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What is rhinoplasty and operational phases

Rhinoplasty is a special surgical operation, which is performed to correct congenital or acquired nasal defects, as well as a total increase in the missing parts of the nose.

The rhinoplasty operation lies in the fact that the surgeon changes the nasal parameters by invasion of the bone nasal frame-chryashny.

The main task of this operation is to return the correct form of the nose to a person who has been violated even before birth, due to diseases or through the injury to the acquired nose.

Rhinoplasty of the nose

Types of rhinoplasty

Today, the world uses these types of nose rhinoplasty:

  • sectoplasty;
  • Closed rhinoplasty;
  • Open rhinoplasty;
  • Renoplasty on secondary conduct;
  • Rhinoplasty without surgery;
  • Rhinoplasty when using filler;
  • Rhinoplasty that uses special auxiliary drugs;
  • Renoplasty using Thread aptos.

Septoplasty

Settoplasty is a surgical intervention that is the task of eliminating defects in the nasal septum - the movement of cartilage and bones, which interfere with normal functions and the aesthetic type of nose.

Indications for sectoplasty for humans:

  • constant nasal congestion for no apparent reason;
  • snore;
  • Nasal development defects or nasal partitions;
  • constant or periodic nasal bleeding;
  • the presence of chronic sinusitis;
  • General deformation of the nose;
  • The consequence of the injury of the nose that prevents normal respiratory function.

Contraindications to sectoplasty:

  • the presence of diabetes;
  • Too much distortion of the nasal septum;
  • The presence of diseases of the cardiovascular system.

Closed rhinoplasty

Rhinoplasty closed as an operation is more easily tolerated by a patient than an open rhinoplasty. This procedure is performed by the endonasal access to the nose, or the cuts are made directly inside the nose.

This operation presents a series of advantages for the patient, but is extremely uncomfortable for the surgeon, since it is easier for any surgeon to conduct surgery on a well -accessible operating field. Consequently, in Rhinoplastics closed, there are many more chances of obtaining a medical error, due to which complications or other problems in the patient may occur.

Advantages of closed rhinoplasty:

  • The duration of the operation is much lower than open rhinoplasty;
  • The nasal fabrics are not cut on the surface of the nose and the smaller cuts;
  • less likely for the appearance of scars;
  • smaller edema after surgery;
  • The result of the operation is visible a few days earlier.
The results of the operation

Indications for closed rhinoplasty:

  • aesthetic (curve, ugly form of the nose, deformation of the nose, etc. );
  • Medical (nose injuries, lack of breathing due to the incorrect structure of the nose).

Contraindications to this type of operation:

  • the presence of mental diseases in the patient;
  • inadequacy of the wishes of the patient's final result;
  • the presence of diseases in which any rhinoplasty is contraindicated;
  • The implementation of the patient of several re -poclastics previously failed, which significantly deformed the soft tissues of the nose.

Since closed rhinoplasty is a rather complicated operation, after its conduct, the patient may have the following complications:

  • Inflammation of the nasal tissue;
  • the formation of scars (rarely);
  • the formation of pigmentation on the skin, which can remain forever;
  • hemorrhage;
  • nasal bleeding;
  • swelling or hematomas around the nose;
  • Wronty nasal form, which will require a secondary operation.

Open rhinoplasty

The open rhinoplasty, unlike a closed, is performed with a small cut, with a diameter of 4-5 mm. Thanks to such a visible section, the skin of the nose can be completely raised and therefore the surgeon will be much more convenient to work with an open skeleton of the nose, because it will see the entire external structure of this organ, extraordinary closed rhinoplasty. This greatly reduces the possibilities of a surgical error.

In addition, rhinoplasty open for the primary operation is recommended, since it can eliminate all the existing nose defects more thoroughly, unlike the closed rhinoplasty, which cannot always guarantee the same result.

Renoplasty on secondary conduct

Secondary rhinoplasty is performed if the primary has not been successful and complications must be correct. It can be performed both open and closed.

