Rhinoplasty: preparing for the procedure, contra-indications, the nuances of rehabilitation

According to experts, the most widespread among women is plastic surgery of rhinoplasty. The shape of their nose, disgruntled a lot, and it is often a psychological problem is so great, that the bed under the beard. The possibilities of plastic surgery now makes it possible to achieve what seemed unreal.

Types of plastic of the nose and the characteristics of the procedure

One popular operation of plastic of the nose at the same time is one of the most difficult in plastic surgery. We all want an ideal appearance, but before you decide on these drastic changes, it is necessary to carefully weigh the pros and cons and ensure that you do not have contra-indications to the surgery.

Make the plastic of the nose surgeons recommend by a number of medical reasons, and aesthetic. The main indications of surgery are:

• innate or acquired (after the injury) the deformation of the nose;
• the difficulty of nasal breathing due to the curvature of the septum or hypertrophy of the mucosa of the turbinates;
• aesthetic objectives of faults — availability expressed gibbo, acuminate, thickened or spike drooping, disproportionate size of the nose or its parts.

Like any surgical procedure, a rhinoplasty and a long list of contraindications. On this operation, must forget those who have one of the " chronic systemic diseases:

• diabetes mellitus;
• cardio-vascular diseases (CORONARY artery disease, severe arterial hypertension, a cardiac defect, arrhythmias);
• autoimmune diseases (rheumatoid arthritis, systemic lupus erythematosus);
• viral hepatitis, cirrhosis and other liver damage;
• broncho-pulmonary disease;
• immunodeficience;
• of the disease, associated with disorders of coagulation.
• the institute malignant;
• allergic diseases (can cause anaphylactic shock).

Absolutely contraindicated rhinoplasty during the heavy general infections such as tuberculosis.

Some of the disease and the state may not exclude the possibility of the plastic of the nose temporarily. These include:

• acute viral infection (SARS, influenza, herpes);
• the disease of LOR-bodies (rhinitis, sinusitis, otitis);
• the inflammatory changes of the skin of the face;
• pregnancy and breast-feeding.

There is an age limit in the organisation of the procedure. Rhinoplasty is not recommended in children and adolescents: 18 years of age, the process of formation of the anatomical structures of the nose is not yet complete, and the consequences of the transaction may be unpredictable. After 55 years of making a plastic, it is also desirable: in the old age slow process of recovery, and this complicates the running of the period of rehabilitation. Moreover, the age of the counter-indications are not absolute, and the implementation of the operation in this case is resolved individually. For example, if a congenital anomaly of the structure of the nose are the cause of breathing problems, frequent yeast infections, sinusitis, ear infections, and the plastic complete, even if the patient has not attained 18 years of age.

To determine the indications for rhinoplasty and ensure the absence of contra-indications, before the investigation procedure. Primary of the preparation phase of the consultation, on which the patient discusses with the doctor to harass his faults and tells the results desired. The duty of the ben the ado — give a true prediction and not to maintain unrealistic expectations, which are sometimes clients.

Then, we perform standard pre-operative diagnosis. You need to make a blood donation on the common and biochemically, the presence of infections (HIV, hepatitis b virus, syphilis), to undergo an electrocardiogram, to go to the doctor and the anesthesiologist. Sometimes, you want x-ray of the sinuses and the consultation of a dentist.

For an operation the plastic of the nose has been a success, and the recovery was quick, to the procedure necessary to prepare well. Two weeks before the event, it is recommended to set the mode of life and nutrition: give up bad habits and junk food, to establish a sleep mode. It is necessary to cancel any of these medications prevent the blood clotting (anticoagulants): their action may result in hemorrhage during the operation. The day of the procedure may not accept the food, if surgery takes place under general anesthesia.

The characteristics of the operation are determined by its view. The plastic of the nose (rhinoplasty) is a common name, which brings together the different types of surgical correction. Depending on your default is made to one of the types of intervention:

• The reconstruction is a complicated operation, consisting in the restoration of the anatomical structures of the nose, damaged due to injury or already the reform of the rhinoplasty. Often, it uses the implantation procedures.
• The correction of the form operation on the back of the nose, which can make it more narrow or wide, to eliminate scoliosis, clean gibbo or retraction of the.
• Plastic of the columella . Thus, in medical language is called the jumper that separates the nostrils. With the help of the operation, you can increase or decrease, increase, or decrease.
• The plastic of the tip of the nose — an operation relatively simple, aimed at the elimination of the common faults, such as "the nose of potatoes", turned up. Surgically you can lift the tip of the nose, to sharpen his or the expansion.
• The plastic of the wings of the nose . It is most often the recourse of those who own the nose seems too wide: the procedure is used to adjust the value and the cut of the nostrils. After a plasty of the nose becomes more refined and aristocratic view.
• Septorhinoplasty . Its essence lies in the correction of defects of the nasal septum. The plastic of this type carried out on the medical plan.
• Augmentationem in plastic — a lifting operation below the nose by means of the implantation of a or donor cartilage.

