Nasal reshaping is the most common type of service that plastic surgeons offer. Many people always find even a small defect in the nose a tragedy. However, it can be difficult to decide which surgery to take - a nose job. Modern aesthetic medicine offers an innovative way to remove imperfections. For minor defects, nonsurgical rhinoplasty can improve the appearance and make the face symmetrical.
Types of Rhinoplasty
In plastic surgery, it is common to distinguish between different types of rhinoplasty according to the technique and the objectives of the surgery.
All types of operations are divided into primary and secondary (repeated) operations, which can be:
- Reconstructive. This group includes manipulations aimed at restoring anatomical disorders that have arisen as a result of defective intrauterine development or as a result of traumatic injuries or diseases.
- Esthetic. The aim is to correct deficiencies.
There are many types of rhinoplasty according to the problem to be solved:
- To reduce. Allows for a reduction in the size of the osteochondral framework of the nose. This can be a shortening of the tip, a narrowing of the nasal bridge, the width of the nostrils and the lateral cartilage.
- Augmentation. The aim is to correct defects by enlarging the nasal skeleton. It is also used for secondary plastics.
- Septorhinoplasty. Eliminating the curvature of the nasal septum to facilitate nasal breathing, including solving the problem of snoring.
- Grafting. The required shape of the nose is created from the patient's cartilage tissue. The cartilage tissue of the auricle, nasal septum, can be removed for transplantation.
- Reconstructive rhinoplasty. The aim is to correct the results of previous operations.
The goal of the intervention can also be a separately hypertrophied nasal mucosa, columella (a bridge between the nostrils). Changing the shape of the tip of the nose (eliminating hooks or twists) is a separate and most difficult type of surgery.
For each correction, the surgeon can choose a surgical or non-surgical type of intervention.
operating room
It is performed under general anesthesia. The duration of the operation can be up to several hours and the result is retained for many years. Before the operation, the patient must sign a written consent for the surgical procedure. Therefore, it is necessary to carefully weigh the pros and cons and strictly follow the rules of preoperative preparation, including:
- Delivery of blood tests, fluorography, electrocardiogram;
- Consultation with doctors from other specialties (dermatologist, therapist, psychiatrist);
- Adherence to a diet.
After the operation, the patient is in the hospital for several days under the supervision of medical staff. After discharge, you should also strictly follow some rules and restrictions.
Like any surgery, nasal repair has a number of contraindications and can cause side effects and complications.
Not surgically
Alternatively, plastic is used without surgery. Contour plastic is minimally invasive and does not require surgical intervention. It allows you to correct asymmetries, slightly reduce the tip, remove the hump, straighten the nose, but it is not suitable for solving complex problems (restoring respiratory function, eliminating congenital defects).
Different from the classic rhinoplasty:
- the absence of complex surgery and a long period of rehabilitation;
- Execution speed;
- short duration of action (no more than a year);
- The possibility of a rerun as a result is lost.
This can be injection plastic using fillers, hyaluronic acid-based gels, hormonally disintegrating drugs, or a non-injection correction using sutures or splints.
The contour rhinoplasty is for a fee several thousand rubles cheaper than the conventional one.
Operating Rhinoplasty Classifications
Primary full rhinoplasty does not involve a procedure that corrects the entire nose. This is the most popular type of surgery. Conditionally, indications for surgery are divided into two types, according to which the following is carried out:
Cosmetic plastic. If you want to get rid of the following nasal defects:
- Back arches (humps);
- excessive length;
- thickened nose (potatoes);
- Saddle back;
- large nostrils.
Functional plastic. With the aim of eliminating defects that lead to poor breathing, disrupting the passage of air through the nose:
- an injured septum with a curvature;
- Narrowing of the nostrils (birth defects)
- congenital imperfections of cartilage tissue.
to open
The technique is used in cases when it is impossible to complete the assigned task in a closed manner. The incision is made along the columella (the skin part of the fold between the nostrils) and on the ala where they join the lip. Open rhinoplasty allows you to lift up soft tissues and cartilage to gain access to the inner sections for manipulation. Required for technically complex and extensive operations:
- severe deformity of the nose, also with lateral displacement;
- Combination of deformity of the nose with deformities ("cleft lip" or cleft of the hard palate);
- Reconstruction using grafts.
The disadvantages of this intervention are damage to the arteries of the columella, the formation of a postoperative scar, and prolonged postoperative tissue edema.
The rhinoplasty is only performed openly. Eliminating the shortcomings of primary plastics is a difficult task, so an uncompromising aesthetic result is not always guaranteed.
