Every third person on the planet has thought about nose correction at least once. 70% of patients opt for rhinoplasty because they are 100% dissatisfied with their appearance and want to solve aesthetic problems: remove the hump, make the nose thinner, smaller, smoother. 30% of patients choose rhinoplasty for medical reasons - nasal injury, difficulty breathing, deviated nasal septum or frequent sinusitis.
Problems with the shape of the tip of the nose are not uncommon. But don't be shy, everything can be fixed. If the flaws in the figures can be corrected with clothing, diets or sports, you need to contact a plastic surgeon to correct your nose or lips.
We will talk about all the features of the procedure, preparation for plastic surgery and other important steps in this article.
Indications and contraindications: medical, aesthetic, indirect, absolute
Rhinoplasty is a surgical procedure that takes 1 to 2 hours. As a result, the patient's appearance changes and the face becomes more attractive. Before doing the plastic surgery, it is necessary to combine all points with the doctor and prepare thoroughly for its application: pass the exams, follow a diet, quit smoking and alcohol at least a week before the operation.
Indications for surgery
The indications for the procedure are congenital and acquired.
Congenital indications for plastic surgery are various aesthetic and also physiological defects: hook-shaped, forked, thick or drooping, its displacement to the side, very large or narrow nostrils.
The operation may be necessary after injuries or illnesses in which the nose bends, as well as in case of breathing difficulties due to the organ structure or changes associated with age (skin aging). The above indications are considered acquired.
To restore or correct the tip of the nose, it is necessary to consult a surgeon, if surgery is necessary, the density of cartilage, thickness of the skin and tissues, length, width of the nose and other factors will be taken into account. The patient's wishes are always taken into account, and also carried out as far as possible, but the final decision is made in conjunction with the doctor, as the excessive removal of cartilage can lead to health problems.
Before the operation, it is necessary to examine the nasal cartilage and also make sure that the skin in the area of the respiratory organ is healthy - there are no inflammations or signs of infections.
Contraindications for surgery
The correction of the tip of the nose is a serious procedure, it must be approached consciously. What are the contraindications for the procedure?
- Was.The operation is carried out from the age of 18. At this age, tissue formation occurs completely. However, surgeons recommend to correct the tip of the nose between the ages of 20 and 35 years. It is then that the formation of bones and cartilage is complete, the skin is elastic and regeneration after the procedure is active.
- Blood clotting problems.When a patient has poor blood clotting, the risk of surgery is greater than normal and, therefore, it is better to refuse to perform it.
- Exacerbation of chronic diseases.Surgeons do not recommend performing an operation during an exacerbation of diseases. It is better to wait for the state of health to return to normal and have an exam. Only in the case of a positive test result can a rhinoplasty be decided.
- Viral diseases, infections, inflammations.It should be remembered that if there are at least minimal health problems, it is best to postpone surgery until complete recovery.
- Oncology.Rhinoplasty is contraindicated in patients with oncology.
- Menstruation.The operation is contraindicated during menstruation. Correction is desirable within two weeks after the end of menstruation.
Plastic surgery during pregnancy or lactation is also contraindicated. Before the operation, the patient must be examined and tested to provide the necessary preparation for rhinoplasty.
Other forms of correction. Why rhinoplasty is the safest method
To correct the nose, surgeons use different surgical techniques depending on the client's wishes and the result the patient expects to receive. However, you can find other methods to fix the tip of the nose on the net.
In online stores it is possible to find the so-called "nose correction tweezers". Manufacturers guarantee that, when using correctors 2 to 3 times a day, the effect will be noticeable, comparable to the performance of a surgical intervention. But, of course, this is far from true. For nose correction, no clips or other pseudo-specialist devices will work. If there is any effect, it will be short-term - for 2-3 weeks, and the correction is negligible.
There is a set of exercises for the face that allow you to correct your shape. These exercises are useful for maintaining muscle tone, cheekbones and a double chin, but they do not work to correct the shape of the cartilage. The effect after systemic exercise persists for 2 weeks.
