Rhinoplasty transforms the patient and is considered one of the most effective methods to change appearance.
The face is opened, it looks younger, visible defects are eliminated, and sometimes even respiratory problems. Surgeons in our country have a sufficient arsenal of tools and techniques to give a person a new look.
But each operation has its pros and cons.
Types of rhinoplasty
How is rhinoplasty different from rhinoplasty?There is no difference between these concepts.
There are several types of correction.Here is how rhinoplasty is performed with each type of surgery:
- Septoplasty - aims to change the shape of the nasal septum and is prescribed if the respiratory function is impaired.
- Closed rhinoplasty is like this: through one or more incisions, the skin is separated from the framework - cartilage, bone. Then they make a correction - the parts are removed or increased. The skin is then sutured. The columella incision is not made. This is a common technique used by surgeons.
- Open rhinoplasty: indicated for large volume of corrections. The incision is made in the nasal cavity and in the region of the columella.
How long does rhinoplasty last?The duration of the operation depends on the amount of work and technique. So, closed correction lasts 30-40 minutes, open - up to 60 minutes. For full closed rhinoplastytake 1 hour, open - about 1, 5 hours.
operation video
To make it clear how rhinoplasty is done, we suggest watching a video of the operation.
non-surgical rhinoplasty
It is resorted to if you want to eliminate small defects.It is carried out in 5-7% of patients.
Fillers are used to soften or change the angles of the tip of the nose, restore symmetry, and mask the hump. The disadvantage of such a correction is that after 12-18 months the fillers dissolve, there is a risk of migration of substances.
Absorbable preparations are also used. Then it is possible to get rid of bumps, bumps. The technique is applied to the tip, the wings, the supratip area, occasionally the hump. It goes through several stages.
The threads that are inserted through the punctures allow to tighten the tip, adjust the shape of the wings. This technique is unpopular, because there is a risk of thread breakage, the appearance of rough scars.
Photos before and after
We offer to see the results of rhinoplasty on other people in these photos.
Indications and contraindications
Indications for rhinoplasty are associated with such shape imperfections:
- Gorbinka.
- Sharp or thick point, in the form of a hook.
- Long distance.
- Wide nostrils.
- Saddle shape.
Rhinoplasty is indicated for deviated nasal septum, deformities, both congenital and resulting from trauma. The operation is performed in violation and complete cessation of nasal breathing.
The surgeon will refuse to perform a correction if the client:
- Diseases of the heart and blood vessels,
- blood coagulation disorders;
- Diseases of the liver, kidneys;
- Diabetes;
- Active form of tuberculosis;
- pregnancy, menstruation;
- Folliculitis (inflammation of the hair follicle), acne at the site of the next surgical intervention;
- Acute viral infections;
- cancer diseases;
- Disorders of the mental sphere.
There are also age restrictions.Rhinoplasty is not performed until the age of 18 in girls and until the age of 21-23 in boys, which is associated with the process of formation of the facial part of the skull.
Correction is not recommended even after the age of 40, due to the slowing down of tissue regeneration and the risk of complications at this age. Older patients have a hard time getting used to a new look and often regret the changes.
In the consultation prior to the procedure, the surgeon finds out why the patient is interested in rhinoplasty, what result he expects, explains the consequences and warns of possible complications.
Training
Nose correction is performed after preparation. Your surgeon will tell you how to prepare for your rhinoplasty.
Preparation for rhinoplasty involves standard tests:
- Electrocardiogram.
- Chest x-ray or fluorography.
- nose image.
2 weeks before the next procedure, refuse blood thinners. For 7 days before rhinoplasty, it is recommended to refrain from drinking alcohol and smoking. For a day, light food is left on the diet, and for 6 hours they refuse food and water.
Before the operation, consultations with an anesthesiologist are made. The specialist clarifies information on the tolerability of anesthesia.
Analysis list
Such analyzes are taken before rhinoplasty:
- Blood (general, biochemistry, electrolytes, coagulogram, blood type, Rh, factor) - for 14 days.
- HIV, HBS, HCV, RW - for 3 months.
- Urine - for 14 days.
Hurts?
During the rhinoplasty itself, the patient does not feel anything, because he is in a drug-induced sleep state or the doctor applies an analgesic.
During the rehabilitation period, there are more inconveniences than pain, for example, due to tampons in the nose, which are removed after a day, and swelling. Compared to breast surgery, rhinoplasty is said to be painless.
Rehabilitation
If an osteotomy (artificial bone fracture) was performed, a cast is applied to7–10 days. Edema that appears in the nose and around the eyes,disappear after 10-20 days.
The doctor can preliminarily evaluate the results after 6 months and finally after a year. The duration of tissue healing depends on the characteristics of the body, age.
After removing the cast, the patient is obliged to visit the doctor within the specified time. For a while, they refuse to wear glasses, exclude hot and spicy foods from the diet to prevent bleeding, and limit physical activity.
A full course of rehabilitation lasts from 6 to 12 months.
The healing time of the face depends on the severity of the operation and the complications.With a good course, after 10 days, the person gradually returns to the normal rhythm of life., goes to work.
Why is rhinoplasty dangerous?
This is a surgical intervention, which is associated with risks, sometimes there are side effects. These are good reasons not to have rhinoplasty, especially if the surgeon sees no abnormalities or medical indications.
An anaphylactic reaction to anesthesia is possible - a life-threatening rapid allergy phenomenon. In 0. 017% of cases, toxic shock syndrome is observed - a state of shock that leads to the vital activity of exotoxins of bacteria or viruses.
Overall, adverse events develop in only 4-18. 8% of patients, with one in ten of this group experiencing skin and soft tissue complications.
During the operation, excessive bleeding, skin breaks, muco-cartilaginous structures, burns, violations of the bone pyramid and others are repaired.
In the first hours, days after the operation, anaphylaxis, visual and respiratory disorders may develop. Of the hidden complications: bleeding, hematoma of the septum.
Rarelyan infection enters the wound, which requires a course of antibiotic treatment; in case of sepsis (blood poisoning), hormones and blood transfusions are used.
Other complications include:
- Decreased sensitivity.
- Scars, scars that require repeated intervention.
- labored breathing
- Smell impairment.
- Perforation (holes) of the nasal septum.
- Cartilage atrophy.
- The appearance of the vascular network, pigmentation.
- Rarely - necrosis (death) of tissues.
In addition, the patient is not always satisfied with the result -such patients 3 out of 10.The probability that the view will go as planned is about 70%. The nose may appear too correct, look unnatural, and not blend in with the rest of the facial features. Therefore, before deciding to change, you must weigh the pros and cons.
After this, a second correction may be required, which is done after 6 months, but not before. The indications are poorly sewn or excessively removed cartilage, in which the nose appears short, a small columella (the lower part between the nostrils), etc.
When is the best time to cancel the surgery?
People with dysmorphophobia or dysmorphomania often turn to plastic surgeons for help. In the first case, we are talking about a painful attitude to a minor defect or feature of the body, in the second - about an imaginary external defect.
If the surgeon found no deviations from the average parameters in the size of the nose, its location relative to other parts of the face, consultation with a psychologist is recommended.
You should also study reviews about the clinic and a particular specialist. The lower the doctor's rating, the greater the likelihood of complications.