Plastic surgery is not just the work of the surgeon, anesthetist and medical staff.The result of the operation largely depends on the patient himself and his behavior during the recovery period.Rehabilitation after rhinoplasty- the same part of the operation as the preparation for it and the actual execution.
Rehabilitation after rhinoplasty: what can cause complications
Rhinoplasty is a complex operation, after which negative consequences are observed in every tenth patient.Complications after rhinoplasty can be related to both the error of the surgeon and the violation of restrictions by the patient after the operation.
The poor qualification of the surgeon can lead to the formation of scars due to damage to the skin or cartilage tissue.Scars and adhesions in the future are quite difficult and long to treat.Damage to the bone tissue also indicates a medical error, fraught with impaired respiratory function and an unsatisfactory aesthetic result.To correct it, a repeat operation is required, which is usually more difficult to perform and the surgeon's skills must be at the highest level.
The consequence of a violation on the part of both the surgeon and the patient is severe bleeding that opens during the operation.A damaged large vessel or taking drugs that affect blood clotting can lead to such a complication.
Non-compliance with the rules of sterility leads to infection, if detected, it is important to seek medical help immediately.Unpleasant complications such as skin necrosis occur as a result of excessively cut surfaces.Repeated excision of the damaged tissue avoids further development of tissue necrosis.
If the patient did not follow the recommendations of the postoperative period and removed the bandage prematurely or did not take proper care of the nasal cavity, there is a possibility that the sutures will fall apart.This will require repeated intervention and suturing.Patients who do not take the doctor's recommendations seriously can cause not only suture dehiscence, but also bone and cartilage tissue due to a momentary desire to show a new nose.
Due to the error of the surgeon, various disorders are possible due to a distorted nasal septum, for example, impaired nasal breathing or problems with the blood supply of the nasal passages.
Aesthetic complications caused by the low qualification of the surgeon include deformation of the nose in the area of the bridge of the nose, too short or "beak-shaped" nose, severe asymmetry and any other disorders of the aesthetics of the nose.A complex consequence of medical error is the excessive removal of bone or cartilage tissue, which may require tissue augmentation by implantation, contouring, or autotransplantation of the patient's tissue.In order to avoid the discrepancy between the result of the operation and the expected effect, it is important to undergo a preliminary simulation of the result in the clinic where rhinoplasty is supposed to be performed.
Restrictions after rhinoplasty
Rehabilitation after rhinoplasty includes a number of serious restrictions, the strict observance of which will have a positive effect on the outcome of the operation.
Smoking is prohibited two weeks before rhinoplasty and two weeks after it, because nicotine limits the access of oxygen to blood vessels and nerves and thus prevents tissue healing.Tissue necrosis develops in smokers several times more often than in patients who follow a healthy lifestyle.Recovery after rhinoplastyimposes a similar restriction on alcohol consumption.
A mandatory restriction is to sleep on your back with a high pillow to quickly get rid of swelling and prevent injury to the operated organ.So sleeping on the back should become a new habit for the patient.
Rehabilitation after rhinoplasty will require the patient to give up medications that thin the blood or affect blood clotting.Thus, anticoagulants and hormonal contraceptives should not be used until the end of the recovery period.
Traumatic ball sports (basketball, football, etc.), skating, roller skating and similar means of transport, including alpine skiing, should be postponed until the nasal tissues are fully healed.You should not bend over your head or do exercises that involve sudden lifting or changing the position of the torso.
When taking a warm shower, you should not allow the plaster cast to get wet, otherwise unpleasant complications may occur in the form of suppuration or infection of the tissue, and the soaked plaster will no longer be able to keep the shape of the new nose.
The patient should not plan a pregnancy within a year after nose correction, since recovery after rhinoplasty implies complete rest of the operated organ and lack of stress on the body, including hormonal.
Stress on the body also includes physical activity, which must be excluded so that rehabilitation after rhinoplasty is successful and without complications.Any activity that causes increased pressure in the body can disrupt healing and proper tissue fusion.In this regard, the recommendation not to be nervous and avoid stress in the light of rehabilitation after rhinoplasty seems particularly relevant, since any stress immediately affects the internal processes in the body.
Small restrictions include a ban on decorative cosmetics and cosmetics, with the exception of medicines prescribed by a doctor.
Rehabilitation after rhinoplasty will pass without complications if for one month after the operation you refrain from activities related to temperature changes, for example, you should not visit baths and saunas, it is important to avoid solariums and sunbathing, and you will also have to avoid visiting the pool, since chlorinated water can have an aggressive effect on the healing tissues.
The operation is over, what's next?
Patients are often worried about what awaits them immediately after surgery.The first two or three days are the most difficult and uncomfortable.A bandage is placed on the face, and the nostrils are closed with turundi - twisted cotton swabs.Turunds fix the tissues of the nose from the inside and promote their healing in the correct position.In addition, they prevent bleeding, which is dangerous for unhealed sutures.The external fixator of the new nose is a bandage or plaster cast.The presence of turundi in the nose significantly restricts breathing, and breathing through the mouth is very unusual and quickly dehydrates the oral mucosa.In addition, the presence of postoperative edema also interferes with normal breathing, as a result of which the patient may feel as if he has a cold, but the effect of the stuffy nose will disappear along with the edema.This unpleasant moment should last 2-3 days, after which the tourniquets are removed and the patient goes home.Depending on the complexity of the operation, the patient will stay in the clinic for 2-3 days with constant care and under full medical supervision.Sometimes less time in the clinic will be required depending on the complexity of the surgery.
One of the unpleasant symptoms that can occur during rehabilitation after rhinoplasty can be a headache that occurs during the first few days.It can be treated with pain relievers prescribed by a doctor.
The aforementioned swelling of the nose may make the patient want to clear the nose of the mucus, but in no case should you blow the nose or cough, as any increase in pressure in the nose may cause the sutures to disintegrate.For the same reason, after rhinoplasty, you should not catch a cold, so as not to provoke a runny nose and even more nasal congestion.After surgery, the doctor will show you how to clear your nose without risking injury.
Rhinoplasty recovery is fraught with mild weakness and even fever during the first few days immediately following surgery.This is normal after surgery, so it's best to give yourself a chance to rest.
After the operation, hematomas and swelling under the eyes are possible, but in order to hide them, you should not wear glasses for 3 months after the operation: any weight and pressure on the bridge of the nose can change the results of the operation and deform the new bridge of the nose, which has not yet been restored.Specialists recommend not being socially active and staying at home during rehabilitation.
To speed up recovery, the clinic can offer special physiotherapy measures.They are usually performed from the second day after the operation.Thus, rehabilitation after rhinoplasty will be easier and more convenient than with self-care.