Rhinoplasty or rhinoplasty is a branch of plastic surgery that specializes in correcting congenital or acquired deformities, as well as restoring individual segments of the nose or the whole body.
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 operation is performed at the age of 18-21, as there is still physiological growth of bone and cartilage tissue.
The task of rhinoplasty is to restore the correct shape and function of the nose, which were disrupted as a result of injuries or during embryogenesis. Rhinoplasty is a set of different surgeries that will be discussed in more detail below.
Israeli clinics provide 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, remove cartilage and excess bone, etc. When planning a large volume of surgery, open rhinoplasty of the nose is prescribed when making incisions in the columella (vertical skin fold separating the nostrils).
Nasal correction is divided into primary and secondary. Revision or secondary plastic surgery is performed to remove the defects that remain after the primary operation.
In recent years, fillers are actively used in rhinoplasty, if necessary to correct minor imperfections of the nose: change the shape of the wings, restore symmetry, rounding the tip of the nose and more.
Rhinoplasty in Israel: planning and implementation
In Israeli clinics, the patient first consults a plastic surgeon, who examines the shape of the nose, the condition of the tissues and diagnoses nasal breathing disorders. To get the best cosmetic results, photos and computer modeling of the nose are taken. The patient also consults an ENT doctor. If there are pronounced defects, with impaired nasal breathing, rhinoplasty of the nose is performed in conjunction with an otolaryngologist and plastic surgeon.
As a rule, general anesthesia is used in combination with local infiltration anesthesia during the operation. The duration of rhinoplasty depends on the complexity and takes 1-2 hours or more. To give the nose a more aesthetically pleasing size and shape, the surgeon changes the cartilage frame. Properly performed rhinoplasty in Israel and no complications - and postoperative scars will not actually be seen.
Recovery period after nose correction
After the operation the tampons are installed in the nasal passages, they are removed after 2-3 days. To fix the new shape, a special plaster or colloidal sticker is applied for five to seven days (if the plastic has touched the cartilaginous part of the nose) or for twelve to fourteen days (if the bone part).
As a result of swelling, nasal breathing may be difficult in the first weeks. The bruising and swelling disappear 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 takes six to eight months, then the final results of the operation will be visible. Smoking and taking certain medications can slow recovery.
Rhinoplasty in Israel: removal of the hump of the nose
This operation is multi-stage. In the process of its implementation the osteocartilage protrusion of the back of the nose is eliminated. The humpback can be caused by trauma or hereditary factors.
If the hump of the nose is small, local anesthesia can be used, if large - general. The duration of the surgery is 1-2 hours.
First, the surgeon dissects and removes the skin from the cartilaginous base of the nose - a stage of skeletalization. The cartilage is then excised and the cartilaginous segment of the septum is gradually removed, starting with the smallest volume. The bony component of the hump of the nose is then excised.
After removing the hump, the skeleton acquires the shape of a truncated pyramid. An osteotomy is performed to bring the nasal bones together and remove the wide platform. The surgeon dissects the bone tissue on the lateral slopes and brings them closer to the upper segments. To eliminate the irregularities, he uses contouring, using the patient's own cartilage or various implants. At the end of the correction of the nose, cotton swabs are placed in the nasal passages and a plaster bandage is placed to fix the new position of the tissues. The plaster is removed after eight to ten days.
Bleeding and swelling in the nasal area continue for several weeks after removal of the hump. As the swelling decreases, nasal breathing is restored. The end result of the operation can be assessed after six months, when the tissues are completely restored.
Septoplasty of the nose 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 difficulty breathing.
The nasal septum is a thin vertical bone-cartilage plate that is easily deformed, which leads to impaired respiratory function and deterioration of aesthetic appearance. The causes can be injuries, rickets, suffered in childhood, hereditary predisposition.
Contraindications are:
- severe pathologies of the internal organs;
- oncology;
- infectious diseases;
- blood clotting problems;
- diabetes.
Indications for septoplasty of the nose:
- 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 exacerbation septoplasty is performed two weeks after its elimination. The indications for surgery in Israel are 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 (injections into the nasal septum), local anesthesia (turundus impregnated with anesthetic) and general anesthesia can be used as painkillers.
