Plastic of nose: the preparation for the procedure, the contraindications, and the nuances of the rehabilitation

In the opinion of the experts, the most common among women, plastic surgery is a rhinoplasty operation. The shape of the nose disaffected many, and often a psychological problem is so great that it forces you to lie down under the scalpel. The benefit of the possibility of plastic surgery now make it possible to achieve what before seemed unreal.

The rhinoplasty of the nose before and after

Types of plastics of the nose and the features of the realization of the procedure

Popular operation of plastic components of the nose at the same time, it is one of the most complex plastic surgery. We all deserve to have a perfect appearance, but before you decide to these radical changes, it is necessary to carefully weigh the pros and cons and make sure that you do not have contraindications for surgery.

Make the plastic of the nose, surgeons recommend that for health reasons and the aesthetics of nature. The main indications for the operation are:

  • congenital or acquired (post-injury), the deformation of the nose;
  • obstruction of the breathing usefulness due to the curvature of the partition, or of hypertrophy of the mucosa of the nostrils of shells;
  • objectives of the aesthetics of the defects — there is a gibbo, pointed, thickened or ignored the tip, disproportionate to the size of the nose or of its parts.

As with any surgical procedure, the rhinoplasty, there is an extensive list of contraindications. On the operation has to forget that they have one of the following chronic, systemic diseases:

  • diabetes mellitus;
  • cardiovascular diseases (coronary artery disease, severe hypertension, cardiac malformations, arrhythmias);
  • autoimmune diseases (rheumatoid arthritis, systemic lupus erythematosus);
  • hepatitis, hepatitis, cirrhosis and other liver;
  • bronchopulmonary disease;
  • immunodefitsitnie states;
  • diseases related to the violation of the coagulation of the blood;
  • malignant tumors;
  • allergic diseases (that can lead to the development of anaphylactic shock).

Absolutely contraindicated rhinoplasty in common infections, such as tuberculosis.

Some diseases and conditions can exclude the possibility of the celebration of the plastic of the nose only temporarily. Them concern:

  • acute viral infections (sars, influenza, herpes);
  • the disease of lor-organs (rhinitis, sinusitis, otitis);
  • the inflammatory changes of the skin of the face;
  • pregnancy and breast-feeding.

Is there an age limit for the performance of procedures. Rhinoplasty is not recommended to make children and adolescents 18 years of age the process of formation of the anatomical structures of the nose has not yet finished, and the consequences of the operation may be unpredictable. After 55 years of performing a facial surgery also is convenient: in the old age are delayed regeneration processes, and this complicates the escape from the rehabilitation. However, the age contraindications are not absolute, and the question about the execution of the operation in this case is resolved individually. For example, if the congenital anomalies of the structure of the nose are the cause of the violation of breathing, frequent rhinitis, sinusitis, otitis, performed include facial surgery, even if the patient is under 18 years of age.

To determine the indications for rhinoplasty and make sure there are no contraindications, before the procedure of conducting the survey. Main preparation phase of the query, in which the patient to talk with a doctor disturbing their default and loss account. The duty of the surgeon — to give the company accurate information, prognosis, and do not keep unrealistic expectations, which sometimes turn into clients.

Later, we will standard the preoperative diagnosis. You must donate blood in general and biochemical analyses, the presence of infections (hiv, hepatitis viruses, syphilis), pass the ecg, visit the therapist and the anaesthetist. Sometimes it requires x-ray of the breasts, and the consultation of the dentist.

For the operation of the plastic of the nose was a success and the recovery was quick, the procedure must be prepared correctly. Two weeks before the scheduled date of the event, it is recommended to adjust the style of life and power: to give up bad habits and junk food, and set the sleep mode. You must cancel the reception of drugs that prevent the blood clotting (anticoagulants): its application can give rise to bleeding during the surgery. The day of the procedure, you can not eat, if the surgical intervention is carried out under general anesthesia.

Characteristics of the operation are defined by their views. Plastic of the nose (rhinoplasty) is the generic name that groups together the different types of surgical correction. Depending on the defect to perform one of the following types of intervention:

  • The reconstruction is a complex operation, which consists in the reconstruction of the anatomical structures of the nose, damaged as a result of an injury or is it already a success accomplished with the rhinoplasty. Often used in the implementation methodology.
  • The revision of the form is the operation in the back of the nose, that allows you to do more extensive or reduced, correct the curvature, remove gibbo or retraction of the.
  • Plastic columella . So in the faculty of medicine, language is called the bridge that separates the nostrils. By means of the operation may increase or decrease, up or down.
  • Plastic of the tip of the nose — the simplicity in the operation, directed in particular to the elimination of common defects, such as "a bulbous nose", to the top. Through the surgery you can lift the tip of the nose, to sharpen or expand.
  • Plastic the wings of the nose . To him most often turn to those who own the nose seems too wide: the procedure allows you to adjust the amount and the cutting of the nose. After the plastic of the nose is more refined and aristocratic views.
  • Septorhinoplasty . Its essence consists in the correction of defects of the septum usefulness. The plastic of this type performed are for medical reasons.
  • Augmentationem of plastic — the operation of lifting of sunken bridge of the nose through the implementation of the own or from a donor cartilage tissue.

