Rhinoplasty
Rhinoplasty and Septorhinoplasty in Sofia
Care built around you, 3D outcome modelling and refined techniques for natural beauty and confidence
Natural result
No scars or marks
3D result modelling
Fast recovery
Get a personal plan and a 3D result forecast
The consultation is non-binding
Harmonious
proportions
Natural
shape
Perfect balance
with your face
5.0 ★★★★★
Clinic rating
14 000+
successful surgeries
10+ years
Experienced doctors | ISHRS members
Lifetime guarantee
on the result
5.0 ★★★★★
Clinic rating
14 000+
successful surgeries
Lifetime guarantee
on the result
Get a personal plan
and a 3D result forecast
The consultation is non-binding
Rhinoplasty: before and after
Before and after photos, unretouched and unedited.
Irina, 24 — rhinoplasty
Anna, 22 — rhinoplasty
Angelina, 31 — rhinoplasty
Ivan, 25 — rhinoplasty
Valentina, 23 — rhinoplasty
Evgenia, 19 — rhinoplasty
Anna, 27 — rhinoplasty
Veronika, 26 — rhinoplasty
Kristina, 23 — rhinoplasty
Anna, 24 — rhinoplasty
Veronika, 34 — rhinoplasty
Yulia, 22 — rhinoplasty
Ivan, 41 — rhinoplasty
Evgenia, 27 — rhinoplasty
What the rhinoplasty price includes — $4,200
$4,200 instead of $6,000 is the rhinoplasty price at City Medical Centre. It already includes everything below — from the surgeon's work to follow-up visits and dressings.
The price is the same for all surgery types — open and closed rhinoplasty, tip correction, septorhinoplasty. Your first consultation is free, and the precise cost is confirmed once the surgeon examines you.
How rhinoplasty works
At the consultation you will see a realistic forecast
We review your face's proportions, let you see a 3D model of your future nose and design a personal surgical plan
Assessment of nasal anatomy and facial proportions
We analyse your nose and its harmony with your face
3D result forecast before surgery
We show how your nose will look after surgery
Personal surgery and recovery plan
We choose the best technique and explain recovery in detail
Answers on timing, recovery and contraindications
You get clear answers to every important question
Our operating room
Rhinoplasty takes place in the clinic's own operating room, carried out by a surgical team with an anaesthetist and constant monitoring.
Shot in the City Medical Centre operating room — no staging.
Your path to the perfect nose: from dream to reality
A complete guide from first consultation to recovery
Consultation and nose modelling
After examining your nose and discussing your goals, the doctor runs the required checks to choose the right correction method
Pre-surgery check-up
Pre-surgery, you need complete lab testing: complete blood count, biochemistry, coagulation panel, a chest X-ray and a sinus X-ray
The surgery
Using the selected method, the surgeon performs rhinoplasty under general or local anaesthesia and reshapes the nose
Step-by-step surgical process
The first step is a personal consultation with 3D modelling of the nose and an assessment of the septum and breathing. Next is pre-op preparation — tests, a CT scan, specialist consultations — and then the surgery itself.
- Anaesthesia — based on complexity, either classic general anaesthesia or TIVA (intravenous anaesthesia)
- Access — the surgeon chooses the open (external incision on the columella) or closed technique (all incisions inside the nose)
- Bone and cartilage correction — the ultrasonic piezo device keeps tissue and vessel trauma to a minimum
- Modelling the new nose — excess tissue is excised or a graft is added; the bridge, tip, nostrils or septum get a new shape
- Sutures — the material is atraumatic, self-absorbing or cosmetic
- Fixation — we place packing and an external splint to stabilise the form
Inpatient stay
We perform all procedures in the clinic's inpatient unit. After the operation you remain there one day
Recovery period
A recovery course follows surgery, covering swelling relief, monitoring of the nose and care guidance. Healing is usually complete in about 4 months, with first visible results after two weeks
Post-op check-ups
Until the end of the year, our plastic surgeon will see you for a free post-op consultation. The check-up covers evaluating the rhinoplasty result, monitoring recovery and answering all your questions
Consultation and nose modelling
After examining your nose and discussing your goals, the doctor runs the required checks to choose the right correction method
Pre-surgery check-up
Pre-surgery, you need complete lab testing: complete blood count, biochemistry, coagulation panel, a chest X-ray and a sinus X-ray
The surgery
Using the selected method, the surgeon performs rhinoplasty under general or local anaesthesia and reshapes the nose
Step-by-step surgical process
Rhinoplasty opens with a tailored consultation, 3D or 4D modelling of the nose and a septum and breathing assessment. Pre-op preparation comes next, with tests, a CT scan and specialist consultations, after which the patient goes into surgery.
