Plastic surgery is not only the work of the surgeon, anesthesiologist and medical staff.The result of the operation largely depends on the patient himself and his behavior during the recovery period.Rehabilitation after rhinoplasty- the same part of the operation as the preparation of it and the execution itself.
Rehabilitation after rhinoplasty: what can cause complications
Rhinoplasty is a complex operation, after which negative consequences occur in one in ten patients.Complications after rhinoplasty can be associated with both surgeon error and violation of restrictions by the patient after the operation.
Poor surgeon qualification can lead to scar formation due to damage to the skin or cartilage tissue.Scars and adhesions in the future are quite difficult and long to treat.Damage to bone tissue also indicates a medical error, fraught with deterioration of respiratory function and an unsatisfactory aesthetic result.To correct it, it is necessary to repeat the operation, which is usually more difficult to perform, and the surgeon's skill must be at its maximum.
The consequence of the violation on the part of both the surgeon and the patient is severe bleeding that opens during the operation.A damaged large vessel or taking medications that affect blood clotting can lead to a similar complication.
Failure to comply with sterility rules causes infection;If detected, it is important to seek medical help immediately.As a result of excessively removed surfaces, unpleasant complications occur, such as skin necrosis.Repeated excision of damaged tissue prevents further development of tissue necrosis.
If the patient did not follow the postoperative recommendations and removed the bandage prematurely or did not properly care for the nasal cavity, there is a possibility of the sutures breaking.This will require repeated interventions and sutures.Patients who do not take the doctor's recommendations seriously can cause not only suture dehiscence, but also bone and cartilage tissue dehiscence due to the momentary desire to show off a new nose.
Due to a surgeon's error, various disorders are possible due to a deviated nasal septum, for example, difficulty with nasal breathing or problems with the blood supply to the nasal passages.
Aesthetic complications caused by low qualification of the surgeon include deformation of the nose in the area of the bridge of the nose, too short or "beak-shaped" nose, severe asymmetry and any other violation of the aesthetics of the nose.A complex consequence of medical error is excessive removal of bone or cartilage tissue, which may require tissue augmentation through implantation, contouring, or autotransplantation of the patient's tissue.To avoid discrepancies between the result of the operation and the expected effect, it is important to undergo a preliminary simulation of the result in the clinic where the rhinoplasty will be performed.
Limitations after rhinoplasty
Rehabilitation after rhinoplasty involves a number of serious restrictions, strict compliance with which will have a positive impact on the result of the operation.
Smoking is prohibited two weeks before rhinoplasty and two weeks after, as nicotine limits oxygen access to blood vessels and nerves and therefore prevents tissue healing.Tissue necrosis develops in smokers several times more often than in patients who follow a healthy lifestyle.Recovery after rhinoplastyimposes a similar restriction on alcohol consumption.
A mandatory restriction is to sleep on your back with a high pillow to quickly eliminate swelling and avoid injury to the operated organ.So sleeping on your back should become a new habit for the patient.
Rehabilitation after rhinoplasty will require the patient to abandon medications that thin the blood or affect blood clotting.Therefore, anticoagulants, as well as hormonal contraceptives, should not be used until the end of the recovery period.
Traumatic ball sports (basketball, football, etc.), skating, roller skating and similar means of transportation, including downhill skiing, should be postponed until the nasal tissues have completely healed.You should not bend over your head or perform exercises that involve suddenly lifting or changing the position of your torso.
When taking a warm shower, you should not allow the plaster to get wet, otherwise unpleasant complications may occur in the form of suppuration or tissue infection, and the soaked plaster will no longer be able to maintain the shape of the new nose.
The patient should not plan a pregnancy within a year after nose correction, since recovery after rhinoplasty involves complete rest of the operated organ and the absence of stress on the body, including hormonal stress.
Stress on the body also includes physical activity, which must be excluded so that rehabilitation after rhinoplasty is successful and uncomplicated.Any activity that causes increased pressure in the body can affect healing and proper fusion of tissues.In this sense, the recommendation not to be nervous and avoid stress in the light of rehabilitation after rhinoplasty seems especially relevant, because any stress immediately affects the internal processes of the body.
Minor restrictions include the prohibition of decorative cosmetics and cosmetics, except for medicines prescribed by a doctor.
Rehabilitation after rhinoplasty will proceed without complications if, for a month after the operation, you refrain from activities associated with temperature changes, for example, you should not visit baths and saunas, it is important to avoid solariums and sunbathing, and you should also avoid visiting the pool, since chlorinated water can have an aggressive effect on healing tissues.
The operation is complete, what's next?
Patients often worry about what awaits them immediately after surgery.The first two or three days are the most difficult and uncomfortable.A bandage will be placed on your face and your nostrils will be closed with turundas, twisted cotton swabs.The turundas fix the tissues of the nose from the inside and promote their healing in the correct position.In addition, they prevent bleeding, which is dangerous for unhealed sutures.The external fixator for the new nose is a bandage or a cast splint.The presence of turundas in the nose significantly limits breathing, and breathing through the mouth is very unusual and quickly dehydrates the oral mucosa.In addition, the presence of postoperative swelling also interferes with normal breathing, so the patient may feel as if he has a cold, but the effect of nasal congestion will disappear along with the swelling.This unpleasant moment must be endured for 2-3 days, after which the turundas are removed and the patient goes home.Depending on the complexity of the operation, the patient will remain in the clinic for 2-3 days with constant care and under full medical supervision.Sometimes less time in the clinic will be required depending on the complexity of the operation.
One of the unpleasant symptoms that may occur during rehabilitation after rhinoplasty may be a headache that occurs during the first days.It can be treated with pain relievers prescribed by a doctor.
The aforementioned swelling of the nose may make the patient want to free the nose of mucus, but under no circumstances should the nose be blown or coughed, as any increase in pressure in the nose can cause the sutures to become dislodged.For the same reason, after rhinoplasty it is not advisable to catch a cold, so as not to cause a runny nose and even more nasal congestion.After the operation, the doctor will show you how to clean your nose without risk of injury.
Recovery after rhinoplasty is fraught with slight weakness and even fever in the first few days immediately after surgery.This is normal after surgery, so it is best to give yourself a chance to rest.
After the operation, bruising and swelling under the eyes are possible, however, to hide them, glasses should not be worn for 3 months after the operation: any weight and pressure on the bridge of the nose can change the results of the operation and deform the new bridge of the nose that has not yet been restored.Experts recommend not being socially active and staying at home during rehabilitation.
To speed up recovery, the clinic may offer special physiotherapeutic measures.They are usually performed from the second day after surgery.In this way, rehabilitation after rhinoplasty will be easier and more comfortable than with self-care.