Rhinoplasty or rhinoplasty is a branch of plastic surgery that specializes in correcting congenital or acquired deformities, as well as restoring individual segments of the nose or the entire organ.
Rhinoplasty operations can increase or decrease the size of the nose, change its shape and eliminate breathing problems. The aesthetic goal of rhinoplasty is to achieve harmony in facial features by correcting defects in the nose. As a rule, this type of operation is performed upon reaching the age of 18-21 years, since until this time there is a physiological growth of bone and cartilage tissues.
The task of rhinoplasty is to restore the correct forms and functions of the nose, which were damaged as a result of injuries or during the period of embryogenesis. Rhinoplasty is a variety of different operations, which will be discussed in more detail below.
Israeli clinics provide excellent results, the medical care provided meets the expectations of patients.
During rhinoplasty in Israel, open or closed access can be used, depending on the purpose of the operation. With closed rhinoplasty, an incision is made in the cavity, the frame skin (nasal cartilage and bones) is exfoliated. This method is used to change the shape, remove excess cartilage and bone, etc. If a large volume of surgery is planned, an open rhinoplasty of the nose is prescribed when incisions are made in the columella (vertical skin fold separating the nostrils).
Nose correction is divided into primary and secondary. Revision or secondary plastic surgery is performed in order to eliminate the defects that remain after the primary operation.
In recent years, fillers have been actively used in rhinoplasty if it is necessary to correct small imperfections of the nose: change the shape of the wings, restore symmetry, round the tip of the nose, etc.
Rhinoplasty Surgery in Israel: Planning and Implementation
In Israeli clinics, the patient is first consulted by a plastic surgeon, who examines the shape of the nose, the condition of the tissues, and diagnoses nasal breathing disorders. For the best cosmetic results, photographs and computerized models of the nose are taken. The patient is also consulted by an otolaryngologist. If there are pronounced defects, when nasal breathing is disturbed, nasal rhinoplasty is performed together with an otolaryngologist and a plastic surgeon.
As a rule, during the operation, general anesthesia is used in combination with local infiltration anesthesia. The duration of rhinoplasty depends on the complexity and takes 1-2 hours or more. To give the nose a more aesthetically advantageous size and shape, the surgeon changes the framework of bone and cartilage. Correctly performed rhinoplasty in Israel and the absence of complications, and postoperative scars will not actually be visible.
Recovery period after nose correction
After surgery, tampons are installed in the nostrils and removed after 2-3 days. To fix the new shape, a special plaster or colloid adhesive is applied for five to seven days (if the plastic touched the cartilaginous part of the nose) or twelve to fourteen days (if the bony part).
As a result of the swelling, nasal breathing may be difficult in the first few weeks. The bruising and swelling go away in ten to fourteen days. Wearing glasses is not recommended for a month and a half after nose correction. The full course of recovery takes six to eight months, it is then that the final results of the operation will be visible. Smoking and taking certain medications can slow recovery.
Rhinoplasty in Israel: nose hump removal
This operation is multi-stage. In the process of its implementation, the osteocartilaginous protrusion from the back of the nose is removed. The hump can be caused by trauma or hereditary factors.
If the hump of the nose is small, then local anesthesia can be used, if it is large - general. The duration of the surgical intervention is 1-2 hours.
First, the surgeon dissects and removes the skin from the cartilaginous bony base of the nose, the skeletonization stage. After that, the cartilage is cut, and the cartilaginous segment of the septum is gradually removed, starting from the smallest volume. The bony component of the hump of the nose is then removed.
After removing the hump, the skeleton takes the form of a truncated pyramid. An osteotomy is performed to join the nasal bones and remove the wide platform. The surgeon dissects the bone tissue from the lateral slopes and brings them closer to the upper segments. To eliminate irregularities, he uses contour plastic using the patient's own cartilage or various implants. At the end of the nose correction, cotton swabs are placed in the nostrils, and a plaster bandage is applied to fix the new position of the tissues. The cast is removed after eight to ten days.