Closed
The method is less traumatic than the open one. The incision is made from the inside on the mucous membrane of the nasal atrium. Such an access is performed when a small volume operation is to be performed. This type of intervention is divided into marginal (along the inner surfaces of the nostrils), transseptal, inter- and transchondral. One option with a closed access is endoscopic rhinoplasty with micro-instruments.
Allows for the exclusion of arterial damage and malnutrition of the tissue. Post-operative scars are not visible because they are in the nasal cavity and the outside of the skin is not affected. The method is often used for aesthetic operations.
laser
An operation that uses a laser instead of a scalpel to cut tissue. The laser cut is gentler, as the parallel cauterization of the vessels excludes the development of bleeding.
There are 2 types of laser rhinoplasty:
- open, which involves dissecting tissues before modeling the soft part or the cartilaginous base;
- superficial - no skin incisions are made, but evaporation of the surface layers to correct small changes in nasal tissue.
Injection reconstructive rhinoplasty
Sometimes those who choose to have a nose job want to not only predict and develop a model, but also want to see the end result. This can be supported by the procedure of contour injection nasal surgery. The result is achieved faster, more conveniently and cheaper.
You can inject drugs repeatedly. In some cases, fibrous tissue forms at the injection site and the nose may take shape for a long time.
Hyaluronic acid injections
The effects of hyaluronic acid injections last for about six months. The introduction of drugs allows you to smooth the surface of the skin and make the nose symmetrical, small irregularities are filled. Hyaluronic acid-based fillers are used in aesthetic surgery. These funds are classified as biodegradable, that is, dissolvable. Over time, the drug breaks down into safe components - water and carbon dioxide.
Plastic nasal fillers
There are several groups of fillers. Biodegradable products include, in addition to the above:
- based on animal collagen;
- on collagen of human origin;
- on calcium hydroxyapatite;
- on synthetic lactic acid.
These fillers can have a long-lasting effect.
Biodegradable (non-resorbable or permanent) fillers are made on the basis of silicone or another synthetic base (biopolymers). The effect after using it lingers for a long time, but experts do not recommend using it. There are several reasons to reject synthetic fillers:
- they can cause tissue fibrosis;
- it is impossible to remove them from the body;
- can become an obstacle to performing rhinoplasty in the future.
Hormonal drugs
To correct some imperfections in the nose, glucocorticosteroids are used - synthetic substances that are similar to hormones produced by the human adrenal cortex. They are able to soften and partially dissolve cartilage tissue, which can correct the shape of the wings and tip of the nose to smooth the hump.
The procedure is relatively simple to carry out, but difficult to prepare: it is necessary to calculate very precisely the dosage and depth of drug administration in order to avoid asymmetries and the formation of unnecessary cavities in the nose. In addition, excess hormones can trigger uncontrolled tissue atrophy.
Most often, such a correction is carried out in several procedures.
Lipolytics
Lipolytics are agents that are used for meso injections. It is a biologically active material that promotes the burning of subcutaneous fat. Dermaheal is used to correct the shape of the nose. It helps remove wrinkles and fine lines, gets rid of the "fleshy" nose. Contains active ingredients: phosphatidylcholine, hyaluronic acid, carotene and others.
Rhinoplasty without injection
The rhinoplasty is done much less often without injections. Experts consider such procedures to be insufficiently effective.
With clip-on tongue
To align the bridge of the nose and its tip, use a splint - a device made of plastic or plaster of paris. The design creates constant pressure on the cartilage and soft tissues and changes their position over time. With the help of a splint, you can raise the tip, narrow the wings, decrease the length (by lifting the tip), smooth the hump and restore symmetry.
Nowadays, easily removable structures in the form of clips or clips are spreading. They must be worn every day for several months.
subjects
To get rid of asymmetries, straighten your back, correct the wings and the tip of the nose. A filament rhinoplasty is used. Corrective technology consists of inserting strong self-absorbing threads under the skin. In contrast to fillers, the nose does not visually enlarge after the threads are inserted. The result lasts 3 years.
The Bion threads are made of Caprolac and fix the tissue of the nose area through a multitude of grooves. The threads are inserted through small punctures, then the beautician pulls them tight and gives the nasal area the desired shape. The result becomes clear after 2-3 days. Other benefits of using threads:
- low invasiveness;
- Painlessness;
- the use of local anesthesia;
- no complications;
- No swelling and bruising.
Disadvantages of this correction method:
- Scars can appear at the puncture sites;
- The threads can be contoured, meaning that they are visible.
The procedure is contraindicated for people with thin fair skin and for people who are prone to keloid scars.
