One in three people on the planet has thought about nose correction at least once. 70% of patients choose rhinoplasty because they are 100% dissatisfied with their appearance and want to solve aesthetic problems: remove the hump, make the nose thinner, smaller, smoother. 30% of patients decide to undergo rhinoplasty for medical reasons: nose injury, shortness of breath, deviated nasal septum, or frequent sinusitis.
Problems with the shape of the tip of the nose are not uncommon. But don't be shy, everything can be fixed. If the defects of the figure can be corrected with clothing, diet or sports, then you should contact a plastic surgeon to correct your nose or lips.
We will talk about all the features of the procedure, preparation for plastic surgery, and other important stages in this article.
Indications and contraindications: medical, aesthetic, indirect, absolute.
Rhinoplasty is a surgical procedure that takes between 1 and 2 hours. As a result, the patient's appearance changes and the face becomes more attractive. Before carrying out the plastic, it is necessary to agree on all the points with the doctor and thoroughly prepare for its implementation: pass tests, follow a diet, give up cigarettes and alcohol at least a week before the operation.
Indications for surgery
The indications for the procedure are congenital and acquired.
The congenital indications for plastic surgery are various aesthetic and physiological defects: hook-shaped, bifurcated, thick or drooping tip, its displacement to one side, too wide or narrow nostrils.
The operation may be necessary after injuries or diseases in which a curvature of the nose occurs, as well as in case of difficulty in breathing due to the structure of the organ or changes associated with age (aging of the skin). The above indications are considered acquired.
To restore or correct the tip of the nose, you should consult with a surgeon, if surgery is necessary, the density of the cartilage, the thickness of the skin and tissues, the length, the width of the nose and others will be taken into accountfactors. The wishes of the patient are always taken into account and are also carried out to the greatest extent possible, but the final decision is made together with the doctor, because excessive cartilage removal can lead to health problems.
Before the operation, you need to examine the nasal cartilage, and also make sure that the skin in the area of the respiratory organ is healthy; there are no inflammations or signs of infection.
Contraindications for surgery.
Correction of the tip of the nose is a serious procedure, it must be approached consciously. What are the contraindications of the procedure?
- Age.The operation is carried out from the age of 18. At this age, tissue formation occurs completely. However, surgeons recommend correcting the tip of the nose between the ages of 20 and 35. It is then when the formation of bones and cartilage is completed, the skin is elastic and regeneration is activated after the procedure.
- Blood clotting problemsWhen a patient has poor blood clotting, the risk of surgery is higher than usual and therefore it is better to refuse to perform it.
- Exacerbation of chronic diseases.Surgeons do not recommend performing an operation during an exacerbation of diseases. It is better to wait until the state of health returns to normal and undergo an examination. Only in case of positive test results can you opt for rhinoplasty.
- Viral diseases, infections, inflammations.It should be remembered that if there are at least minimal health problems, it is better to postpone surgery until full recovery.
- Oncology.Rhinoplasty is contraindicated in patients with oncology.
- Menstruation.The operation is contraindicated during menstruation. It is advisable to carry out the correction within two weeks after the end of menstruation.
It is also contraindicated to perform plastic surgery during pregnancy or lactation. Before the operation, the patient must be examined and tested to provide the necessary preparation for rhinoplasty.
Other forms of correction. Why rhinoplasty is the safest method
To correct the nose, surgeons use different surgical techniques depending on the wishes of the client and the result that the patient hopes to receive. However, you can find other methods to correct the tip of the nose on the net.
Clamps
In online stores you can find the so-called "nose correction tweezers". Manufacturers assure that when using concealers 2-3 times a day, the effect will be noticeable, comparable to performing a surgical intervention. But of course this is far from the truth. For nose correction, clips or other pseudo-specialist devices will not work. If there are any effects, it will be short-term, for 2-3 weeks, and the correction is negligible.
Training
There is a set of exercises for the face that allows you to correct its shape. These exercises are helpful in maintaining muscle tone, cheekbones, and double chin, but will not work to correct the shape of the cartilage. The effect after systemic exercise persists for 2 weeks.