For several weeks after removal of the hump from the nose, bleeding and swelling in the nose area persist. As the edema subsides, nasal breathing is restored. The final result of the operation can be evaluated after six months, when the tissues are fully restored.
Nose septoplasty in Israel
This is an operation to correct the nasal septum while preserving the bone and cartilaginous framework. This type of plastic allows to achieve an aesthetic result and eliminate difficulty breathing.
The nasal septum is a thin vertical plate of bone and cartilage, which is easily deformed, leading to impaired respiratory function and impaired cosmetic appearance. The reasons may be injuries, rickets suffered in childhood, hereditary predisposition.
Contraindications are:
- severe pathologies of the internal organs;
- oncology;
- infectious diseases;
- problems with blood clotting;
- diabetes.
Indications for septoplasty of the nose:
- allergic pathologies (itching, runny nose, etc. );
- difficulty in nasal breathing and its absence;
- chronic and acute diseases of the paranasal sinuses (frontitis, ethmoiditis, sinusitis);
- vasomotor rhinitis and frequent nosebleeds;
- snoring due to nasal breathing problems, etc.
In case of exacerbation, septoplasty is performed two weeks after its removal. The indication for the operation in Israel is determined by the otolaryngologist based on the history and diagnosis (rhinoscopy). Before the operation, laboratory tests, ECG, radiography of the lungs are performed.
As analgesics, infiltration anesthesia can be used (with the help of injections it is injected into the nasal septum), local application anesthesia (turundas impregnated with an anesthetic are injected into the nostrils), as well as general anesthesia.
With septoplasty in Israel, the surgeon makes an incision inside the nose or endonasally, as a result, there is no visible postoperative scar. On both sides of the nasal septum, it exfoliates the mucous membrane, highlights and removes the curved parts of the bony structures and quadrangular cartilage of the septum. At the end of the correction of the nose, sutures are applied and a tamponade is made with finger swabs or gauze. A bandage in the form of a sling is applied to the nose.
Also, septoplasty in Israel is performed by endoscopic approach. An endoscope with fiber optics is inserted into the nasal cavity, which allows you to view hard-to-reach departments on the monitor and perform the operation as correctly as possible. This type of septoplasty of the nose provides minimal damage to the cartilage and tissues, which reduces the recovery period.
Also, laser septoplasty is used in Israeli clinics, thanks to which the development of bleeding and edema can be prevented, since the laser "seals" the vessels by cutting the tissues. In addition, it provides an antiseptic effect.
The duration of septoplasty is determined by the degree of curvature of the septum, the operation can last from thirty minutes to an hour and a half.
This type of rhinoplasty is quite easily tolerated. The patient is in the hospital until the nasal swabs are removed. Ten to fourteen days is enough to restore working capacity, full rehabilitation takes about a month.
Rhinoplasty in Israel: convergence of the bones of the nose
Osteotomy in Israel (reposition of bones, convergence of bones) can be an independent operation that corrects the shape of the nose, or one of the steps to remove the hump on the nose. Thanks to this type of plastic surgery, the surgeon achieves the ideal proportions of the nose to the proportions of the face, reducing the lateral bones of the bridge of the nose.
In the process of osteotomy, it unites the walls of the bone pyramid, after which the cartilage attached to the bones is displaced. The skin, as a rule, adapts without much difficulty to the changed contours of the back of the nose.
Of the total time of the rhinoplasty, the osteotomy takes a few minutes. After the correction is complete, the nose is sealed with a surgical cast and secured with a bandage to maintain its shape and protect it from damage.
In 2 weeks the bruising and edema disappear. The new contours finally form within a year.
Rhinoplasty in Israel: nose tip support
Support for the tip of the nose is provided by a stable, strong, and correct arrangement of cartilage. Normally, they are slightly above or below the line that runs along the back of the nose.
Insufficient support is caused by undesirable consequences of rhinoplasty (when adequate support is not provided) or age-related tissue ptosis processes (ligaments that support the cartilage weaken).
To create support, the entire outside of the nose is shaped correctly and proportionately. The norm is the nasolabial angle (formed by the upper lip and columella) - 90-120 °.
