Every third person on the planet has thought at least once about nose correction. 70% of patients choose rhinoplasty because they are 100% dissatisfied with their appearance and want to solve aesthetic problems: remove bumps, make the nose thinner, smaller, softer. 30% of patients opt for rhinoplasty for medical reasons - nasal injury, difficulty breathing, nasal deviation or frequent sinusitis.
Problems with the shape of the tip of the nose are not uncommon. But do not be afraid, everything can be fixed. If figure defects can be corrected with clothing, diet or sports, then you should contact a plastic surgeon to correct the nose or lips.
We will talk about all the features of the procedure, preparation for plastic surgery and other important stages in this article.
Indications and contraindications: medical, aesthetic, indirect, absolute
Rhinoplasty is a surgical procedure that lasts 1-2 hours. As a result, the patient's appearance changes and the face becomes more attractive. Before performing the plastic surgery, it is necessary to agree on all the points with the doctor and be fully prepared for its implementation: to pass tests, to follow a diet, to give up cigarettes and alcohol at least a week before the operation.
Indications for surgery
Indications for the procedure are congenital and acquired.
Congenital indications for plastic surgery are various aesthetic as well as physiological defects: hook-shaped tip, fork, thick or drooping, its lateral displacement, very wide or narrow nostrils.
Surgery may be necessary after injuries or illnesses in which a curvature of the nose occurs, as well as in case of difficulty in breathing due to organ structure or age-related changes (skin aging). The above indications are considered acquired.
To restore or correct the tip of the nose, you should consult a surgeon, if surgery is necessary, cartilage density, skin and tissue thickness, length, width of the nose and other factors will be taken into account. The wishes of the patient are always taken into account, and also realized as much as possible, but the final decision is made together with the doctor, because excessive removal of cartilage can lead to poor health.
Before surgery, you should examine the nasal cartilage and also make sure that the skin in the area of the respiratory organ is healthy - there are no inflammations or signs of infections.
Contraindications to surgery
Nose tip correction is a serious procedure, it should be run consciously. What are the contraindications to the procedure?
- AgeThe operation is performed from the age of 18 years. At this age, tissue formation occurs completely. However, surgeons recommend correcting the tip of the nose between the ages of 20 and 35. It is then that bone and cartilage formation is complete, the skin is elastic and regenerates as the procedure is active.
- Problems with blood clotting.When a patient has poor blood clotting, the risk of surgery is higher than usual and therefore it is better to refuse to perform it.
- Exacerbation of chronic diseases.Surgeons do not recommend performing surgery during the aggravation of diseases. It is better to wait until the health condition normalizes and undergo an examination. Only in case of positive test results can be decided for rhinoplasty.
- Viral diseases, infections, inflammations.It should be remembered that if there are at least minimal health problems, it is better to postpone the operation until complete recovery.
- Oncology.Rhinoplasty is contraindicated in patients with oncology.
- Menstruation.Surgery is contraindicated during menstruation. Correction is desirable to be done within two weeks after the end of menstruation.
Contrast is also contraindicated to perform plastic surgery during pregnancy or lactation. Prior to surgery, the patient should be examined and tested in order to provide the necessary preparation for rhinoplasty.
Other ways of correction. Why rhinoplasty is the safest method
To correct the nose, surgeons use different surgical techniques depending on the client's wishes and the result the patient expects to receive. However, you can find other methods for correcting the tip of the nose in the mesh.
clip
In online stores you can find so-called "nose correction piles". Manufacturers ensure that when you wear concealers 2-3 times a day, the effect will be noticeable, comparable to performing a surgical intervention. But, naturally, this is far from the truth. For nose correction, clips or other devices from pseudo-specialists will not work. If there is any effect, it will be short-lived - for 2-3 weeks, and the correction is insignificant.
exercise
There are a number of exercises for the face that allow you to correct its shape. These exercises are useful for maintaining muscle tone, cheekbones and double chin, but they will not work to correct the shape of the cartilage. The effect after systemic exercise lasts for 2 weeks.
