Rhinoplasty or rhinoplasty is a branch of plastic surgery that specializes in correcting congenital or acquired deformities, as well as restoring individual segments of the nose or the entire organ.
Rhinoplasty operations can increase or decrease the size of the nose, change its shape and eliminate respiratory problems. The aesthetic goal of rhinoplasty is to achieve harmony of the facial features by correcting the defects of the nose. As a rule, this type of intervention is performed upon reaching the age of 18-21, since up to this time there is a physiological growth of bone and cartilage tissues.
The task of rhinoplasty is to restore the correct shapes and functions of the nose, which have been damaged due to injury or during the period of embryogenesis. Rhinoplasty is a range of different operations, which will be discussed in more detail below.
Israeli clinics provide excellent results, the medical care provided meets the expectations of patients.
During rhinoplasty in Israel, open or closed access can be used, depending on the purpose of the operation. With closed rhinoplasty, an incision is made in the cavity, the skin is exfoliated from the structure (cartilage and nasal bones). This method is used to change the shape, remove excess cartilage and bones, etc. If a large volume of surgical interventions are planned, an open rhinoplasty of the nose is prescribed when incisions are made in the columella (vertical skin fold separating the nostrils).
Nose correction is divided into primary and secondary. Revision or secondary plastic surgery is performed in order to eliminate the defects that remain after the primary operation.
In recent years, fillers have been actively used in rhinoplasty if it is necessary to correct small imperfections of the nose: change the shape of the wings, restore symmetry, round the tip of the nose, etc.
Rhinoplasty surgery in Israel: design and implementation
In Israeli clinics, the patient is first consulted by a plastic surgeon, examines the shape of the nose, the condition of the tissues and diagnoses nasal respiratory disorders. For best aesthetic results, photographs and computer modeling of the nose are taken. The patient is also consulted by an ENT doctor. If there are pronounced defects, when nasal breathing is disturbed, rhinoplasty of the nose is performed together with an otolaryngologist and a plastic surgeon.
As a rule, during the operation, general anesthesia is used in conjunction with local infiltration anesthesia. The duration of rhinoplasty depends on the complexity and takes 1-2 hours or more. To give the nose a more aesthetically advantageous size and shape, the surgeon changes the bone and cartilage structure. Rhinoplasty done correctly in Israel and no complications - and postoperative scars will not actually be visible.
Recovery period after nose correction
After surgery, tampons are installed in the nasal passages, they are removed after 2-3 days. To fix the new shape, a special plaster or colloidal adhesive is applied for five to seven days (if the plastic has touched the cartilage part of the nose) or for twelve to fourteen days (if the bony part).
Due to the swelling, nasal breathing can be difficult in the first few weeks. Bruising and swelling go away within ten to fourteen days. It is not recommended to wear glasses for one and a half months after nose correction. The entire course of recovery takes six to eight months, it is then that the final results of the operation will be visible. Smoking and taking certain medications can slow recovery.
Rhinoplasty in Israel: removal of the hump of the nose
This operation is multi-stage. In the process of its implementation, the osteocartilaginous protrusion of the back of the nose is eliminated. The hunchback can be caused by trauma or hereditary factors.
If the hump of the nose is small, local anesthesia can be used, if large - general. The duration of the surgical intervention is 1-2 hours.
First, the surgeon dissects and removes the skin from the bone-cartilage base of the nose - the stage of skeletonization. Next, the cartilage is cut and the cartilaginous segment of the septum is gradually removed, starting with the smallest volume. Then the bony component of the hump of the nose is removed.
After the hump is removed, the skeleton takes the shape of a truncated pyramid. An osteotomy is performed to bring the nasal bones together and remove the broad platform. The surgeon dissects the bone tissue of the lateral slopes and brings them closer to the upper segments. To eliminate irregularities, he uses contour plastics using the patient's cartilage or various implants. When the nose correction is complete, cotton swabs are inserted into the nasal passages and a plaster bandage is applied to fix the new position of the tissues. The plaster is removed after eight to ten days.