Already on this short description is clear that the volume of the intervention and the degree of travmatichnosti during rhinoplasty may vary greatly. One thing when you need to fix the tip of his nose, or to reduce columella, and the other — when it is necessary to "saw by" gibbo or lift the nose. According to the final objective of apply, and different access methods — open and closed. The first method is more invasive: makes incisions in the skin, are affected, the cartilage and the bone tissue. When closed rhinoplasty is accessed from the mucosa. This operation takes place with a minimum of damage, and the rehabilitation period after it is shorter. But serious defects the more often you can work around when you open access.

The operation is performed under general anesthesia. The procedure lasts on average one to three hours. Correct a defect, is the ben the teenager who carries out the seams and plaster.

It is important

Back to the usual life immediately after the surgery does not work. During the recovery period, it can be difficult to breathe through the nose, can also disturb the aesthetic problems: edema, hematoma. Fear is not worth it: it is quite natural, in fact, during an operation causes damage to the blood vessels. Bruising and swelling after a plasty of the nose disappear after about two weeks.

For a period of rehabilitation has passed quickly and without complications, surgeons recommend that respect a few rules:

• avoid the sport, not to lift weights;
• do not consume spicy foods, hot dishes and drinks, alcohol, they can cause bleeding.
• wear fixation of the cuff (approximately 10 to 14 days);
• to accelerate the resorption of hematomas and removal of the swelling, you can apply special exterior of the tool and perform the procedures applied, which means a physician.

The final result of the transfiguration will be visible a year after the operation, because the swelling of the soft tissue is held up to three or four months, and a swelling periosteum after osteotomy up to six to eight months.

How to choose a doctor to perform the operation of rhinoplasty

Everything that is said above persuades that, to the extent responsible step is the decision to have plastic surgery of the nose. Rely on luck, in this case, is unacceptable: because of the lack of qualification of the ben the ado high risk of complications or at least unsatisfactory results. Therefore, the choice of the doctor and the clinic should be taken very seriously. To protect against errors, it is necessary to draw attention to the following points:

• Review the documentation on functions and chosen the clinic. It must have a license for the exercise of the medical activity. There are other necessary documents: the conclusion of health and pidmiologique, the rules of health services. It is necessary to focus on the availability of certificates of the equipment used and the materials.
• Ensure that the physician has enough highly qualified. On the professional accomplishments of of a ben the ado will tell of diplomas, awards, and diplomas, certificates of additional training.
• Assess the level of service at the clinic. First of all, the service impact on the psychological comfort of patients, and this is very important in an area like aesthetic medicine. Second, the indicator of the level of the clinic in general, and therefore of the quality of services. You can chat with the staff, know what is included in the program, in addition to the operation (if there is consultation and reconstruction procedures in rehabilitation and post-rehabilitation periods).
• Learn more about the responsibility of doctors. Good surgeons sure of their professionalism and willing to take the results of its operations. Before entering into an agreement with an institution, it is necessary to examine carefully the text of the document, and the conditions in which are provided the medical services.
• The cost of services is an important criterion of selection. The price on the plastic of the nose are different everywhere, and not always they correspond to the quality of the services. The operation, in principle, not expensive is not, and this question deserves individual consideration.

What is the cost of plastic nose

The cost of plastic nose affect of different conditions:

• the complexity of the procedure, the volume of the surgery;
• the qualification of the ben the ado (for example, the operation with a doctor of the highest category will cost more than less of a prominent specialist);
• the level of the clinic;
• the region (the price of the plastic in the nose in large cities is higher than in the province).

The first factor is the most visible. The different types of rhinoplasty cost is not the same, and this is understandable: the characteristics of the operation to determine the time and effort devoted by the cr to the ado.

The variation of the prices of the same services in the different clinics is very large. Choose the cheapest offer is always a risky proposition: it is to endanger their own health and beauty in the pursuit of the economy. To better focus on the average level of prices, of course, do not leave without attention, and other selection criteria.

Thanks to the skill of the plastic surgeon you can get rid of all the defects. But in the quest of the ideal of the appearance should not be forgotten that the rhinoplasty is a complicated operation, and conduct better than if there are good readings. But no matter what it is become the reason of this decision: medical necessity or dissatisfaction with the size and the shape of the nose, above all, carefully choosing a clinic and a technician.