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.
Nose surgery can increase or decrease the size of the nose, change its shape, and eliminate breathing problems. The aesthetic goal of rhinoplasty is to harmonize facial features by correcting nasal defects. As a rule, this type of operation is performed between the ages of 18 and 21, since physiological growth of bone and cartilage tissue takes place up to this point.
The task of rhinoplasty is to restore the correct shape and function of the nose, which has been impaired by injury or during embryogenesis. Rhinoplasty involves a number of different surgeries, which are discussed in more detail below.
Israeli clinics deliver excellent results, medical care meets patients' expectations.
Rhinoplasty in Israel can use open or closed access, depending on the purpose of the operation. In closed rhinoplasty, an incision is made in the cavity and the skin is pulled away from the framework (cartilage and nasal bone). This method is used to change the shape, remove cartilage and excess bone, etc. If a large volume of surgery is planned, open rhinoplasty of the nose is prescribed when incisions are made in the columella (vertical fold of skin separating the nostrils). .
Rhinoplasty is divided into primary and secondary. Revision or secondary plastic surgeries are performed to eliminate the defects remaining after the primary surgery.
In recent years, fillers have been actively used in rhinoplasty when it is necessary to correct minor imperfections of the nose: change the shape of the wings, restore symmetry, round the tip of the nose, etc.
Rhinoplasty in Israel: planning and implementation
In Israeli clinics, the patient is first consulted by a plastic surgeon, he examines the shape of the nose, the condition of the tissues and diagnoses nasal breathing disorders. Photographs and computer models of the nose are made to achieve the best cosmetic results. The patient is also consulted by an otolaryngologist. With pronounced defects, with disturbed nasal breathing, nasal rhinoplasty is performed together with an ENT doctor and a plastic surgeon.
As a rule, general anesthesia in combination with local infiltration anesthesia is used during the operation. The duration of rhinoplasty depends on the complexity and lasts 1-2 or more hours. In order to give the nose a more aesthetically favorable size and shape, the surgeon changes the bone and cartilage framework. Correctly performed rhinoplasty in Israel and the absence of complications - and postoperative scars will not really be visible.
Recovery time after rhinoplasty
After the operation, tampons are inserted into the nasal passages and removed after 2-3 days. To fix the new shape, a special plaster or colloid glue is applied for five to seven days (if the plastic touches the cartilaginous part of the nose) or for twelve to fourteen days (if the bone part touches).
The swelling can make it difficult to breathe through the nose in 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 rhinoplasty. The full course of recovery takes six to eight months, then the final results of the operation are visible. Smoking and taking certain medications can slow recovery.
Rhinoplasty in Israel: removal of the nasal hump
This process is multi-stage. With its implementation, the osteocartilaginous protrusion of the nasal dorsum is eliminated. The hump can be caused by trauma or hereditary factors.
If the nasal bump 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-cartilage base of the nose - the skeletal stage. After that, the cartilage is cut and the cartilaginous segment of the septum is gradually removed, starting with the smallest volume. Then the bony component of the nasal hump is excised.
After the hump is removed, the skeleton takes the form of a truncated pyramid. An osteotomy is performed to bring the nasal bones together and remove the broad platform. The surgeon dissects the bone tissue of the lateral slopes, bringing them closer to the upper segments. To eliminate irregularities, he uses contour plastic using the patient's own cartilage or various implants. At the end of the rhinoplasty, cotton swabs are placed in the nasal passages and a plaster cast is applied to fix the new position of the tissue. The patch is removed after eight to ten days.
After the nasal hump is removed, bleeding and swelling in the nasal area persist for several weeks. When the edema subsides, nasal breathing is restored. The final result of the operation can be assessed after six months when the tissue is fully recovered.
Septoplasty of the nose in Israel
This is an operation to correct the nasal septum while preserving the bone and cartilage framework. This type of plastic allows you to achieve an aesthetic result and eliminate breathing difficulties.
The nasal septum is a thin vertical plate of bone and cartilage that deforms easily, leading to impaired respiratory function and a deterioration in aesthetic appearance. The reasons can be injuries, rickets suffered in childhood, hereditary predisposition.
Contraindications are:
- severe pathologies of internal organs;
- Oncology;
- infectious diseases;
- problems with blood clotting;
- diabetes mellitus.
Indications for nasal 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 epistaxis;
- Snoring due to disturbed nasal breathing etc.
In case of exacerbation, septoplasty is performed two weeks after its elimination. The indication for the operation in Israel is made by the ENT doctor based on the anamnesis and diagnosis (rhinoscopy). Before the operation, laboratory tests, ECG, X-ray of the lungs are carried out.
As painkillers, infiltration anesthesia (injected into the nasal septum with the help of injections), local anesthesia (turundas impregnated with an anesthetic are injected into the nasal passages), as well as general anesthesia can be used.