For several weeks after removal of the hump of the nose, bleeding and swelling persist in the nose area. When the edema subsides, nasal breathing is restored. The final result of the operation can be evaluated in six months, when the tissues are fully restored.
Septoplasty of the nose in Israel
This is an operation to correct the nasal septum while preserving the bone and cartilage structure. This type of plastic allows to obtain an aesthetic result and eliminate breathing difficulties.
The nasal septum is a thin vertical bone plate and cartilage, which is easily deformed, with consequent alteration of the respiratory function and deterioration of the aesthetic appearance. The reasons can be injuries, rickets suffered in childhood, hereditary predisposition.
The contraindications are:
- severe pathologies of internal organs;
- oncology;
- infectious diseases;
- problems with blood clotting;
- diabetes.
Indications for nose septoplasty:
- allergic pathologies (itching, runny nose, etc. );
- difficulty in nasal breathing and its absence;
- chronic and acute diseases of the paranasal sinuses (frontitis, ethmoiditis, sinusitis);
- vasomotor rhinitis and frequent nosebleeds;
- snoring due to reduced nasal breathing, etc.
In case of exacerbation, septoplasty is performed two weeks after its elimination. The indication for the operation in Israel is determined by the otolaryngologist based on the history and diagnosis (rhinoscopy). Before the operation, laboratory tests, ECG, x-ray of the lungs are performed.
As painkillers, infiltration anesthesia can be used (with the help of injections it is injected into the nasal septum), anesthesia for local application (tundas impregnated with anesthetic are injected into the nasal passages) and general anesthesia.
With septoplasty in Israel, the surgeon makes an incision inside the nose or intranasally, as a result, there is no visible postoperative scar. On both sides of the nasal septum it exfoliates the mucosa, highlights and removes the curved parts of the bony structures and the quadrangular cartilage of the septum. Upon completion of the nose correction, sutures are applied and tamponade with finger swabs or gauze is performed. A sling-like bandage is applied to the nose.
Also, septoplasty in Israel is performed using endoscopic access. An endoscope with optical fiber is inserted into the nasal cavity, which allows you to see the hard-to-reach departments on the monitor and perform the operation as correctly as possible. This type of nose septoplasty provides minimal damage to cartilage and tissues, shortening the recovery period.
In addition, laser septoplasty is used in Israeli clinics, thanks to which it is possible to prevent the development of bleeding and edema, since the laser "seals" the vessels by cutting the tissues. In addition, it provides an antiseptic effect.
The duration of septoplasty is determined by the degree of curvature of the septum, the operation can last from thirty minutes to an hour and a half.
This type of rhinoplasty is quite easily tolerated. The patient is in the hospital until the nasal swabs are removed. Ten to fourteen days are enough to restore working capacity, full rehabilitation takes about a month.
Rhinoplasty in Israel: convergence of the bones of the nose
Osteotomy in Israel (bone repositioning, bone convergence) can be an independent operation that corrects the shape of the nose, or one of the steps to remove the hump of the nose. Thanks to this type of plastic surgery, the surgeon achieves the ideal proportions of the nose relative to the proportions of the face, reducing the lateral bones of the nasal bridge.
In the osteotomy process, it brings the walls of the bone pyramid together, after which the cartilages attached to the bones move. The skin, as a rule, adapts without much difficulty to the modified contours of the back of the nose.
Of the total time of the rhinoplasty, the osteotomy takes a few minutes. After the correction is complete, the nose is sealed with a surgical plaster and fixed with a bandage to maintain its shape and protect it from damage.
Within 2 weeks, hematomas and edema disappear. New contours are finally formed within a year.
Rhinoplasty in Israel: support for the tip of the nose
Support for the tip of the nose is provided by a stable, strong and correct arrangement of the cartilage. They are usually slightly above or below the line that runs along the back of the nose.
Insufficient support is caused by undesirable consequences of rhinoplasty (when adequate support is not provided) or by the age-related processes of tissue ptosis (the ligaments that support the cartilage become weakened).
