Correction of the shape and size of the nose or rhinoplasty


What is rhinoplasty or nose surgery?

This is one of the most widespread and oldest plastic surgeries (first performed in 1000 BC) in the world.

It represents an entire section of reconstructive surgery that combines methods of surgical correction of the shape and size of the nose, replacing congenital or acquired defects in this part of the face with bone-cartilaginous tissue removed from the patient.

Nasal surgery transforms the patient and is considered one of the most effective methods to change appearance.

Types and indications for

The nose is an organ of smell, which has a very complex anatomical structure. Surgical correction of this part of the body is considered one of the most difficult plastic surgeries in the world, as the doctor needs not only to change its appearance, but also to preserve its functionality (in some cases, this procedure leads to a curvature of the osteochondral septum, causing difficulty in nasal breathing or loss of smell). Therefore, before performing it, surgeons recommend that their clients think carefully and answer whether it is worth doing the rhinoplasty or not (the exception is the cases where the irregular shape of the nose causes respiratory disturbances and can cause lack of oxygen in the brain) . The ideal age to conduct is 20 to 30 years, but in case of respiratory problems or after serious physical injuries, it is performed earlier.

Main indications:

  • disproportionate size of the respiratory organ in relation to the whole face;
  • turbinate hypertrophy;
  • lesions or deformations in the bone or cartilaginous tissue in the area of the osteochondral septum, its curvature;
  • asymmetrical, bifurcated or very high nasal tip;
  • "Hunchback";
  • shortness or difficulty in breathing;
  • dissatisfaction with the result of previous plastics.

There are several types of rhinoplasty, which are classified according to the purpose and technique of the procedure:

  • nasal tip plastic - method of surgical correction of the shape or elimination of asymmetry (bifurcation) of the nasal tip;
  • grafting (autotransplantation) - during the procedure, the doctor enlarges and, if necessary, elongates a very small nose, transplanting cartilage tissue taken from the ear area;
  • reduction - a method of surgical intervention aimed at correcting the shape and size of turbinates;
  • back alignment - removal of the bump at the back of the nose;
  • septoplasty - a surgical method to correct a deviated nasal septum;
  • augmentation - a surgical method of correcting the shape of the nasal bridge to eliminate the "flattening" effect;
  • non-surgical rhinoplasty - non-surgical correction of the shape, size and proportionality of the nose by injection of fillers (nasal contour plastic), use of hormonal resorbable drugs that destroy the bone-cartilaginous tissue of the nasal septum, or with the help of Fios de apts (lifting of the wing threads and the tip of the nose).

How is the preparation for the operation going?

Before the procedure, the patient needs to visit a plastic surgeon who will measure the respiratory organ, determine the amount of work to be performed, simulate the presumptive result of the operation on a computer through a special program (computer modeling helps the physician to understand best the customer's wishes) and write a reference for the following tests:

  • general and clinical blood test;
  • electrocardiogram (with decoding);
  • fluorography;
  • analysis for AIDS, HIV or hepatitis;
  • tomography of the paranasal sinuses.

Two weeks before the procedure, you must stop smoking and blood thinning medication. It is not allowed to eat or drink 12 hours before the operation (a light dinner is allowed the night before).

Before the procedure, doctors recommend resting and sleeping well (this will help to calm the nervous system).

Technique depending on method

Immediately before the procedure, the client signs an agreement with the plastic surgery clinic, which contains his consent to the surgery, the cost of the procedure and its type, the name and surname of the anesthesiologist and plastic surgeon, and information that the patient is familiar with with the possibility of developing postoperative complications and their treatment methods. Then, the person is taken to the operating room, the face is washed with lotion, the piercing is removed (if any) and, if necessary, preoperative marking is done with a special marker. The operation takes place under general intravenous or endotracheal anesthesia and lasts 1-2 hours.

There are two methods of performing rhinoplasty: open and closed.

open rhinoplasty

Open rhinoplasty is a procedure in which the doctor makes an incision in the columella (the part of the skin that lies between the nasal openings), corrects the shape of the nasal structures, and finally applies various cosmetic stitches to the skin. This method of surgical intervention is used to correct severe injuries and deformities of the nasal cavity and to reconstruct bone and cartilage tissue using autografts.

open nose rhinoplasty

closed rhinoplasty

Closed rhinoplasty is a procedure in which the surgeon makes an incision inside the nasal cavity, separates the soft tissue from the osteochondral structure, performs a series of surgical procedures to change the shape of the nose, and then sutures the mucous membrane with a self-absorbable thread. material. A less traumatic method of plastic surgery, after which complications rarely occur and scars remain.

closed nose rhinoplasty

After a first unsuccessful operation or in the case of a result that does not suit the client, doctors perform a second (secondary) rhinoplasty. This is a more (technically) complex procedure that requires certain skills and practical experience from the surgeon, is performed under general anesthesia and requires the same preparation as the primary plastic. It is not done before one year after the previous surgical intervention.

Recovery period and results

The rehabilitation period lasts 3 to 4 weeks, but the patient spends a day in hospital. Immediately after the operation, a tampon is inserted into each nostril, which the surgeon removes after three days, and a cast is applied to the nose (it is removed after ten days). After removing the tampons, the physician prescribes eye drops to the patient in order to eliminate postoperative edema and accelerate soft tissue healing. The swelling and bruising completely disappear after 1, 5 to 2 months. The preliminary result is evaluated after 6-8 months, the final result - after 12. Scars after rhinoplasty are visible for the first three months, then they become almost invisible.

Postoperative recommendations:

  • two weeks after the surgical correction, you should sleep on your back;
  • in the first weeks, you cannot go to the sauna, swimming pool, solarium, gym and do heavy physical work;
  • until the post-operative wounds are completely healed, you can only eat hot food and drink hot drinks;
  • You cannot wear glasses for 2-3 months after the procedure;
  • throughout the recovery period, you should not smoke.

Results of rhinoplasty or nose surgery: before and after photos

photos before and after rhinoplastybefore and after rhinoplasty

Possible complications and contraindications

Contraindications for performing:

  • oncology;
  • coryza;
  • flu, SARS;
  • active herpes;
  • diabetes;
  • atrophic rhinitis;
  • infectious diseases of the oral cavity;
  • Mental Disorders, Mental Disorder;
  • tuberculosis;
  • heart and kidney diseases.

Rhinoplasty is considered one of the most difficult plastic surgeries in the world, during which the surgeon often removes not one but several cosmetic defects at once, therefore, it is associated with the development of a number of possible complications:

  • nosebleeds;
  • postoperative pigmentation;
  • soft tissue swelling and bruising;
  • loss of smell;
  • the appearance of keloid scars;
  • difficulty breathing;
  • curvature of the nasal septum.

With which operations can they be combined?

Most of the time, nose job is combined with septoplasty - surgical correction of the nasal septum (this procedure is sometimes called septorhinoplasty), cheiloplasty (changing the shape and volume of the lips) and mammoplasty - plastic surgery aimed at correcting the shape and size of the breast (in the latter case, two doctors are present at the operation, one performs rhinoplasty and the other performs breast plastic surgery).

Estimated prices for rhinoplasty (nose job)

A plastic surgeon provides accurate information about how much a nose surgery costs. The cost of rhinoplasty includes preliminary consultation, hospital admission, computer simulation of results, removal of tampons and removal of the dressing. The price of the procedure depends on the type and method of surgical intervention.

Rhinoplasty is an operation equally popular among women and men. It helps people to get rid of health problems, improve the appearance and proportions of the face.