Rhinoplasty or rhinoplasty is a branch of plastic surgery that specializes in the correction of congenital or acquired deformities, as well as in the restoration of individual segments of the nose or the entire organ.
Rhinoplasty surgeries can increase or decrease the size of the nose, change its shape, and eliminate breathing problems. The aesthetic goal of rhinoplasty is to achieve harmony in facial features by correcting defects in the nose. As a rule, this type of surgery is performed upon reaching the age of 18-21 years, as up to this time there is a physiological growth of bone and cartilage tissue.
The task of rhinoplasty is to restore proper shape and functions of the nose, which have been damaged as a result of injury or during the period of embryogenesis. Rhinoplasty is a series of different surgeries, which will be discussed in more detail below.
Israeli clinics offer excellent results, the medical care provided meets the expectations of patients.
During rhinoplasty in Israel, open or closed access can be used, depending on the purpose of the operation. With closed rhinoplasty, an incision is made in the cavity, the skin is exfoliated from the frame (cartilage and nasal bones). This method is used to change the shape, to remove excess cartilage and bones, etc. If a large volume of surgery is planned, an open nasal rhinoplasty is prescribed when incisions are made in the columella (vertical fold of skin that separates the nostrils).
Nasal correction is divided into primary and secondary. Secondary plastic surgery or surgery is performed to eliminate the defects that remain after the primary surgery.
In recent years, fillers have been actively used in rhinoplasty if necessary to correct small nasal imperfections: change the shape of the wings, restore symmetry, round the tip of the nose, etc.
Rhinoplasty surgery in Israel: planning and implementation
In Israeli clinics, the patient is first consulted by a plastic surgeon, he examines the shape of the nose, the condition of the tissues, and diagnoses nasal breathing disorders. To get the best cosmetic results, computer photographs and modeling of the nose are taken. The patient is also consulted by the ENT doctor. If there are pronounced defects, when nasal breathing is disturbed, nasal rhinoplasty is performed along with an otolaryngologist and a plastic surgeon.
As a rule, during surgery, general anesthesia is used in combination with local infiltration anesthesia. The duration of rhinoplasty depends on the complexity and lasts 1-2 hours or more. To give the nose a more aesthetically pleasing size and shape, the surgeon changes the frame of the bone and cartilage. Properly performed rhinoplasty in Israel and the lack of complications - and the scars after surgery will not actually be visible.
Recovery period after nasal correction
After surgery, tampons are placed in the nasal passages, they are removed after 2-3 days. To fix the new shape, apply a special plaster or colloid adhesive for five to seven days (if the plastic has affected the cartilaginous part of the nose) or for twelve to fourteen days (if part of the bone).
As a result of the swelling, nasal breathing may be difficult in the first few weeks. Bruises and swelling go away within ten to fourteen days. It is not recommended to wear glasses for a month and a half after nose correction. The full course of recovery lasts six to eight months, then the final results of the operation will be visible. Smoking and taking certain medications can slow healing.
Rhinoplasty in Israel: removal of the nostril
This operation is multi-stage. In the process of its application eliminates osteocartilaginous elongation of the back of the nose. Gurkha can be caused by trauma or hereditary factors.
If the nostril is small, local anesthesia can be used, if large - general. The duration of the surgical intervention is 1-2 hours.
First, the surgeon dissects and removes the skin from the bony-cartilaginous base of the nose - the skeletal stage. After that, the cartilage is cut and the cartilaginous segment of the septum is gradually removed, starting from the smallest volume. Then the bony component of the nostril is removed.
Once the lump is removed, the skeleton takes the shape of a truncated pyramid. An osteotomy is performed to join the nasal bones and remove the wide platform. The surgeon dissects the bone tissue of the lateral slopes and brings them closer to the upper segments. To eliminate the irregularities, he uses contour plastic using the patient's own cartilage or various implants. At the end of the nose correction cotton swabs are placed in the nasal passages and a plaster bandage is placed to adjust the new tissue position. The plaster is removed after eight to ten days.