Already in this brief description it is clear that the scope of the intervention and the degree of trauma when the rhinoplasty can be very different. It is one thing when you need to correct the tip of the nose or reduce the columella, and another very different is that it requires a "sawing" gibbo, or lift the bridge of the nose. Depending on the final objective apply different methods of access: open and closed. The first method is more invasive: performed are incisions in the skin, are affected cartilage and bone tissue. When the closed rhinoplasty, the access is performed by the mucosa. This operation is with a minimum of damage, and the rehabilitation period after it shorter. But serious defects most often can be solved only with open access.

Transplant surgery is performed under general anesthesia. The procedure lasts on average one to three hours. Corrected the defect, the surgeon imposes the seams and the bandage of plaster.

This is important

To return to normal life immediately after the surgery is not going to work. During the recovery period, it may be difficult to breathe through the nose, can also disturb the problems of the aesthetics of nature: edema, hematoma. Fear is not worth: it is natural, because during the operation damaged the vessels. Bruising and swelling after the plastic of the nose will disappear in about two weeks.

For the period of rehabilitation has passed quickly and without complications, surgeons recommend to respect some rules:

  • to exclude the practice of sports, not lifting weights;
  • do not consume spicy food, hot dishes and drinks, the alcohol — that can cause the bleeding.
  • lead fixed to the bandage (about 10 to 14 days);
  • to speed up the threshold of resorption of hematomas and relieve the swelling, you can apply special exterior of the tool and perform rehabilitation procedures, which appoints a doctor.

The end result of the transfiguration will be visible through a year after the surgery, because the swelling of soft tissues will have up to three or four months, and the inflammation of the periosteum after the failure of osteotomies — six to eight months.

How to choose a doctor to carry out the operation of rhinoplasty

All of the above ensures to the extent that the responsible step is the decision to have recourse to the operation of the plastic components of the nose. Rely on luck and in this case is not valid: due to the lack of competence of the surgeon is a big risk of complications or, at least, do not have success. Therefore, the choice of doctor and the clinic should be taken seriously. To protect against errors, it is necessary to pay attention to the following points:

  • Review of the documentation, from which work is selected as the clinic. She must have a license in the exercise of the medical activity. There are other necessary documents: sanitary-epidemiological conclusion, the rule of the provision of health services. It is worth asking about the existence of certificates of equipment and materials.
  • Make sure that the doctor has a high rating. On the achievements of the surgeon will speak of diplomas, awards and academic degrees, certificate of obtaining additional education.
  • To assess the level of service at the clinic. In the first place, the service influences the psychological well-being of patients, and this is very important in this field of aesthetic medicine. In the second place, the service is the indicator of the level of the clinic in general and, therefore, the quality of the services. You can chat with the staff, know what is included in the program, in addition to the operation itself (if there is consultations and reconstructive procedures at the time of the rehabilitation and post-rehabilitation periods).
  • Learn about the responsibility of physicians. Good surgeons and rely on his professionalism and willing to answer for the result of the operations in course. Before you sign the contract with the institution, you should carefully review the text of the document and the terms on which the services are rendered in health.
  • The cost of services is an important selection criterion. The price of facial surgery of the nose in everywhere is different, and not always in line with the quality of the services. The operation, in principle, cheap can't name, and in this respect, deserves particular consideration.

How much does the plastic of the nose

In the cost of the plastic of the nose affect the different conditions:

  • the complexity of the process, the scope of the intervention;
  • the qualification of the surgeon (for example, the operation by the doctor of the higher category of cost more expensive than the less of eminent specialist);
  • the level of the clinic;
  • the region (the price of the plastic of the nose, in the large cities is greater than in the province).

The first factor is the most significant. Different types of rhinoplasty are unevenly, and that is natural: characteristics of the operation determine the time and effort invested by the surgeon.

Variation of prices on the same services in different clinics is very large. Choose the cheapest offer is always risky: it's not worth jeopardizing your own health and beauty in the search for savings. It is better to focus on the average level of the prices, of course, not leaving without attention and other selection criteria.

Thanks to the skill of the plastic surgeons can get rid of any type of inconvenience. But in the pursuit of the perfect appearance do not forget that rhinoplasty is a complex operation, and perform your best only when there are serious indications. But regardless of what, precisely, was the cause of such a medical decision and the need or the discontent of the shape and size of the nose, and — most importantly — pay attention to the choice of the clinic and specialist.