Thread correction
The threading technique is performed by a specialist with a special needle through micro-drilling. Specially designed cut fibers are inserted into the skin of the nose, which form a frame. The threads are inserted through small drills, and the frame holds it in position. After two days, the doctor removes the ends of the threads and the patient sees the final result, which lasts for about 3 years.
Use of hormonal drugs
To correct the tip of the nose, you can also take a course of hormonal medication administration. First of all, you should consult an endocrinologist. If there are no contraindications, a hormonal medication may be administered. This procedure is performed to remove excess soft tissue and lift the tip. For correction, you should undergo a course of procedures that will last from 2 to 3 weeks. It is worth noting that the drugs give a temporary effect - from 3 months to 2 years, depending on the drug chosen.
Surgical correction
According to experts, rhinoplasty is the most reliable and effective way of correction. Unlike previous methods, rhinoplasty provides a lasting result. The procedure lasts 1-2 hours under local or general anesthesia. Main advantages of the operation:
- all possible correction options (lower or raise the tip, reduce, straighten or narrow the tip of the nose);
- elimination of breathing problems;
- result of life;
- injury correction, birth defects.
3 techniques for performing the operation. What is the difference
There are several types of rhinoplasty: classical closed, open and hybrid methods. Surgeons use different types of plastic surgery depending on the result to be achieved, the shape of the nose, the position of the bone and cartilage tissue, and other factors.
A feature of the classic closed plastic surgery is that it can be used to correct the dorsum of the nose, but correcting the tip will be more difficult than using an open one. In the case of this method, incisions are made inside the nasal passages and entry to the tip is only possible when the cartilage is removed in the incision. But there is a plus - no visible signs remain after surgery. Closed plastic is suitable for removing a lump or correcting bone tissue in case of its bending.
In the case of an open operation, the surgeon makes an additional incision between the nostrils. This contributes to better access to the structures of the nose, wide possibilities for changing its size and shape. The mark after the procedure will be almost invisible and small. With this method, you can reshape the tip of the nose more effectively (compared to the closed method). Its disadvantage is the possible formation of a small scar on the outside of the nose and a longer healing period. The scar becomes smaller after two months after surgery, and can also be removed with the use of healing agents and creams, which the surgeon will recommend to you, if necessary.
Since the above methods have their drawbacks, surgeons have developed a combined plastic technique. When you use it, incisions are made inside the nose, which are characteristic of both methods, but, unlike the open method, there are no external incisions in the skin.
The combined method (also known as "hybrid") has been developed taking into account all the advantages and disadvantages of closed and open methods.
The main advantages are the ability to change the structure of the nose as much as possible and leave no visible scars. Healing after the combined method occurs within 2 weeks and there are no visible signs on the skin.
When using the hybrid method, the surgeon has the opportunity to make corrections during the operation, as well as to control the desired result, avoiding the possibility of excessive or insufficient correction. The combined method has only one drawback - it is more complicated from a technical point of view.
A few words about something important. Preparing for surgery
Before performing rhinoplasty, you must undergo training. You will need to consult a plastic surgeon to discuss the desired changes. The surgeon examines the nose and explains the reality of getting the desired result. During the consultation, questions are discussed about the limitations, the operation, the features of its preparation, the rehabilitation after it, as well as the possible complications.
Prior to surgery, the patient should be examined to ensure that there are no contraindications and to undergo the following tests:
- blood for HIV infection and hepatitis C and B;
- clinical blood test;
- blood biochemistry;
- laboratory analysis of urine;
- prothrombin index analysis;
- fluorography;
- electrocardiography;
- test for tumor markers;
- radiograph.
Also, the patient should listen to the doctor's recommendations and adhere to them. Avoid drinking alcohol a week before surgery, stop smoking, do not use blood thinners, do not drink water or eat food for five hours before the procedure. It is important to refrain from spending active time and walking in the scorching sun two days before rhinoplasty.
In the course of the operation and its main stages
Rhinoplasty is performed under general or local anesthesia. The choice of the type of anesthesia depends both on the wishes of the client and on the features of the operation, as well as on the method that the plastic surgeon will use during his performance. The patient can always express his wishes regarding anesthesia, but the final decision is made by the doctor. The process and quality of rehabilitation after rhinoplasty also depends on the choice of the type of anesthesia.