In septoplasty in Israel, the surgeon makes an incision in the nose or endonasal, leaving no visible postoperative scar. On both sides of the nasal septum, it exfoliates the mucosa, accentuates and removes the curved parts of the bone structures and the quadrangular cartilage of the nasal septum. After the rhinoplasty has been completed, sutures are applied and tamponed with finger pads or gauze pads. A snare-like bandage is placed around the nose.
The septoplasty in Israel is also performed with an endoscopic access. An endoscope with fiber optics 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 nasal septoplasty causes minimal damage to cartilage and tissue and shortens recovery time.
In addition, laser septoplasty is used in Israeli clinics, which can prevent the development of bleeding and edema, since the laser "seals" the vessels by cutting tissue. In addition, it provides an antiseptic effect.
The duration of the 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 quite well tolerated. The patient remains in the hospital until the nasal swabs are removed. Ten to fourteen days are enough to restore working capacity, full rehabilitation takes about a month.
Rhinoplasty in Israel: convergence of the nasal bones
Osteotomy in Israel (reduction of bones, convergence of bones) can be an independent operation that corrects the shape of the nose, or one of the steps to removing the nasal hump. Thanks to this type of plastic surgery, the surgeon achieves the ideal proportions of the nose to the proportions of the face, reducing the lateral bones of the bridge of the nose.
In the osteotomy, it brings the walls of the pyramid of bones together, causing the cartilage attached to the bones to move. The skin usually adapts to the changed contours of the bridge of the nose without much difficulty.
Of the total rhinoplasty time, the osteotomy takes a few minutes. After the correction is completed, the nose is closed with a surgical plaster and fixed with a bandage to keep it in shape and protect it from damage.
Within 2 weeks, hematoma and edema disappear. Within a year, new contours emerge.
Rhinoplasty in Israel: Support of the tip of the nose
The tip of the nose is supported by a stable, strong and correct arrangement of the cartilage. Usually they are slightly above or below the line that runs along the bridge of the nose.
Inadequate support is caused by undesirable consequences of rhinoplasty (if adequate support is not provided) or age-related processes of tissue ptosis (ligaments that weaken cartilage).
To create support, the entire outer nose is shaped proportionately and correctly. The norm is the nasolabial angle (formed by the upper lip and columella) - 90-120 °.
With a rhinoplasty in Israel, the tip of the nose can be raised by seven to eight millimeters above the back profile line. The skin of the tip has difficulty adapting to change because it is less elastic and thicker.
To restore support, transplanted cartilage grafts - "props" - can be used. The surgeon places such a 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 on the cartilage. This option is used when the cartilage of the tip of the nose is damaged and is not used for self-support. The ideal source for a transplant is cartilage from the nasal septum.
If it is not possible to obtain a graft from the tip, the cartilage can be harvested from the pinna. However, it is considered not strong enough to hold pressure and shape. Therefore, the ear cartilage is often connected to a strong and thin bony nasal septum. A section of bone is glued onto a cartilage graft.
Rhinoplasty in Israel: nose shortening
Nose shortening is a plastic surgery that shortens the length of the outer nose. Most often, the length of the cartilage of the septum is reduced, in rarer cases the side wall of the nose, which consists of large wings, triangular cartilages and bones.
Various methods are used to estimate the length of the nose. The most common method is to measure the distance from the tip of the nose to the bridge of the nose. Another method is to determine the size of the nasolabial angle.
With age, the ligaments that hold the cartilage weaken, the tip of the nose sinks and visually lengthens. For this reason, patients in adulthood shorten the length of their noses less than when they were young.
Types of surgeries in Israel that shorten the nose
With a long nose, as a rule, the cartilaginous and bony sections of the nose, the triangular and alar cartilages in the transverse and longitudinal directions, and the cartilaginous part of the septum are equally elongated. As a result, either operations are performed that shorten the lateral cartilage wall of the nose, or the distal septal cartilage is removed.
In the second option, a partial resection is performed under infiltration anesthesia. The surgeon makes 2 parallel transfection incisions through which he resects the cartilaginous septa from the mucosa and excises strips of skin in the area of the columella. Then the incisions are sewn up with catgut threads. This shortens the nose and increases the nasolabial angle.
Another option is to increase the nasolabial angle by placing silicone or cartilage inserts in front of the maxillary spine.
Rhinoplasty in Israel: correction of the tip of the nose
This type of rhinoplasty in Israel can be done in a number of ways. The operation is performed on the end section of the external nose: its shape is improved by removing deformed or excessive parts of the cartilaginous tissue and a new position is fixed.
Nasal tip surgery is a complex aspect of rhinoplasty whose task is to restore harmonious anatomical features without disturbing the organ's supporting structures.
