Rhinoplasty transforms the patient and is considered one of the most effective methods to change the appearance.
The face is left open, it looks younger, visible defects are eliminated, and sometimes even respiratory 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 is rhinoplasty different from rhinoplasty?There is no difference between these concepts.
There are several types of correction.Here's how rhinoplasty is performed with each type of surgery:
- Septoplasty: aims to change the shape of the nasal septum and is prescribed if respiratory function is compromised.
- 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 pieces are removed or enlarged. The skin is then sutured. The columella incision 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 technique. Then, closed correction lasts 30-40 minutes, open - up to 60 minutes. For fully closed rhinoplastytake 1 hour, open - about 1. 5 hours.
To make it clear how rhinoplasty is performed, we suggest watching a video of the operation.
It is used to eliminate small defects.It is performed in 5-7% of patients.
Fills are used to smooth or change the angles of the nose tip, 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. Therefore, it is possible to get rid of bumps, lumps. The technique is applied on the tip, wings, supra-tip zone, occasionally - on the hump. It goes through several stages.
The threads that are inserted into the perforations allow you to tighten the tip, adjust the shape of the wings. This technique is unpopular, as there is a risk of wire breakage, appearance of rough scars.
Photos before and after
We offer to see the results of rhinoplasty on other people in these photos.
Indications and Contraindications
Indications for rhinoplasty are associated with these imperfections in the following ways:
- Sharp or thick tip, hook-shaped.
- Long length.
- wide nostrils.
- saddle shape.
Rhinoplasty is indicated for nasal septum deviation, deformities - both congenital and resulting from trauma. The operation is performed 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;
- Active form of tuberculosis;
- pregnancy, menstruation;
- Folliculitis (inflammation of the hair follicle), acne at the site of the next surgical intervention;
- Acute viral infections;
- Cancer diseases;
- Disorders of the mental sphere.
There are also age restrictions.Rhinoplasty is not performed until age 18 in girls and until age 21-23 in boys, which is associated with the process of formation of the facial part of the skull.
Correction is not recommended even after the age of 40, due to the deceleration of 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.
In 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.
Nose correction takes place after preparation. The surgeon will instruct you on how to prepare for rhinoplasty.
Preparing for rhinoplasty involves standard exams:
- Chest radiography or fluorography.
- Nose image.
2 weeks before the next procedure, refuse anticoagulants. For 7 days before rhinoplasty, it is recommended to refrain from drinking alcohol and smoking. For one day, light foods are 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 information about the tolerability of anesthesia.
Such analyzes are done before rhinoplasty:
- Blood (general, biochemical, electrolytes, coagulogram, blood type, Rh, factor) - for 14 days.
- HIV, HBS, HCV, RW - for 3 months.
- Urine - for 14 days.
During the rhinoplasty itself, the patient does not feel anything as 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 plugs in the nose, which are removed after a day, and swelling. Compared to breast surgery, rhinoplasty is considered painless.
If an osteotomy (artificial bone fracture) has been performed, then a cast is applied to7-10 days. Edema that appears in the nose and around the eyes,disappear after 10-20 days.
The doctor can preliminarily assess the results after 6 months and finally after one year. How long the tissue healing will last depends on the characteristics of the body, age.
After the cast is removed, the patient is required to visit the doctor within the specified time frame. For a while, they refuse to wear glasses, exclude spicy and hot foods from their diet to prevent bleeding, and limit physical activity.
A full course of rehabilitation lasts from 6 to 12 months.
How long the face heals 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., go 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 have a rhinoplasty, especially if the surgeon does not see any abnormalities and medical indications.
An anaphylactic reaction to anesthesia is possible - a life-threatening rapid allergy phenomenon. In 0. 017% of cases, toxic shock syndrome is observed - a state of shock, which leads to the vital activity of exotoxins from bacteria or viruses.
Overall, adverse events develop in only 4-18. 8% of patients, with one in ten of this group experiencing skin and soft tissue complications.
During the operation, excessive bleeding, skin breaks, muco-cartilaginous structures, burns, violations of the bone pyramid and others are corrected.
In the first hours, days after the operation, anaphylaxis, visual and respiratory disturbances may occur. Of the occult complications - bleeding, septum hematoma.
Rarelyan infection enters the wound, which requires treatment with antibiotics; in case of sepsis (blood poisoning), hormones and blood transfusions are used.
Other complications include:
- Decreased sensitivity.
- Scars, scars that require repeated intervention.
- Difficulty breathing.
- Deterioration of smell.
- Perforation (holes) of the nasal septum.
- Cartilage atrophy.
- The appearance of the vascular network, pigmentation.
- Rarely - necrosis (death) of tissues.
In addition, the patient is not always satisfied with the result -such patients 3 out of 10.The probability that the preview will go as planned is about 70%. The nose can look too straight, unnatural and not match the rest of the facial features. So, before you decide to change, you should weigh the pros and cons.
After that, a second correction may be necessary, which is carried out after 6 months, but not before. Indications are incorrectly sewn or excessively removed cartilage, in which the nose appears short, a small columella (the lower part between the nasal passages), etc.
When is the best time to cancel the surgery?
People with dysmorphophobia or dysmorphomania often turn to plastic surgeons for help. In the first case, we are talking about a painful attitude to a small defect or feature of the body, in the second - about an imaginary external fault.
If the surgeon did not find deviations from the average parameters in the size of the nose, its location in relation to other parts of the face, then it is recommended to consult a psychologist.
You should also study reviews about the clinic and a particular specialist. The lower the qualification of the doctor, the greater the likelihood of complications.