Renoplasty without surgery

Renoplasty without surgery is carried out only in 4-7 % of patients who can do without surgery. With its help, only small defects in the nose can be corrected. More serious problems in the structure and appearance of the nose require only a complete operation of rhinoplasty.

Rhinoplasty when using the fillers

This procedure is performed if the patient wants to eliminate only the defects of the minor nose. For example, these can be various small disadvantages, defects, expansion of the tip of the nose, correctly of its symmetry, etc. In these cases, doctors use special fillers that are introduced into the nose fabric and correct the problem.

The advantages of this method are that the restoration of the nose after is much simpler and the procedure itself is not as painful as ordinary surgery.

The disadvantages of rhinoplasty using fillers are a change in the structure of the nasal tissue and the possible "migration" on the surface of the nose of the drug administered.

Rhinoplasty that uses special auxiliary drugs

To perform this procedure, surgeons use special hormones -based drugs that are introduced into defective nasal areas.

The advantage of this rhinoplasty is that the patient is not subject to surgical interventions. But a great disadvantage of this rhinoplasty is that with the improper calculation of the drug dose and its introduction in the wrong area on the nose, the patient may have various complications and deterioration of defects.

Types of rhinoplasty

Rhinoplasty using threads

This procedure is performed using threads with which doctors pull the wings of the nose and nose. These threads are through special hatches on the nose and, so to speak, they rise their noses.

Rhinoplasty that uses thread is not very often used by surgeons, since it has a series of disadvantages:

  • After the procedure, there is a great probability of training of scars;
  • the presence of contours and the ugly type of nose in "points";
  • The high probability of a rupture in the threads, because the nose is very mobile in its structure, which provides for the irradibility of this procedure.

Pros and cons of rhinoplasty

The advantages of rhinoplasty:

  • satisfaction for its appearance after intervention;
  • the complete elimination of any defects in a procedure successfully performed;
  • Improve breathing in its preoperative disorders.

Against rhinoplasty:

  • the possibility of acquiring infection;
  • loss of sensitivity to the nose;
  • bleeding;
  • Operation conducted without success, complications;
  • deterioration of the appearance of the nose and dissatisfaction of the final result.

Indications and contraindications

If a person has congenital nasal defects, but can lead reoplasty with the beginning of adulthood. In general, the 18-40 years are considered the most suitable age for this procedure, when the body is already formed and a person takes a balanced decision.

Indications for rhinoplasty:

  • the presence of a hump on the nose;
  • congenital nasal defects;
  • nasal defects acquired by accidents;
  • violation or complete impossibility of breathing with the nose;
  • nostrils of too large volume;
  • The nose is too long;
  • Nose in the form of a crumpled saddle;
  • Nose of addition of hook;
  • nose too often;
  • Nose too sharp.

CONTRAINDICATIONS TO RENOPLASTICS:

  • human minority (if the lesion has been acquired by a child, the procedure is possible in premature lines);
  • Age after the forposed anniversary (from after this age, a person has the risk of all types of complications and worsens the healing process of wounds);
  • the presence of diabetes mellitus;
  • all types of kidney or liver diseases;
  • problems with the coagulation of the patient's blood;
  • Severe disease and blood vessels;
  • acute viral diseases;
  • the presence of oncological diseases;
  • the presence of mental disorders;
  • If there are no nasal defects and rhinoplasty is not simply requested.