To create support, the entire external nose is shaped in a proportionate and correct way. The norm is the nasolabial angle (formed by the upper lip and columella) - 90-120 °.
During rhinoplasty in Israel, the tip of the nose can be raised seven to eight millimeters above the profile line of the back. The toe skin has a hard time adapting to changes because it is less elastic and thicker.
To restore support, you can use transplanted cartilage grafts - "props". The surgeon places this cartilage between the lateral cartilages and fixes it, then cuts it to the desired size.
In addition, the tip graft can be placed perpendicular to the support, on the cartilage. This option is used when the cartilage of the tip of the nose is damaged and is not used for self-support. The ideal source for a graft is cartilage from the nasal septum.
If a graft cannot be obtained from the tip, the cartilage can be removed from the pinna. However, it is considered not strong enough to hold pressure and shape. Therefore, ear cartilage is often connected to a strong and thin bony nasal septum. Part of the bone is glued to a cartilage graft.
Rhinoplasty in Israel: shortening of the nose
Nose shortening is a plastic surgery that reduces the length of the external nose. Most often, the length of the septal cartilage is reduced, in more rare cases, the lateral wall of the nose, which is formed by large cartilages and triangular wing bones.
Various methods are used to estimate the length of the nose. The most common method is to measure the distance from the tip of the nose to the bridge of the nose. Another method is to determine the width of the nasolabial angle.
As we age, the ligaments that hold the cartilage weaken, the tip of the nose lowers and visually increases its length. For this reason, in adulthood, patients shorten the length of the nose less than in young people.
Types of surgeries in Israel that shorten the nose
With a long nose, as a rule, the cartilage and bone sections of the nose, the triangular and alar cartilages in the transverse and longitudinal directions, and the cartilage part of the septum are usually evenly stretched. As a result, either operations that shorten the lateral cartilage wall of the nose or resection of the distal septal cartilage are performed.
In the second option, a partial resection is performed using infiltration anesthesia. The surgeon makes 2 parallel transfection incisions, through which he removes the cartilaginous septa from the mucosa and removes the skin strips in the columella area. Then the incisions are sutured with catgut threads. As a result, the nose becomes shorter and the nasolabial angle increases.
Another way is to increase the nasolabial angle by placing silicone or cartilage liners in front of the maxillary spine.
Rhinoplasty in Israel: correction of the tip of the nose
This type of rhinoplasty in Israel can be performed in several ways. The operation is performed on the terminal section of the external nose: its shape is improved by removing the deforming or excess parts of the cartilage tissue and a new position is fixed.
Correction of the tip of the nose is a complex aspect of rhinoplasty, the task of which is to restore harmonious anatomical properties without disturbing the supporting structures of the organ.
Due to the variety of options for correcting the tip of the nose, an individual rhinoplasty plan is developed in Israel, which takes into account the strength and shape of the cartilage, the thickness of the skin, the width and length of the nose, the angle nasolabial, anatomy of the angles of the vault, contour of the back and wishes of the patient himself.
To narrow the tip of the nose, the surgeon cuts out segments of the alar cartilage and partially removes the fatty tissue. A variant can be used, during which the domes are dissected and sutures are applied, narrowing or connecting them together.
Rhinoplasty in Israel: repositioning of a fractured nose
This nose correction operation consists in returning the displaced bone fragments to their normal position. The optimal time for this plastic is the first hours after the fracture, until the development of soft tissue edema, or the next 3-7 days, when the edematous state decreases. 10 days after the injury, a callus forms, so repositioning can no longer be done.
Forty percent of all cases of facial injuries are fractures of the bones of the nose, caused by sports injuries, street and domestic fights, traffic accidents, falls. Such a fracture can be closed and open, without displacement and with displacement of bone fragments. Symptoms of a fracture include deformity of the external nose, swelling, pain, mucous discharge, bleeding, wounds, abrasions, nosebleeds due to mucosal rupture. In addition, the sense of smell and nasal breathing are disturbed.
