Rhinoplasty or rhinoplasty is a branch of plastic surgery that specializes in correcting congenital or acquired deformities, as well as restoring individual segments of the nose or the entire organ.
Rhinoplasty operations can increase or decrease the size of the nose, change its shape and eliminate breathing problems. The aesthetic objective of rhinoplasty is to achieve harmony in facial features, correcting defects in the nose. As a rule, this type of operation is performed when reaching the age of 18 to 21 years, since until this moment there is a physiological growth of bone and cartilaginous tissues.
The task of rhinoplasty is to restore the correct shapes and functions of the nose, which were impaired as a result of injury or during the period of embryogenesis. Rhinoplasty is a range of different operations, which will be discussed in more detail below.
Israeli clinics offer excellent results, medical care meets patients' expectations.
During rhinoplasty in Israel, either open or closed access can be used, depending on the purpose of the operation. With closed rhinoplasty, an incision is made in the cavity, the skin is exfoliated from the structure (cartilage and nasal bones). This method is used to change shape, remove cartilage and excess bone, etc. If a large volume of surgery is planned, an open rhinoplasty of the nose is prescribed when incisions are made in the columella (vertical fold of skin that separates the nostrils).
Nose correction is divided into primary and secondary. Revision or secondary plastic surgery is performed to eliminate defects that remain after the primary operation.
In recent years, fillers have been actively used in rhinoplasty if it is necessary to correct minor imperfections of the nose: change the shape of the wings, restore symmetry, round off the tip of the nose, etc.
Rhinoplasty surgery in Israel: planning and implementation
In Israeli clinics, the patient is consulted for the first time by a plastic surgeon, he examines the shape of the nose, the condition of the tissues and diagnoses nasal breathing disorders. For the best aesthetic results, photographs and computer modeling of the nose are taken. The patient is also consulted by an otolaryngologist. If there are pronounced defects, when nasal breathing is disturbed, nasal rhinoplasty is performed together with an otolaryngologist and a plastic surgeon.
As a rule, during the operation, general anesthesia is used in combination with local anesthesia by infiltration. The duration of rhinoplasty depends on the complexity and takes 1 to 2 hours or more. To give the nose an aesthetically more advantageous size and shape, the surgeon alters the bony and cartilaginous structure. Rhinoplasty performed correctly in Israel and the absence of complications - and post-operative scars will not really be visible.
Recovery period after nose correction
After surgery, tampons are installed in the nasal passages, they are removed after 2-3 days. To fix the new shape, a special plaster or colloid adhesive is applied for five to seven days (if the plastic has touched the cartilaginous part of the nose) or for twelve to fourteen days (if the bony part).
As a result of the swelling, nasal breathing may be difficult for the first few weeks. Bruising and swelling disappear within ten to fourteen days. It is not recommended to wear glasses for a month and a half after nose correction. The full course of recovery takes six to eight months, it is then that the final results of the operation will be visible. Smoking and taking certain medications can delay recovery.
Rhinoplasty in Israel: removal of the hump of the nose
This operation is multi-stage. In the process of its implementation, the osteocartilaginous protrusion from the back of the nose is eliminated. The hump can be caused by trauma or hereditary factors.
If the protuberance of the nose is small, local anesthesia can be used, if it is large - general. The duration of the surgical intervention is 1-2 hours.
First, the surgeon dissects and removes the skin from the bone-cartilaginous base of the nose - the skeletonization stage. Then the cartilage is cut and the cartilaginous segment of the septum is gradually removed from the smallest volume. Then the bony component of the hump of the nose is excised.
After the hump is removed, the skeleton takes the form of a truncated pyramid. An osteotomy is performed to unite the nasal bones and remove the wide platform. The surgeon dissects the bone tissue from the lateral slopes and brings them closer to the upper segments. To eliminate the irregularities, he uses contour plastic using the patient's own cartilage or various implants. At the end of the nose correction, cotton swabs are placed in the nostrils and a plaster bandage is applied to fix the new position of the tissues. The plaster is removed after eight to ten days.