During rhinoplasty in Israel, the tip of the nose can be raised seven to eight millimeters above the posterior profile line. The skin of the tip has difficulty adapting to changes because it is less elastic and thicker.
To restore support, transplanted cartilage grafts can be used - "accessory". The surgeon places said cartilage between the lateral cartilages and fixes it, then cuts it to the desired size.
In addition, the tip graft can be placed perpendicular to the support, on the cartilage. This option is used when the cartilage at the tip of the nose is damaged and is not used for self-support. The ideal source for a graft is the cartilage of the nasal septum.
If it is not possible to obtain a graft from the tip, the cartilage can be harvested from the auricle. However, it is not considered strong enough to hold pressure and shape. Therefore, the cartilage of the ear is often connected to a strong and thin bony nasal septum. Part of the bone is glued to a cartilage graft.
Rhinoplasty in Israel: shortening of the nose
Nose shortening is a plastic surgery that reduces the length of the outer part of the nose. In most cases, the length of the cartilage of the septum is reduced, in more rare cases, the lateral wall of the nose, which is formed by large cartilages and triangular alar bones.
Various methods are used to estimate the length of the nose. The most common method is to measure the distance from the tip of the nose to the bridge of the nose. Another method is to determine the magnitude of the nasolabial angle.
As we age, the ligaments that support the cartilage weaken, the tip of the nose descends and visually increases in length. For this reason, in adulthood, patients shorten the length of the nose less than in young people.
Types of surgeries in Israel that shorten the nose
With a long nose, as a rule, the cartilaginous and bony sections of the nose, the triangular and alar cartilages in the transverse and longitudinal directions, and the cartilaginous part of the septum are usually uniformly lengthened. As a result, operations are performed that shorten the lateral cartilaginous wall of the nose or resection of the distal septal cartilage.
In the second option, a partial resection is performed using infiltrative anesthesia. The surgeon makes 2 parallel transfection incisions, through which he resects the cartilaginous septa of the mucosa and removes strips of skin in the area of the columella. The incisions are then sutured with catgut threads. As a result, the nose shortens and the nasolabial angle increases.
Another way is to increase the nasolabial angle by placing silicone or cartilage liners in front of the maxillary spine.
Rhinoplasty in Israel: correction of the tip of the nose
This type of rhinoplasty in Israel can be performed in various ways. The operation is performed on the terminal section of the external nose: its shape is improved by removing deformed or excessive parts of cartilage tissue, and a new position is fixed.
Correction of the tip of the nose is a complex aspect of rhinoplasty, the task of which is to restore harmonious anatomical properties without disturbing the supporting structures of the organ.
Due to the variety of options for correcting the tip of the nose, an individual rhinoplasty plan in Israel is developed, which takes into account the strength and shape of the cartilage, thickness of the skin, width and length of the nose, nasolabial angle, anatomy of the vault angles, contour of the back and the patient's own wishes.
To narrow the tip of the nose, the surgeon cuts segments of the alar cartilage and partially removes the fatty tissue. A variant can be used, during which the domes are dissected and sutures are applied, narrowing or connecting them with each other.
Rhinoplasty in Israel: Replacement of a Broken Nose
This operation to correct the nose consists of restoring the displaced bone fragments to their normal position. The optimal time to perform this plasty is the first hours after the fracture, until soft tissue edema develops, or the following 3-7 days, when the edematous state decreases. 10 days after the injury, a callus forms, so replacement can no longer be carried out.
Forty percent of all cases of facial injuries are fractures of the bones of the nose, caused by sports injuries, street and domestic fights, traffic accidents, falls. Such a fracture can be closed and open, without displacement and with displacement of bone fragments. Symptoms of a fracture include deformity of the outer part of the nose, swelling, pain, mucous discharge, bleeding, wounds, abrasions, nosebleeds due to rupture of the mucous membrane. In addition, the sense of smell and nasal breathing are disturbed.
