Rinoplasty: indications, types and methods

Rinoplasty is a separate area of plastic surgery to correct congenital or acquired nose defects.With the help of rhinoplasty, you can solve the problems of nasal breathing, correct the external consequences of injuries, as well as to correction of appearance according to aesthetic indications.

Rinoplasty

For many people who are dissatisfied with the shape of their own nose, rhinoplasty can become a salvation.However, this is a fairly expensive and complex plastic surgery, requiring great professionalism from the operating surgeon.Let's try to figure it out: what is the specificity of such surgical interventions?

Do rinoplasty do?

Rinoplasty can be recommended by a doctor in cases where congenital or post -traumatic nasal deformations occur, a violation of nasal breathing is noted.

Aesthetic indications for rhinoplasty are:

  • saddle shape of the nose;
  • hump on the back of the nose;
  • hooked tip of the nose;
  • too pointed or thickened tip of the nose;
  • excessive nose length;
  • asymmetry of the wings of the nose;
  • Expanded nostrils.

The presence of cosmetic nasal defects is determined by a surgeon using special measurements, the results of which are compared with average statistical indicators.Patients with a mental disorder, in which a person is excessively concerned about a slight defect or a feature of his body is desirable to consult a psychologist.

According to the aesthetic indications, rhinoplasty is made only of adults, since at the time of the operation the body should be fully formed, and the patient can fully be aware of the essence of the operation and its possible consequences.Contraindications to rhinoplasty are: diseases of the cardiovascular system, liver and kidneys;diabetes mellitus;mental and oncological diseases;Violation of blood coagulation, systemic collagenoses.It is also not recommended to perform surgery to people over 40 years old, in which the ability to regenerate tissues is significantly reduced.

It's curious!

One of the most striking examples of a successfully performed rhinoplasty operation among domestic stars is Sergey Zverev’s nose plastic.The shocking showman, in his own words, was forced to turn to a plastic surgeon after he got into a car accident.But the famous actress Elizabeth Boyarskaya does not advertise the fact that she underwent an operation to change the shape of the tip of the nose in her youth, which made the girl truly irresistible.

Types of rhinoplasty

There are many varieties of rhinoplasty, each of which is designed to solve any specific problem and can affect different types of fabrics.

Plasticity of the base of the noseaimed at reducing the width of the nostrils.After the operation, inconspicuous scars may remain at the base of the nose.The operation is carried out both according to aesthetic indications, and in order to reduce the possible edema of the nose after another operation in this area.Often, patients are representatives of the Negroid and Mongoloid races.

Plasticity of the tip of the nose.The most complex type of rhinoplasty, capable of radically change the appearance of the patient, and requiring great experience from the surgeon.Corrects the axis displacement and other external defects of the tip of the nose.

Correction of Columella.Columella is the skin of the nose septum, in fact - this is a jumper between the nostrils.It can be too wide or too narrow, retracted or protruding.You can fix the defect using operational correction.

Correction of the shape of the nose.Giving the back of the nose of the correct shape - smoothing curvature, aligning the axis.It affects bone and cartilage fabrics.

Elimination of the defects of the nose septum.Correction of curvature of the nasal septum in order to facilitate nasal breathing, solving the problem of snoring.

Augmentationem rhinoplasty.This type of rhinoplasty is aimed at correcting the nose defects by increasing the size of the nasal skeleton (usually used in cases of secondary rhinoplasty).

Grafting.Transplantation of his own cartilage patient to create the necessary shape of the nose.Cartilage tissue can be taken from the nasal septum, auricle or ribs.

Reconstructive rhinoplasty.It is required to restore nose defects after injuries, burns, as well as to correct the results of previous operations.

Turbinotomy(including laser).Partial or complete removal of hypertrophied mucous membrane of the nasal sinks for problems with nasal breathing.

Electrocoagulation.A sparing exposure to an electric current on the mucous membrane of the nose in cases of small hypertrophy of nasal sinks.

Laser rhinoplasty.As a tool, a laser is used instead of a scalpel, which allows you to do the operation less traumatic.

Non -surgical rhinoplasty.Modeling the shape of the nose with dense gels - filler.

Contour plastic nose.The non -surgical method of correcting small external defects of the nose due to injections of hyaluronic acid.

Rinoplasty methods

Currently, there are two methods of surgical intervention in order to correct the shape of the nose: open and closed.The open method involves a cut in the nostrils and on the jumper between them - in order to improve the visualization of the nasal skeleton for further manipulations.It is used for complex operations, when complete visual control over all stages of rhinoplasty is necessary.It allows you to easily remove and move cartilage.The closed method uses the possibility of surgical manipulations through cuts in nostrils, which are subsequently not visible.

Closed rhinoplasty can be performed using various techniques, including copyrights.An example is the option of conducting rhinoplasty using a video of endoscopic technologies.The use of special tools reduces the injuries of manipulations and ensures their high accuracy and it is believed that this technique is more gentle and bloodless than traditionally used influences.

Features of rehabilitation

Rinoplasty using hyaluronic acid injections and filler refers to the field of cosmetology, not surgery, and has a minimum rehabilitation period.Surgical methods leave behind moderate edema of the nose and area around the eyes, which fall at the time of removal of gypsum on the seventh day.It may be necessary to apply a gypsum bandage for up to ten days.After surgery, special silicone special locks are inserted into the nasal sinuses, which are removed after a day.This approach allows the patient to breathe nose directly after surgery.The course of rehabilitation depends significantly on the age of the patient and the individual characteristics of his body.After special latches are removed and gypsum is removed, it will be necessary to periodically visit the doctor to control the healing.Physical activity, visits to the pool and wearing points are not recommended for the first three weeks after surgery.It should be avoided too cold or hot food so as not to provoke nasal bleeding in the first three days.Planning the plastic of the nose, it is best to take a vacation for at least half a month.

Possible complications

In aesthetic surgery, rhinoplasty is considered one of the most difficult directions.In order for it to be successful, a thorough examination and computer modeling of the future shape of the nose is previously carried out.Sparing methods are used to facilitate the rehabilitation period.Nevertheless, after rhinoplasty, a number of complications are possible, which manifest both in the early postoperative period and subsequently.

The unsatisfactory healing is indicated by inflammatory processes in operated tissues, hematomas formation, nasal bleeding, thinning of the skin of the nose and a change in its color.In the remote period, synechia may form - adhesions and dry crusts in the nasal cavity, which is fraught with a decrease in smell and difficulty of nasal breathing.

So, the results of rhinoplasty can only be judged a year after the operation.If there is a need for repeated correction, then it can be carried out no earlier than six months later - a year after the primary surgery.But, turning to an experienced surgeon who specializes in this type of plastic, you will reduce the risk of possible complications to a minimum.