For several weeks after the nose hump is removed, bleeding and swelling in the nose area persists. As the edema subsides, nasal breathing is restored. The final result of the operation can be evaluated in six months, when the tissues are completely restored.
Nose Septoplasty in Israel
This is an operation to correct the nasal septum while preserving the bone and cartilage structure. This type of plastic allows for an aesthetic result and eliminates breathing difficulties.
The nasal septum is a thin vertical bone and cartilaginous plate, easily deformed, leading to compromised respiratory function and deterioration of aesthetic appearance. The reasons can be injuries, rickets suffered in childhood, hereditary predisposition.
- serious pathologies of internal organs;
- infectious diseases;
- problems with blood clotting;
Indications for nose septoplasty:
- allergic pathologies (itching, runny nose, etc. );
- difficulty in nasal breathing and its absence;
- chronic and acute diseases of the paranasal sinuses (frontitis, ethmoiditis, sinusitis);
- vasomotor rhinitis and frequent nosebleeds;
- snoring due to impaired nasal breathing, etc.
In case of exacerbation, septoplasty is performed two weeks after its elimination. The indication for the operation in Israel is determined by the otolaryngologist based on the history and diagnosis (rhinoscopy). Before the operation, laboratory tests, ECG, X-ray of the lungs are carried out.
As analgesics, infiltrative anesthesia can be used (with the help of injections it is injected into the nasal septum), local anesthesia (anesthetic-impregnated turundas are injected into the nasal passages), as well as general anesthesia.
With septoplasty in Israel, the surgeon makes an incision inside the nose or endonasally, as a result, there is no visible post-operative scar. On both sides of the nasal septum, it exfoliates the mucosa, highlights and removes the curved parts of the bony structures and the quadrangular cartilage of the septum. Upon completion of the nose correction, sutures are applied and packing is performed with finger swabs or gauze. A sling bandage is applied to the nose.
In addition, septoplasty in Israel is performed with endoscopic access. A fiberoptic endoscope is inserted into the nasal cavity, which allows you to see hard-to-reach departments on the monitor and perform the operation as correctly as possible. This type of nose septoplasty provides minimal damage to cartilage and tissue, reducing the recovery period.
In addition, laser septoplasty is used in Israeli clinics, thanks to which the development of bleeding and edema can be avoided, as the laser "seals" the vessels by cutting tissue. In addition, it provides an antiseptic effect.
The duration of septoplasty is determined by the degree of curvature of the septum, the operation can last from thirty minutes to an hour and a half.
This type of rhinoplasty is easily tolerated. The patient stays in the hospital until the nasal swabs are removed. Ten to fourteen days are enough to restore working capacity, complete rehabilitation takes about a month.
Rhinoplasty in Israel: convergence of the bones of the nose
Osteotomy in Israel (bone replacement, bone convergence) can be a standalone operation that corrects the shape of the nose or one of the steps to remove the hump of the nose. Thanks to this type of plastic surgery, the surgeon achieves the ideal proportions of the nose for the proportions of the face, reducing the lateral bones of the nasal bridge.
In the osteotomy process, it brings the walls of the bone pyramid together, after which the cartilages attached to the bones move. The skin, as a rule, adapts without much difficulty to the altered contours of the back of the nose.
Of the total rhinoplasty time, the osteotomy takes just a few minutes. After the correction is complete, the nose is sealed with a surgical bandage and secured with a bandage to maintain its shape and protect it from damage.
Within 2 weeks, bruising and swelling disappear. New contours are finally formed within a year.
Rhinoplasty in Israel: Nose Tip Support
Support for the tip of the nose is provided by a stable, strong and correct arrangement of the cartilage. Typically, they're just above or below the line that runs along the back of the nose.
Insufficient support is caused by undesirable consequences of rhinoplasty (when adequate support is not provided) or age-related tissue ptosis processes (weakening of the ligaments that support the cartilage).
