Plastic surgery is not just the work of the surgeon, the anesthesiologist and the medical team.The result of the operation largely depends on the patient himself and his behavior during the recovery period.Rehabilitation after rhinoplasty- the same part of the operation that is the preparation for it and the execution itself.
Rehabilitation after rhinoplasty: what can cause complications
Rhinoplasty is a complex operation, after which negative consequences occur in every tenth patient.Complications after rhinoplasty can be associated with both the surgeon's error and the patient's violation of restrictions after the operation.
Poor qualifications of the surgeon can lead to the formation of scars due to damage to the skin or cartilage tissue.Scars and adhesions in the future are quite difficult and time-consuming to treat.Damage to bone tissue also indicates a medical error, fraught with impaired respiratory function and an unsatisfactory aesthetic result.To correct it, a new operation is needed, which is generally more difficult to perform, and the surgeon's skill must be at its best.
The consequence of violation on the part of the surgeon and the patient is heavy bleeding that opens during the operation.A damaged large vessel or medications taken that affect blood clotting can lead to a similar complication.
Failure to comply with sterility rules leads to infection; if detected, it is important to seek medical help immediately.Unpleasant complications such as skin necrosis occur as a result of excessively excised surfaces.Repeated excision of damaged tissue prevents the development of tissue necrosis.
If the patient does not follow the postoperative recommendations and removes the dressing prematurely or does not take adequate care of the nasal cavity, there is a possibility of the sutures breaking.This will require repeated intervention and suturing.Patients who do not take the doctor's recommendations seriously can cause not only suture dehiscence, but also bone and cartilaginous tissue dehiscence due to a momentary desire to show off a new nose.
Due to the surgeon's error, various disorders are possible due to the deviation of the nasal septum, for example, impaired nasal breathing or problems with the blood supply to the nasal passages.
Aesthetic complications caused by low qualifications of the surgeon include deformation of the nose in the region of the nasal bridge, a very short or “beak-shaped” nose, severe asymmetry and any other violations of the aesthetics of the nose.A complex consequence of medical error is the excessive removal of bone or cartilage tissue, which may require tissue augmentation through implantation, contouring, or autotransplantation of patient tissue.To avoid discrepancies between the result of the operation and the expected effect, it is important to carry out a preliminary simulation of the result in the clinic where the rhinoplasty will be performed.
Limitations after rhinoplasty
Rehabilitation after rhinoplasty involves a number of serious restrictions, strict adherence to which will have a positive impact on the result of the operation.
Smoking is prohibited two weeks before rhinoplasty and two weeks after, as nicotine limits oxygen access to blood vessels and nerves and thus prevents tissue healing.Tissue necrosis develops in smokers several times more often than in patients who follow a healthy lifestyle.Recovery after rhinoplastyimposes a similar restriction on alcohol consumption.
A mandatory restriction is to sleep on your back with a high pillow to quickly eliminate swelling and avoid injury to the operated organ.Therefore, sleeping on your back should become a new habit for the patient.
Rehabilitation after rhinoplasty will require the patient to give up medications that thin the blood or affect blood clotting.Therefore, anticoagulants, as well as hormonal contraceptives, should not be used until the end of the recovery period.
Traumatic sports involving a ball (basketball, football, etc.), skating, rollerblading and similar forms of transportation, including downhill skiing, should be postponed until the nasal tissues have completely healed.You should not bend over your head or perform exercises that involve sudden lifting or changes in trunk position.
When taking a hot bath, you should not let the plaster get wet, otherwise unpleasant complications may occur in the form of suppuration or tissue infection, and the soaked plaster will no longer be able to maintain the shape of the new nose.
The patient should not plan a pregnancy within a year after nose correction, as recovery after rhinoplasty involves complete rest of the operated organ and the absence of any stress on the body, including hormonal stress.
Body stress also includes physical activity, which must be excluded for rehabilitation after rhinoplasty to be successful and without complications.Any activity that causes increased pressure in the body can impair healing and proper tissue fusion.In this regard, the recommendation not to be nervous and avoid stress in the light of rehabilitation after rhinoplasty seems especially relevant, since any stress immediately affects the body's internal processes.
Minor restrictions include a ban on decorative cosmetics and cosmetics, except medicines prescribed by a doctor.
Rehabilitation after rhinoplasty will proceed without complications if, for a month after the operation, you refrain from activities associated with temperature changes, for example, you should not visit baths and saunas, it is important to avoid solariums and sunbathing, and you will also have to avoid going to the pool, as chlorinated water can have an aggressive effect on tissue healing.
The operation is complete, what's next?
Patients are often worried about what awaits them immediately after surgery.The first two or three days are the most difficult and uncomfortable.A bandage will be placed on the face and the nostrils will be closed with turundas - twisted cotton swabs.Turundas fix the tissues of the nose from the inside and promote their healing in the correct position.Furthermore, they prevent bleeding, which is dangerous for unhealed sutures.The external fixator for the new nose is a bandage or plaster splint.The presence of turundas in the nose significantly limits breathing, and breathing through the mouth is very unusual and quickly dehydrates the oral mucosa.Furthermore, the presence of post-operative swelling also interferes with normal breathing, causing the patient to feel like they have a cold, but the effect of a stuffy nose will disappear along with the swelling.This unpleasant moment must be endured for 2 to 3 days, after which the turundas are removed and the patient goes home.Depending on the complexity of the operation, the patient will remain in the clinic for 2 to 3 days with constant care and under full medical supervision.Sometimes less time in the clinic will be needed depending on the complexity of the operation.
One of the unpleasant symptoms that can occur during rehabilitation after rhinoplasty can be a headache that occurs during the first few days.It can be treated with painkillers prescribed by a doctor.
The aforementioned swelling of the nose can make the patient want to release mucus from the nose, but under no circumstances should you blow your nose or cough, as any increase in pressure in the nose can lead to the sutures breaking.For the same reason, after rhinoplasty you should not catch a cold, to avoid causing a runny nose and even more nasal congestion.After the operation, the doctor will show you how to clean your nose without risking hurting it.
Recovery after rhinoplasty is fraught with slight weakness and even fever in the first few days immediately after surgery.This is normal after surgery, so it's best to rest.
After the operation, bruising and swelling under the eyes are possible, however, to hide them, you should not wear glasses for 3 months after the operation: any weight and pressure on the bridge of the nose can change the result of the operation and deform the new bridge of the nose that has not yet been restored.Experts recommend not being socially active and staying at home during rehabilitation.
To speed up recovery, the clinic can offer special physiotherapeutic measures.They are generally performed from the second day after surgery.This way, rehabilitation after rhinoplasty will be easier and more comfortable than with self-care.