Rhinoplasty transforms the patient and is considered one of the most effective methods for changing the appearance.
The face becomes open, looks younger, visible defects are eliminated, and sometimes even breathing problems. Surgeons in our country have a sufficient arsenal of tools and techniques to give a person a new appearance.
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: is aimed at changing the shape of the nasal septum and is prescribed if the respiratory function is impaired.
- Closed rhinoplasty goes like this: through one or more incisions, the skin is separated from the frame - cartilage, bone. Then they make a correction - parts are removed or increased. The skin is then sutured. The incision of the columella is not performed. This is a common technique used by surgeons.
- Open rhinoplasty: indicated for large volume of corrections. An incision is made in the nasal cavity and in the region of the columella.
How long does rhinoplasty take: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 small defects are to be eliminated.It is carried out in 5-7% of patients.
Fillers are used to smooth 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 substance migration.
Absorbable preparations are also used. So it is possible to get rid of bumps, bulges. The technique is applied on the tip, wings, supra-tip zone, occasionally - on the hump. It goes through several stages.
The threads that are inserted through the punctures allow you to tighten the tip, adjust the shape of the wings. This technique is unpopular, because there is a risk of thread rupture, the appearance of rough scars.
Photos before and after
We offer to see the results of rhinoplasty in other people in these photos.
Indications and contraindications
Indications for rhinoplasty are associated with such shape imperfections:
- Gorbinka.
- Sharp or thick, hooked tip.
- Long length.
- 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 clotting 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 upcoming 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 up to 21–23 years 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 slowdown in 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.
At the consultation before 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 takes place after preparation. The surgeon will instruct you on how to prepare for rhinoplasty.
Preparation for rhinoplasty involves standard examinations:
- Electrocardiogram.
- Chest x-ray or fluorography.
- Nose picture.
2 weeks before the upcoming 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 in the diet, and for 6 hours they refuse food and water.
Before the operation, consultations with an anesthesiologist are held. The specialist clarifies information about the tolerability of anesthesia.
List of analyzes
Such analyzes are taken before rhinoplasty:
- Blood (general, biochemical, electrolytes, coagulogram, blood type, Rh, factor) - for 14 days.
- HIV, HBS, HCV, RW - for 3 months.
- Urine - for 14 days.
Does it hurt?
During the rhinoplasty itself, the patient does not feel anything, because he is in a state of drug-induced sleep 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, then a plaster 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. How long tissue healing will last depends on the characteristics of the body, age.
After removing the plaster, the patient is obliged to visit the doctor within the specified time. For a while, they refuse to wear glasses, exclude spicy and hot foods from the diet in order to prevent bleeding, and limit physical activity.
A full course of rehabilitation lasts 6-12 months.
How long the face heals depends on the severity of the operation and complications.With a good flow, 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 a rhinoplasty, especially if the surgeon sees no abnormalities and medical indications.
An anaphylactic reaction to anesthesia is possible - a phenomenon of rapid allergy that threatens life. In 0. 017% of cases, toxic shock syndrome is observed - a state of shock, which leads to the vital activity of exotoxins of bacteria or viruses.
In general, 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, ruptures of the skin, muco-cartilaginous structures, burns, violations of the bone pyramid, and others are fixed.
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 gets into 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 requiring repeated intervention.
- Difficulty breathing.
- Deterioration of smell.
- 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 be as planned is about 70%. The nose may seem too correct, look unnatural, and not be combined with the rest of the facial features. Therefore, before deciding to change, you should weigh the pros and cons.
After that, a second correction may be required, which is carried out after 6 months, but not earlier. Indications are incorrectly stitched or excessively removed cartilages, in which the nose seems short, a small columella (the lower part between the nasal passages), etc.
When is the best time to cancel surgery?
Often, people with dysmorphophobia or dysmorphomania 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 flaw.
If the surgeon did not find deviations from the average parameters in the size of the nose, its location in relation to other parts of the face, a psychologist's consultation is recommended.
You should also study reviews about the clinic and a particular specialist. The lower the qualification of the doctor, the higher the likelihood of complications.