Rhinoplasty transforms the patient and is considered one of the most effective methods for changing the appearance.
The face becomes open, looks younger, visible defects and sometimes even breathing problems are eliminated. Surgeons in our country have a sufficient arsenal of tools and techniques to give a person a new look.
But every operation has its pros and cons.
Types of rhinoplasty
How is rhinoplasty different from rhinoplasty?There is no difference between these concepts.
There are several types of adjustment.Here's how rhinoplasty is performed in every type of surgery:
- Septoplasty: aims to change the shape of the nasal septum and is prescribed for impaired respiratory function.
- Closed rhinoplasty is as follows: through one or more incisions the skin is separated from the frame - cartilage, bone. Then make an adjustment - parts are removed or enlarged. The skin is then sutured. The incision of the columella is not performed. This is a common technique used by surgeons.
- Open rhinoplasty: indicated for a large volume of corrections. The incision is made in the nasal cavity and in the area of the columella.
How long does rhinoplasty take: The duration of the operation depends on the volume of work and technique. So,closed correction lasts 30-40 minutes, open - up to 60 minutes. For complete closed rhinoplastytake 1 hour, open - about 1, 5 hours.
Video about the operation
To find out how rhinoplasty is done, we suggest you watch a video of the operation.
Non-surgical rhinoplasty
It is used if small defects need to be removed.It is performed in 5-7% of patients.
Fillers are used to smooth or change the angles of the tip of the nose, restore symmetry and mask the hump. The disadvantage of such a correction is that after 12-18 months the fillers dissolve, there is a risk of migration of the substance.
Absorbable preparations are also used. So it is possible to get rid of bumps, bumps. The technique is applied on the top, wings, supravertex area, from time to time - on the hump. It goes through several stages.
The threads that are inserted through the holes allow you to tighten the tip, adjust the shape of the wings. This technique is unpopular because there is a risk of tearing the thread, the appearance of rough scars.
Photos before and after
We suggest you see the results of rhinoplasty in other people in these photos.
Indications and contraindications
Indications for rhinoplasty are associated with such imperfections of the form:
- Humpback.
- Sharp or thick, hooked tip.
- Long length.
- Wide nostrils.
- Saddle shape.
Rhinoplasty is indicated for curved nasal septum, deformities - both congenital and as a result of trauma. The operation is performed in case of violation and complete cessation of nasal breathing.
The surgeon will refuse to make an adjustment if the client:
- Diseases of the heart and blood vessels,
- Coagulation disorders;
- Diseases of the liver, kidneys;
- Diabetes;
- Active form of tuberculosis;
- pregnancy, menstruation;
- Folliculitis (inflammation of the hair follicle), acne at the site of the upcoming surgery;
- Acute viral infections;
- Cancers;
- Mental disorders.
There are also age restrictions.Rhinoplasty is not performed until the age of 18 in girls and up to 21-23 years in boys, which is associated with the process of forming the front of the skull.
The correction is not recommended even after the age of 40, due to the delay in tissue regeneration and the risk of complications at this age. Older patients find it difficult to get used to the new look and often regret the changes.
At the consultation before the procedure, the surgeon finds out why the patient is interested in rhinoplasty, what result he expects, explains the consequences and warns of possible complications.
Training
Nasal correction is performed after preparation. The surgeon will instruct you on how to prepare for rhinoplasty.
Preparation for rhinoplasty includes standard examinations:
- Electrocardiogram.
- Chest radiography or fluorography.
- Photo of the nose.
2 weeks before the upcoming procedure, refuse blood thinners. For 7 days before rhinoplasty it is recommended to refrain from drinking alcohol and smoking. Light food is left in the diet for one day, and for 6 hours they refuse food and water.
Before the operation, consult an anesthesiologist. The specialist clarifies information about the tolerability of anesthesia.
List of analyzes
Before rhinoplasty, the following tests are performed:
- Blood (total, biochemical, electrolyte, coagulogram, blood type, Rh, factor) - for 14 days.
- HIV, HBS, HCV, RW - for 3 months.
- Urine - for 14 days.
Does it hurt?
During the rhinoplasty itself, the patient does not feel anything because he is in a state of medicated sleep or the doctor uses an analgesic.
During the rehabilitation period, there are more discomforts than pain - for example, due to tampons in the nose, which are removed after a day, and swelling. Compared to breast surgery, rhinoplasty is said to be painless.
Rehabilitation
If an osteotomy (fracture of an artificial bone) is performed, then a plaster cast is applied7-10 days. Swelling that occurs in the nose and around the eyes,disappear after 10-20 days.
The doctor can evaluate the results in advance after 6 months and finally after one year. How long the healing of the tissues will last depends on the characteristics of the body, age.
After removing the cast, the patient is obliged to visit the doctor within the specified period. For some time, they refuse to wear glasses, exclude spicy and hot foods from the diet to prevent bleeding and limit physical activity.
The full course of rehabilitation lasts 6-12 months.
How long a person heals depends on the severity of the operation and the complications.With a good course, after 10 days, the person gradually returns to the normal rhythm of life., going to work.
Why is rhinoplasty dangerous?
This is a surgical procedure that is associated with risks, sometimes with side effects. These are good reasons not to have rhinoplasty, especially if the surgeon does not see any abnormalities or medical indications.
An anaphylactic reaction to anesthesia is possible - a life-threatening allergy phenomenon. In 0, 017% of cases there is a syndrome of toxic shock - a state of shock that leads to the vital activity of exotoxins of bacteria or viruses.
In general, side effects occur in only 4-18. 8% of patients, with one in ten in this group experiencing skin and soft tissue complications.
During the operation, excessive bleeding, skin tears, mucous-cartilage structures, burns, bone pyramid disorders, etc. are fixed.
In the first hours, days after the operation, anaphylaxis, visual and respiratory disorders may develop. Of the hidden complications - bleeding, hematoma of the septum.
Rarelyinfection penetrates the wound, which requires a course of antibiotic treatment; in case of sepsis (blood poisoning) hormones and blood transfusions are used.
Other complications include:
- Decreased sensitivity.
- Scars, scars that require repeated intervention.
- Difficulty breathing.
- Deterioration of odor.
- Perforation (holes) of the nasal septum.
- Cartilage atrophy.
- The appearance of the vascular network, pigmentation.
- Rarely - necrosis (death) of tissues.
In addition, the patient is not always happy with the result -such patients 3 out of 10.The probability that the view will be as planned is about 70%. The nose may look too straight, look unnatural and not combine with other facial features. Therefore, before you decide to change, you need to weigh the pros and cons.
Then a second adjustment may be needed, which is done after 6 months, but not earlier. Indications are improperly sutured or excessively removed cartilage, in which the nose looks short, a small columella (the lower part between the nasal passages) and others.
When is the best time to cancel the operation?
Often people with dysmorphophobia or dysmorphomania turn to plastic surgeons for help. In the first case we are talking about a painful attitude to a minor defect or feature of the body, in the second - about an imaginary external defect.
If the surgeon does not find deviations from the average parameters in the size of the nose, its location in relation to other parts of the face, it is recommended to consult a psychologist.
You should also research reviews about the clinic and a specific specialist. The lower the qualification of the doctor, the greater the likelihood of complications.