What is rhinoplasty or nose surgery?
This is one of the most widespread and oldest plastic surgeries (first performed in 1000 BC) in the world.
It represents a whole section of reconstructive surgery that combines methods of surgical correction of the shape and size of the nose by replacing congenital or acquired defects in this part of the face with bone-cartilage tissue extracted from the patient.
Nasal surgery transforms the patient and is considered one of the most effective methods of changing the appearance.
Types and indications for
The nose is an organ of smell, which has a very complex anatomical structure. Surgical correction of this part of the body is considered one of the most difficult plastic surgeries in the world, because the doctor needs not only to change its appearance, but also to preserve its functionality (in some cases, such a procedure leads to a curvature of the osteochondral septum, causes nasal breathing difficulty or loss of smell). Therefore, before performing it, surgeons recommend that their clients think carefully and answer the question of whether or not it is worth performing a rhinoplasty (the exception is cases in which the irregular shape of the nose causes respiratory disorders and can cause a lack of oxygen to the brain). . The optimal age for the performance is 20 to 30 years, but in case of respiratory problems or after serious physical injuries, it is done earlier.
Main indications:
- disproportionate size of the respiratory organ in relation to the entire face;
- turbinate hypertrophy;
- injuries or deformations in bone or cartilage tissue in the area of the osteochondral septum, its curvature;
- asymmetric, forked or too high nasal tip;
- "Hump";
- shortness or difficulty breathing;
- dissatisfaction with the result of previous plastics.
There are several types of rhinoplasty, classified according to the purpose and technique of the procedure:
- plastic of the nasal tip - a method of surgical correction of the shape or elimination of asymmetry (bifurcation) of the nasal tip;
- graft (autotransplantation) - during the procedure, the doctor enlarges and, if necessary, lengthens a nose that is too small by transplanting cartilage tissue taken from the atrial area;
- reduction - a method of surgical intervention, which is aimed at correcting the shape and size of the turbinates;
- back alignment - removal of the hump on the back of the nose;
- septoplasty - a surgical method to correct a deviated nasal septum;
- augmentation - a surgical method of correcting the shape of the bridge of the nose in order to eliminate the "flattening" effect;
- non-surgical rhinoplasty: non-surgical correction of the shape, size and proportionality of the nose by injecting fillers (nasal contour plasty), the use of hormonal resorbable drugs that destroy the bony cartilaginous tissue in the nasal septum, or with the help of apt threads (thread lifting of the wings and tip of the nose).
How is the preparation for the operation going?
Before the procedure, the patient should visit a plastic surgeon who will take measurements of the respiratory organ, determine the amount of work to be done, simulate the presumed result of the operation on a computer using a special program (computer modeling helps the doctor) to better understand the customer's wishes) and write a reference for the following tests:
- general and clinical blood tests;
- electrocardiogram (with decoding);
- fluorography;
- AIDS, HIV or hepatitis testing;
- sinus tomography.
Two weeks before the procedure, you should stop smoking and stop taking blood-thinning medications. No food or drink allowed 12 hours before the operation (a light dinner is allowed the night before).
Before the procedure, doctors recommend good rest and sleep (this will help calm the nervous system).
Technique according to method
Immediately before the procedure, the client signs an agreement with the plastic surgery clinic, which contains their consent for the surgery, the cost of the procedure and its type, the name and surname of the anesthesiologist and plastic surgeon, and information that the patient is familiar with the possibility of developing postoperative complications and its methods. After this, the person is taken to the operating room, the face is cleaned with lotion, the piercing (if any) is removed and, if necessary, the preoperative mark is made with a special marker. The operation is performed under general intravenous or endotracheal anesthesia and lasts 1 to 2 hours.
There are two methods of performing a rhinoplasty: open and closed.
Open rhinoplasty
Open rhinoplasty is a procedure during which the doctor makes an incision in the columella (the part of the skin that lies between the nasal openings), corrects the shape of the nasal structures, and finally places various cosmetic points on the skin. This method of surgical intervention is used to correct severe injuries and deformities of the nasal cavity and to reconstruct bone and cartilage tissue using autografts.
Closed rhinoplasty
Closed rhinoplasty is a procedure during which the surgeon makes an incision within the nasal cavity, separates the soft tissues from the osteochondral framework, performs a series of surgical procedures to reshape the nose, and then sutures the mucous membrane with self-absorbing suture. . material. A less traumatic method of plastic surgery, after which complications rarely occur and scars remain.
After an unsuccessful first operation or in case of a result that does not suit the client, the doctors perform a second (secondary) rhinoplasty. This is a more complex procedure (technically) that requires certain skills and practical experience on the part of the surgeon, is performed under general anesthesia, and requires the same preparation as the primary plastic. It is performed no earlier than one year after the previous surgical intervention.
Recovery period and results
The rehabilitation period lasts 3-4 weeks, but the patient spends a day in the hospital. Immediately after the operation, a tampon is inserted into each nostril, which the surgeon removes after three days, and a plaster cast is applied to the nose (removed after ten days). After removing the tampons, the doctor prescribes drops to the patient to eliminate postoperative edema and accelerate the healing of soft tissues. The swelling and bruising completely disappear after 1, 5-2 months. The preliminary result is evaluated after 6-8 months, the final result - after 12. The scars after rhinoplasty are visible during the first three months, then they become almost invisible.
Postoperative recommendations:
- two weeks after surgical correction, you need to sleep on your back;
- during the first weeks, you can not visit the sauna, swimming pool, solarium, gym and do intense physical work;
- until the postoperative wounds are fully healed, you can only eat hot food and drink hot drinks;
- You cannot wear glasses for 2-3 months after the procedure;
- During the entire recovery period, you should not smoke.
Rhinoplasty or nose surgery results: before and after photos
Possible complications and contraindications.
Contraindications for the performance:
- oncology;
- runny nose;
- flu, SARS;
- active herpes;
- diabetes;
- atrophic rhinitis;
- infectious diseases of the oral cavity;
- mental disorders;
- tuberculosis;
- heart and kidney disorders.
Rhinoplasty is called one of the most difficult plastic surgeries in the world, during which the surgeon often removes not one, but several cosmetic defects at once, therefore, it is associated with the development of a number of possible complications:
- nosebleeds
- postoperative pigmentation;
- soft tissue swelling and bruising;
- loss of smell;
- the appearance of keloid scars;
- labored breathing;
- curvature of the nasal septum.
With what operations can they be combined?
Most often, the plastic of the nose is combined with septoplasty: surgical correction of the nasal septum (this procedure is sometimes called septorhinoplasty), cheiloplasty (changing the shape and volume of the lips) and mammoplasty - plastic surgery aimed at correcting the shape and size of the breast (in the latter case, two doctors are present at the operation, one of whom performs rhinoplasty and the other breast plastic surgery).
Estimated prices of rhinoplasty (nose job)
A plastic surgeon provides accurate information on how much a nose job costs. Rhinoplasty cost includes preliminary consultation, hospital stay, computer simulation of results, tampon removal, and bandage removal. The price of the procedure depends on the type and method of surgical intervention.
Rhinoplasty is an operation that is equally popular with women and men. It helps people to get rid of health problems, improve the appearance and proportions of the face.