- Anaesthesia — based on complexity, either classic general anaesthesia or TIVA (intravenous anaesthesia)
- Access — the surgeon chooses the open (external incision on the columella) or closed technique (all incisions inside the nose)
- Bone and cartilage correction — the ultrasonic piezo device keeps tissue and vessel trauma to a minimum
- Modelling the new nose — excess tissue is excised or a graft is added; the bridge, tip, nostrils or septum get a new shape
- Sutures — the material is atraumatic, self-absorbing or cosmetic
- Fixation — we place packing and an external splint to stabilise the form
Inpatient stay
We perform all procedures in the clinic's inpatient unit. After the operation you remain there one day
Recovery period
A recovery course follows surgery, covering swelling relief, monitoring of the nose and care guidance. Healing is usually complete in about 4 months, with first visible results after two weeks
Post-op check-ups
Until the end of the year, our plastic surgeon will see you for a free post-op consultation. The check-up covers evaluating the rhinoplasty result, monitoring recovery and answering all your questions
A surgeon you can trust
An experienced plastic surgeon focused on patients' health and beauty
Dmitry S. Kuznetsov
Plastic surgeon
- Residency, plastic surgery — Petrovsky National Research Centre of Surgery, 2024
- Residency in surgery — University of Medicine, 2021
- Participant of the 13th International ICTPS Congress, 2024
- Rated 5.0 by patients, 18 reviews
Patient video reviews after rhinoplasty
Patients describe their rhinoplasty at City Medical Centre in their own words: surgery and recovery.
Patient review 6 months after surgery
A patient on how her recovery went
Medical indications for rhinoplasty
Please speak with a clinic doctor if you live with chronic conditions!
Indications
Nasal polyps
A bulbous nasal tip
Asymmetric nasal cartilage or nostrils
Deviated septum
Significant breathing problems
A wide nasal bridge
A prominent dorsal hump
Saddle nose
Nasal injury
Contraindications to rhinoplasty
Infectious diseases
Mental health disorders
Cancer
Age under 18
Decompensated chronic diseases
Blood clotting disorders
Skin damage in the treatment area
Inflammation of the ears, throat, nose or eyes
Types of rhinoplasty: open, closed, septorhinoplasty
The most effective solution for you — found by us, with an excellent result delivered.
Closed rhinoplasty
Incisions are made inside the nose, so there are no visible scars.
Open rhinoplasty
A small incision on the columella lets the surgeon control the shape more precisely.
Septorhinoplasty
A joint surgery that corrects the septum and changes the nose's appearance
Revision rhinoplasty
A second correction after surgery that failed or only partly succeeded.
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Preparing for nose surgery
Begin getting ready 21 days before rhinoplasty so the surgery is successful. Your list of tests comes from our plastic surgeon at the first visit.
