Rhinoplasty transforms the patient and is considered one of the most effective methods of changing the appearance.
The face opens up, 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 look.
But each operation has its pros and cons.
Types of rhinoplasty
How does rhinoplasty differ from rhinoplasty?There is no difference between these concepts.
There are several types of fixes.Here's how rhinoplasty is done with each type of surgery:
- Septoplasty: aims to change the shape of the nasal septum and is prescribed if respiratory function is impaired.
- Closed rhinoplasty works like this: through one or more incisions, the skin is separated from the frame: cartilage, bone. Then they make a correction: the 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 volumes of corrections. The incision is made in the nasal cavity and in the columella region.
How long does rhinoplasty last: The duration of the operation depends on the amount of work and the technique. Like this,closed correction lasts 30-40 minutes, open - up to 60 minutes. For fully closed rhinoplastytakes 1 hour, open - about 1, 5 hours.
Operating video
To clarify how rhinoplasty is performed, we suggest watching a video of the operation.
Non-surgical rhinoplasty
It is used if you want to eliminate small defects.It is performed 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 migration of the substance.
Absorbable preparations are also used. So it is possible to get rid of bumps, bulges. The technique is applied on the tip, on the wings, on the area above the tip, occasionally - on the hump. Go 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 breakage, 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 imperfections of shape:
- 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 carried out 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 surgery;
- Acute viral infections;
- cancer diseases;
- Disorders of the mental sphere.
There are also age restrictions. Rhinoplasty is not done until the age of 18 in girls and until the age of 21-23 in boys, which is associated with the process of forming the facial part of the skull.
Correction is not recommended even after the age of 40 due to slowing 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
Correction of the nose occurs after preparation. Your surgeon will instruct you on how to prepare for rhinoplasty.
Preparation for rhinoplasty includes standard exams:
- Electrocardiogram.
- Chest x-ray or fluorography.
- Photo of the nose.
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 are held with an anesthesiologist. The specialist clarifies the information on the tolerability of anesthesia.
List of analyzes
Such analyzes are performed before rhinoplasty:
- Blood (general, biochemical, electrolytes, coagulogram, blood group, Rh, factor) - for 14 days.
- HIV, HBS, HCV, RW - for 3 months.
- Urine - for 14 days.
It hurts?
During the rhinoplasty itself, the patient feels nothing, 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 nasal swabs, 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) has been performed, a plaster cast is placed7-10 days. Edema appearing in the nose and around the eyesthey disappear after 10-20 days.
The doctor can first evaluate the results after 6 months and finally after a year. The duration of tissue healing depends on the characteristics of the body, age.
After removing the patch, the patient is obliged to visit the doctor within the specified time. For a while they refuse to wear glasses, exclude spicy and spicy foods from the diet to prevent bleeding and limit physical activity.
A complete rehabilitation cycle lasts 6-12 months.
The duration of facial healing depends on the severity of the operation and complications.With a good course, 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 undergo rhinoplasty, especially if the surgeon does not see any abnormalities and medical indications.
An anaphylactic reaction to anesthesia is possible, a phenomenon of rapid, life-threatening allergy. 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.
Overall, adverse events develop in only 4-18. 8% of patients, with one in ten in this group experiencing skin and soft tissue complications.
During the operation, excessive bleeding, skin breaks, muco-cartilage structures, burns, violations of the bone pyramid and others are fixed.
In the first hours, days after the operation, anaphylaxis, visual and respiratory disturbances may develop. Of the hidden complications - bleeding, septal hematoma.
Rarelyan infection penetrates the wound, which requires a course of antibiotic treatment; in case of sepsis (blood poisoning), hormones and blood transfusions are used.
Other complications include:
- Reduced sensitivity.
- Scars, scars that require repeated surgery.
- Difficult breathing.
- Deterioration of smell.
- Perforation (holes) of the nasal septum.
- Cartilage atrophy.
- The appearance of the vascular network, pigmentation.
- Rarely - necrosis (death) of tissues.
Furthermore, the patient is not always satisfied with the result -such patients 3 out of 10.The likelihood that the view will be as planned is about 70%. The nose can look 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.
Subsequently, a second correction may be required, which is done after 6 months, but not earlier. Indications are incorrectly stitched or excessively removed cartilages, in which the nose looks short, a small columella (the lower part between the nasal passages), etc.
What is the best time to cancel the surgery?
Often, people with dysmorphophobia or dysmorphomania turn to plastic surgeons for help. In the first case, we are talking about a painful attitude towards a small defect or characteristic of the body, in the second - about an imaginary external defect.
If the surgeon did not find deviations from the average parameters in the size of the nose, in its position relative to other parts of the face, consultation with a psychologist is recommended.
You should also study the reviews about the clinic and a particular specialist. The lower the qualification of the doctor, the greater the likelihood of complications.