What is rhinoplasty or nose surgery?
This is one of the most common and ancient (first performed in 1000 BC) plastic surgery in the world.
It is a whole section of reconstructive surgery, which combines methods for surgical correction of the shape and size of the nose by replacing congenital or acquired defects in this part of the face with bone and cartilage taken from the patient.
Nasal surgery transforms the patient and is considered one of the most effective methods to change the appearance.
Types and indications for
The nose is an olfactory organ that 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, as the doctor must not only change its appearance, but also maintain its functionality (in some cases, such a procedure leads to distortion of the osteochondral septum. , causes difficulty in nasal breathing or loss of smell). Therefore, before performing it, surgeons recommend their clients to 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 oxygen starvation. brain). The optimal age for conducting is 20-30 years, but in case of breathing problems or after severe physical injuries it is done earlier.
Main indications:
- disproportionate size of the respiratory organ to the whole face;
- turbine hypertrophy;
- injuries or deformations in the bone or cartilage tissue in the area of the osteochondral septum, its curvature;
- asymmetrical, forked or too raised nasal tip;
- "Hump";
- lack or difficulty breathing;
- dissatisfaction with the result of previous plastics.
There are several types of rhinoplasty, which are classified depending on the purpose and technique of the procedure:
- nasal tip plastic - a method for surgical correction of the shape or removal of asymmetry (bifurcation) of the nasal tip;
- grafting (autotransplantation) - during the procedure the doctor enlarges and, if necessary, lengthens a very small nose by transplanting cartilage tissue taken from the area of the auricle;
- reduction - a method of surgical intervention, which is aimed at correcting the shape and size of the turbine;
- back alignment - removal of the hump on the back of the nose;
- septoplasty - a surgical method for correcting a diverted nasal septum;
- augmentation - a surgical method for correcting the shape of the nasal bridge 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 (plasticity of the nasal contour), the use of hormonally absorbable drugs that destroy bone and cartilage in the nasal septum or with the help of Aptos sutureswings and tip of the nose).
How is the preparation for the operation going?
Before the procedure the patient should visit a plastic surgeon who will make measurements of the respiratory organ, will determine the volume of work, will simulate the expected result of the operation on a computer using a special program (computer modeling helps the doctor to better understand the wishes ofcustomer) and write a recommendation for the following tests:
- general and clinical blood test;
- electrocardiogram (with decoding);
- fluorography;
- analysis for AIDS, HIV or hepatitis;
- tomography of the paranasal sinuses.
Two weeks before the procedure, you should stop smoking and stop taking blood thinners. 12 hours before the operation, food and drinks are not allowed (dinner in the evening is allowed).
Before the procedure, doctors recommend good rest and sleep (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 to the operation, the cost of the procedure and its type, the name of the anesthesiologist and plastic surgeon and information that the patient is aware of the possibility of postoperative complications and theirmethods. treatment. The person is then taken to the operating room, the face is cleaned with lotion, the piercing is removed (if any) and, if necessary, 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 for 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 that is located between the nostrils), corrects the shape of the nasal structures and finally puts a few cosmetic stitches on the skin. This method of surgery is used to correct serious injuries and deformities of the nasal cavity and to restore bone and cartilage tissue with the help of autografts.
Closed rhinoplasty
Closed rhinoplasty is a procedure in which the surgeon makes an incision in the nasal cavity, removes soft tissue from the osteochondral frame, performs a series of surgical procedures to change the shape of the nose, and then sutures the mucosa with a self-explanatory suture material. A less traumatic method of plastic surgery, after which complications rarely occur and scars remain.
After a failed first operation or in case of a result that does not suit the client, doctors perform a second (secondary) rhinoplasty. This is a more complex (technical) procedure that requires certain skills and practical experience from the surgeon, is performed under general anesthesia and requires the same preparation as the primary plastic. It is done not earlier than one year after the previous surgery.
Recovery period and results
The rehabilitation period lasts 3-4 weeks, but the patient spends one day in the hospital. Immediately after the operation, a tampon is inserted into each nostril, which the surgeon removes after three days and a plaster is applied to the nose (it is removed after ten days). After removing the tampons, the doctor prescribes drops to the patient to eliminate postoperative edema and accelerate the healing of soft tissues. The swelling and bruising completely disappear after 1, 5-2 months. The preliminary result is assessed after 6-8 months, the final result - after 12. The scars after rhinoplasty are visible in the first three months, then become almost invisible.
Postoperative recommendations:
- two weeks after the surgical correction, you should sleep on your back;
- during the first few weeks you can not visit the sauna, swimming pool, solarium, gym and engage in heavy physical labor;
- until the postoperative wounds are completely healed, you can eat only hot food and drink hot drinks;
- You cannot wear glasses for 2-3 months after the procedure;
- you should not smoke during the entire recovery period.
Results of rhinoplasty or nasal surgery: before and after photos
Possible complications and contraindications
Contraindications:
- oncology;
- runny nose;
- 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 once, which is why it is associated with the development of a number of possible complications:
- nosebleeds;
- postoperative pigmentation;
- swelling and hematoma of the soft tissues;
- loss of odor;
- the appearance of keloid scars;
- difficulty breathing;
- curvature of the nasal septum.
With what operations can it be combined?
Most often, nose plastic surgery is combined with septoplasty - surgical correction of the nasal septum (this procedure is sometimes called septorinoplasty), 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 attended the operation, one of whom performed rhinoplasty and the other performed breast plastic surgery).
Estimated prices for rhinoplasty (nose)
The plastic surgeon provides accurate information on how much the nose operation costs. The cost of rhinoplasty includes a preliminary consultation, hospital stay, computer simulation of the results, removal of tampons and removal of the bandage. The cost of the procedure depends on the type and method of surgery.
Rhinoplasty is an operation that is equally popular among women and men. Helps people get rid of health problems, improve the appearance and proportions of the face.