PGA Rhinoplasty

The principle of PGA rhinoplasty is the most gentle approach to the operated tissues of the nose. During the operation, the surgeon uses magnifying glasses and fine instrumentation. The operation is performed under general anaesthesia, when the patient is hypotensive, the tissues are infiltrated with a specially diluted solution with adrenaline. The preparation is gentle, where we try to damage the vascular system of the nose as little as possible, thus achieving less bleeding during the operation.

PGA rhinoplasty can be performed open, where we make an incision in the columella area, where the resulting scar remains under the nose after the operation, or it can be done closed, from an incision in the nostril, without scars. During the preparation we try not to unnecessarily disturb the subcutaneous ligaments, which have an influence on maintaining the stability of the skin surface of the nose. We do not remove the bump at the root of the nose with a chisel, but grind it down, and after breaking the nasal bones with a piezoelectric saw, we push the bump in the area of the root of the nose inwards, thus shaping the root, the so-called push down technique.

Preparation of the nasal cartilage is also performed gently, without aggressive reduction of the cartilaginous parts of the nose. If the patient has a protruding septum, it can be straightened during surgery of the external structures of the nose. We fix the sculpted nasal bones to the nasal septum with sutures, so we do not need to put a plaster on the nose after the surgery, but just put a plaster on the nose, which is removed 14 days after the surgery.