What is rhinoplasty and stages of work

2 May 2025

Rhinoplasty is a special surgery that is performed to correct congenital or acquired defects in the nose, as well as a general increase in the missing parts of the nose.

The surgery of rhinoplasty lies in the fact that the surgeon changes the parameters of the nose by invading the nasal bone curve frame.

The main task of such surgery is to restore the correct form of the nose to a person who was disturbed before birth, due to illness or through the acquired injury to the nose. Nasal rhinoplasty Types of rhinoplasty

Today, the world uses such types of rhinoplasty of the nose:

septoplasty;

closed rhinoplasty;

open rhinoplasty;

rhinoplasty for secondary behavior;

rhinoplasty without surgery;

Rhinoplasty when using fillers;

rhinoplasty using special auxiliary drugs;

Rhinoplasty using Aptos threads.Septoplasty

Septoplasty is a surgical intervention that sets the task of eliminating defects in the nasal septum - displacement of cartilage and bones that interfere with normal functions and aesthetic nose.

Septoplasty indications for people:

constant nasal congestion for no apparent reason;

snoring;

nasal defects or nasal divisions;

constant or periodic bleeding of the nose;

The presence of chronic sinusitis;

General deformation of the nose;

The consequence of the injury to the nose, which prevents normal respiratory function.

Contraindications to septoplasty:

the presence of diabetes;

Too much distortion of the nasal septum;

The presence of diseases of the cardiovascular system.Rhinoplasty

Closed rhinoplasty as surgery is easily tolerated than a patient than discovered rhinoplasty. This procedure is carried out through endonasal access to the nose, that is, cuts are made directly inside the nose.

This operation has a number of advantages for the patient, but it is extremely inconvenient for the surgeon, as it is easier for any surgeon to perform surgery on a well -available operating field. Accordingly, with closed rhinoplasty, there is much more chance of obtaining a medical error, resulting in complications or other problems in the patient.

Advantages of closed rhinoplasty:

The duration of surgery is much smaller than open rhinoplasty;

The nasal tissues are not cut on the surface of the nose and the cuts themselves with a smaller size;

less likely for the appearance of scars;

lower edema after surgery;

The result of the operation is seen several days earlier. The results of the operation

Indications for closed rhinoplasty:

aesthetics (curve, ugly nose shape, deformation of the nose, etc. );

Medical (nasal injury, breathing short due to the improper structure of the nose).

Contraindications to this type of surgery:

the presence of mental illness in the patient;

Inadequacy of the patient's end result;

The presence of diseases in which every rhinoplasty is contraindicated;

The patient's performance of several unsuccessful rhinoplasties earlier, which significantly deforms the soft tissues of the nose.

As closed rhinoplasty is a very complex surgery, after his behavior the patient may have the following complications:

inflammation of the nasal tissue;

the formation of scars (rarely);

the formation of pigmentation on the skin that may remain forever;

hemorrhage;

nasal bleeding;

swelling or hematomas around the nose;

Irregular nose shape that will require secondary surgery.Rhinoplasty

Open rhinoplasty, unlike closed, is made with a small section with a diameter of 4 - 5 mm. Thanks to such a barely visible area, the skin of the nose can be completely lifted and then the surgeon will be much more encouraged to work with an open skeleton of the nose, because it will see in front of it the whole external structure of this organ, unlike the closed rhinoplasty. This significantly reduces the chances of a surgical error.

In addition, open rhinoplasty is recommended for primary surgery, as it can more accurately eliminate all existing nasal defects, unlike closed rhinoplasty, which cannot always guarantee the same result.Rhinoplasty in secondary behavior

Secondary rhinoplasty is performed if the primary has been unsuccessful and complications need to be adjusted. It can be done both open and closed.Rhinoplasty without surgery

Rhinoplasty without surgery is performed only in 4-7 % of patients who can do without surgery. Only minor nasal defects can be corrected with the help. The more serious problems in the structure and the appearance of the nose require only complete surgery for rhinoplasty.Rhinoplasty when using fillers

This procedure is performed if the patient wants to remove only small defects in the nose. For example, these may be various minor drawbacks, disadvantages, extension of the tip of the nose, the irregularity of its symmetry, etc. In these cases, doctors use special fillers that are introduced into the tissue of the nose and they correct the problem.

The advantages of this method are that the restoration of the nose is much easier, and the procedure itself is not as painful as ordinary surgery.

The disadvantages of rhinoplasty with the help of fillers are a change in the structure of the nasal tissue and the possible "migration" on the surface of the nose of the administered drug.Rhinoplasty using special auxiliary drugs

To perform such a procedure, surgeons use special medicines based on hormones that are introduced into defective nasal areas.

The advantage of such rhinoplasty is that the patient is not undergoing surgery. But a major disadvantage of such rhinoplasty is that with the improper calculation of the dose of the drug and its administration into the wrong area of the nose, the patient may have various complications and worsening of defects. Types of rhinoplasty Rhinoplasty using threads

This procedure is performed with the help of filaments with which doctors pull the wings of the nose and nose. These threads stand through special punctures on the nose and, as it was, pull their nose.

Rhinoplasty using filaments is not very commonly used by surgeons as there are a number of disadvantages:

After the procedure, there is a high probability of the formation of scars;

the appearance of contouring and the ugly nose in "points";

The high likelihood of fracture of the filaments as the nose is very mobile in its structure, which ensures the unreliability of this procedure.Pluses and disadvantages of rhinoplasty

The benefits of rhinoplasty:

satisfaction with its occurrence after surgery;

the complete elimination of any defects in a successfully performed procedure;

Improvement of breathing in its preoperative disorders.

