Rhinoplasty in Brussels: Aesthetics and Breathing

Rhinoplasty is one of the most demanding procedures in facial plastic surgery. It aims to harmonise the nose with the rest of the face while preserving — or restoring — optimal nasal breathing. Dr de Vooght tailors the technique to each patient’s anatomy and goals: open or closed approach, preservation or structural technique, and the use of ultrasonic (piezo) rhinoplasty when the bony work justifies it.

Main Indications

  • Dorsal hump, drooping or wide tip, deviated nose, overly flared nostrils.
  • Post-traumatic deformities (septal deviation, old fracture).
  • Chronic nasal obstruction from septal deviation or collapsed valves.
  • Revision rhinoplasty (correction of a prior procedure).

A Surgical Approach Tailored to the Case

The surgical access (open or closed) and the reshaping technique (structural or preservation) are chosen after a precise analysis of the nasal anatomy and the patient’s goals. When complex bony reshaping is required — significant hump, multiple osteotomies, asymmetry — ultrasonic rhinoplasty (Piezotome) is used: it fragments the bone in a controlled, atraumatic way, reducing post-operative bruising and swelling. Where anatomy allows, preservation rhinoplasty can be offered, conserving the patient’s natural dorsum.

Recovery

Surgery lasts 2 to 3 hours under general anaesthesia, with a short hospital stay. A nasal splint is worn for 7 days. Periorbital bruising fades within 10 to 14 days; the result stabilises over 12 to 18 months. Social return is typically possible after 2 weeks; contact sports after 6 to 8 weeks.

Combined Septoplasty

When septal deviation is diagnosed, the functional component (septoplasty, valve correction) is combined with rhinoplasty to address both aesthetics and breathing in a single procedure.

Revision Rhinoplasty

Revision rhinoplasty is approached with extreme caution. A previously operated nose has an altered anatomy — weakened or missing cartilage, internal scar tissue, sometimes thinner or fibrotic skin — which radically changes the surgical strategy, prolongs recovery and makes any outcome harder to predict. An assessment and an opinion are possible after an in-depth consultation, review of any previous operative reports when available and standardised photographs; surgical indications for revision are set with great restraint and after a deliberate reflection period. It is not uncommon that the conclusion is to refrain from operating again.

The Skin Practice

Allée de la Minerva 6
1150 Woluwe Saint-Pierre, Belgium
+32 (0) 2 315 12 40

Delta Hospital

Boulevard du Triomphe 201
1160 Auderghem, Belgium
+32 (0) 2 434 81 17

Centre Médical Edith Cavell

Rue Général Lotz 37,
1180 Uccle, Bélgica
+32 (0) 2 434 81 01

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