The threading technique is performed by a specialist with a special needle using micro-punctures. Wires with specially designed notches are inserted into the skin of the nose, which form a frame. The wires are inserted through small holes, and the structure keeps them in position. After two days, the doctor removes the ends of the wires and the patient sees the final result, which lasts for about 3 years.
Use of hormonal drugs
To correct the tip of the nose, you can also take a course on hormonal medication administration. First, you need to see an endocrinologist. If there are no contraindications, a hormonal medication can be administered. This procedure is performed to remove excess soft tissue and lift the tip. For correction, you need to go through a course of procedures that will take 2-3 weeks. It is worth mentioning that the medications have a temporary effect - from 3 months to 2 years, depending on the medication chosen.
According to experts, rhinoplasty is the most reliable and effective form of correction. Unlike previous methods, rhinoplasty offers a result for life. The procedure takes 1–2 hours under local or general anesthesia. The main advantages of the operation:
- all possible correction options (lowering or raising the tip, reducing, straightening or narrowing the tip of the nose);
- elimination of respiratory problems;
- lifelong result;
- correction of injuries, birth defects.
3 Techniques to perform the operation. What is the difference
There are several types of rhinoplasty: classic closed, open and hybrid methods. Surgeons resort to different types of plastic surgery depending on the result to be achieved, the shape of the nose, the position of the bone and cartilage tissues, among other factors.
A characteristic of classic closed plastic surgery is that it can be used to correct the nasal dorsum, but the correction of the tip will be more difficult than using the open one. In the case of this method, the incisions are made inside the nasal cavities and access to the tip is only possible when the cartilage is removed for the incision. But there are also advantages - no visible scars remain after the operation. Closed plastic is suitable for removing a bulge or correcting bone tissue in the event of its curvature.
In the case of open surgery, the surgeon makes an additional incision between the nostrils. This contributes to better access to the structures of the nose, ample possibilities for changing its size and shape. The scar after the procedure will be almost invisible and small. With this method, you can reshape the tip of your nose more effectively (compared to the closed method). Its disadvantage is the possible formation of a small scar on the outside of the nose and a longer recovery period. The scar becomes smaller after a few months after the operation and can also be removed with the use of additional healing agents and creams, which the surgeon will recommend, if necessary.
Since the above methods have their disadvantages, surgeons have developed a combined plastic technique. In use, incisions are made inside the nose, characteristic of both methods, but, unlike the open method, there is no external incision in the skin.
The combined method (also known as "hybrid") was developed taking into account all the advantages and disadvantages of the closed and open methods.
The main advantages are the ability to change the structure of the nose as much as possible and leave no visible scars. Recovery after the combined method takes place in 2 weeks and there are no visible scars on the skin.
When using the hybrid method, the surgeon has the opportunity to make corrections during the operation, as well as to control the desired result, avoiding the possibility of excessive or insufficient correction. The combined method has only one disadvantage - it is more complicated from a technical point of view.
A few words about something important. Preparing for surgery
Before doing the rhinoplasty, you need to undergo training. You will need to consult a plastic surgeon to discuss the desired changes. The surgeon examines the nose and explains the reality of obtaining the desired result. During the consultation, questions about the limitations, the operation, the peculiarities of its preparation, the rehabilitation after it are discussed, as well as possible complications.
Before the operation, the patient needs to be examined to make sure that there are no contraindications and to pass the following tests:
- blood for HIV infection and hepatitis C and B;
- clinical blood test;
- blood biochemistry;
- laboratory analysis of urine;
- analysis of the prothrombin index;
- test for tumor markers;
In addition, the patient needs to listen to the doctor's recommendations and comply with them. Avoid drinking alcoholic drinks a week before the operation, stop smoking, do not use anticoagulants, do not drink water or eat food for five hours before the procedure. It is important to avoid active hobbies and to walk in the scorching sun a few days before the rhinoplasty.
During the operation and its main stages
Rhinoplasty is performed under general or local anesthesia. The choice of type of anesthesia depends both on the client's will and the peculiarities of the operation, as well as on the method that the plastic surgeon will use to perform it. The patient can always share his wishes regarding anesthesia, but the final decision is made by the doctor. The process and quality of rehabilitation after rhinoplasty also depends on the choice of type of anesthesia.