Complete blood count (including ESR, differential, platelets)
Urinalysis
Infection markers: HIV, HBsAg, anti-HCV, antibodies to Treponema pallidum
Blood type and Rh factor
Blood chemistry (total protein; urea; uric acid; creatinine; glucose; bilirubin: total, direct, indirect; ALT; AST; K; Na; Cl; cholesterol)
Coagulation panel (Quick prothrombin, INR, aPTT, D-dimer, antithrombin III)
Electrocardiogram (ECG) with report
Doppler ultrasound / duplex scan of the leg veins
Chest X-ray or fluorography with report
CT scan of the paranasal sinuses
After the full lab work-up — a physician's report confirming no contraindications to surgery
3–5 days before surgery you need to
- Stop smoking and drinking alcohol
- Skip salty, fatty, fried and spicy food that causes swelling; stop blood-clotting-affecting medications (discuss this with your doctor first)
- Limit physical activity
- Pass on cosmetic treatments that damage the skin, e.g. scrubs, peels, etc.
Important!
- Each test must be on a separate form
- The facility's stamp and doctor's signature are required
- Purchase class 2 compression stockings beforehand for the inpatient stay
- At least 6 hours before the scheduled time on the day of surgery, stop all food and drink
- If you have a chronic condition or are regularly monitored by a specialist, get their clearance for elective surgery under general anaesthesia
Recovery after rhinoplasty: stages and advice
Recovery following nose surgery is equally as important as the surgery. How aesthetic and harmonious the end result becomes depends on proper recovery. City Medical Centre follows recovery closely, dividing it into three phases: early, middle and late
Early phase
- For 24 hours following rhinoplasty, the patient remains under observation in the inpatient unit
- Days 1–3: you breathe by mouth while splints sit in the nostrils
- Swelling occurs, and congestion or bruising is possible
- Day 7: the splints are removed. The aluminium splint remains up to 14 days; stitches are removed on day 14 along with it
- No bending over, touching your nose or wearing glasses
Middle phase
- The swelling decreases step by step; the tip and bridge may still be swollen
- For the month: no training, bathhouse, sauna, pool, hot baths or sunbathing
- Sleep only on your back, half-sitting
- Avoid glasses and makeup around the nose
Late phase
- Mild congestion may be felt for 1–1.5 months after nose surgery
- The nose takes its final shape in 1–1.5 years
- Keep seeing your surgeon during this time
Early phase
- For 24 hours following rhinoplasty, the patient remains under observation in the inpatient unit
- Days 1–3: you breathe by mouth while splints sit in the nostrils
- Swelling occurs, and congestion or bruising is possible
- Day 7: the splints are removed. The aluminium splint remains up to 14 days; stitches are removed on day 14 along with it
- No bending over, touching your nose or wearing glasses
Middle phase
- The swelling decreases step by step; the tip and bridge may still be swollen
- For the month: no training, bathhouse, sauna, pool, hot baths or sunbathing
- Sleep only on your back, half-sitting
- Avoid glasses and makeup around the nose
Late phase
- Mild congestion may be felt for 1–1.5 months after nose surgery
- Final nose shape is reached in 1–1.5 yearsRemain under your surgeon's supervision in this period
What not to do after rhinoplasty
Remove dressings or splints yourself
Take hot baths or use a tanning bed
Exercise or do heavy physical work
Smoke or drink alcohol for at least a month
Press on your nose, wear glasses or sleep face down
For quicker recovery and an ideal result after rhinoplasty, we advise
- Keep a regular rest and sleep routine
- Humidify the air indoors
- Take a course of microcurrent or ultrasound therapy.
- Follow the prescribed diet, avoid salty and spicy food
Complications and risk management
Popular and well-established as nose surgery is among aesthetic procedures, it still carries certain risks, like any surgery. Our clinic keeps the chance of complications after rhinoplasty to a minimum with thorough pre-op preparation and post-op monitoring.
Possible complications after surgery
Swelling and bruising
A normal body reaction, but excessive cases need monitoring
Bleeding
May develop in the early days, above all if restrictions are ignored
Infection
An extremely rare complication caused by poor hygiene
Nose shape irregularities
Asymmetry, septum shift, uneven cartilage fixation
Impaired breathing
May arise from excessive removal of tissue or individual anatomy
Thick scarring
More common with open rhinoplasty and a tendency to keloids
Psychological disappointment
More common in patients with unrealistic expectations
How to avoid complications after rhinoplasty?
