What is rhinoplasty and operating stages

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

The rhinoplasty operation lies in the fact that the surgeon alters the nasal parameters by invasion of the nasal-chryashny structure.

The main task of such an operation is to return the correct form of the nose to a person who was violated before birth, due to diseases or through the injury of the acquired nose.

Types of rhinoplasty

Today, the world uses these types of nose rhinoplasty:

• Septoplasty;
• closed rhinoplasty;
• Open rhinoplasty;
• Rhinoplasty in secondary conduct;
• rhinoplasty without surgery;
• Rhinoplasty when using fillers;
• Rhinoplasty using special auxiliary medicines;
• Rhinoplasty using fit threads.

Septoplasty

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

Indications for septoplasty for humans:

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

Against -indications to septoplasty:

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

Closed rhinoplasty

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

This operation has several advantages for the patient, but is extremely inconvenient for the surgeon, as it is easier for any surgeon to perform surgery in a very affordable operational field. Consequently, in closed rhinoplastics, there is much more chances of obtaining a medical error as a result of which complications or other problems in the patient may occur.

Advantages of closed rhinoplasty:

• The duration of the operation is much shorter compared to open rhinoplasty;
• Nasal tissues are not cut to the nose surface and the smaller cuts;
• Less likely for the appearance of scars;
• Minor edema after surgery;
• The result of the operation is visible a few days earlier.

Nominations for closed rhinoplasty:

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

Against -indications for this type of operation:

• the presence of mental illness in the patient;
• Inadequacy of the desires of the patient's final result;
• the presence of diseases in which any rhinoplasty is against -indicated;
• The implementation of the patient from several previously unsuccessful rhinoplastics, which greatly deform the nose's soft tissues.

As closed rhinoplasty is a very 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;
• bleeding;
• nasal bleeding;
• swelling or bruises around the nose;
• Incorrect nasal form, which will require a secondary operation.

Open rhinoplasty

Open rhinoplasty, unlike a closed, is performed with a small cut, with a diameter of 4 - 5 mm. Thanks to such a little visible section, the skin of the nose can be completely raised and then the surgeon will be much more convenient to work with an open skeleton of the nose, because he will see in front of him all the external structure of this organ, unlike closed rhinoplasty. This greatly reduces the chances of a surgical error.

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

Rhinoplasty in secondary conduct

Secondary rhinoplasty is performed if the primary is unsuccessful and it is necessary to correct complications. It can be performed open and closed.

Rhinoplasty without surgery

Rhinoplasty without surgery is performed only in 4-7 % of patients who may be without surgery. With your help, only minor nose defects can be corrected. More serious problems in the structure and appearance of the nose require only a complete operation of rhinoplasty.

Rhinoplasty when using fillings

This procedure is performed if the patient wants to eliminate only minor defects from the nose. For example, these may be several smaller disadvantages, failures, expansion of the tip of the nose, the incorrect of its symmetry, etc. In such cases, doctors use special fills that are introduced into the nose tissue and correct the problem.

The advantages of this method are that the nose restoration later is much easier, and the procedure itself is not as painful as common surgical intervention.

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

Rhinoplasty using special auxiliary medicines

To perform this procedure, surgeons use special hormones based on defective nasal areas.

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

Rhinoplasty using threads

This procedure is performed using wires with which doctors pull their nose and wings. These wires are through special nose perforations and, as it were, pull their nose.

Rhinoplasty using threads is not often used by surgeons as it has several disadvantages:

• After the procedure, there is a high probability of scar formation;
• the occurrence of contour and the ugly type of nose in "points";
• The high probability of a break in the threads, because the nose is very mobile in its structure, which provides the lack of reliability of this procedure.

Pros and cons of rhinoplasty

The advantages of rhinoplasty:

• Satisfaction with your appearance after surgery;
• the complete elimination of any defects in a successful procedure;
• Improving breathing in its pre -operative disorders.

Cons of rhinoplasty:

• the possibility of acquiring infection;
• Loss of nose sensitivity;
• bleeding;
• Operation conducted unsuccessfully, complications;
• deterioration in the appearance of the nose and dissatisfaction with the end result.

Indications and against -indications

If a person has congenital nasal defects, they can lead rhinoplasty with early adulthood. In general, the age of 18 to 40 is considered the most appropriate age for this procedure, when the body is already formed and a person makes a balanced decision.