Local anesthesia is used in case of minor corrections of the nose with hormonal injections, fillers or wires. These correction methods do not cause severe pain, so general anesthesia is not necessary in most cases. But this type of anesthesia is practically not used in rhinoplasty, when the surgeon needs to touch the bones of the nose or cartilage.
General anesthesia is used by the surgeon in most cases. This type of anesthesia makes it possible to completely avoid pain during the operation and the patient will have no memory of the operation.
The operation takes 1 to 2 hours. After anesthesia, the surgeon makes an incision in the skin or mucous membrane. Depending on the patient's wishes and the specific case, the doctor selects an open or closed method for the operation.
During rhinoplasty, the doctor separates the soft tissues of the nose from the bone and cartilage from the nasal cavity. Then, it moves the cartilaginous and bone fragments, shapes a new shape of the nose. After the manipulations, the plastic surgeon applies absorbable sutures to the skin or mucous membranes, depending on where the incision was made. The next step is to plug the nasal passages with large gauze plugs. The final step of the operation is the imposition of a plaster cast for fixation.
The type of incision is selected by the surgeon depending on the structure of the nose, the complexity of the procedure and the preferences of the surgeon at work. The cut can be axial, perpendicular, oval or angular.
Rhinoplasty itself is performed by three main methods: open, closed and combined. The characteristics of each method are described in the paragraph "types of operation"
The choice of the plastic surgery method is presented to the patient directly, but doctors recommend choosing the methods with the lowest level of trauma. Surgeons claim that the less traumatic methods are closed and combined, since, in the case of their use, the incision is small and recovery after surgery is faster.
Recommendations of the surgeon in the postoperative period. How to avoid complications
Rehabilitation after surgery takes an average of 20 to 25 days. If the rhinoplasty was performed under general anesthesia, the patient must also be hospitalized for 24 hours after surgery.
For three days after the operation, gauze or cotton swabs should be placed in the nasal cavity to ensure the immobility of the new forms and to prevent swelling. On the 5-8th day (depending on the speed of healing) after the repair, the suture material is removed. After a week or 10 days, the patient is removed from the plaster cast, the bruises and swelling gradually disappear.
Postoperative medical recommendations:
- Sleep on your back, make sure to use a high pillow.
- To reduce the level of discomfort associated with dry mouth (as one of the possible consequences of the procedure), use special solutions or pastes to soften.
- Do not abuse alcohol and smoking.
- Refuse trips to baths, solariums, saunas.
- Do not wear glasses.
- It is forbidden to overload yourself with physical activities.
- Temporarily stop eating hot food and drinks.
- Do not touch, crush, or feel your nose.
Complications after rhinoplasty are rare. Some of them appear immediately after correction, while others occur in later stages of healing. Natural complications include edema and bruising. The external signs of swelling disappear within a week after plastic surgery, the deep swelling disappears after six months. The difficulty in breathing clears up on its own 10 days after the operation.
To protect yourself as much as possible from possible complications, it is important to choose a specialist, clinic carefully and provide complete information about your health status, injuries or illnesses, if any. The final result of the operation performed also depends on strict compliance with the doctor's recommendations during the rehabilitation period.
Rhinoplasty is used by women and men at any age. The surgeon advises performing surgery to correct the tip of the nose at a young age and not to postpone it. It is important to do a thorough examination to make sure that there are no contraindications for plastic surgery. The most popular indications for rhinoplasty are:
- correction of the tip of the nose (large, pointed or rounded);
- a long nose;
- wide nasal bridge;
- raising the tip of the nose or narrowing it;
- elimination of asymmetry;
- shortness of breathe;
- eliminating the consequences of injury or poor quality rhinoplasty;
- correction of the split nose tip.
If the patient has a small defect, the operation is performed under local anesthesia. In 90% of other cases, rhinoplasty is performed under general anesthesia. The procedure itself takes one to two hours. The method of performing the procedure (open or closed) is based on many factors. This includes the complexity of the nose defect and the customer's wishes. But the final decision is up to the plastic surgeon.
The quality of the rhinoplasty and the final result directly depend on the choice of the specialist and the clinic, therefore, it must be approached with care.