What is rhinoplasty or nose surgery?
This is one of the most widespread and ancient operations (first performed in 1000 BC) in the world.
It represents an entire section of reconstructive surgery that combines methods of surgical correction of the shape and size of the nose by replacing congenital or acquired defects in this part of the face with cartilage-cartilage tissue obtained from the patient.
Nose surgery transforms the patient and is considered one of the most effective methods for changing appearance.
Types and indications for
The nose is an olfactory organ, which has a very complex anatomical structure. Surgical correction of this part of the body is considered one of the most difficult plastic surgeries in the world, because the doctor needs not only to change its appearance, but also to maintain its functionality (in some cases, such a procedure leadsin a curvature of the osteochondral septum, causes difficulty in breathing through the nose or loss of smell). Therefore, before performing it, surgeons recommend that their clients think carefully and answer the question of whether it is worth doing rhinoplasty or not (except when the irregular shape of the nose causes respiratory disorders and can cause hungeroxygen to the brain). The optimal age for performing is 20-30 years old, but in case of breathing problems or after severe physical injuries, it is performed earlier.
Main indications:
- disproportionate size of the respiratory organ in relation to the whole face;
- turbine hypertrophy;
- damage or deformities to the bone or cartilage tissue in the area of the osteochondral septum, its bending;
- asymmetrical nose tip, fork or very raised;
- "Hump";
- shortness of breath or difficulty breathing;
- dissatisfaction with the result of the previous plastic.
There are several types of rhinoplasty, which are classified depending on the purpose and technique of the procedure:
- tip of the nose - a method of surgical correction of the shape or elimination of asymmetry (separation) of the tip of the nose;
- grafting (autotransplantation) - during the procedure, the doctor enlarges and, if necessary, extends a very small nose by transplanting cartilage tissue taken from the ear area;
- reduction - a method of surgical intervention, which aims to correct the shape and size of turbines;
- back extension - removal of bumps on the back of the nose;
- septoplasty - a surgical method to correct a deviated nasal separation;
- augmentation - a surgical method of correcting the shape of the bridge of the nose in order to eliminate the effect of "flattening";
- non-surgical rhinoplasty - non-surgical correction of the shape, size and proportionality of the nose by injecting fillers (nasal contour plasty), use of resorbable hormonal drugs that destroy bone-cartilage tissue in the nasal septum, or with the help of Aptos Fibers (raising the strands of the wings and the tip of the nose).
How is the preparation for the operation going?
Before the procedure, the patient should visit a plastic surgeon who will take measurements of the respiratory organ, determine the amount of work to be done, simulate the supposed result of the operation on a computer using a special program (computer modeling helpsdoctor to better understand the client's wishes) and write a recommendation for the following tests:
- general and clinical blood test;
- electrocardiogram (with decoding);
- fluorography;
- tests for AIDS, HIV or hepatitis;
- tomography of the paranasal sinuses.
Two weeks before the procedure, you should stop smoking and stop taking blood-thinning medications. No food or drink is allowed 12 hours before surgery (a light dinner is allowed the night before).
Before the procedure, doctors recommend resting well and sleeping (this will help calm the nervous system).
Technique depending on the method
Immediately before the procedure, the client signs an agreement with the plastic surgery clinic, which contains his consent for the operation, the cost of the procedure and its type, the name and surname of the anesthesiologist and plastic surgeon and the information that the patient is familiar with the possibility of developingpostoperative complications and their methods. treatment. After that, the person is sent to the operating room, the face is cleaned with lotion, the piercing is removed (if any) and, if necessary, the preoperative marking is done with a special marker. The operation is performed under general intravenous or endotracheal anesthesia and lasts 1-2 hours.
There are two methods of performing rhinoplasty: open and closed.
Open rhinoplasty
Open rhinoplasty is a procedure during which the doctor makes an incision in the columella (the part of the skin located between the nostrils), corrects the shape of the nasal structures, and finally places some cosmetic sutures on the skin. This method of surgical intervention is used to correct serious damage and deformities of the nasal cavity, and to reconstruct bone and cartilage tissue using autografts.
Closed rhinoplasty
Closed rhinoplasty is a procedure in which the surgeon makes an incision inside the nasal cavity, separates the soft tissue from the osteochondral frame, performs a series of surgical procedures to change the shape of the nose, and then sutures the mucous membrane with self-absorbing sutures. less traumatic method of plastic surgery, after which complications rarely occur and scars remain.
After an unsuccessful first operation or in case of an outcome that does not suit the client, doctors perform a second (secondary) rhinoplasty. This is a more complex (technically) procedure that requires certain skills and practical experience from the surgeon, it is performed under general anesthesia and requires the same preparation as the primary plastic. It is done no earlier than one year after the previous surgical intervention.
Recovery period and results
The rehabilitation period lasts 3-4 weeks, but the patient spends one day in the hospital. Immediately after surgery, a tampon is inserted into each nostril, which the surgeon removes after three days, and a plaster cast is placed in the nose (removed after ten days). After removing the tampons, the doctor prescribes the drops to the patient in order to eliminate postoperative edema and accelerate soft tissue healing. Swelling and bruising disappear completely after 1. 5-2 months. The preliminary result is evaluated after 6-8 months, the final result - after 12. The signs after rhinoplasty are visible for the first three months, then they become almost invisible.
Postoperative recommendations:
- two weeks after surgical correction, you should sleep on your back;
- for the first few weeks, you can not visit the sauna, swimming pool, solarium, gym and engage in strenuous physical work;
- until the postoperative wounds are completely healed, you can only eat warm food and drink warm drinks;
- You can not wear glasses for 2-3 months after the procedure;
- throughout the recovery period, you should not smoke.
Results of rhinoplasty or nose surgery: before and after photos
Possible complications and contraindications
Contraindications to performing:
- oncology;
- lightning;
- flu, SARS;
- active herpes;
- diabetes;
- atrophic rhinitis;
- infectious diseases of the oral cavity;
- mental disorders;
- tuberculosis;
- heart and kidney disorders.
Rhinoplasty is called one of the most difficult plastic surgeries in the world, during which the surgeon often removes not one, but several cosmetic defects at the same time, therefore it is associated with the development of a number of possible complications:
- nosebleeds;
- postoperative pigmentation;
- swelling and soft tissue hematoma;
- loss of smell;
- the appearance of keloid scars;
- difficulty breathing;
- curvature of the nasal septum.
With which operations can they be combined?
Most often, nasal plastic surgery is combined with septoplasty - surgical correction of the nasal septum (this procedure is sometimes called septorhinoplasty), cheiloplasty (change in the shape and volume of the lips) and mammoplasty - plastic surgery aimed at correcting the shape and size of the breast (in the latter case, two doctors are present at the operation, one of whom performs rhinoplasty, and the other performs breast plastic surgery).
Estimated prices for rhinoplasty (nose surgery)
A plastic surgeon provides accurate information on how much a nose operation costs. The cost of rhinoplasty includes prior consultation, hospital stay, computer simulation of results, removal of tampons and removal of the bandage. The cost of the procedure depends on the type and manner of surgical intervention.
Rhinoplasty is an operation that is equally popular among women and men. Helps people get rid of health problems, improve the appearance and size of the face.