Correction of cleft lip, nose and palate

There is no single method that can correct or straighten every nose.

Rhinoplasty is one of the most demanding procedures in head and neck plastic surgery.

Knowing different methods and using them, considering the specific problems of each individual, only leads to achieving optimal results: good functionality of the nose, which ensures normal breathing, a harmonious appearance of the entire face, and satisfaction of the operated person.

Today, the approach to rhinoplasty is different than it was before, and the nose is not viewed in isolation, but rather attempts are made to bring it into an optimal relationship with existing facial structures, such as the cheeks, lips, chin, and forehead.

Considering all of the above, the goal of cosmetic nose surgery at the Bagatin Polyclinic is not to get a “new face”, but to reshape the nose to fit it into normal relationships with other parts of the face.

There is a wide range of problems that can be successfully resolved during nose surgery, including: a hump on the dorsum, a crooked, too long or too short nose, a wide nasal pyramid, an irregular nasal tip, a nose that is too wide or extremely narrow, asymmetrical or too wide nostrils, etc.

Surgery can shape both the bone and cartilage structures of the nose.

What you should always keep in mind is that the nose is already partly determined by its initial shape and dimensions.

Overly radical reduction of nasal structures is not recommended because it can weaken the fundamental support of the nose itself.

The firmness and thickness of the skin, as well as the soft tissue covering, have a significant effect on the outcome of the surgery, which also limit the extent to which the nose can be changed.

Although the skin cover does not change, after the operation the skin must cover the previously formed cartilages, therefore excessive reduction of cartilages and bones can result in inadequate adaptation of the skin.

This is especially a problem for people with very thick and oily skin.

If you would like to have all the information about nose correction in our Polyclinic, download the informative Guide for aesthetic or functional nose correction below, in which you can learn everything about preoperative preparation, VECTRA 3D consultations with the doctor, the method used during the operation, the postoperative period and precautions.

You can also view more information and details of the operations in the 3D animation that opens when you click on the blue “banner” on the right.

3D animations of procedures provide patients and potential patients with an excellent overview of what is happening during the procedure.

3D Animation enters into all aspects of the procedure, from the decision-making process itself, through preparation for the procedure and the procedure itself, to recovery after the procedure, providing the patient with a visual and audio representation.

Doctors and staff are ready to help everyone and answer all questions, and in this way, the 3D animation of the procedure itself can provide answers to numerous questions.

Popular procedures such as rhinoplasty are clearly explained, which gives the patient an added sense of security.

Cleft surgery involves a team of specialists, including a plastic surgeon, otolaryngologist, orthodontist, and speech therapist.

At the first appointment, doctors assess the child’s general health and the specifics of the cleft. The surgical plan, timeline, and possible complications are discussed.

Before surgery, the child undergoes a thorough medical examination to ensure that he or she is healthy and free of infections or other medical problems.

A standard blood count and other tests are performed to determine suitability for surgery. An anesthesiologist examines the child to determine the most appropriate type of anesthesia during the procedure.

If the child is breastfed or bottle-fed, parents will be given instructions on how to feed the child before and after surgery. Sometimes, it may be necessary to get used to a special way of feeding (special bottles or tubes).

Cleft lip, nose, and palate surgery (also known as cleft surgery) involves a series of surgical procedures to repair a cleft lip and/or palate, which is a congenital malformation. The course of the procedure depends on the specific needs of the patient, but is usually performed in several stages:

First cleft lip surgery

Age : About 3-6 months.

Goal : To repair a cleft lip to restore normal lip structure.

Procedure : The surgeon reconstructs the lip by joining the tissue on both sides of the cleft, carefully shaping the lip and nose.

Cleft palate correction

Age : Around 9-18 months.

Goal : To close the cleft palate so that the child can speak, eat, and breathe properly.

Procedure : The surgeon uses tissue from the mouth to repair the palate. This surgery allows for normal speech and swallowing function.

Audit operations

Age : During childhood and adolescence.

Objective : Additional surgeries are often necessary to further correct aesthetic and functional problems, especially of the nose.

Course : May include rhinoplasty, scar repair, or further correction of the lip and palate to improve appearance and function.

Orthodontic and speech therapies

After surgery, the child usually undergoes orthodontic treatments to correct tooth growth, and sometimes speech therapy to improve speech.

Each cleft case is unique, so the treatment plan is tailored to the patient’s individual needs.

Recovery after cleft lip, nose, and palate correction takes several weeks and requires special care to ensure the best possible outcome.

The stitches are often absorbable (dissolve on their own), but if they are not, they are removed a few days after the procedure. The wounds should be kept clean, and parents are given instructions on proper care.

For the first 2-4 weeks, the child should avoid physical activity, running, jumping, and anything that could cause injury to the operated area. It is necessary to protect the lip and nose area from blows.

It is recommended that the child sleep on his back to reduce pressure on the lips and nose. Sometimes special bandages or guards are used to prevent injuries.

In the first few days after surgery, the child may be on a liquid or very soft diet to avoid irritation of the mouth wound. Feeding may be adjusted using special bottles or a syringe.

Regular follow-up visits with your surgeon are essential to check healing and prevent complications. Sometimes additional adjustments or revision surgeries are needed.

The child should be completely healthy before the surgery. If there is any infection, cold or fever, the surgery will be postponed. Parents should carefully monitor the child’s health and inform the doctor about any symptoms of illness.

If surgery is scheduled several weeks or months in advance, it is important to make sure that all necessary vaccinations have been received in a timely manner. Any recent vaccinations should be reported to the doctor to avoid complications.

Parents should inform the doctor of any known drug allergies or reactions to anesthesia.

The package includes: preoperative examination by an anesthesiologist, surgery under general anesthesia, a short stay at the Bagatin Polyclinic, necessary medications (antibiotics, analgesics), check-ups and dressings in the first postoperative days, removal of stitches, and necessary check-ups up to 3 months after the procedure.

The package does not include: the first consultation with a doctor, blood tests, ECG, chest X-ray, or an examination by an internist, the cost of multiple overnight stays, costs prior to admission to the Bagatin Polyclinic, telephone costs, medications you will take at home, consultations with other specialists such as a specialist for diabetes, asthma, high blood pressure, thyroid, allergy medicine, heart medicine, etc.

In cooperation with banks, Bagatin Polyclinic provides the option of paying in installments, as well as interest-free payments up to a certain number of installments.

You can check more about payment methods and the cost of the procedure in the current price list of the Bagatin Polyclinic :