For several weeks after the removal of the nostril, the hemorrhages and swelling in the nasal area continue. As the edema decreases, nasal breathing returns. The final result of the operation can be evaluated in six months, when the tissues are completely restored.
Nasal septoplasty in Israel
This is an operation to correct the nasal septum while preserving the bone and cartilage frame. This type of plastic allows you to achieve an aesthetic result and eliminate breathing difficulties.
The nasal septum is a thin bony plate and vertical cartilage, which is easily deformed, leading to impaired respiratory function and deterioration of aesthetic appearance. Reasons can be injuries, rickets suffered in childhood, hereditary predispositions.
Contraindications are:
- severe pathologies of internal organs;
- oncology;
- infectious diseases;
- problems with blood clotting;
- diabetes.
Indications for nasal septoplasty:
- allergic pathologies (itching, runny nose, etc. );
- difficulty breathing through the nose and its absence;
- chronic and acute diseases of the paranasal sinuses (frontitis, ethmoiditis, sinusitis);
- vasomotor rhinitis and frequent nosebleeds;
- snoring due to impaired nasal breathing, etc.
In case of deterioration, septoplasty is performed two weeks after its elimination. The indication for surgery in Israel is determined by the otolaryngologist based on history and diagnosis (rhinoscopy). Before the operation, laboratory tests, ECG, X-ray of the lungs are performed.
Infiltration anesthesia (with the help of injections is injected into the nasal septum), local application anesthesia (anesthetized saturated tubes are injected into the nasal passages), as well as general anesthesia can be used as painkillers against pain.
With septoplasty in Israel, the surgeon makes an incision inside the nose or endonasal, as a result, there is no visible scar after surgery. On both sides of the nasal septum, it exfoliates the mucosa, highlighting and removing the curved parts of bone structures and the quadrangular cartilage of the septum. After the nose correction is completed, sutures are placed and tamponade is performed with finger tampons or gauze. A sling-like bandage is applied to the nose.
Also, septoplasty in Israel is performed using endoscopic access. A fiber optic endoscope is inserted into the nasal cavity, which allows you to see the hard-to-reach departments on the monitor and perform the operation as accurately as possible. This type of nasal septoplasty ensures minimal damage to cartilage and tissue, reducing the recovery period.
Moreover, laser septoplasty is used in Israeli clinics, thanks to which the development of bleeding and edema can be prevented, as the laser "seals" the vessels by cutting the tissue. Moreover, it has an antiseptic effect.
The duration of septoplasty is determined by the degree of curvature of the septum, the operation can last from thirty minutes to an hour and a half.
This type of rhinoplasty is quite easily tolerated. The patient is in the hospital until the nasal swabs are removed. Ten to fourteen days are enough to restore working capacity, full rehabilitation takes about a month.
Rhinoplasty in Israel: convergence of nasal bones
Osteotomy in Israel (bone repositioning, bone convergence) can be an independent operation that corrects the shape of the nose, or one of the steps to remove the nostril. Thanks to this type of plastic surgery, the surgeon achieves the ideal proportions of the nose to the size of the face, reducing the lateral bones of the bridge of the nose.
In the process of osteotomy, it joins the walls of the bone pyramid, after which the cartilages attached to the bone move. The skin, as a rule, without much difficulty adapts to the changed contours of the back of the nose.
Of the total time of rhinoplasty, osteotomy lasts several minutes. Upon completion of the correction, the nose is closed with a surgical plaster and fixed with a bandage to preserve its shape and protect it from damage.
Within 2 weeks, the hematomas and edema disappear. New contours are finally formed within a year.
Rhinoplasty in Israel: support for the tip of the nose
Support for the tip of the nose is provided by a stable, strong and correct cartilage adjustment. Normally, they are slightly above or below the line that runs along the back of the nose.
Insufficient support is caused by the unintended consequences of rhinoplasty (when inadequate support is not provided) or by age-related tissue ptosis processes (cartilage-supporting ligaments weaken).
