combined surgeries
One of the reasons why many patients do not undergo several cosmetic surgery operations is that they have to go through the postoperative period several times. However, nowadays it is possible to perform more than one operation in a single procedure, today it is possible to perform more than one operation in a single procedure.. By means of an initial diagnosis, the operations in which the patient is interested are studied according to several criteria.
- Proximity of areasIt is best when the parts are close together, such as the different areas of the face or the abdomen and breasts.
- El grado de dificultad: que viene determinado por el número de operaciones más sencillas que se pueden realizar y la complejidad de la operación más difícil.
- El tiempo recomendado en un quirófano: No hay nada malo en que un paciente permanezca en el quirófano durante tres horas, pero se recomienda que los pacientes no superen las cinco horas. Este tipo de intervención se realiza tanto en hombres como en mujeres, siempre que la persona goce de buena salud.
What do both treatments consist of?
Before explaining the advantages and disadvantages of undergoing rhinoplasty and otoplasty in Madrid Spain at the same time, it is best to know what each procedure consists of. With all the information in our hand we will be able to make a better decision.
Rhinoplasty
Rhinoplasty, also known as nose reshaping, is a cosmetic surgical procedure to change the size and shape of the nose.. We resort to this technique for two reasons: firstly, because we want our nose to look better; secondly, because we want to improve its functionality.
Rhinoplasty is one of the most requested surgeries in our clinic.. This is because it is safe and achieves fast and satisfactory results.
It is always advisable to perform a study before doing anything that involves surgery. We perform this test to determine if we are a suitable candidate for surgery.. Measuring the features of the face allows us to determine what type of treatment would work best for each patient.
Otoplasty
The shape of our ear is determined by the relief of the cartilage from which it is formed. If there is not much cartilage in the center of the ear canal, this can cause discomfort and aesthetic problems.
Among the most common types of ear malformations are protrusions, protruding ears and helix valgus. are protrusions, protruding ears and helix valgus.Otoplasty allows correcting all these defects, remodeling the ear cartilage, improving its position and shape.
For this type of cosmetic surgery, an incision is made behind the earlobes, leaving only a small hidden scar after healing.. In this way, through one operation we can change the shape of a person's ear by removing some of the skin and reshaping it.
Other problems that can be corrected with otoplasty surgery are overly large ears are ears that are too big.. Even microtia can be successfully treated.
Preparación y procedimiento
Valoración preoperatoria y pruebas
En la primera consulta, el médico realiza una evaluación física de la nariz y las orejas, para explicar al paciente cuáles son los objetivos estéticos y los posibles resultados. Adicional a la revisión, el médico solicitará análisis de sangre, y otras pruebas que considere necesarias para asegurar que el paciente tenga un estado de salud general óptimo.
Tipo de anestesia y duración estimada
Debido a que se trata de dos cirugías al mismo tiempo, la anestesia estándar es la anestesia general, para mayor comodidad y seguridad del paciente.
La complejidad del procedimiento va a determinar la duración. Una rinoplastia puede durar entre una y tres horas, y una otoplastia entre una y dos horas; por lo cual, la combinación de ambos puede tomar entre tres y cinco horas.
Orden de las técnicas: ¿primero nariz u orejas?
En general, la otoplastia se realiza antes de la rinoplastia. Durante una rinoplastia existe mayor riesgo de sangrado, presencia de secreciones nasales y mayor contacto con las bacterias de la cavidad oral y vías respiratorias, que pueden contaminar y afectar el campo estéril.
Adicionalmente, la otoplastia requiere mover la cabeza del paciente, y durante la rinoplastia se debe cuidar la posición del paciente.
What are the benefits of combined surgery?
Combining two or more surgeries in a single day can have numerous benefits for the patient.
- Aesthetic and functional advantages
By combining a rhinoplasty with an otoplasty you will achieve a more harmonious face with a more aesthetic and balanced overall appearance, which translates into greater self-esteem and confidence of the patient.
In addition to this, a rhinoplasty can solve certain respiratory problems that affect your quality of life.
- Economic and time savings
Costs decrease when several procedures are combined, such as the ones mentioned above with a mentoplasty.
Because you will only need to pay medical and operating room fees once. Undergoing both procedures has the advantage of receiving anesthesia only once. Also, you will only have to go through one postoperative period and the recovery time will not be prolonged, since one procedure does not intervene in the other.
- Labor improvements
If we combine procedures, the number of days the patient has to take off from work is reduced.
- Postoperative savings
By combining the operations, their respective recovery periods are also eliminated. It is true that the postoperative period in a combined operation may be somewhat more uncomfortable than that of a conventional operation, but not much more.
- Social savings
Patients do not suffer on several occasions from questions from their environment about how they feel, how the operation went.
It is important to clarify that this type of surgery does not usually involve a higher risk for your patient, but is similar to the risk that exists in a conventional surgical procedure.
What are the drawbacks?
Undoubtedly, the biggest drawback of undergoing rhinoplasty and otoplasty in Madrid Spain at the same time is having to undergo both postoperative procedures at the same time. having to undergo both postoperative procedures at the same time.. We will notice during the first days swelling and slight discomfort in both areas, which can be wellwhich can be well controlled with an analgesic.