Indications for the procedure
If the shape and size of the patient's nose is satisfied, then, most likely, the doctor will prescribe a procedure for him without performing any surgical intervention. You can do without a scalpel when correcting details to remove:
- from the asymmetry of the nose;
- of dents, dents, depressions and irregularities;
- from the drooping tip of the nose;
- from the hump;
- from a flat upper back;
- of loose skin near the nose.
Such a procedure is also used as a temporary measure in the event that an underage patient with severe disabilities (as a result of a fracture or injury) cannot undergo surgery.
In men
Men prefer a radical approach to modeling with fillers to get rid of defects once and for all. Indications for a nose job in men can be:
- frequent sinusitis, chronic nasal congestion;
- Injuries that resulted in deformation of the nose and its septum;
- congenital pathologies and deformities in the bone structure of the organ;
- Saddle shape, large nostrils, wide bridge of the nose, great length or thickness of the nose;
- Breathing disorders;
- the presence of an ugly hump.
Among women
Any type of intervention can be applied to women. The surgeon decides which one should fall back on. When small changes are to be made, the aesthetic problem is solved without the use of a scalpel. Often the injection method is used on the eve of the operation so that a woman can judge what her nose will look like in the future.
What can be fixed with this procedure
Hump correction
The reduction is achieved by injecting filler into the curved area. To correct the hump, the gel is injected along the entire length of the bridge of the nose. Most often, absorbable preparations containing hyaluronic acid are used to smooth the nose.
Tip correction
It is done by injecting fillers into problem areas. Such a rhinoplasty is especially in demand when there are small pits or depressions on the tip of the nose. The potato nose is corrected by inserting a filler into the tip, which makes it sharper.
The tip can be raised by injecting the gel into the columella area of the nose. Visually, this hides the tip of the hook. In some cases it is also necessary to inject into the nostrils to make the nostrils smaller.
Repairing a broken nose
If the nose has been injured more than once, contouring will not help. In such a situation, only nasal septum surgery is indicated. And, most likely, a full-fledged reconstructive and aesthetic operation. Reconstruction of both the septum and the external osteochondral skeleton may be required.
Backrest alignment
It is impossible to straighten the crooked nasal bridge without surgery. Injection rhinoplasty only allows masking the defect. For example, a snub nose correction (with a low bridge and a raised tip) is performed by injecting fillers over the entire surface of the nasal bridge up to the tip.
Reduction of the wings
Hyaluronic acid gel is used to correct the asymmetry of the nostrils. In this case, the specialist must accurately calculate the dose.
The nose becomes thinner and more expressive after a nose job with hormones.
When it is necessary to eliminate or reduce the asymmetry of the nostrils, fillers are injected into the lower part of the ala.
How old is the operation?
There must be clear reasons for the surgery on the face. A conscientious plastic surgeon will not correct a minor's nose based on a particular whim of a girl or boy.
People who have reached the age of 18 may take part in the operation. In extremely rare situations, this condition can be violated. The minimum age for rhinoplasty for girls is 13 to 14 years, for boys between 15 and 16 years.
For medical reasons, a teen can have almost any plastic surgery. However, doctors recommend being patient until the onset of old age, when the operated organ is at least 80-90% formed.
How is the preparation for the non-surgical procedure going?
In contrast to traditional surgery, it is easier to prepare for a non-surgical procedure. Your doctor may advise you to consult a dermatologist and tell you what tests will be done to identify contraindications and limitations.
Compliance with the following rules will help reduce the risk of complications:
- You need to stop using alcohol 10 days before plastic surgery.
- Salicylates increase bleeding, which means that you should stop taking "aspirin" and other similar drugs a week before the procedure.
- do not eat at least 10 hours in advance;
- It is recommended to exclude high physical activity for a few days before injecting plastics.
- It is necessary to wash your hair the day before, since after the procedure you will not be able to bend over and get your face wet.
The doctor prescribes the use of antihistamines. In the event of increased temperature, menstruation and respiratory diseases, the procedure must be canceled until recovery.
Do i need anesthesia?
General anesthesia is not required for a nonsurgical rhinoplasty. Local application or infiltration anesthesia is used for anesthesia.
Run technology
Non-surgical plastic surgeries are performed on an outpatient basis; there is no need for patient hospitalization. After the procedure, the plastic surgeon's clients go home.
A thorough study and computer modeling of the future shape of the nose are preliminary carried out. The average manipulation time is 35-60 minutes. The operation proceeds step by step as follows:
- The patient is conscious, only local anesthesia is used. The doctor applies a lidocaine-based cream to the nose and the area around it. The exposure time under the film is 10-15 minutes.
- After opening the ampoule with the medicine and filling the gel into the microcannula, gradually and carefully inject the filler into the designated areas of the nose. If the client has a wish, he can observe the progress of the process with the help of a mirror that he himself will hold.