- Choose an experienced surgeon. Skill and experience of the doctor are crucial for safe rhinoplasty.
- Full diagnostics before surgery. Covers tests, CT, ECG and exams by the surgeon and anaesthetist.
- Follow the recovery regime. Never remove the dressing on your own or touch the nose; stay away from sport, sun, alcohol and cigarettes.
- Antibiotic prophylaxis. Prescribed when indicated to prevent infection.
- Check-up visits. Seeing your surgeon regularly catches the tiniest deviations and corrects them in time.
- Psychological readiness. Understand that the final result will be visible in 1–1.5 years.
Important: seek your doctor immediately if you have difficulty breathing, severe pain, high fever or any shape change after rhinoplasty.
Rhinoplasty at City Medical Centre is done with modern technologies and safe materials, under constant medical supervision that minimises complication risk.
How to avoid complications after rhinoplasty?
- Choose an experienced surgeon. Skill and experience of the doctor are crucial for safe rhinoplasty.
- Full diagnostics before surgery. Covers tests, CT, ECG and exams by the surgeon and anaesthetist.
- Follow the recovery regime. Never remove the dressing on your own or touch the nose; stay away from sport, sun, alcohol and cigarettes.
- Antibiotic prophylaxis. Prescribed when indicated to prevent infection.
- Check-up visits. Seeing your surgeon regularly catches the tiniest deviations and corrects them in time.
- Psychological readiness. Understand that the final result will be visible in 1–1.5 years.
Important: seek your doctor immediately if you have difficulty breathing, severe pain, high fever or any shape change after rhinoplasty.
Rhinoplasty at City Medical Centre is done with modern technologies and safe materials, under constant medical supervision that minimises complication risk.
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Rhinoplasty — prices
There is no charge for the first consultation, where the surgeon confirms the exact cost after an exam.
Service
Discounted price
Rhinoplasty:
frequently asked questions
When is the best time for rhinoplasty?
Surgery is best done at 18 to 45, when the nose has finished forming and tissues still heal well. If medically indicated, it can be done later in life, provided your general health allows
How do I prepare for rhinoplasty?
Preparation means plastic surgeon consultations, lab tests (CBC, biochemistry, coagulation, infection tests), ECG, a chest X-ray, and nasal X-ray or CT imaging. A week before surgery, cut out anticoagulants, alcohol and smoking. Eat light the day before and fast 6 hours before surgery
Rhinoplasty vs septoplasty: what's the difference?
Rhinoplasty — surgery that changes how the nose looks (for aesthetic reasons) and improves its function if breathing is affected.
Septoplasty — surgical correction of the nasal septum to restore normal breathing, without changing the outer contour of the nose.
Often both surgeries are combined, especially when a patient has a deviated septum and aesthetic concerns. This gives a harmonious look and restores full breathing. At City Medical Centre . we do rhinoseptoplasty — a combined surgery that tackles both tasks at the same time
What are the risks of rhinoplasty?
Any operation carries possible swelling, bruising, infection, bleeding, temporary breathing problems and minor asymmetry. To keep risks minimal, City Medical Centre employs modern techniques, anaesthesia and equipment, plus post-op monitoring and recovery therapy
When will I see the result?
Early improvements become visible when swelling subsides (2–3 weeks); the final result of rhinoplasty is judged in 1–1.5 years, after tissues fully stabilise
Can I breathe through my nose after surgery?
Splints or swelling may partly obstruct the nasal passages in the first days after surgery. Within 1–2 weeks full breathing usually returns, depending on the extent of the surgery and your body
Will there be visible scars?
In closed rhinoplasty all incisions are internal, so no external scars remain. Open rhinoplasty leaves a barely visible scar on the columella (the bridge between the nostrils) that fades almost completely with time. Our doctors use microsurgical techniques and quality sutures to keep scarring minimal
How much will rhinoplasty change my appearance?
Rhinoplasty makes facial features more harmonious and improves aesthetics without losing individuality. With 3D modelling you can see the predicted result in advance and agree on the changes with your surgeon
Rhinoplasty cost at City Medical Centre?