In septoplasty in Israel, the surgeon makes an incision inside the nose or endonasally, as a result of which there is no visible postoperative scar. On both sides of the nasal septum exfoliates the mucosa, emphasizes and removes the curved parts of the bone structures and the quadrangular cartilage of the septum. After the correction of the nose is completed, stitches are placed and tamponade is performed with finger pads or gauze. A sling-like bandage is placed on the nose.
Also, septoplasty in Israel is performed using endoscopic access. An optical fiber endoscope is inserted into the nasal cavity, which allows you to see the hard-to-reach areas of the monitor and perform the operation as correctly as possible. This type of nasal septoplasty provides minimal damage to cartilage and tissues, reducing the recovery period.
In addition, laser septoplasty is used in Israeli clinics, which can prevent the development of bleeding and swelling, as the laser "seals" the vessels by cutting tissue and 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 easy to tolerate. The patient is in hospital until the nasal swabs are removed. Ten to fourteen days are enough to restore the ability to work, full rehabilitation takes about a month.
Rhinoplasty in Israel: convergence of the 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 hump of the nose. Thanks to this type of plastic surgery, the surgeon achieves the ideal proportions of the nose to the proportions of the face, reducing the lateral bones of the nose.
In the process of osteotomy, it unites the walls of the bone pyramid, after which the cartilage attached to the bones moves. The skin, as a rule, easily adapts to the changed contours of the back of the nose.
Of the total time of rhinoplasty, osteotomy takes several minutes. After the correction, the nose is sealed with a surgical patch and fixed with a bandage to maintain its shape and protect it from damage.
Within 2 weeks the hematomas and swellings disappear. The new contours are finally formed within a year.
Rhinoplasty in Israel: support on the tip of the nose
Support for the tip of the nose is provided by a stable, strong and correct arrangement of cartilage. They are usually just above or below the line that runs along the back of the nose.
Insufficient support is caused by the side effects of rhinoplasty (when adequate support is not provided) or age-related tissue ptosis processes (the cartilage-supporting ligaments weaken).
To create support, the entire outer nose is shaped proportionally 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. The skin on the top is difficult to adapt to changes because it is less elastic and thicker.
Transplanted cartilage grafts - "supports" - can be used to restore the support. The surgeon places such cartilage between the lateral cartilages and fixes it, then cuts it to the desired size.
Also, the graft at the tip can be placed perpendicular to the support, on the cartilage. This option is used when the cartilage at the tip of the nose is damaged and is not used for self-maintenance. The ideal source for grafting is the cartilage of the nasal septum.
If it is not possible to obtain a graft from the tip, the cartilage can be taken from the auricle. However, it is considered not strong enough to withstand pressure and shape. Therefore, the ear cartilage is often associated with a strong and thin bony nasal septum. Part of the bone is glued to a cartilage graft.
Rhinoplasty in Israel: shortening of the nose
Nose shortening is a plastic surgery that reduces the length of the outer nose. Most often the length of the cartilage of the septum is reduced, in rare cases the lateral wall of the nose, which is formed by large alarm, triangular cartilage and bone.
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 tip of the nose. Another method involves determining the size of the nasolabial angle.
With age, the ligaments that hold the 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
In the case of a long nose, as a rule, the cartilaginous and bony parts of the nose, the triangular and alarm cartilages in the transverse and longitudinal directions and the cartilaginous part of the septum are usually evenly elongated. As a result, operations are performed that shorten the lateral cartilage wall of the nose or resection of the distal septal cartilage.
In the second option, a partial resection is performed with the help of infiltration anesthesia. The surgeon performed 2 transfections in parallel incisions, through which he resected the cartilaginous septa of the mucosa and cut skin strips in the area of the columella. The incisions are then sutured with catgut threads. As a result, the nose shortens and the nasolabial angle increases.
Another way is to increase the nasolabial angle by placing silicone or cartilage linings in front of the maxillary spine.
Rhinoplasty in Israel: correction of the tip of the nose
This type of rhinoplasty in Israel can be performed in several ways. The operation is performed on the end of the outer nose: its shape is improved by removing deforming or excessive 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 the harmonious anatomical properties without disturbing the supporting structures of the body.
Due to the variety of options for correcting the tip of the nose, an individual plan for rhinoplasty in Israel is developed, which takes into account the strength and shape of cartilage, skin thickness, width and length of the nose, nasolabial angle, anatomy of arches, back contourand the wishes of the patient himself.
