Every third person on the planet has thought about nose correction at least once. 70% of patients choose rhinoplasty because they are 100% dissatisfied with their appearance and want to solve aesthetic problems: remove the hump, make the nose thinner, smaller, smoother. 30% of patients opt for rhinoplasty for medical reasons - nasal injury, difficulty breathing, abnormal nasal septum or frequent sinusitis.
Problems with the shape of the tip of the nose are not uncommon. But don't be shy, everything can be fixed. If the imperfections of the figure can be corrected with clothing, diet or sports, then you need to contact a plastic surgeon to correct your 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 takes 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 with the doctor on all points and to prepare thoroughly for its implementation: to pass tests, follow a diet, give up cigarettes and alcohol at least a week before the operation.
Indications for surgery
The indications for the procedure are congenital and acquired.
Congenital indications for plastic surgery are various aesthetic as well as physiological defects: hook-shaped, forked, thick or drooping tip, its displacement to the side, too wide or narrow nostrils.
Surgery may be needed after injuries or illnesses that cause nasal curvature, as well as difficulty 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 needed, the density of cartilage, the thickness of the skin and tissues, the length, the width of the nose and other factors will be taken into account. The patient's wishes are always taken into account and also realized as much as possible, but the final decision is made together with the doctor, because excessive cartilage removal can lead to poor health.
Before the operation, you should examine the cartilage of the nose, and also make sure that the skin in the area of the respiratory tract is healthy - there are no inflammations or signs of infections.
Contraindications to surgery
Correction of the tip of the nose is a serious procedure, it must be approached consciously. What are the contraindications for the procedure?
- Age.The operation is performed from the age of 18. By this age, tissue formation is complete. However, surgeons recommend correcting the tip of the nose between the ages of 20 and 35. It is then that the formation of bones and cartilage is complete, the skin is elastic and regeneration after the procedure is active.
- Problems with blood clotting.When a patient has poor blood clotting, the risk of surgery is higher than usual, so it is better to refuse to perform it.
- Exacerbation of chronic diseases.Surgeons do not recommend surgery during an exacerbation of the disease. It is better to wait until your health returns to normal and undergo an examination. Only in case of positive test results can rhinoplasty be decided.
- 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 full recovery.
- Oncology.Rhinoplasty is contraindicated in patients with oncology.
- Menstruation.Surgery is contraindicated during menstruation. Adjustment is desirable to make within two weeks after the end of menstruation.
It is also contraindicated to perform plastic surgery during pregnancy or lactation. Prior to surgery, the patient should be examined and tested 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 that the patient expects to receive. However, you can find other methods to correct the tip of the nose in the net.
Clips
In online stores you can find the so-called "nose correction brackets". The manufacturers claim that when you wear concealers 2-3 times a day, the effect will be noticeable, comparable to performing surgery. But, of course, this is far fromThe truth. For nose correction will not work clips or other devices by pseudo-specialists. If there is any effect, it will be short-term - for 2-3 weeks, and the correction is insignificant.
Exercises
There is a set of exercises for the face that allows you to adjust its shape. These exercises are useful for maintaining muscle tone, cheekbones and double chin, but will not work to correct the shape of cartilage. The effect after systematic exercise lasts 2 weeks.
Thread correction
The thread technique is performed by a specialist with a special needle through micropunctures. Specially designed toothed threads are inserted into the skin of the nose, which form a frame. The threads are inserted through small holes and the frame keeps it in position. After two days, the doctor removes the ends of the fibers and the patient sees the end result, which lasts about 3 years.
Use of hormonal drugs
To correct the tip of the nose, you can also take a course of hormonal medications. First of all, you should consult an endocrinologist. If there are no contraindications, hormonal medication may be used. This procedure is performed to remove excess soft tissue and lift the tip. For correction you need to go through 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 chosen drug.
Surgical correction
According to experts, rhinoplasty is the most reliable and effective way of correction. Unlike previous methods, rhinoplasty provides a lifelong result. The procedure lasts 1-2 hours under local or general anesthesia. The main advantages of the operation:
- all possible possibilities for correction (lowering or raising the tip, reducing, straightening or narrowing the tip of the nose);
- elimination of breathing problems;
- lifelong outcome;
- correction of injuries, birth defects.
3 Techniques for performing the operation. What is the difference
There are several types of rhinoplasty: classic closed, open and hybrid methods. Surgeons resort to different types of plastic surgery depending on the result to be achieved, the shape of the nose, the location of bone and cartilage tissue and other factors.
A feature of classic closed plastic surgery is that it can be used to correct the nasal dorsum, but tip correction will be more difficult than using open. In the case of this method, incisions are made inside the nasal passages and access to the tip is possible only when the cartilage is removed in the incision. But there are pros - after the operation there are no visible scars. The closed plastic is suitable for removing a hump or correcting the bone tissue in case of its curvature.
In the case of open surgery, the surgeon makes an additional incision between the nostrils. This contributes to better access to the structures of the nose, ample opportunities to change its size and shape. The scar after the procedure will be almost invisible and small. With this method you can redesign 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 recovery period. The scar decreases a few months after the operation and can be removed with the use of additional remedies and creams that the surgeon will recommend if necessary.