City Medical Centre offers rhinoplasty for $4,200 instead of $6,000 with the current discount. First consultation is free.
What does the rhinoplasty price depend on?
The price depends on how extensive the surgery is and is determined at the consultation: the doctor states the exact price after examining your nose and facial proportions.
What does the rhinoplasty price include?
Surgery under general anaesthesia, one day spent in the inpatient unit, ongoing doctor monitoring and a free post-op check-up. The clinic gives a lifetime guarantee on the result.
How much is a consultation?
The first consultation at City Medical Centre is free. The doctor examines your nose, assesses facial proportions and names the exact cost of surgery.
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Rhinoplasty: the art of harmony and function
Rhinoplasty (nose job) —
one of the most delicate and popular plastic surgeries, performed to reshape the nose according to the individual proportions of the nose and the face as a whole. Modern rhinoplasty is not merely a cosmetic change to the nose but complex surgical work to achieve an aesthetic ideal safely for health.
What is rhinoplasty, or nose reshaping surgery?
Fundamentally, rhinoplasty offers a comprehensive solution. It treats congenital and acquired nasal deformities alike, for example those caused by a nasal injury. Common complaints are a dorsal hump or an overly wide nose. Correction can also address the nasal tip (tip rhinoplasty) or the nostrils (alar rhinoplasty). Every patient receives an individual surgery plan that accounts for all features of the nose.
How is the surgery performed?
Rhinoplasty is performed under general anaesthesia and takes 1.5 to 3 hours depending on complexity. There are two main approaches: open rhinoplasty and closed rhinoplasty. Open rhinoplasty involves a small incision on the columella (the tissue between the nostrils), giving the surgeon a full view of all nasal structures. Closed rhinoplasty is done through incisions inside the nose and leaves no visible scars.
The surgeon selects the technique according to your goals. Correcting an upturned nose or complex reshaping of the nasal bones and bridge, for instance, often calls for the open approach.
Recovery and results
Post-surgery, the nose needs proper care. The surgeon places an aluminium splint on the nose and special silicone splints inside it. In the first days nasal function is limited, yet it recovers fast. You can judge the final rhinoplasty result in 1–1.5 years, after swelling fully goes down.
Why trust the professionals?
Rhinoplasty is a big step. When done well, it gives a new nose that blends perfectly with your features and works flawlessly. Every parameter is assessed in detail by the surgeon at the consultation — nose size, tip projection, the septum and nasal lining. 3D modelling lets you see your future nasal proportions before rhinoplasty is performed.
Instead of just searching the web for rhinoplasty photos, book a consultation to discuss what modern rhinoplasty can and cannot do for you. We specialise in correcting external nasal deformities and nose reshaping.
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Other services at our clinic
Nose reshaping in Sofia: a practical guide
Rhinoplasty covers several procedures. Tip rhinoplasty targets the nasal tip, alar rhinoplasty the nostrils, septorhinoplasty the septum together with the outer shape, and revision surgery corrects an earlier unsuccessful result. Revision is more complex and is done no earlier than a year after the primary operation. The plan for each person from Sofia is built around their anatomy and wishes.
Everything starts with a consultation and nose modelling: the doctor assesses your anatomy, discusses wishes and chooses the correction method. Patients from Sofia then complete a lab work-up — blood count, biochemistry, coagulation panel, infection tests, ECG, chest X-ray and a CT scan of the sinuses. Surgery lasts 1.5 to 3 hours under general anaesthesia, followed by one day in the inpatient unit.
Start with a free, non-binding consultation: you get an assessment of nasal anatomy, a 3D forecast and answers on recovery. If you decide to proceed, rhinoplasty costs $4,200, including the operation, inpatient stay, follow-up visits and dressings, with a lifetime guarantee on the result. Patients from Sofia can send a request online or message a coordinator.
Get a consultation
Apply before the end of the year and get a consultation on us!
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