What is a nose job or rhinoplasty?
This is one of the most widespread and oldest (first found in 1000 BC).
It represents an entire segment of reconstructive surgery that combines methods of surgical correction of the shape and size of the nose by replacing congenital or acquired defects in that part of the face with bone-cartilage tissue removed from the patient.
Nasal surgery transforms the patient and is considered to be one of the most effective ways to change appearance.
Types and indications for
The nose is an organ of smell that has a very complex anatomical structure. Surgical correction of this part of the body is considered one of the most difficult plastic operations in the world, since the doctor must not only change its appearance, but also maintain its functionality (in some cases such a procedure leads to a curvature) of the osteochondral septum, leads to difficultiesduring nasal breathing or loss of smell). Therefore, surgeons recommend their clients to think carefully before performing the rhinoplasty and to answer the question of whether a rhinoplasty is useful or not (exceptions are cases where the irregular shape of the nose causes breathing disorders and can lead to a lack of oxygen in the brain). . The optimal age for conducting is 20-30 years, but it is done earlier in the event of breathing problems or severe physical injuries.
Main indications:
- disproportionate size of the respiratory organ in relation to the entire face;
- Mussel hypertrophy;
- injuries or deformations in the bone or cartilage tissue in the area of the osteochondral septum, its curvature;
- asymmetrical, forked, or overly raised tip of the nose;
- "Humpback";
- Lack of or difficulty breathing;
- Dissatisfaction with the result of previous plastics.
There are several types of rhinoplasty, classified according to the purpose and technique of the procedure:
- Nasal tip plastic - a method of surgically correcting the shape or removing the asymmetry (bifurcation) of the tip of the nose;
- Transplant (autotransplant) - during the procedure, the doctor will enlarge and lengthen a nose that is too small by transplanting cartilage tissue from the auricle area;
- reduce - a method of surgical intervention aimed at correcting the shape and size of the turbinates;
- Back alignment - removal of the hump on the bridge of the nose;
- Septoplasty - a surgical method used to correct a deviating nasal septum;
- Augmentation - a surgical method of correcting the shape of the bridge of the nose to eliminate the "flattening" effect;
- nonsurgical rhinoplasty - nonsurgical correction of the shape, size and proportionality of the nose by injecting fillers (nasal contour plastic), the use of hormonally absorbable drugs that destroy bone-cartilage tissues in the nasal septum, or with the help of help Aptos-Threads (thread lifting of the wings and tip of the nose).
How is the preparation for the operation going?
Before the procedure, the patient must visit a plastic surgeon who will take measurements of the respiratory system, determine the amount of work to be done, simulate the likely result of the operation on a computer with a special program (computer modeling helps the doctor) to better understand the client's wishes) and write a transfer for the following tests:
- general and clinical blood test;
- Electrocardiogram (with decoding);
- Fluorography;
- Analysis for AIDS, HIV or hepatitis;
- Sinus tomography.
You must stop smoking and taking blood-thinning drugs two weeks before the procedure. No food or drinks are allowed 12 hours before the operation (a light dinner is allowed the evening before).
Before the procedure, doctors recommend getting a good rest and sleep (this will help calm the nervous system).
Technology depending on the method
Immediately before the procedure, the customer signs a contract with the plastic surgery clinic, which includes their consent to the operation, the cost of the procedure and its type, the first and last name of the anesthetist and the plastic surgeon, and the information that the patient is a patientfamiliar with the possibility of developing postoperative complications and their methods. Then the person is brought to the operating room, the face is cleaned with lotion, the piercing (if any) is removed and, if necessary, the preoperative marking is made with a special marker. The operation is performed intravenously or endotracheally under general anesthesia and takes 1-2 hours.
There are two methods of performing a nose job: open and closed.
Open nose job
Open rhinoplasty is a procedure in which the doctor makes an incision in the columella (the part of the skin that is between the nostrils), corrects the shape of the nasal structures, and finally places several cosmetic sutures on 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.
Closed nose job
Closed rhinoplasty is a procedure in which the surgeon makes an incision in the nasal cavity, separates soft tissues from the osteochondral frame, performs a series of surgical procedures to change the shape of the nose, and then sutures the lining with self-absorbable suture material. A less traumatic method of plastic surgery that rarely causes complications and leaves scars.
After an unsuccessful first operation or if the result is not suitable for the customer, doctors perform a second (secondary) rhinoplasty. This is a more (technically) complex procedure that requires certain skills and practical experience on the part of the surgeon, it is performed under general anesthesia and requires the same preparation as the primary plastic. It is carried out no earlier than a year after the previous surgical procedure.
Recovery time and results
The rehabilitation period lasts 3-4 weeks, but the patient spends a day in the hospital. Immediately after the operation, a tampon is inserted into each nostril, which the surgeon removes after three days, and a plaster cast is placed on the nose (it is removed after ten days). After removing the tampons, the doctor prescribes drops to the patient to eliminate postoperative edema and accelerate the healing of the soft tissues. Swelling and bruising will go away completely after 1, 5-2 months. The preliminary result is assessed after 6-8 months, the final result - after 12. The scars after the rhinoplasty are visible for the first three months, then they become almost invisible.
Postoperative recommendations:
- two weeks after the surgical correction, you need to sleep on your back;
- in the first few weeks you are not allowed to visit the sauna, swimming pool, solarium, fitness room or do heavy physical work
- until the postoperative wounds have healed completely, you can only eat warm food and drink warm drinks;
- You can not wear glasses for 2-3 months after the procedure;
- You should not smoke during the entire recovery period.
Results of a nose job or nose operation: before and after photos
Possible complications and contraindications
Contraindications to implementation:
- Oncology;
- runny nose;
- Flu, SARS;
- active herpes;
- Diabetes mellitus;
- atrophic rhinitis;
- Infectious diseases of the oral cavity;
- mental disorders;
- Tuberculosis;
- Diseases of the heart and kidneys.
Rhinoplasty is said to be one of the most difficult plastic surgeries in the world, in which the surgeon often removes not one, but several cosmetic defects at the same time. Therefore, it is fraught with the development of a number of possible complications:
- Nosebleeds;
- postoperative pigmentation;
- Swelling and hematoma of soft tissues;
- Loss of smell;
- the appearance of keloid scars;
- Difficulty breathing;
- Curvature of the nasal septum.
Which operations can be combined?
Most often, nasal plasty 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 to correct the shape and size of the breast lips (in the latterIn this case, two doctors are present at the operation, one of whom will perform a rhinoplasty and the other a plastic breast surgery).
Estimated Prices for Rhinoplasty (Rhinoplasty)
A plastic surgeon will give you precise information about how much a nose operation will cost. The cost of the rhinoplasty includes the preliminary consultation, hospitalization, computer simulation of the results, removal of the tampons, and removal of the bandage. The price of the procedure depends on the type and method of surgical intervention.
Rhinoplasty is a surgery that is popular with women and men alike. It helps people get rid of health problems, improve the appearance and proportions of the face.