Thread correction
The threading technique is performed by a specialist with a special needle through micro-perforations. Specially designed notched threads are inserted into the skin of the nose, forming a frame. The threads are inserted through small punctures and the structure holds it in place. After two days, the doctor removes the ends of the threads and the patient sees the final result, which lasts for about 3 years.
Use of hormonal drugs.
To correct the tip of the nose, you can also take a course of hormonal drug administration. First of all, you need to consult an endocrinologist. If there are no contraindications, a hormonal drug can be given. This procedure is done to remove excess soft tissue and lift the tip. For correction, you need to undergo a course of procedures that will last 2-3 weeks. It is worth noting that the drugs give a temporary effect, from 3 months to 2 years, depending on the chosen drug.
Surgical correction
According to experts, rhinoplasty is the most reliable and effective form of correction. Unlike previous methods, rhinoplasty provides a lifelong result. The procedure takes 1 to 2 hours under local or general anesthesia. The main advantages of the operation:
- all possible correction options (lower or raise the tip, reduce, straighten or narrow the tip of the nose);
- elimination of respiratory problems;
- result for life;
- correction of injuries, birth defects.
3 Techniques to perform the operation. What is the difference
There are several types of rhinoplasty: classic closed, open and hybrid methods. Surgeons resort to different types of plastic surgery depending on the result to be achieved, the shape of the nose, the position of the bone and cartilaginous tissues, and other factors.
A characteristic of classic closed plastic surgery is that it can be used to correct the dorsum of the nose, but correction of the tip will be more difficult than the open one. In the case of this method, the incisions are made within the nasal passages and access to the tip is only possible when the cartilage in the incision is removed. But there are also advantages: there are no visible scars after the operation. Closed plastic is suitable for removing a hump or correcting bone tissue in case of its curvature.
In the case of open surgery, the surgeon makes an additional incision between the nostrils. This contributes to better access to the structures of the nose, wide possibilities to change its size and shape. The scar after the procedure will be almost invisible and small. With this method, you can more effectively reshape the tip of the nose (compared to the closed method). Its disadvantage is the possible formation of a small scar on the outside of the nose and a longer recovery period. The scar becomes smaller after a couple of months after the operation, and it can also be removed with the use of additional healing agents and creams, which the surgeon will recommend, if necessary.
Since the above methods have their drawbacks, surgeons have developed a combined plastic technique. When using it, incisions are made inside the nose, which are characteristic of both methods, but, unlike the open method, there is no external incision in the skin.
The combined method (also known as "hybrid") has been developed taking into account all the advantages and disadvantages of the closed and open methods.
The main advantages are the ability to change the structure of the nose as much as possible and not to leave visible scars. Recovery after the combined method occurs in 2 weeks and there are no visible scars on the skin.
By using the hybrid method, the surgeon has the opportunity to make corrections during the operation, as well as to control the desired result, avoiding the possibility of an over or under correction. The combined method has only one drawback: it is more complicated from a technical point of view.
A few words about something important. Preparing for surgery
Before performing rhinoplasty, you need to undergo training. You will need to consult a plastic surgeon to discuss the desired changes. The surgeon examines the nose and explains the reality of obtaining the desired result. During the consultation, questions about the limitations, the operation, the peculiarities of its preparation, rehabilitation after it, as well as possible complications are discussed.
Before the operation, the patient must be examined to make sure there are no contraindications and pass the following tests:
- blood for HIV infection and hepatitis C and B;
- clinical blood test;
- blood biochemistry;
- laboratory analysis of urine;
- prothrombin index analysis;
- fluorography;
- electrocardiograph;
- tumor marker test;
- bone scan.
In addition, the patient must listen to the doctor's recommendations and adhere to them. Avoid drinking alcohol one week before the operation, stop smoking, do not use blood thinners, drink water or eat food for five hours before the procedure. It is important to refrain from an active hobby and walk in the scorching sun for a couple of days before rhinoplasty.
About the course of the operation and its main stages
Rhinoplasty is performed under general or local anesthesia. The choice of the type of anesthesia depends both on the client's wishes and the peculiarities of the operation, as well as on the method that the plastic surgeon will use when performing it. The patient can always share his wishes regarding anesthesia, but the final decision is made by the physician. The process and quality of rehabilitation after rhinoplasty also depends on the choice of the type of anesthesia.
