What is rhinoplasty or nose surgery?
This is one of the most widespread and ancient (first performed in 1000 BC) plastic surgery 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 and cartilaginous tissue taken from the patient.
Nasal surgery transforms the patient and is considered one of the most effective methods for 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 difficulty in nasal breathing orloss of smell). Therefore, before performing it, surgeons recommend that their clients think carefully and answer the question of whether it is worth doing rhinoplasty or not (the exception is cases when the irregular shape of the nose causes breathing disorders and can cause oxygen starvation of the brain). The optimal age for conducting is 20-30 years, but in case of breathing problems or after severe physical injuries, it is carried out earlier.
Main indications:
- disproportionate size of the respiratory organ in relation to the entire face;
- hypertrophy of the turbinates;
- injuries or deformations in the bone or cartilage tissue in the area of the osteochondral septum, its curvature;
- asymmetrical, forked or too raised nasal tip;
- "Hump";
- lack of or difficulty breathing;
- dissatisfaction with the result of previous plastics.
There are several types of rhinoplasty, which are classified depending on the purpose and technique of the procedure:
- nasal tip plastic - a method of surgical correction of the shape or elimination of asymmetry (split) of the nasal tip;
- grafting (autotransplantation) - during the procedure, the doctor enlarges and, if necessary, lengthens too small a nose by transplanting cartilage tissue taken from the auricle area;
- reducing - a method of surgical intervention, which is aimed at correcting the shape and size of the turbinates;
- alignment of the back - removal of the hump on the back of the nose;
- septoplasty - a surgical method for correcting a deviated nasal septum;
- augmentation - a surgical method of correcting the shape of the bridge of the nose in order to eliminate the effect of "flattening";
- non-surgical rhinoplasty - non-surgical correction of the shape, size and proportionality of the nose by injecting fillers (nose contouring), using hormonal resorbable drugs that destroy bone and cartilaginous tissue in the nasal septum, or using Aptos threads (thread lifting of wings and nose tip).
How is the preparation for the operation going?
Before the procedure, the patient needs to visit a plastic surgeon who will take measurements of the respiratory organ, determine the amount of work to be done, simulate the presumptive result of the operation on a computer using a special program (computer modeling helps the doctor better understand the client's wishes) and write out a referral for the following tests:
- general and clinical blood test;
- electrocardiogram (with decoding);
- fluorography;
- analysis for AIDS, HIV or hepatitis;
- tomography of the paranasal sinuses.
Two weeks before the procedure, you must stop smoking and stop taking blood-thinning drugs. No food or drink is allowed 12 hours before the operation (a light dinner is allowed the night before).
Before the procedure, doctors recommend getting a good rest and sleep (this will help calm the nervous system).
Technique depending on the method
Immediately before the procedure, the client signs an agreement with the plastic surgery clinic, which contains his consent to 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 their methods. treatment. After that, the person is taken to the operating room, the face is cleansed with lotion, the piercing is removed (if any) and, if necessary, the preoperative marking is made with a special marker. The operation takes place under general intravenous or endotracheal anesthesia and lasts 1-2 hours.
There are two methods of performing 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 is located between the nasal openings), corrects the shape of the nasal structures, and finally places several cosmetic stitches on the skin. This method of surgical intervention is used to correct serious 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 inside the nasal cavity, separates soft tissues from the osteochondral frame, performs a series of surgical procedures to change the shape of the nose, and then sutures the mucous membrane with self-absorbable suture material. A less traumatic method of plastic surgery, after which complications rarely occur and scars remain.
After an unsuccessful first operation or in the event of a result that does not suit the client, doctors do a second (secondary) rhinoplasty. This is a more complex (technically) procedure that requires certain skills and practical experience from the surgeon, it is performed under general anesthesia and requires the same preparation as the primary plastic. It is done not earlier than one year after the previous surgical intervention.
Recovery period and results
The rehabilitation period lasts 3-4 weeks, but the patient spends one day in the hospital. Immediately after the operation, one tampon is inserted into each nostril, which the surgeon removes after three days, and a plaster cast is applied to the nose (it is removed after ten days). After removing the tampons, the doctor prescribes drops to the patient in order to eliminate postoperative edema and accelerate the healing of soft tissues. Swelling and bruising completely disappear after 1. 5-2 months. The preliminary result is assessed after 6-8 months, the final result - after 12. The scars after rhinoplasty are visible for the first three months, then they become almost invisible.
Postoperative recommendations:
- two weeks after the surgical correction, you must sleep on your back;
- for the first few weeks, you cannot visit the sauna, swimming pool, solarium, gym and engage in heavy physical labor;
- until the postoperative wounds are completely healed, you can only eat warm food and drink warm drinks;
- You cannot wear glasses for 2-3 months after the procedure;
- during the entire recovery period, you should not smoke.
Results of rhinoplasty or nose surgery: before and after photos
Possible complications and contraindications
Contraindications for carrying out:
- oncology;
- runny nose;
- flu, SARS;
- active herpes;
- diabetes;
- atrophic rhinitis;
- infectious diseases of the oral cavity;
- mental disorders;
- tuberculosis;
- disorders of the heart and kidneys.
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;
- swelling and hematoma of soft tissues;
- loss of smell;
- the appearance of keloid scars;
- difficulty breathing;
- curvature of the nasal septum.
What operations can be combined with?
Most often, nose plastics are 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 - a 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 which does rhinoplasty, and the other does breast plastic surgery).
Estimated prices for rhinoplasty (nose job)
A plastic surgeon provides exact information on how much a nose surgery costs. The cost of rhinoplasty includes preliminary consultation, hospital stay, computer simulation of the results, removal of tampons and removal of the bandage. The price of the procedure depends on the type and method of surgical intervention.
Rhinoplasty is an operation that is equally popular among women and men. It helps people get rid of health problems, improve the appearance and proportions of the face.