To create support, the entire outer nose is formed proportionately and correctly. The norm is the nasolabial angle (formed by the upper lip and columella) - 90-120 °.
During rhinoplasty in Israel, the tip of the nose can be raised seven to eight millimeters above the line of the posterior profile. Top skin has difficulty adapting to changes because it is less elastic and thicker.
To restore support, cartilage transplants - "props" can be used. The surgeon places such a cartilage between the lateral cartilages and adjusts it, then cuts it to the desired size.
Also, top grafting can be placed perpendicular to the support, above the cartilage. This option is used when the tip of the nose cartilage is damaged and is not used for self-support. The ideal source for a transplant is cartilage from the nasal septum.
If it is not possible to get a transplant from the yeast, cartilage can be obtained from the pinna. However, it is considered not strong enough to maintain pressure and shape. Therefore, often the cartilage of the ear is associated with a strong and thin bony nasal septum. A piece of bone is attached to a cartilage transplant.
Rhinoplasty in Israel: nose shortening
Nose shortening is a plastic surgery that reduces the length of the outer nose. Most often, the length of the septal cartilage is reduced, in rarer cases, the lateral wall of the nose, which is formed by cartilage and large alar, triangular bones.
Different methods are used to estimate the length of the nose. The most common method is to measure the distance from the tip of the nose to the bridge of the nose. Another method involves determining the size of the nasolabial angle.
As we age, the ligaments that support cartilage weaken, the tip of the nose falls off and visually increases its length. For this reason, in adulthood, patients shorten the length of the nose less than in young people.
Types of operations in Israel that shorten the nose
With a long nose, as a rule, the cartilaginous and bony parts of the nose, the triangular and alar cartilages in the transverse and longitudinal directions, and the cartilaginous part of the septum usually extend evenly. As a result, either operations are performed that shorten the lateral cartilaginous wall of the nose, or resection of the distal septal cartilage.
In the second option, a partial resection is performed using infiltrative anesthesia. The surgeon performs 2 parallel transfection incisions, through which he resects the cartilaginous septa from the mucosa and excises the skin strips in the columella area. Then cut the onion with catgut thread. As a result, the nose shortens and the nasolabial angle increases.
Another way is to increase the nasolabial angle by placing silicone or cartilage dressing in front of the maxillary spine.
Rhinoplasty in Israel: Nose tip correction
This type of rhinoplasty in Israel can be performed in several ways. The operation is performed on the terminal part of the outer nose: its shape is improved by removing the deformed or excess parts of the cartilage tissue and a new position is fixed.
Correction of the tip of the nose is a complex aspect of rhinoplasty, whose task is to restore harmonious anatomical properties without damaging the supporting structures of the organ.
Due to the variety of options for correcting the tip of the nose, an individual rhinoplasty plan has been developed in Israel, which takes into account the strength and shape of the cartilage, the thickness of the skin, the width and length of the nose, the nasolabial angle, the anatomy of the nose. the angles of the vault, the contour of the back, and the wishes of the patient himself.
To narrow the tip of the nose, the surgeon cuts segments of the allar cartilage and partially removes adipose tissue. A variant can be used, during which the domes are dissected and sutures are placed, narrowing or connecting them to each other.
Rhinoplasty in Israel: Restoration of a broken nose
This operation to correct the nose involves restoring the bone fragments displaced to their normal position. The optimal time for this plastic is the first hours after the fracture, until the appearance of soft tissue edema, or the next 3-7 days, when the edematous condition subsides. 10 days after injury, a callus forms, so repositioning can no longer be performed.
Forty percent of all cases of facial injuries are nasal bone fractures, caused by sports injuries, street and family quarrels, traffic accidents, falls. Such a fracture can be closed and open, without displacement and with displacement of bone fragments. Symptoms of a fracture include deformity of the outer nose, swelling, pain, mucous discharge, hemorrhage, sores, scratches, bleeding from the nose due to rupture of the mucosa. Furthermore, the sense of smell and nasal breathing are disturbed.
