What is rhinoplasty and stages of operation

Rhinoplasty is a special surgical operation, which is performed to correct congenital or obtained nasal defects, as well as a total increase in lost nasal parts.

The operation of rhinoplasty lies in the fact that the surgeon changes the nasal parameters by invading the nasal bone frame.

The main task of such surgery is to return the exact nasal shape to a person who was violated even before birth, due to illness or through acquired nasal damage.

Types of rhinoplasty

Today, the world uses such types of nasal rhinoplasty:

septoplasty; closed rhinoplasty; open rhinoplasty; rhinoplasty in secondary behavior; rhinoplasty without surgery; rhinoplasty when using fillers; rhinoplasty using special auxiliary medicines; Rhinoplasty using aptos strands.

Septoplasty

Sepoplasty is a surgical intervention that sets the task of eliminating defects in the nasal septum itself - the displacement of the cartilage and bone, which interfere with normal functions and aesthetic type of nasal.

Indications for septoplasty for humans:

constant nasal blockage for no apparent reason; snoring; nasal development defects, or nasal partitions; constant or periodic nasal bleeding; the presence of chronic sinusitis; overall nasal deformity; The consequence of nasal damage that prevents normal respiratory function.

Contraindications to septoplasty:

the presence of diabetes; much distortion of the nasal septum; Presence of diseases of the cardiovascular system.

Rhinoplasty

Closed rhinoplasty as an operation is more easily tolerated by a patient than open rhinoplasty. This procedure is performed by the endonasal access to the nose, that is, the incisions are made directly inside the nose.

This surgery has a number of advantages for the patient, but is extremely unsuitable for the surgeon, as it is easier for any surgeon to perform operations in an accessible operating area. Therefore, in closed rhinoplasty there are much more chances of getting a medical error, as a result of which complications or other problems in the patient can occur.

Advantages of closed rhinoplasty:

The duration of surgery is much less compared to open rhinoplasty; Nasal tissue is not cut on the surface of the nose and cuts of the smallest size itself; less likely for the appearance of wounds; smaller edema after surgery; The result of the operation is visible a few days ago.

Indications for closed rhinoplasty:

aesthetic (curve, ugly nasal shape, nasal deformity, etc. ); Medical (nasal damage, breathing shortness of breath due to the incorrect structure of the nose).

Contraindications to this type of operation:

presence of mental illness in the patient; inadequacy of the desires of the patient's final result; the presence of diseases in which any rhinoplasty is contraindicated; Patient application to some previously unsuccessful rhinoplasty, which deformed the soft nasal tissue.

Since closed rhinoplasty is a very complicated surgery, after its behavior, the patient may have the following complications:

inflammation of the nasal tissue; wound formation (rarely); the formation of pigmentation on the skin, which can remain permanently; hemorrhage; nose bleeding; swelling or hematoma around the nose; Incorrect nasal shape, which will require a secondary operation.

Rhinoplasty

Open rhinoplasty, unlike a closed one, is performed with a small cut, with a diameter of 4 - 5 mm. Thanks to such a visible part, the nasal skin can rise completely and then the surgeon will be much more convenient to work with an open nasal skeleton because it will see in front of it the entire outer structure of this organ, unlike the closed rhinoplasty. This greatly reduces the chances of a surgical error.

Moreover, open rhinoplasty is recommended for primary operation, as it can more accurately eliminate all existing nasal defects, unlike closed rhinoplasty, which may not always guarantee the same result.

Rhinoplasty in secondary behavior

Secondary rhinoplasty is performed if the start was unsuccessful and it is necessary to correct the complications. Can be performed both open and closed.

Rhinoplasty

Rinoplasty without surgery is performed only in 4-7 % of patients who can do without surgery. With its help, only small nasal defects can be corrected. More serious problems in the structure and appearance of the nose require only a thorough operation of rhinoplasty.

Rhinoplasty when using filler

This procedure is performed if the patient wants to eliminate only minor nasal defects. For example, these can be different small, flawed disadvantages, enlargement of the nose, inaccuracy of its symmetry, etc. In these cases, doctors use special fillers that enter the nasal tissue and they correct the problem.

The advantages of this method are that nasal restoration as it is much easier, and the procedure itself is not as painful as the usual surgical intervention.

The disadvantages of rhinoplasty using fillers are a change in the structure of the nasal tissue and the possible "migration" on the nasal surface of the administered medicine.

Rhinoplastics using special auxiliary medicines

To perform such a procedure, surgeons use special medicines based on hormones that enter damaged nasal areas.

The advantage of such a rhinoplasty is that the patient is not subject to surgical intervention. But a major disadvantage of such a rhinoplasty is that with improper calculation of the drug dose and its insertion into the wrong area in the nose, the patient may have different complications and deterioration of defects.

Rhinoplasty using strands

This procedure is performed using the strands by which doctors pull the nose and nose wings. These strands lie through special punctures on the nose and, as it were, pull the nose.

Rhinoplasty using yarn is not used very often by surgeons, as there are a number of disadvantages:

After the procedure, there is a great probability of wound formation; the appearance of contouring and ugly type of nose in "points"; The high probability of a breakdown in the strands because the nose is very mobile in its structure, which predicts the incompatibility of this procedure.

The pros and the evils of rhinoplasty

Rhinoplasty pluses:

satisfaction with its appearance after surgery; the complete elimination of each defect in a successful procedure; Improving breathing in its pre -surgery disorders.