Due to the wide range of options for correcting the tip of the nose, an individual rhinoplasty plan is prepared in Israel, which takes into account the strength and shape of the cartilage, skin thickness, width and length of the nose, nasolabial angle, anatomy of the nose, angle of curvature, back contour and the wishes of the patient himself.
To narrow the tip of the nose, the surgeon cuts out segments of the alar cartilage and partially removes fatty tissue. A variant can be used in which the domes are dissected and sutures are applied, narrowing or connecting them.
Rhinoplasty in Israel: Repositioning a Broken Nose
In this surgery to correct the nose, the displaced bone fragments are returned to their normal position. The optimal time for this plasty is the first hours after the fracture, until soft tissue edema develops, or the next 3-7 days, when the edematous condition decreases. A cornea forms 10 days after the injury, so that a reduction can no longer be carried out.
Forty percent of all cases of facial injuries are fractures of the nasal bones, caused by sports injuries, street and house 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, discharge of mucus, bleeding, sores, 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 questioned, he can conduct an external and endonasal examination, an endoscopic examination and an X-ray of the nasal bones.
A fairly common consequence of a broken bone is deviated nasal septum, which is accompanied by recurrent sinusitis, rhinitis and restricted nasal breathing. The curvature can only be corrected surgically.
Another complication can be a hematoma of the nasal septum under the mucous membrane, it narrows the lumen of the nasal passages and makes breathing difficult. Perhaps its suppuration and subsequent destruction of the cartilage. Therefore, high-quality and timely medical care for fractures of the nasal bone is extremely important.
Cold (ice or a cold compress) can be used as a first step to reduce swelling and pain and stop bleeding.
In the Israeli clinic, plastic surgeons carry out the reduction of broken bones. In the first 6-7 days, the reduction is done manually under local anesthesia so that the bones grow together properly in the future. Tight tamponade of the cavities with turundas is performed to compress and support the nasal skeleton. A bandage is applied to the outside.
Self-reduction is strictly prohibited due to additional trauma. After the swelling has subsided, the aesthetic and respiratory function of the nose is assessed. 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.
When the nasal bones do not grow together properly, patients are often forced to turn to rhinoplasty later. To restore the respiratory disorder, a deviated septum is corrected - rhinoseptoplasty is performed.
Rhinoplasty in Israel: correction of the nasal wings
This type of operation is performed to change the width, thickness and symmetry in the case of pronounced aesthetic defects and deformations. Depending on the violation, different methods are used. For repair, the tissue surrounding the defect is mobilized or a cartilage or skin graft is moved.
Nose correction can be an independent operation or the final stage of rhinoplasty in Israel.
Defects of the nasal alar are acquired and congenital, they are complete or partial. The reasons are the consequences of rhinoplasty or removal of tumors, trauma, burns and diseases.
Most nostril corrections are performed under local infiltration anesthesia. In the case of extensive defects, intravenous anesthesia is used.
Sometimes a tip plasty is used to correct the nostrils. In this case, this operation completes the rhinoplasty. If there are aesthetic defects, correction is carried out during the main stage of the operation.
If there is a need to reduce the distance between the nasal wings, incisions are made at the base of the wings from the vestibule and along the contour. Cutaneous and mucocutaneous segments are excised, hemostasis is performed, and sutures are applied. The scars are placed in the folds of the nostrils and natural nasolabial folds, making them virtually invisible.
If it is necessary to restore the support of the nasal wings (in the event of retraction or injury), areas of adjacent tissues are displaced, a skin flap or own cartilage is transplanted from a specially modeled auricle or nasal septum.
The rehabilitation period can last five days, in the case of cartilage reconstruction seven or more days.
Rhinoplasty in Israel: complete rhinoplasty
This type of rhinoplasty in Israel involves complex rhinoplasty performed in the structural segments of the external nose and in the thickness of the tissue of the organ. You can reduce the length of the nose, change its shape, remove the hump, narrow the width of the back, adjust the tip. Together with the plastic, they restore the respiratory function and the normal architecture of the cave.
Most often this operation is performed after injuries.
In most cases, the correction is made via a closed (endonasal) access without external skin incisions. Superficial manipulations can be performed under local anesthesia and intravenous sedation, operations on deep structures require general anesthesia. This rhinoplasty is possible in the age group - 18-40 years.
Rhinoplasty in Israel can be combined with the following plastic surgeries: blepharoplasty, face lift, chin and lip surgeries, liposuction, breast lift, etc.
Before the operation, the anatomical structure of the nose is carefully analyzed and its future shape is modeled on the computer. If there is a violation of nasal breathing, the nasal cavity is examined, radiography or tomography is performed.
Modern rhinoplasty in Israel uses gentle techniques that give excellent results and minimize the chance of complications.