For diagnostic purposes in Israel, the patient is interviewed, they can perform an external and endonasal examination, endoscopic examination, radiograph of the nasal bones.
A fairly common consequence of a bone fracture is curvature of the nasal septum, which is accompanied by recurrent sinusitis, rhinitis, and impaired nasal breathing. Curvature correction can only be done surgically.
Another complication may be a hematoma of the nasal septum below the mucous membrane, it narrows the lumen of the nasal passages and makes it difficult to breathe. Probably its suffocation and subsequent cartilage destruction. Therefore, quality and prompt medical care for nasal bone fractures is extremely important.
Cooling (ice or cold compress) can be used as a first step to reduce swelling and pain and stop bleeding.
At the Israeli clinic, plastic surgeons perform repositioning of bone fractures. During the first 6-7 days, repositioning is performed by local anesthesia by hand, so that the bones grow together correctly in the future. A narrow tamponade of the nasal cavities is made to compress and support the nasal skeleton. A bandage is applied outside.
Self-reduction is strictly prohibited due to additional trauma. After reducing the swelling, the aesthetic and respiratory function of the nose is assessed. Bone fractures can lead to deformation of the osteocartilaginous part of the nose and its lateral displacement, narrowing of the nasal passages, curvature of the septum, etc.
If the nasal bones do not grow together properly, patients are often forced to undergo rhinoplasty. To restore damaged breathing, a deviated septum is corrected - rhinoseptoplasty is performed.
Rhinoplasty in Israel: correction of nasal wings
This type of operation is performed to change the width, thickness and symmetry in the presence of pronounced aesthetic flaws and deformations. Different methods are used depending on the violations. For repair, the tissues surrounding the defect are mobilized or a cartilage or skin transplant is displaced.
Nasal wing correction can be an independent operation or the final stage of rhinoplasty in Israel.
Nasal wing defects are acquired and congenital in nature, they are complete or partial. The reasons are the consequences of correcting the nose or removing tumors, trauma, burns and diseases.
Most nasal wing correction surgeries are performed using local infiltration anesthesia. If there are extensive defects, intravenous anesthesia is used.
Sometimes the plasty tip is used to correct the wings of the nose. In this case, this operation completes the rhinoplasty. If aesthetic defects appear, the correction is performed during the main stage of the operation.
When it is necessary to reduce the distance between the wings of the nose, incisions are made at the base of the wings from the vestibule and along the contour. The cutaneous and mucocutaneous segments are removed, hemostasis is performed, and sutures are placed. Wounds are placed in the folds of the nasal wings and in the natural nasolabial folds, making them virtually invisible.
If it is necessary to restore the support of the nasal wings (in case of traction or injury), areas of adjacent tissue are displaced, a skin flap or self-cartilage is transplanted from the specially shaped ear or nasal septum.
The rehabilitation period can last five days, in the case of cartilage reconstruction - seven or more.
Rhinoplasty in Israel: complete nose correction
This type of rhinoplasty in Israel involves complex rhinoplasty, which is performed on the structural segments of the outer nose and on the thickness of the organ tissues. They can reduce the length of the nose, change its shape, remove the lump, narrow the width of the back, adjust the tip. Together with plastic, they restore normal respiratory function and cavity architecture.
Most often, this operation is performed after injuries.
In most cases, the correction is performed with closed (endonasal) access, excluding external incisions of the skin. Superficial manipulations can be performed using local anesthesia and intravenous sedation, operations on deep structures require general anesthesia. This nose correction is possible in the age group - 18-40 years.
Rhinoplasty in Israel can be combined with the following plastic surgeries: blepharoplasty, facelift, chin and lip surgery, liposuction, breast lift, etc.
Before the operation, the anatomical structure of the nose is carefully analyzed and its future shape is modeled on a computer. In case of nasal breathing violation, the nasal cavity is examined, radiography or tomography is performed.
Modern rhinoplasty in Israel uses frugal techniques that provide excellent results and minimize the likelihood of complications.