To create support, the entire external nose is shaped proportionately and correctly. The norm is the nasolabial angle (formed by the upper lip and columella) - 90-120°.
During rhinoplasty in Israel, the tip of the nose can be raised seven to eight millimeters above the profile line of the back. Tip skin has difficulty adjusting to changes as it is less elastic and thicker.
To restore support, transplanted cartilage grafts - "props" can be used. The surgeon places this cartilage between the lateral cartilages and fixes it, then cuts it to the desired size.
In addition, the tip graft can be placed perpendicular to the support, in the cartilage. This option is used when the cartilage at the tip of the nose is damaged and is not used for self-support. The ideal source for a graft is the nasal septum cartilage.
If it is not possible to obtain a tip graft, the cartilage can be removed from the pinna. However, it is not considered strong enough to maintain pressure and form. Therefore, the cartilage of the ear is often connected to a strong and thin bony nasal septum. Part of the bone is glued onto a cartilage graft.
Rhinoplasty in Israel: nose shortening
Nose shortening is a plastic surgery that reduces the length of the external nose. Most often, the length of the septum cartilage is reduced, in rarer cases, the lateral wall of the nose, which is formed by large alar, triangular cartilages and bones.
Various methods are used to estimate nose length. The most common method is to measure the distance from the tip of the nose to the bridge of the nose. Another method involves determining the magnitude of the nasolabial angle.
As we age, the ligaments that support the cartilage weaken, the tip of the nose droops and visually increases in length. For this reason, in adulthood, patients shorten the length of their nose less than in young people.
Types of surgeries in Israel that shorten the nose
With a long nose, as a rule, the cartilaginous and bony sections of the nose, triangular and alar cartilages in the transverse and longitudinal directions, and the cartilaginous part of the septum are usually evenly elongated. As a result, operations that shorten the lateral cartilaginous wall of the nose or resection of the distal septal cartilage are performed.
In the second option, a partial resection is performed with infiltrative anesthesia. The surgeon performs 2 parallel transfection incisions, through which he resects the cartilaginous septa from the mucosa and excises strips of skin in the columella area. Then the incisions are sutured with catgut threads. As a result, the nose is shortened and the nasolabial angle is increased.
Another way is to increase the nasolabial angle by placing silicone or cartilage liners in front of the maxillary spine.
Rhinoplasty in Israel: nose tip correction
This type of rhinoplasty in Israel can be performed in several ways. The operation is performed on the terminal section of the external nose: its shape is improved by removing deformed or excessive parts of cartilaginous tissue, and a new position is fixed.
Correction of the tip of the nose is a complex aspect of rhinoplasty, whose task is to restore harmonious anatomical properties without disturbing the organ's supporting structures.
Due to the variety of options for nose tip correction, an individual rhinoplasty plan is developed in Israel, which takes into account cartilage strength and shape, skin thickness, nose width and length, nasolabial angle, anatomy of vault, back contour and the patient's own wishes.
To narrow the tip of the nose, the surgeon cuts segments of the alar cartilage and partially removes the fatty tissue. A variant can be used, during which the cupolas are dissected and sutures are applied, narrowing or connecting them to each other.
Rhinoplasty in Israel: Fractured Nose Replacement
This operation to correct the nose involves restoring the displaced bone fragments to their normal position. The ideal time for this plasty is the first few hours after the fracture, until the development of soft tissue edema, or the next 3-7 days, when the edematous state subsides. 10 days after the injury, a callus is formed, so replacement can no longer be performed.
Forty percent of all cases of facial injuries are fractures of the bones of the nose, caused by sports injuries, street and domestic fights, traffic accidents, falls. Such a fracture can be closed and open, without displacement and with displacement of bone fragments. Symptoms of a fracture include deformity of the external nose, swelling, pain, mucous discharge, bleeding, wounds, abrasions, nosebleeds due to rupture of the mucous membrane. In addition, the sense of smell and nasal breathing are disturbed.