Rhinoplasty against:

the possibility of taking the infection; loss of nasal sensitivity; bleeding; Unattended operation, complications; Deterioration in the appearance of the nose and dissatisfaction with the end result.

Indications and Contraindications

If a person has congenital nasal defects, but he can perform rhinoplasty with the onset of adulthood. In general, the age of 18 to 40 is considered the most appropriate age for this procedure, when the body is already formed and a person makes a balanced decision.

Indications for rhinoplasty:

the presence of a nose; congenital nasal defects; nasal defects taken from damage; violation or complete impossibility of breathing with his nose; nose with very wide volume; The nose is very long; Nose in the form of a crushed saddle; Stroke -like addition nose; Very thick nose; Very sharp nose.

Contraindications to rhinoplasty:

human minority (if the damage is acquired as a child, then the procedure is possible in premature lines); Age after five anniversary (since this age, a person has a risk of all kinds of complications and exacerbates the wound healing process); the presence of diabetes mellitus; all types of kidney or liver diseases; problems with the patient's blood clotting; serious heart disease and blood vessels; acute viral disease; presence of oncological diseases; presence of mental disorders; If there are no nasal defects and rhinoplasty simply not required.

Preparation for rhinoplasty

Since rhinoplasty is a complete surgery, for some time before it, the patient should do the following:

Undergo a thorough examination for the presence of cardiovascular disease. Pass examinations and get tips from therapist, neuropathologist, Laura, anesthetist, surgeon who will have surgery, etc. To discuss with the surgeon all the possible consequences of surgery and to determine the future shape of the nose, width, etc. You should also discuss the type of anesthesia with an anesthesiologist, which he will use during surgery. Spend all the necessary tests.

Performing operations - stages

Rinoplasty is performed in the following stages:

The patient is administered anesthesia; Additional anesthesia is performed; After that, the surgeon makes a cut in the lower shell of the nose and begins directly in his work (such surgical intervention may be both closed and open); The surgeon regulates all nasal defects, corrects irregularities, bumps, etc. , Depending on the patient's specific problem; If necessary, it can replace the missing carts from its other areas or artificial implant cartilage; After the surgery is completed, the surgeon sews the nose and imposes a fixed bandage.

Depending on the level of complexity and the course of the procedure, the rhinoplasty operation can last from 50 minutes to 2 hours. It should also be mentioned that the nose after surgery may undergo independent changes in the form of improvements or deterioration.

All this will depend on the patient, his compliance with medical and direct recommendations, the results of the operation itself, which will only be visible after 6-8 months.

Rehabilitation

After rhinoplasty, in the nose and around its region, such as vaccine, swelling and hematomas are formed, which usually go within two weeks. After surgery, a special fixed bandage is applied to the patient's nose, which should be worn within ten days. Tampons will also get into the nose, which will prevent bleeding so that for some time the patient is not able to breathe from the nose.

The result of the operation can be estimated in six months, and the end result is in one year. Delay of wounds after surgery depends on each person individually and the state of his vibrancy. If complications are observed after surgery, then healing lines can increase significantly.

After rhinoplasty, it is desirable to visit his surgeon to perform nasal inspections after rhinoplasty.

Pre -and post -operative recommendations

Before surgery, the patient follows:

abandon all bad habits (alcohol, fatty foods, etc. ); A few days before surgery, medicines and products are prohibited, which provoke a decrease in blood clotting in the body.

After surgery, the patient must comply with the following requirements:

In the first months after rhinoplasty, cannot be included in sports (gymnastics, jogging, etc. ); It is undesirable to swim; Do not eat too hungry or hot food in order to avoid bleeding; Wash carefully, without touching the nose and areas around it; Avoid a sharp change in facial facial expressions; Wear clothes that do not need to be removed on their heads.

Possible complications after surgery

After rhinoplasty or during the procedure itself, the following complications may occur:

Allergies to anesthesia. Abundant nasal bleeding. Edema of the nasal area (in the first few weeks after the procedure), which can interfere with normal nasal breathing. Swelling on the face (in the eyes, cheeks and other parts of the face). The appearance of hematomas on the face. Reducing the sensitivity of the nasal skin or its absolute loss for a while. The risk of infection of infection. Large phagas can be formed to eliminate which operation will be needed another operation. Difficult breathing after surgery (depending on the type of operation and procedures). Which will be performed with nasal cartilage. The occurrence of the lack of wind or its partial loss. Laying the skin or loss of its flexibility (occurs with excess cartilage of the nose). Narrow tissue. The formation of age drops or the appearance of blood vessels on the facial skin. Fatal result with anaphylactic shock. Patient dissatisfaction with the final result of the procedure. Unsuccessful course of procedure through the fault of the surgeon.

results

The first results of the operation will be visible after 10-14 days. But the patient can only see the end result after 8-10 months, when all the edema and numerous bruises will be removed and the fabrics will be "placed" on the new nose.

It is often the case that relatives and friends do not notice significant changes in the occurrence of the patient after surgery. Since hematomas and swelling will kill the entire result. In this case, the patient does not need to run immediately in repeated rhinoplasty, but it should only be cut when the face comes in the usual form and then evaluate the end result.

It should also be shown that rhinoplasty does not give a genetic effect and will not be transmitted by the clan for children, as some patients may consider. This operation only improves a person's appearance.