Because the above methods have their drawbacks, surgeons have developed a combined plastic technique. When using it, incisions are made inside the nose, which are typical for both methods, but unlike the open method, there is no external incision on the skin.
The combined (also known as "hybrid") method has been developed taking into account all the advantages and disadvantages of the closed and open method.
The main advantages are the ability to change the structure of the nose as much as possible and not to leave visible scars. Recovery after the combined method occurs within 2 weeks and there are no visible scars on the skin.
When using the hybrid method, the surgeon has the opportunity to make adjustments 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 complex from a technical point of view.
A few words about something important. Preparation for surgery
Before performing a 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 obtaining the desired result. During the consultation, questions about the limitations, the operation, the peculiarities of its preparation, rehabilitation after it, as well as possible complications are discussed.
Prior to surgery, the patient should be examined to ensure that there are no contraindications and 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;
- tumor marker test;
- radiograph.
Also, the patient should listen to the doctor's recommendations and follow 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 active entertainment and walking in the scorching sun for a few days before rhinoplasty.
About the course of the operation and its main stages
Rhinoplasty is performed under general or local anesthesia. The choice of type of anesthesia depends on both the client's wishes and the specifics of the operation, as well as the method that the plastic surgeon will use when performing it. The patient can always share his wishes regarding anesthesia, but the final decision is made bythe doctor. The process and quality of rehabilitation after rhinoplasty also depends on the choice of type of anesthesia.
Local anesthesia is used in case of a small correction of the nose with hormonal injections, fillers or sutures. These correction methods do not cause severe pain, so in most cases no general anesthesia is required. But this type of anesthesia is practically not used in rhinoplasty, when the surgeon has to touch the bones of the nose or cartilage.
In most cases, the surgeon uses general anesthesia. This type of anesthesia allows you to completely avoid pain during the operation and the patient will have no memories of the operation.
The operation takes 1-2 hours. After anesthesia, the surgeon makes an incision in the skin or mucous membranes. Depending on the patient's wishes and the specific case, the doctor chooses an open or closed method for the operation.
During rhinoplasty, the doctor removes the soft tissues of the nose from the bone and cartilage in the nasal cavity. He then performs the movement of cartilage and bone fragments, modeling a new shape of the nose. After the manipulations, the plastic surgeon applies absorbent sutures to 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 last stage of the operation is the application of fixing plaster.
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 in the work. The section can be axial, perpendicular, oval or angled.
Rhinoplasty itself is performed by three main methods: open, closed and combined. The characteristics of each of the methods are described in the section "types of operations"
The choice of plastic surgery method is presented to the patient directly, but doctors recommend choosing the methods with the lowest level of trauma. Surgeons say the least traumatic methods are closed and combined, because in the case of their use the incision is small and recovery after surgery is faster.
Recommendations of the surgeon in the postoperative period. How to avoid complications
Rehabilitation after surgery is an average of 20 to 25 days. If the rhinoplasty is performed under general anesthesia, the patient should also be hospitalized for 24 hours after surgery.
For three days after the operation, gauze or cotton swabs should be in the nasal cavity to ensure immobilization of the new forms and to prevent swelling. On day 5-8 (depending on the healing rate) after the plastic surgery, the suture is removed. After a week or 10 days, the patient is removed from the cast, the hematomas and swelling begin to gradually disappear.
Recommendations of the doctor 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 soften.
- Do not abuse alcohol and smoking.
- Give up trips to baths, solariums, saunas.
- Do not wear glasses.
- It is forbidden to engage in physical activity.
- Temporarily stop eating hot foods and drinks.
- Do not touch, knead or touch your nose.
Possible complications
Complications after rhinoplasty are rare. Some of them appear immediately after correction, while others appear at later stages of healing. Natural complications include swelling and bruising. External signs of puffiness disappear within a week after plastic surgery, deep puffiness disappears after six months. Shortness of breath disappears on its own 10 days after surgery.
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, injuries or illnesses, if any. The end result of the operation also depends on strict adherence to the doctor's recommendations during the rehabilitation period.
Conclusion
Rhinoplasty is used by both women and men of all ages. Surgeons advise to perform surgery to correct the tip of the nose at a young age and not to delay. It is important to undergo a full course of examination to make sure that there are no contraindications to plastic surgery. The most popular indications for rhinoplasty are:
- correction of the tip of the nose (large, sharp or round);
- long nose;
- wide bridge of the nose;
- lifting the tip of the nose or narrowing;
- elimination of asymmetry;
- shortness of breath;
- elimination of the consequences of injury or poor quality rhinoplasty;
- correction of the tip of the split nose.
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 conducting the procedure (open or closed) is based on many factors. These include the complexity of the nasal defect and the client's wishes. But the final decision remains with the plastic surgeon.
The quality of rhinoplasty and the end result directly depends on the choice of specialist and clinic, so this should be approached in depth.