Indications for rhinoplasty:

• the presence of a hunchback on the nose;
• Congenital nasal defects;
• nasal defects acquired by injury;
• violation or total impossibility of breathing with the nose;
• very large volume nostrils;
• The nose is very long;
• Nose in the form of a wrinkled saddle;
• Addition nose similar to the hook;
• very thick nose;
• Very sharp nose.

Against -indications for rhinoplasty:

• Human minority (if the lesion was acquired as a child, the procedure will be possible in premature lines);
• Age after the quadrageal anniversary (since after this age, a person has the risk of all kinds of complications and worsens the wound healing process);
• the presence of diabetes mellitus;
• All types of kidney or liver diseases;
• Problems with the patient's blood coagulation;
• Severe heart disease and blood vessels;
• Acute viral diseases;
• the presence of cancer diseases;
• the presence of mental disorders;
• If there are no nasal defects and rhinoplasty is simply not necessary.

Preparation for rhinoplasty

As rhinoplasty is a complete operation, for some time before, the patient should do the following:

• They undergo a complete examination for the presence of cardiovascular disease.
• Pass the exams and make advice from the therapist, neuropathologist, Laura, anesthetist, surgeon who will conduct the operation, and so on.
• To discuss with the surgeon all possible consequences of the operation and determine the future form of the nose, width etc. They also need to discuss the type of anesthesia with an anesthesiologist, which he will use during the operation.
• Pass all the necessary tests.

Operations - Steps

Rhinoplasty is performed at these stages:

• The patient receives anesthesia;
• Additional anesthesia is performed;
• After that, the surgeon makes an incision in the lower shell of the nose and begins directly to his work (this surgical intervention can be closed and open type);
• The surgeon adjusts all nose defects, corrects irregularities, steps etc. depending on the patient's specific problem;
• If necessary, it can replace carts that are absent on the nose of their other areas or deploy artificial cartilage;
• Upon completion of the operation, the surgeon sews the nose and imposes a fixing dressing.

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

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

Rehabilitation period

After rhinoplasty, nose and around your region, such as a vaccine, swelling and bruises are formed, which usually give two weeks. After surgery, a special fixation dressing is applied to the patient's nose, which should be used in ten days. Tampions will also be inserted into the nose, which will prevent bleeding, so that for some time the patient is unable to breathe his nose.

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

After rhinoplasty, it is desirable to visit your surgeon to perform inspections of 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 surgery, medications and products are prohibited, which caused a decrease in blood coagulation in the body.

After surgery, the patient needs to meet the following requirements:

• In the first months after rhinoplasty, you cannot get involved in sports (gymnastics, running, etc. );
• It is undesirable to swim;
• Do not eat very hungry or hot foods in order to avoid bleeding;
• Wash carefully, without touching the nose and zones around you;
• Avoid marked change in facial facial expressions;
• Use clothes that do not need to be removed on the head.

Possible complications after surgery

After rhinoplasty or during the procedure itself, the following complications may occur:

• Allergy to anesthesia.
• Abundant nasal bleeding.
• The nose zone edema (in the first weeks after the procedure), which may interfere with normal nasal respiration.
• Swelling on the face (in the eyes, cheeks and other parts of the face).
• The occurrence of bruises on the face.
• Reducing the sensitivity of nose skin or its absolute loss for a while.
• The risk of infection infection.
• Large scars can form to eliminate what other operation will be needed.
• Difficult breathing after surgery (depending on the type of operation and procedures). Which will be performed with nasal cartilage.
• The occurrence of the absence of smell or its partial loss.
• Stretching of the skin or loss of its flexibility (occurs with excessive nose cutting cartilage).
• Narrow fabric.
• The formation of age spots or the manifestation of blood vessels on the skin of the face.
• Fatal result with anaphylactic shock.
• Patient dissatisfaction with the end result of the procedure.
• Untiled course of the procedure through the surgeon's failure.

Results

The first results of the operation will be visible after 10 to 14 days. But the patient can see the end result only after 8 to 10 months, when all the numerous edema and bruises will depart and the tissues will "lie down" on the new nose.

It often happens that relatives and friends do not perceive significant changes in the patient's appearance after surgery. Like bruises and swelling will drown out the entire result. In this case, the patient does not need to run immediately to repeated rhinoplasty, but should only be expected when the face reaches the usual form and evaluates the end result.

In addition, it should be indicated that rhinoplasty does not give a genetic effect and will not be transmitted by the clan to children, as some patients may consider. This operation improves only a person's appearance.