For diagnostic purposes in Israel, the patient is interviewed, he can carry out an external and endonasal examination, endoscopic examination, radiography of the bones of the nose.
A fairly common consequence of a bone fracture is the curvature of the nasal septum, which is accompanied by recurrent sinusitis, rhinitis, and impaired nasal breathing. Curvature correction can only be done surgically.
Another complication can be a hematoma of the nasal septum under the mucous membrane, which narrows the lumen of the nasal passages and makes breathing difficult. Perhaps its suppuration and subsequent cartilage destruction. Therefore, fast, high-quality medical care for nasal bone fractures is extremely important.
Cold (ice or cold compress) can be used as a first step to reduce swelling and pain and stop bleeding.
At the Israeli clinic, plastic surgeons perform bone fracture replacement. During the first 6-7 days, replacement is performed using local anesthesia manually so that the bones grow together correctly in the future. Tight packing of the cavities with turundas is performed to press and support the nasal skeleton. A bandage is applied outside.
Self-reduction is strictly prohibited due to the additional trauma. After the swelling subsides, the aesthetic and respiratory function of the nose is evaluated. Bone fractures can lead to deformation of the osteocartilaginous part of the nose and its lateral displacement, narrowing of the nasal passages, curvature of the septum, etc.
If the bones of the nose do not grow together properly, patients are often forced to resort to rhinoplasty later. To restore impaired breathing, a deviated septum is corrected - rhinoseptoplasty is performed.
Rhinoplasty in Israel: correction of the wings of the nose
This type of operation is performed to change the width, thickness and symmetry in the presence of pronounced aesthetic flaws and deformations. Various methods are used depending on the violations. For repair, the tissues around the defect are mobilized or a cartilage or skin graft is moved.
Correction of the wings of the nose can be an independent operation or the final stage of rhinoplasty in Israel.
Defects of the wings of the nose are acquired and congenital in nature, they are complete or partial. The reasons are the consequences of nose correction or removal of tumors, trauma, burns and diseases.
Most operations to correct the wings of the nose are performed with infiltrative local anesthesia. If there are extensive defects, intravenous anesthesia is used.
Tip plasty is sometimes used to correct the wings of the nose. In this case, this operation completes the rhinoplasty. If esthetic defects are expressed, correction is carried out during the main phase of the operation.
When it is necessary to decrease the distance between the wings of the nose, incisions are made at the base of the wings from the vestibule and along the contour. Skin and mucocutaneous segments are excised, hemostasis is performed, and sutures are applied. The scars are placed in the creases of the wings of the nose and in the natural nasolabial folds, making them practically invisible.
If it is necessary to restore the support of the wings of the nose (in case of retraction or injury), areas of neighboring tissues are moved, a flap of skin or proper cartilage is transplanted from the auricle or nasal septum, specially shaped.
The rehabilitation period can last five days, in the case of cartilage reconstruction - seven or more.
Rhinoplasty in Israel: Complete Nose Correction
This type of rhinoplasty in Israel involves complex rhinoplasty, which is performed on the structural segments of the external nose and on the tissue thickness of the organ. They can reduce the length of the nose, change its shape, remove the hump, decrease the width of the back, adjust the tip. Together with plasty, they restore respiratory function and normal cavity architecture.
Most often, this operation is performed after injuries.
In most cases, correction is performed via a closed (endonasal) route, excluding external skin incisions. Superficial manipulations can be performed with local anesthesia and intravenous sedation, operations on deep structures require general anesthesia. This nose correction is possible in the age group - 18-40 years.
Rhinoplasty in Israel can be combined with the following plastic surgeries: blepharoplasty, facelift, chin and lip surgery, liposuction, breast lift, etc.
Before the operation, the anatomical structure of the nose is carefully analyzed and its future shape is computer modeled. In case of violation of nasal breathing, the nasal cavity is examined, radiography or tomography is taken.
Modern rhinoplasty in Israel uses sparing techniques that provide excellent results and minimize the likelihood of complications.