- If necessary, the beautician can re-infuse the filler.
- The final stage is a light manual massage. It is needed for a better distribution of the filler.
The result can be assessed immediately. Fillers are safe and completely absorbed within 1. 5 years.
Consequences and contraindications of a nonsurgical rhinoplasty
Women should not be corrected during pregnancy or during menstruation. Nonsurgical correction is contraindicated in people with the following diseases:
- acute infectious diseases;
- Keloidosis;
- Autoimmune pathologies;
- Endocrine system pathologies, including diabetes mellitus;
- Hemophilia and other blood clotting problems;
- Allergies and individual intolerance to the components of the drugs used;
- oncological diseases, tumors of any localization.
What complications can arise
Post-operative complications occur in 10% of cases. They can also appear during the operation (bleeding, cracks in the skin, tearing of the mucosal cartilage, violation of the integrity of the bone pyramid, fracture of the bone site).
If several cosmetic defects are eliminated during the operation, a number of complications can arise:
- Nosebleeds;
- postoperative pigmentation;
- Bone callus;
- Swelling and hematoma of soft tissues;
- Loss of smell;
- the appearance of keloid scars;
- Difficulty breathing;
- Curvature of the nasal septum.
A nose job without surgery is not that dangerous, although it is considered a difficult procedure in aesthetic surgery as well. After that, a special splint is applied to the patient's nose, which fixes the result and protects against injury.
For a few hours after the procedure, there may be reddening and swelling of the skin around the nose. These problems go away completely within 24 hours. After tightening with threads, bruises may form, which will go away completely within a week.
Rare complications are processes that can occur due to the inexperience of the surgeon performing the procedure or the patient's failure to comply with postoperative rules: displacement of fillers and breakage of sutures inserted under the skin. The doctor should address the problem urgently.
Caring for the nose after surgery
Rhinoplasty with a laser, hyaluronic acid injections and fillers reduce the rehabilitation time to a minimum. You can go home immediately after contouring your nose. The swelling will subside within 1-2 days.
On average, rehabilitation takes several days (depending on the correction method performed). After the manipulation performed, there are almost no restrictions. You can keep working, exercising, and living your normal life.
In the postoperative period, it is necessary to monitor facial expressions: you can not squint, frown. Avoid straining your muscles, blowing your nose, sneezing and coughing for several hours. You should not wear glasses for the first 2-3 days after recovery.
There are strict restrictions on visiting swimming areas (ponds, swimming pools, bath houses, saunas). You'll also need to give up sunbathing, smoking, and priming.
You cannot massage the injection site or do physical therapy for 2 weeks.
How long does the edema last after the operation?
The entire rehabilitation phase after the operation can take about a year. For the first few days, the patient must wear a bandage, a bandage, or a cast. The swelling of the face will subside in 1-2 days. After 21 days, the cast is removed and blood clots from the nose and tampons are removed.
Active recovery occurs over the next 3 months, the traces of side effects subside, but minor changes can take place until the end of the year.
What to do if the process is unsuccessful
The result of the operation carried out can only be assessed after 6 months. Practice shows that 20% of all interventions to correct or eliminate nasal defects are not the only ones.
If after this time the nose does not take on the desired shape or a swelling remains, the operation can be considered unsuccessful. In such situations, repeated operations are assigned.
When should the process be repeated?
The effects of nonsurgical nasal surgery last for an average of about a year. You can repeat the process at any time.
After the operation, a repeated (secondary) rhinoplasty cannot be prescribed until one year later at the earliest. Technically, this is a more complex procedure. It is prescribed if the patient is not satisfied with the result or the previous operation was unsuccessful (did not give the expected effect).
Benefits of Non-Surgical Rhinoplasty
The filling and suturing procedure cannot be considered a full-fledged alternative to surgery, but it has a number of obvious advantages. The most important are:
- Painlessness;
- short rehabilitation period (sometimes absent);
- quick achievement of results;
- Reversibility (you can always return the previous form if the result is not satisfactory).
The process has both advantages and disadvantages. It has an extremely small impact on the general condition of the body, does not harm the tissues of the face, after which scars and scars are not formed. If injected incorrectly, lumps of gel may form under the skin. Their displacement leads to a change in the shape of the nose.
After minimally invasive procedures there are no stitches and the skin heals better. However, the risk of infection and infection remains.
Low cost makes the procedure available to anyone who wants to improve their appearance. However, possible complications force the choice of clinic to be treated with the utmost care.Most often, unsuccessful cosmetic procedures occur after visiting non-specialized salons and doctors who do not have the appropriate qualifications.The final decision should be made only after studying the master's previous work and reviews of the clinic.