However, the major disadvantage of this type of combined intervention can be seen as an advantage, since we are likely to feel more discomfort in one area and much less in another. we are likely to feel more discomfort in one area and much less in another.
Although these are safe procedures, as in all surgery, there are risks or complications, although rare, it is important to be aware of them.
- Risks associated with rhinoplasty
The main risks have to do with bleeding after surgery, which can be mild or severe. It is also possible that an infection may occur, requiring the use of antibiotics.
Other problems associated with this surgery are: impairment in the ability to breathe, negative reaction to anesthesia, numbness and sensitivity in the face and nose, which can last for months. Likewise, it is possible not to achieve the expected results. All this will decrease your chances if you choose an expert surgeon.
- Potential complications of otoplasty
After otoplasty, the risks and complications are similar to those of rhinoplasty.
These include bleeding, mild or severe, adverse reaction to the effects of anesthesia, infections that deform the cartilage, as well as unsatisfactory results.
Ideal candidates for surgery
It is common for a nose job to be combined with other cosmetic procedures on the face, such as an otoplasty.
In general, to undergo both surgeries, the person must be healthy and have realistic expectations as to the results. Usually, the initiative arises from dissatisfaction with the shape or appearance of both the ears and the nose.
In particular, let's see who are candidates for these operations.
Criteria for rhinoplasty
The surgeon will evaluate:
- Nose shape.
- Symmetry in the face.
- Nostril size.
- Condition of respiratory function.
Criteria for otoplasty
To find out if otoplasty is the surgery for you, these are the criteria that the treating surgeon will take into account:
- Ear shape. That is, if they are protruding or large ears.
- Asymmetrical ears.
- Deformities of the ears.
- Presence of holes in the earlobes.
It is worth mentioning that these are general criteria, and only your treating surgeon will be able to tell you if you are a good candidate for otoplasty and rhinoplasty or not.
Precios y factores que influyen
El precio de hacerse una rinoplastia y otoplastia a la vez puede variar entre 6500–10 000 €.
Tecnología empleada, complejidad y honorarios
En una cirugía combinada, la rinoplastia puede realizarse por la técnica tradicional o ultrasónica. Mientras que la otoplastia se realiza con técnicas tradicionales. La combinación es un procedimiento más complejo, por la cantidad de horas en quirófano, anestesia prolongada y necesidad de un equipo médico experto, lo que afecta el precio de la cirugía.
Toma en cuenta también que un cirujano con experiencia, con amplia reputación y especializado cobrará tarifas más elevadas, pero también es mayor garantía de resultados exitosos.
Número de noches, medicación y curas
Un aspecto que también puedes considerar en el presupuesto es el número de noches en la clínica, toma en cuenta que estas cirugías estéticas no requieren una hospitalización muy larga, 1 día es el tiempo estándar. La medicación recetada son antibióticos, analgésicos y antiinflamatorios.
La rinoplastia requiere una férula nasal y en algunos casos, taponamiento nasal. Las curas de la otoplastia, son por lo general un vendaje alrededor de la cabeza para protección de las orejas.
Postoperative care
Recommendations after rhinoplasty
After a rhinoplasty, rest is essential, as well as following the surgeon's instructions. Taking the prescribed medications, avoiding physical activity, sleeping with the head elevated, face up, and keeping the nose clean are the most important recommendations to keep in mind during this process.
Tips after otoplasty
In addition to the care mentioned above for rhinoplasty, in the case of an otoplasty, there are other complementary cares, such as:
- Use the headband that holds the ears according to the surgeon's instructions.
- Do not wash your hair while wearing the bandages.
- Avoid any activity that may bang or bend the ears - Avoid any activity that may cause the ears to bend - Avoid any activity that may cause the ears to bend.
- Do not scratch or remove scabs.
Conclusions
Therefore, the conclusion is clear. Whenever we want to have a rhinoplasty and otoplasty procedure performed at the same time in Madrid Spain, it will be more advisable to have them done at the same time than first one and then the other.
At Sculpture Clinic we are specialists in all types of facial surgery procedures, always surrounded by the best team of professionals.always surrounded by the best team of professionals. Book an appointment today and we will make a detailed study of your case to see which techniques are best suited to your needs, to give you the result you want.
Frequently Asked Questions (FAQs)
¿Se pueden combinar con rinoplastia ultrasónica?
Sí. Es una de las técnicas más utilizadas para rinoplastia, gracias a sus múltiples beneficios.
¿Puedo añadir mentoplastia u otros retoques en la misma sesión?
Si es posible, pero no es un hecho definitivo. Debe analizarse junto con el cirujano, considerando factores como la salud del paciente y el tiempo en quirófano.
¿Cuándo puedo volver al trabajo y al deporte?
Trabajos de oficina o que no requieran esfuerzo físico, así como caminatas suaves, el paciente puede retomarlos luego de un par de semanas de la cirugía. Mientras que actividades más extenuantes deben incorporarse de forma progresiva a partir de la semana tres.