Preparation for rhinoplasty

Since rhinoplasty is a full operation, for some time earlier, the patient should do the following:

  • Under a complete examination for the presence of cardiovascular diseases.
  • It passes the exams and take advice from the therapist, neuropathologist, Laura, anesthesiologist, surgeon who will lead the operation, etc.
  • To discuss with the surgeon all the possible consequences of the operation and determine the future shape of the nose, width, etc. He must also discuss the type of anesthesia with an anesthesiologist, whom he will use during the operation.
  • Pass all the necessary tests.
Rebel

Construction operations - phase

Rhinoplasty is carried out in these phases:

  • The patient is administered anesthesia;
  • Additional anesthesia is performed;
  • Subsequently, the surgeon makes an incision on the lower shell of the nose and begins directly to his work (this surgery can be both closed and open);
  • The surgeon regulates all the defects of the nose, corrects irregularities, hump, etc. , Depending on the specific problem of the patient;
  • If necessary, it can replace the trolleys that are missing in the nose from its other areas or in the implanted artificial cartilage;
  • Upon completion of the operation, the surgeon cums on the nose and imposes a fixing bandage.

Depending on the level of complexity and the course of the procedure, the rhinoplasty operation can last from 50 minutes to 2 hours. It should also be mentioned that the nose after surgery can be subjected to independent changes in the form of improvements or deteriorations.

All this will depend on the patient, on his compliance with medical recommendations and directly on the results of the operation itself, which will be visible only after 6-8 months.

Rehabilitation period

After rhinoplasty, on the nose and around its region, while a vaccine, swelling and hematomas are formed, which usually go in two weeks. After surgery, a special fixing band is applied to the patient's nose, which must be worn within ten days. The swabs will also be inserted in the nose, which will prevent bleeding, so that for some time the patient will not be able to breathe the nose.

The result of the operation can be evaluated in six months and the final result is in a year. The delay of the wounds after surgery depends on each person individually and on the state of his vitality. If complications are observed after the operation, the healing lines can increase significantly.

After rhinoplasty, it is desirable to visit its surgeon to conduct inspections on the nose after rhinoplasty.

Recommendations before and after surgery

Before the operation, the patient follows:

  • abandon all bad habits (alcohol, fatty foods, etc. );
  • A few days before the surgical intervention, drugs and products are prohibited, which causes a decrease in blood coagulation in the body.

After surgery, the patient must meet the following requirements:

  • In the first months following rhinoplasty, we cannot be involved in sport (gymnastics, race, etc. );
  • It is undesirable swimming;
  • Do not eat too hungry or hot foods, to avoid bleeding;
  • Wash carefully, without touching the nose and the areas around him;
  • Avoid a strong change in facial facial expressions;
  • Wear the clothes that must not be removed above the head.
Indications and contraindications

Possible complications after surgery

After rhinoplasty or during the procedure, the following complications can occur:

  • Allergy to anesthesia.
  • Abundant nasal bleeding.
  • The edema of the nose area (in the first weeks after the procedure), which can interfere with normal nasal breathing.
  • Swelling on the face (in the eyes, cheeks and other parts of the face).
  • The occurrence of hematomas on the face.
  • Reduce the sensitivity of the nose skin or its absolute loss for a while.
  • The risk of infection infection.
  • Large scars can form, to eliminate what another operation will be needed.
  • Difficult breathing after surgery (depending on the type of operation and procedures). Which will be carried out with nasal cartilage.
  • The occurrence of the absence of smell or of its partial loss.
  • Lengthening of the skin or loss of its flexibility (it occurs with an excessive cutting cartilage in the nose).
  • Tight fabric.
  • The formation of age spots or the manifestation of the blood vessels on the skin of the face.
  • Fatal result with anaphylactic shock.
  • Disagreement of the patient for the final result of the procedure.
  • Course without success of the procedure through the surgeon's fault.

Results

The first results of the operation will be visible after 10-14 days. But the patient can see the final result only after 8-10 months, when all the numerous edema and bruises will go away and the fabrics "will spread" on the new nose.

It often happens that relatives and friends do not notice significant changes in the patient's appearance after surgery. Since the hematomas and swelling will drown the entire result. In this case, the patient does not need to run immediately to repeated rhinoplasty, but should only be predictable when the face reaches the usual shape and therefore evaluate the final result.

Furthermore, it should indicate that rhinoplasty does not give a genetic effect and will not be transmitted by the clan for children, as some patients may consider. This operation only improves the appearance of a person.