Local anesthesia is used in case of minor correction of the nose with hormonal injections, fillers or threads. These correction methods do not cause severe pain, so general anesthesia is not required in most cases. But this type of anesthesia is practically not used in rhinoplasty, when the surgeon needs to touch the bones of the nose or cartilage.
The surgeon uses general anesthesia in most cases. This type of anesthesia allows you to completely avoid pain during the operation and the patient will have no memory of the operation.
The operation lasts between 1 and 2 hours. After anesthesia, the surgeon makes an incision in the skin or mucous membrane. Depending on the wishes of the patient and the specific case, the doctor selects an open or closed method for the operation.
During rhinoplasty, the doctor separates the soft tissues of the nose from the bone and cartilage of the nasal cavity. Then carry out the movement of cartilaginous and bone fragments, model a new shape of the nose. After the manipulations, the plastic surgeon applies absorbable stitches to the skin or mucous membranes, depending on where the incision was made. The next step is to tampon the nasal passages with large gauze tampons. The final stage of the operation is the imposition of a fixing plaster.
The surgeon selects the type of incision based on the structure of the nose, the complexity of the procedure, and the surgeon's preferences at work. The cut can be axial, perpendicular, oval, or angled.
The rhinoplasty itself is performed using three main methods: open, closed, and combined. The characteristics of each of the methods are described in the paragraph "types of operation".
The choice of the method of plastic surgery is presented to the patient directly, but doctors recommend choosing the methods with the lowest level of trauma. Surgeons say that the least traumatic methods are closed and combined, since in the case of their use, the incision is small and recovery after surgery is faster.
Surgeon's recommendations in the postoperative period. How to avoid complications
Rehabilitation after surgery is on average 20 to 25 days. If the rhinoplasty was performed under general anesthesia, the patient must also be hospitalized for 24 hours after surgery.
During the three days after the operation, gauze or cotton swabs should be placed in the nasal cavity to ensure the immobility of the new forms and prevent swelling. On day 5-8 (depending on speed of healing) after plasty, the suture material is removed. After a week or 10 days, the patient is removed from the cast, bruising and swelling gradually begin to disappear.
Doctor's recommendations in the postoperative period:
- Sleep on your back, be sure to use a high pillow.
- To reduce the level of discomfort associated with dry mouth (as one of the possible consequences of the procedure), use special solutions or softening pastes.
- Do not abuse alcohol and smoking.
- Refuse trips to baths, solariums, saunas.
- Do not wear glasses.
- It is forbidden to overload yourself with physical activity.
- Stop eating hot foods and drinks temporarily.
- Don't touch, knead, or feel her nose.
Possible complications
Complications after rhinoplasty are rare. Some of them appear immediately after correction, while others occur in later stages of healing. Natural complications include edema and bruising. External signs of swelling disappear one week after plastic surgery, deep swelling disappears after six months. Shortness of breath goes away on its own 10 days after the operation.
To protect yourself as much as possible from possible complications, it is important to carefully choose a specialist, clinic and provide complete information about your health, injuries or illnesses, if any. The final result of the performed operation also depends on strict compliance with the doctor's recommendations during the rehabilitation period.
Conclution
Rhinoplasty is used by both women and men at any age. Surgeons advise to perform surgery to correct the tip of the nose at an early age and not put it off. It is important to undergo a full examination to make sure there are no contraindications to plastic surgery. The most popular indications for rhinoplasty are:
- correction of the tip of the nose (large, sharp or round);
- a long nose
- wide nasal bridge;
- lifting the tip of the nose or narrowing it;
- elimination of asymmetry;
- difficulty breathing;
- elimination of the consequences of injury or poor-quality rhinoplasty;
- correction of the split nose tip.
If the patient has a small defect, the operation is performed under local anesthesia. In 90% of the other cases, rhinoplasty is performed under general anesthesia. The procedure itself takes one to two hours. The method of performing the procedure (open or closed) is based on many factors. These include the complexity of the nose defect and the wishes of the client. But the final decision is left to the plastic surgeon.
The quality of the rhinoplasty and the final result are directly dependent on the choice of a specialist and a clinic, so this must be addressed thoroughly.