Cons of rhinoplasty:

the ability to acquire infection;

loss of sensitivity to the nose;

bleeding;

Failed surgery, complications;

worsening the appearance of the nose and dissatisfaction with the end result.Indications and contraindications

If a person has congenital nasal defects, but he or she can have rhinoplasty with the onset of adulthood. In general, at the age of 18 to 40, it is considered the most appropriate age for this procedure when the body is already formed and one makes a balanced decision.

Indications for rhinoplasty:

the presence of a hump of the nose;

congenital nasal defects;

nasal defects acquired by injuries;

violation or complete inability to breathe with your nose;

nostrils with too wide;

The nose is too long;

Nose in the form of a crushed saddle;

Hook nose -similar supplement;

Too thick nose;

Too sharp nose.

Contraindications to rhinoplasty:

human minority (if the injury is acquired as a child, then the procedure is possible in premature lines);

age after the fortieth anniversary (since after this age a person is at risk of any complications and worsens the healing process of wounds);

The presence of diabetes mellitus;

All types of kidney or liver disease;

Problems with the patient's blood coagulation;

serious heart disease and blood vessels;

acute viral diseases;

the presence of cancer;

the presence of mental disorders;

If there are no defects in the nose and no rhinoplasty is required.Preparation for rhinoplasty

As rhinoplasty is a complete surgery, for some time before it, the patient should do the following:

Undergo a full study of the presence of cardiovascular disease.

Pass the exams and take advice from the therapist, neuropathologist, Laura, anesthesiologist, surgeon, who will conduct the surgery, etc.

In order to discuss with the surgeon, all the possible consequences of the surgery and to determine the future form of the nose, width, etc. should also discuss the type of anesthesia with an anesthesiologist, which he will use during the surgery.

Pass all the necessary tests. Reproduction

Performing operations - stages

Rhinoplasty is performed at these stages:

Anesthesia is administered to the patient;

Additional anesthesia is performed;

The surgeon then cuts the lower lining of the nose and begins directly to his work (such surgery can be both closed and open);

The surgeon corrects all defects in the nose, corrects irregularities, humps, etc. , depending on the patient's specific problem;

If necessary, it can replace the carts that are missing from the nose from its other areas or artificial cartilage;

After the operation is completed, the surgeon sews his nose and requires a fixing bandage.

Depending on the level of complexity and the course of the procedure, the surgery of rhinoplasty can last from 50 minutes to 2 hours. It should also be mentioned that the nose after surgery can be subjected to independent changes in the form of improvements or worsening.

All this will depend on the patient, his adherence to the medical recommendations and directly, the results of the surgery itself, which will only be visible after 6-8 months.Rehabilitation period

After rhinoplasty, the nose and around its region, the vaccine form a vaccine, swelling and hematomas that usually go after two weeks. After surgery, a special fixing dressing is applied to the patient's nose, which should be worn within ten days. The tampons will also be placed in the nose, which will prevent bleeding, so for some time the patient will not be able to breathe the nose.

The result of the operation can be evaluated after six months and the end result is after a year. The delay of wounds after surgery depends on each person individually and the state of his vitality. If complications are observed after surgery, then the healing lines can be increased significantly.

After rhinoplasty, it is desirable to visit his surgeon to carry out nose checks after rhinoplasty.Recommendations before and after surgery

Before the surgery, the patient follows:

abandon all bad habits (alcohol, fatty foods, etc. );

A few days before surgery, medicines and products are prohibited, which causes a decrease in blood coagulation in the body.

After surgery, the patient must comply with the following requirements:

During the first months after rhinoplasty, one cannot join sports (gymnastics, running, etc. );

It is undesirable to swim;

Do not eat too hungry or warm food to avoid bleeding;

Wash carefully without touching the nose and areas around it;

Avoid the acute change in the face of the face of the face;

Wear clothes that do not need to be removed over your head. Indications and contraindications

Possible complications after surgery

After rhinoplasty or during the procedure itself, the following complications may occur:

Allergy to anesthesia.

Abundant nose bleeding.

Swelling of the nose area (in the first weeks after the procedure), which can interfere with normal nose breathing.

Swelling on the face (in the eyes, cheeks and other parts of the face).

The appearance of hematomas of the face.

Reducing the sensitivity of the skin of the nose or its absolute loss for some time.

The risk of infection infection.

Large scars can be formed to remove which other operation will be needed.

Difficult breathing after surgery (depending on the type of surgery and procedures). Which will be done with worn cartilage.

The appearance of a lack of odor or its partial loss.

Stretching the skin or loss of its flexibility (occurs with excessive cartilage cutting into the nose).

Narrow fabric.

The formation of age spots or manifestation of blood vessels on the skin of the face.

Fatal result with anaphylactic shock.

Patient's dissatisfaction with the end result of the procedure.

Failed course of the surgeon's fault.Results

The first results of the operation will be visible after 10-14 days. But the patient can only see the end result after 8-10 months, when all the numerous edema and bruising will leave and the tissues will "lie" on the new nose.

It is often the case that relatives and friends do not notice significant changes in the onset of the patient after surgery. As hematomas and swelling will drown the whole result. In this case, the patient does not need to move immediately to repeated rhinoplasty, but should only be expected when the person reaches the usual form and then evaluate the end result.

It should also be shown that rhinoplasty does not have a genetic effect and will not be transmitted from the clan for children, as some patients may consider. This operation only improves the appearance of a person.