Local anesthesia is used in case of minor nasal correction with hormonal injections, fillers or sutures. These correction methods do not cause severe pain, so general anesthesia is not required in most cases. But this type of anesthesia is practically not used in rhinoplasty, when the surgeon needs to touch the bones of the nose or cartilage.
General anesthesia is used by the surgeon in most cases. This type of anesthesia allows you to completely avoid pain during surgery and the patient will have no recollection of the surgery.
The operation lasts 1-2 hours. After anesthesia, the surgeon makes an incision in the skin or mucosa. Depending on the wishes of the patient and the specific case, the doctor chooses an open or closed method for surgery.
During rhinoplasty, the doctor separates the soft tissues of the nose from the bone and cartilage in the nasal cavity. He then performs the movement of the cartilaginous and bone fragments, modeling a new shape of the nose. After the manipulations, the plastic surgeon places absorbable sutures into the skin or mucous membranes, depending on where the incision was made. The next step is to tampon the nasal passages with large gauze pads. The final stage of the operation is the placement of a fixing cast iron.
The type of incision is chosen by the surgeon depending on the structure of the nose, the complexity of the procedure and the surgeon's preferences at work. The cut can be axial, perpendicular, oval or angular.
Rhinoplasty itself is performed by three main methods: open, closed and combined. The characteristics of each of the methods are described in the paragraph "types of operation"
The choice of plastic surgery method is presented to the patient directly, but doctors recommend choosing methods with the lowest level of trauma. Surgeons say that less traumatic methods are closed and combined, as in the case of their use, the incision is smaller and the postoperative healing is faster.
Surgeon's recommendations in the postoperative period. How to avoid complications
Rehabilitation after surgery is on average 20 to 25 days. If rhinoplasty is performed under general anesthesia, the patient should also be hospitalized for 24 hours after surgery.
For three days after surgery, gauze or cotton swabs should be in the nasal cavity to ensure the immobility of the new forms and to prevent swelling. On day 5-8 (depending on the speed of healing) after the plastic, the suture material is removed. After a week or 10 days, the patient is removed from the cast, the hematomas and swelling begin to gradually disappear.
Doctor's recommendations in the postoperative period:
- Sleep on your back, be sure to use a high pillow.
- To reduce the level of discomfort associated with dry mouth (as one of the possible consequences of the procedure), use special solutions or pastes to soothe.
- Do not abuse alcohol and smoking.
- Refuse trips to the spa, solarium, sauna.
- Do not wear glasses.
- It is forbidden to charge yourself with physical activity.
- Temporarily stop eating hot foods and drinks.
- Do not touch, cook or feel your nose.
Possible complications
Complications after rhinoplasty are rare. Some of them appear immediately after correction, while others occur in the later stages of healing. Natural complications include edema and bruising. External signs of puffiness disappear within a week after plastic surgery, deep puffiness disappears after six months. Difficulty breathing disappears on its own 10 days after surgery.
In order to protect yourself as much as possible from possible complications, it is important to carefully choose a specialist, clinic and provide complete information about your health status, injuries or illnesses, if any. The final result of the performed surgery also depends on the strict observance of the doctor's recommendations during the rehabilitation period.
cONcluSiON
Rhinoplasty is used by women and men of all ages. Surgeons advise performing surgeries to correct the tip of the nose at a young age and not push it. It is important to undergo a full course of examination to make sure there are no contraindications to plastic surgery. The most popular indications for rhinoplasty are:
- nose tip correction (large, sharp or round);
- a long nose;
- wide nasal bridge;
- raising the tip of the nose or narrowing it;
- elimination of asymmetry;
- gulçim;
- elimination of the consequences of injury or poor quality rhinoplasty;
- nose tip correction.
If the patient has a small defect, the operation is performed under local anesthesia. In 90% of other cases, rhinoplasty is performed under general anesthesia. The procedure itself takes from one to two hours. The method of performing the procedure (open or closed) is based on many factors. These include the complexity of the nose defect and the wishes of the client. But the final decision remains with the plastic surgeon.
The quality of rhinoplasty and the final result depends directly on the choice of a specialist and clinic, so we must approach this completely.