Plastic surgery is not just the work of the surgeon, anesthesiologist and medical staff.The result of the operation depends mainly on the patient himself and his behavior during the recovery period.Rehabilitation after rhinoplasty- the same part of the operation as the preparation for it, and the actual execution.
Rehabilitation after rhinoplasty: what can cause complications
Rhinoplasty is a complex operation, after which negative consequences occur in every tenth patient.Complications after rhinoplasty can be associated with both the error of the surgeon and the violation of restrictions by the patient after the operation.
Poor qualifications of the surgeon can lead to the formation of wounds due to damage to the skin or cartilage tissue.Pains and adhesions in the future are quite difficult and long to treat.Bone tissue damage also indicates a medical error, fraught with impaired respiratory function and an unsatisfactory aesthetic result.To correct it, a repeat operation is required, which is usually more difficult to perform and the surgeon's skill must be at its best.
The consequence of the violation on the part of the surgeon and the patient is the heavy bleeding that opens during the operation.A damaged large vessel or medications taken that affect blood coagulation can lead to a similar complication.
Non-compliance with the rules of sterility leads to infection, if detected, it is important to immediately seek medical help.Unpleasant complications such as skin necrosis occur as a result of excessively cut surfaces.Repeated excision of the damaged tissue avoids the further development of tissue necrosis.
If the patient did not follow the recommendations of the postoperative period and removed the bandage prematurely or did not take proper care of the nasal cavity, there is a possibility that the stitches will come off.This will require repeated interventions and stitches.Patients who do not take the doctor's recommendations seriously can cause not only suture dehiscence, but also bone and cartilage tissue dehiscence due to a momentary desire to show off a new nose.
Due to the surgeon's mistake, various disorders are possible due to a deviated nasal septum, for example, impaired nasal breathing or problems with the blood supply to the nasal passages.
Aesthetic complications caused by the low qualifications of the surgeon include the deformation of the nose in the area of the bridge of the nose, a very short or "beak" shaped nose, severe asymmetry and any other violation of the aesthetics of the nose.A complex consequence of medical error is the removal of excess bone or cartilage tissue, which may require tissue augmentation through implantation, contouring, or autotransplantation of the patient's tissue.To avoid the discrepancy between the result of the operation and the expected effect, it is important to undergo a preliminary simulation of the result in the clinic where the rhinoplasty is supposed to be performed.
Restrictions after rhinoplasty
Rehabilitation after rhinoplasty includes a number of serious restrictions, the strict observance of which will have a positive impact on the outcome of the operation.
Smoking is prohibited two weeks before rhinoplasty and two weeks after it, as nicotine limits oxygen access to blood vessels and nerves and thus prevents tissue healing.Tissue necrosis develops in smokers several times more often than in patients who lead a healthy lifestyle.Recovery after rhinoplastyimposes a similar restriction on alcohol consumption.
A mandatory restriction is to sleep on your back with a high pillow to quickly get rid of swelling and prevent damage to the operated organ.So sleeping on the back should become a new habit for the patient.
Rehabilitation after rhinoplasty will require the patient to give up drugs that thin the blood or affect blood coagulation.Thus, anticoagulants, as well as hormonal contraceptives, should not be used until the end of the recovery period.
Traumatic sports involving ball (basketball, football, etc.), skating, roller skating, and similar means of transportation, including alpine skiing, should be postponed until the nasal tissues have fully healed.You should not bend over the head or engage in exercises that involve sudden lifting or changing the position of the torso.
When taking a warm shower, you should not allow the plaster to get wet, otherwise unpleasant complications may occur in the form of suffocation or tissue infection, and the soaked plaster will no longer be able to keep the shape of the new nose.
The patient should not plan a pregnancy within a year after nose correction, since recovery after rhinoplasty means complete rest of the operated organ and absence of any stress on the body, including hormonal ones.
Stress on the body also includes physical activity, which should be excluded so that rehabilitation after rhinoplasty is successful and without complications.Any activity that causes increased pressure on the body can impair proper tissue healing and fusion.In this regard, the recommendation not to be nervous and to avoid stress in the light of rehabilitation after rhinoplasty seems particularly important, because any stress immediately affects the internal processes of the body.
Minor restrictions include the prohibition of cosmetics and decorative cosmetics, with the exception of medicines prescribed by a doctor.
Rehabilitation after rhinoplasty will go without complications if, for a month after the operation, you refrain from activities related to temperature changes, for example, you should not visit baths and saunas, it is important to avoid solariums and sun baths, and you will also have to avoid visiting the pool, since chlorinated water can have an aggressive effect on tissues.
The operation is over, what next?
Patients often worry about what awaits them immediately after surgery.The first two or three days are the hardest and most uncomfortable.A bandage will be placed on the face, and the nostrils will be closed with turundas - twisted cotton swabs.Turunds adjust the tissues of the nose from the inside and promote their healing in the right position.In addition, they prevent bleeding, which is dangerous for unhealed stitches.The external fixator of the new nose is a bandage or plaster splint.The presence of turundas in the nose significantly limits breathing, and breathing through the mouth is very unusual and quickly dehydrates the oral mucosa.In addition, the presence of swelling after the operation also prevents normal breathing, therefore the patient may feel as if he is cold, but the effect of stuffy nose will disappear along with the swelling.This unpleasant moment must be endured for 2-3 days, after which the sutures are removed and the patient goes home.Depending on the complexity of the operation, the patient will stay in the clinic for 2-3 days with continuous care and under full medical supervision.Sometimes less time in the clinic will be required depending on the complexity of the surgery.
One of the unpleasant symptoms that can appear during rehabilitation after rhinoplasty can be a headache that appears during the first two days.It can be treated with painkillers prescribed by the doctor.
The already mentioned swelling of the nose may make the patient want to free the nose from the mucous membrane, but under no circumstances should the nose be blown or coughed, as any increase in pressure in the nose may lead to the detachment of the sutures.For the same reason, after rhinoplasty you should not catch a cold, so as not to provoke a runny nose and even more nasal congestion.After the operation, the doctor will show you how to clean your nose without the risk of damaging it.
Recovery after rhinoplasty is fraught with mild weakness and even fever in the first two days immediately after surgery.This is normal after surgery, so it's best to give yourself a chance to rest.
After the operation, hematomas and swelling under the eyes are possible, however, to hide them, you should not wear glasses for 3 months after the operation: any weight and pressure on the bridge of the nose can change the results of the operation and deform the new bridge of the nose that has not yet been restored.Experts recommend not being socially active and staying at home during rehabilitation.
To speed up recovery, the clinic can offer special physiotherapeutic measures.They are usually performed starting from the second day after surgery.In this way, rehabilitation after rhinoplasty will be easier and more comfortable than with self-care.