Aesthetic correction and nose surgery

NOSE CORRECTION

 

Aesthetic nasal correction is one of the most complex surgical procedures. Nose intervention is expressed comprising the reduction of the nose bridge, change the size of the nose, the tip of the nose, the width of the nostril, the angle between the nose and upper lip and nose unevenness. In addition to the aesthetic, surgery can also have a functional character when correcting breathing disorders is most often caused by a distorted nasal bulkhead. It also includes both congenital deformities as well as those resulting from injuries.

We do not propose an intervention before the age of 18 when the facial structure ends its growth.

It should be noted that the input parameters as the size and shape of the nose are limiting because excessive changes can lead to poor aesthetic and ultimately functional results.

 

PREOPERATIVE PREPARATION

 

General health check and basic laboratory analysis are mandatory for all patients. The surgeon must be familiar with all health problems, breathing difficulties, allergic reactions, previous operations and nasal injuries, taking medication, sports activities, etc. During preoperative preparation, photo documentation should be completed, it is completed with photos during and after surgery, as well as during rewinding.

 

SURGERY

 

  • Anesthesia: Nasal correction is an operation that is performed in general endotracheal anesthesia. Less restricted interventions can be performed in local anesthesia and intravenous sedation.
  • Duration: The duration lasts from one to two hours depending on the complexity of the operation.

 

POSTOPERATIVE FLOW

 

After surgery, the patient lies with a mild head and cold coat over the eyes to reduce the expected mild swelling. If the fracture of the nasal bones is performed, the swelling is more pronounced, with a blood streak. Tampons of the nasal hallway are removed first or second day in order to facilitate breathing.

The pains are minimal and are easily controlled by medications. The nose is fastened with patchwork or gypsum mask, which is removed from the fifth to the seventh day after surgery. Threads of the cuts spontaneously fall off and no removal is required. The bloodstreams from the face gradually fade and disappear from three to five days after surgery. Returning to work can be expected after two weeks. In the first month, more intense physical activities and situations in which there is a risk of injuries to the nose should be avoided. The final results are estimated only after a year.

 

COMPLICATIONS

 

Possible complications in terms of bleeding or infections are very rare. Minor asymmetry and irregularity is possible within the first year. Secondary corrections are recommended only after a year of surgery.

 

PRICE 1250 € – 2000 €

Dr. Nedžad RUSTEMPAŠIĆ
Vascular surgery

Objavio je preko 30 stručnih radova iz oblasti vaskularne hirurgije u referentnim naučnim časopisima. Kao autor/koautor napisao je 5 knjiga iz oblasti vaskularne i opće hirurgije od kojih je njegova knjiga o laserskom tretmanu proširenih vena koja je napisana  2016.g. ujedno i  prva knjiga na ovu temu u regiji. Dugogodišnji je edukator velikog broja vaskularnih hirurga u čitavoj BiH  a u zvanju docenta predavao je na Katedri za hirurgiju  na Medicinskom fakultetu u Sarajevu.

Uradio je preko 3000 operacija na krvnim sudovima a tokom svog dvadesetogodišnjeg angažmana na KCUS-u obavljao je funkciju šefa Odjela za vaskularnu hirurgiju i šefa Klinike za vaskularnu hirurgiju. Kao član transplantacionog tima uspješno je obavljao transplantacije bubrega uključujući i prvu nesrodnu transplantaciju bubrega u istoriji KCUS-a. 

Prvi je vaskularni hirurg iz BiH koji je započeo sa tretmanom proširenih vena savremenom laserskom metodom od 2011. god.

Obrazovanje

  • 2000. god. - Doktor medicine
  • 2006. god. - Specijalista opšte hirurgije
  • 2010. god. - Subspecijalista vaskularne hirurgije
  • 2010. god. - Magistar medicinskih nauka
  • 2013. god. - Doktor medicinskih nauka

Dosadašnja stručna edukacija:

  1. 2006. god. NAL Hospital, Throllatan, Švedska - usavršavanje hirurške tehnike iz oblasti vaskularne hirurgije.
  2. 2007. god. Brno, Bolnica Sveta Ana, Češka Republika, usavršavanje hirurške tehnike iz oblasti vaskularne hirurgije.
  3. 2007. god. Bolnica Zvezdara, Beograd, Srbija workshop:Konstrukcija AVF (arteriovenske fistule) za potrebe hemodijaliznog tretmana.
  4. 2009. god. Oslo, Norveška, Edukacija u sklopu Evropskog udruženja vaskularnih hirurga:  Kurs kolor doplera pregleda ekstremitetnih i vratnih arterija.
  5. 2009. god. Oslo, Norveška. Edukacija u sklopu Evropskog udruženja vaskularnih hirurga: Praktično usavršavanje karotidne endarterektomije.
  6. 2010. god. KCUS, NIR, škola (kurs ) kolor doplera
  7. 2011. god. Bolnica Nal, Trollhattan, Švedska - bazični kurs za endovaskularne intervencije.
  8. 2011. god. Ljubljana, Slovenija, Odjel kardiovaskularne hirurgije, Univerzitetsko klinički centar Ljubljana, Slovenija: Usavršavanje hirurške tehnike iz oblasti vaskularne hirurgije.
  9. 2011. god. Maribor, Slovenija,  Odjel za vaskularnu hirurgiju Univerzitetsko klinički centar Maribor: Usavršavanje hirurške tehnike iz oblasti vaskularne hirurgije.
  10.  2012. god. Bolnica Nal, Trollhattan, Švedska: Obrada podataka za izradu   doktorske disertacije pod mentorstvom prof. dr Johana Tjarnstroma, šefa  vaskularne hirurgije Regionalne bolnice NAL.
  11. 2012. god. Istanbul Turska; trening za laserski tretman proširenih vena i tretman proširenih kapilara (prof. dr Kürşat Bozkurt).
  12.  2013. god. Beograd, Srbija. Laserski tretman proširenih vena (Dr Petar Dragić).
  13. 2014. god. Maastricht, Nizozemska, Evropski venski centar za trening Evropskog udruženja  vaskularnih hirurga: Savremeni endovaskularni tretman proširenih vena
  14. 2015. god. Bon, Univerzitetska Klinika, Njemačka, Savremeni endovaskularni tretman proširenih vena
  15. 2015-2016. god. Federalno ministarstvo zdravstva BiH i Ekonomski fakultet u Sarajevu: Edukacija  iz zdravstvenog menadžmenta  ( SHCE 1,2,3 )
  16. 2017. god. Riga, Latvija, Internacionalni flebološki master kurs, endovenska termalna ablacija u modernom tretmanu proširenih vena