For diagnostic purposes in Israel, the patient is interviewed, they can perform an external and endonasal examination, endoscopic examination, radiography of the bones of the nose.
A fairly common consequence of a bone fracture is the curvature of the nasal septum, which is accompanied by recurrent sinusitis, rhinitis, and difficulty breathing through the nose. Curvature correction can only be performed surgically.
Another complication can be a hematoma of the nasal septum under the mucous membrane, it narrows the lumen of the nostrils and makes breathing difficult. Perhaps its suppuration and subsequent destruction of cartilage. Therefore, prompt and high-quality medical care for fractures of the nasal bones is extremely important.
Cold (ice or a cold pack) can be used as a first step to reduce swelling and pain and stop bleeding.
In the Israeli clinic, plastic surgeons perform the repositioning of bone fractures. During the first 6-7 days, the repositioning is done with the use of local anesthesia manually so that the bones grow together correctly in the future. Tight packing of the cavities with turundas is performed to press and support the nasal skeleton. A bandage is applied to the outside.
Self-reduction is strictly prohibited due to additional trauma. Once the swelling subsides, the aesthetic and respiratory function of the nose is evaluated. Bone fractures can lead to deformation of the osteocartilaginous part of the nose and its lateral displacement, narrowing of the nostrils, curvature of the septum, etc.
If the bones of the nose do not grow together properly, patients are often forced to resort to rhinoplasty later. To restore impaired breathing, a deviated septum is corrected - rhinoseptoplasty is performed.
Rhinoplasty in Israel: correction of the wings of the nose
This type of operation is performed to change the width, thickness and symmetry in the presence of pronounced deformations and aesthetic defects. Various methods are used depending on the violations. For repair, the tissues surrounding the defect are mobilized or a cartilage or skin graft is moved.
Correction of the wings of the nose can be an independent operation or the final stage of rhinoplasty in Israel.
The defects of the wings of the nose are acquired and congenital in nature, they are complete or partial. The reasons are the consequences of nose correction or removal of tumors, trauma, burns and diseases.
Most operations to correct the wings of the nose are performed under local infiltration anesthesia. If there are extensive defects, intravenous anesthesia is used.
Sometimes tip plasty is used to correct the wings of the nose. In this case, this operation completes the rhinoplasty. If aesthetic defects are expressed, the correction is carried out during the main phase of the operation.
When it is necessary to reduce the distance between the wings of the nose, incisions are made at the base of the wings from the vestibule and along the contour. Cutaneous and mucocutaneous segments are excised, hemostasis is performed, and sutures are applied. The scars are placed in the folds of the alae of the nose and in the natural nasolabial folds, making them virtually invisible.
If it is necessary to restore the support of the wings of the nose (in case of retraction or injury), neighboring tissue areas are moved, a flap of skin or cartilage from the auricle or nasal septum is transplanted, specially modeled.
The rehabilitation period can last five days, in the case of cartilage reconstruction, seven or more.
Rhinoplasty in Israel: complete correction of the nose
This type of rhinoplasty in Israel involves a complex rhinoplasty, which is performed on the structural segments of the outer part of the nose and on the thickness of the tissues of the organ. They can reduce the length of the nose, change its shape, remove the hump, narrow the width of the back, adjust the tip. Together with the plasty, they restore the respiratory function and the normal architecture of the cavity.
Most often, this operation is performed after injuries.
In most cases, the correction is performed through a closed (endonasal) approach, excluding external skin incisions. Superficial manipulations can be performed under local anesthesia and intravenous sedation, operations on deep structures require general anesthesia. This correction of the nose is possible in the age group: 18-40 years.
Rhinoplasty in Israel can be combined with the following plastic surgeries: blepharoplasty, face lift, chin and lip surgery, liposuction, breast lift, etc.
Before the operation, the anatomical structure of the nose is carefully analyzed and its future shape is modeled on a computer. In case of violation of nasal breathing, the nasal cavity is examined, an x-ray or tomography is performed.
Modern rhinoplasty in Israel uses conservative techniques that provide excellent results and minimize the likelihood of complications.