For diagnostic purposes in Israel, the patient is interviewed, can perform an external and endonasal examination, endoscopic examination, x-ray of the bones of the nose.
A fairly common consequence of a bone fracture is the curvature of the nasal septum, which is accompanied by recurrent sinusitis, rhinitis, and impaired nasal breathing. Correction of curvature can only be done surgically.
Another complication can be a nasal septal hematoma under the mucous membrane, narrows the lumen of the nasal passages and makes breathing difficult. Perhaps its suppuration and subsequent destruction of the cartilage. Therefore, timely and high-quality medical care for nasal bone fractures is extremely important.
Cold (ice or cold pack) can be used as a first step to reduce swelling and pain and stop bleeding.
In the Israeli clinic, plastic surgeons perform repositioning of bone fractures. During the first 6-7 days, repositioning is done manually with the use of local anesthesia so that the bones grow together properly in the future. Tight tamponade of the cavities with turundas is performed to press and support the nasal skeleton. A bandage is applied to the outside.
Self-reduction is strictly prohibited due to further trauma. After the swelling has subsided, the aesthetic and respiratory function of the nose is evaluated. Bone fractures can lead to deformation of the osteocartilaginous part of the nose and its lateral displacement, narrowing of the nasal passages, curvature of the septum, etc.
If the nose bones do not grow together properly, patients are often forced to resort to rhinoplasty later. To restore impaired breathing, a deviated septum is corrected - rhinoseptoplasty is performed.
Rhinoplasty in Israel: correction of the wings of the nose
This type of operation is performed to change the width, thickness and symmetry in the presence of obvious aesthetic defects and deformations. Various methods are used depending on the violations. For repair, the tissues surrounding the defect are mobilized or a cartilage or skin graft is displaced.
Correction of the wings of the nose can be an independent operation or the final stage of rhinoplasty in Israel.
Defects of the wings of the nose are acquired and congenital in nature, they are complete or partial. The reasons are the consequences of correcting the nose or removing tumors, trauma, burns and diseases.
Most operations to correct the wings of the nose are performed using local infiltration anesthesia. If extensive defects are present, intravenous anesthesia is used.
Sometimes the tip plastic is used to correct the wings of the nose. In this case, this operation completes the rhinoplasty. If cosmetic defects appear, correction is carried out during the main stage of the operation.
When it is necessary to reduce the distance between the wings of the nose, incisions are made at the base of the wings from the vestibule and along the contour. Skin and mucocutaneous segments are excised, hemostasis is performed, and sutures are applied. The scars are placed in the folds of the wings of the nose and in the natural nasolabial folds, making them practically invisible.
If it is necessary to restore the support of the wings of the nose (in case of retraction or injury), areas of neighboring tissues are displaced, a skin flap or own cartilage is transplanted from the auricle or nasal septum, specially shaped.
The rehabilitation period can last five days, in case of cartilage reconstruction - seven or more.
Rhinoplasty in Israel: Complete Nose Correction
This type of rhinoplasty in Israel involves complex rhinoplasty, which is performed in the structural segments of the external nose and in the thickness of the organ tissues. They can reduce the length of the nose, change its shape, remove the hump, narrow the width of the back, adjust the tip. Together with plastic, they restore respiratory function and the normal architecture of the cavity.
Most often, this operation is performed after injuries.
In most cases, correction is performed through a closed (intranasal) approach, excluding external skin incisions. Superficial manipulations can be performed using local anesthesia and intravenous sedation, operations on deep structures require general anesthesia. This nose correction is possible in the age group - 18-40 years.
Rhinoplasty in Israel can be combined with the following plastic surgery: blepharoplasty, face lift, chin and lip surgery, liposuction, breast lift, etc.
Before the operation, the anatomical structure of the nose is carefully analyzed and its future shape is modeled on a computer. In case of violation of nasal breathing, the nasal cavity is examined, x-ray or tomography is performed.
Modern rhinoplasty in Israel uses sparing techniques that provide excellent results and minimize the likelihood of complications.