To narrow the tip of the nose, the surgeon cuts out segments of the alarm cartilage and partially removes adipose tissue. A variant can be used in which the domes are dismembered and seams are imposed, narrowing or connecting with each other.
Rhinoplasty in Israel: reposition of a broken nose
This nose correction operation involves restoring the displaced bone fragments to their normal position. The optimal time for this plastic surgery is the first hours after the fracture, until soft tissue swelling develops, or the next 3-7 days, when the swelling decreases. A callus forms 10 days after the injury, so repositioning can no longer be performed.
Forty percent of all cases of facial injuries are fractures of the nasal bones caused by sports injuries, street and domestic fights, 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, mucosal discharge, hemorrhage, wounds, abrasions, nosebleeds due to rupture of the mucosa. In addition, the sense of smell and nasal breathing are impaired.
For diagnostic purposes in Israel the patient is interviewed, they can perform external and endonasal examination, endoscopic examination, radiography of the nasal bones.
A very common consequence of a bone fracture is the curvature of the nasal septum, which is accompanied by recurrent sinusitis, rhinitis and impaired nasal breathing. Curvature correction can only be performed surgically.
Another complication may be a hematoma of the nasal septum under the mucosa, it narrows the lumen of the nasal passages and makes it difficult to breathe. Perhaps its suppuration and subsequent destruction of cartilage. That is why high-quality and timely medical care for fractures of the nasal bones is extremely important.
Cold (ice or cold compress) can be used as a first step to reduce swelling and pain and stop bleeding.
In an Israeli clinic, plastic surgeons perform repositioning of bone fractures. During the first 6-7 days, repositioning is done manually with local anesthesia so that the bones can grow properly in the future. Dense tamponade of the cavities with turundi is performed in order to compress and maintain the nasal skeleton. A bandage is placed on the outside.
Self-reduction is strictly prohibited due to additional trauma. After the swelling subsides, 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 and others.
If the nasal bones do not grow properly, patients are often forced to turn to rhinoplasty later. To restore impaired breathing, a deflected barrier is corrected - rhinoseptoplasty is performed.
Rhinoplasty in Israel: correction of the wings of the nose
This type of operation is performed to change the width, thickness and symmetry in the presence of pronounced aesthetic defects and deformation. Depending on the violations, different methods are used. To repair the tissue around the defect, cartilage or a skin graft is mobilized or moved.
Correction of the wings of the nose can be an independent operation or the last stage of rhinoplasty in Israel.
Defects of the wings of the nose are acquired and congenital in nature, they are complete or partial. The causes are the consequences of correction of the nose or removal of tumors, injuries, burns and diseases.
Most operations to correct the wings of the nose are performed under local infiltration anesthesia. If there are extensive defects, intravenous anesthesia is used.
Sometimes plastic on the tip is used to correct the wings of the nose. In this case, this operation completes the rhinoplasty. If aesthetic defects are expressed, the correction is performed during the main phase of the operation.
When it is necessary to reduce the distance between the wings of the nose, make incisions in the base of the wings of the vestibule and along the contour. Skin and mucocutaneous segments are excised, hemostasis is performed and sutures are applied. The scars are placed in the folds of the wings of the nose and the natural nasolabial folds, which makes them virtually invisible.
If it is necessary to restore the support of the wings of the nose (in case of retraction or injury), move areas of adjacent tissues, graft skin flap or own cartilage from the auricle or nasal septum, specially modeled.
The rehabilitation period can last five days, in the case of cartilage reconstruction - seven or more.
Rhinoplasty in Israel: complete correction of the nose
This type of rhinoplasty in Israel involves complex rhinoplasty, which is performed in the structural segments of the outer nose and in the thickness of the tissues of the organ. They can reduce the length of the nose, change its shape, remove the hump, narrow the width of the back, adjust the tip. Together with the plastic, they restore the respiratory function and the normal architecture of the cavity.
Most often this operation is performed after injuries.
In most cases, the correction is performed by a closed (endonasal) approach, except for external skin incisions. Superficial manipulations can be performed with the help of local anesthesia and intravenous sedation, operations on deep structures require general anesthesia. This correction of the nose 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 and more.
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 disorder, the nasal cavity is examined, radiography or tomography is performed.
Modern rhinoplasty in Israel uses gentle techniques that provide excellent results and minimize the likelihood of complications.