Rhinoplasty is a procedure that corrects the shape of the nose and restores the patency of the nasal passages. Surgical interventions can be performed for both aesthetic and medical reasons. The volume of the operation and its severity depends on the shape of the patient's face and wishes, this also affects the cost of rhinoplasty.
With the help of modern modeling techniques, it is possible to select the optimal result that will meet both the anatomical norms and the preferences of the customer. Before starting the procedure, patients are recommended to familiarize themselves with the rhinoplasty, its types, methods, indications and contraindications.
Who is nose modeling recommended for?
Most often, a nose job is done for aesthetic reasons. The simulation can correct the following disadvantages:
- Broad bridge of the nose;
- The presence of a hump;
- Concave back;
- Asymmetry;
- The presence of bumps and pits - uneven relief;
- Fallen tip.
Most often, patients want to make a so-called "European nose" - a thin, low and even bridge with a narrow tip.
Rhinoplasty is less common for medical reasons. For example, after serious injuries that have caused the nose to curve, surgery can restore it to its normal shape. The same applies to congenital malformations that are associated with a curvature of the septa and restricted nasal breathing.
Contraindications to the operation
An absolute contraindication to surgical intervention is the presence of inflammatory processes in the nasal cavity. Any rhinitis, including inflammatory and allergic, is a reason to postpone surgery until the disease is completely cured.
In addition, contraindications to the appointment of a rhinoplasty are acute inflammatory diseases of other organs or an exacerbation of chronic pathologies. This group also includes decompensated diseases of the cardiovascular and respiratory systems and severe diabetes mellitus.
Surgery is not recommended in patients with bleeding disorders. These include anemia, thrombocytopenia, hemophilia. The presence of pathological processes in the coagulation system increases the risk of complications, so in such cases the decision should be made individually after a full examination of the patient.
Operating methods
How is a nose job done? Various methods of treatment can be used to correct the shape. The choice of surgical technique depends on the individual's needs.
Open access technology
Open rhinoplasty involves making multiple cuts through the skin of the nasal septum. Incisions are made to allow access to the desired anatomical areas. They are done in the area of the columella - the area that separates the nostrils. The entire skin flap is then moved upwards and the surgeon can work with the removed tissue.
Closed way of performing the operation
With closed rhinoplasty, incisions are not made on the skin, but on the mucous membrane. This approach offers a less traumatic procedure that significantly reduces the risk of complications. At the same time, a narrower surgical field can be achieved through a closed incision, which is why such a rhinoplasty of the nasal hump is considered to be more difficult to carry out.
Nose modeling - types
Patients may need different types of procedures depending on the goal of their treatment. Before the procedure, the patient undergoes modeling that will allow him to choose the optimal shape of the organ that will best suit his facial features. How the rhinoplasty is done depends on it.
Plastic surgery of the tip of the nose
The plastic tip comprises several stages. First of all, the area of the future surgery is numbed. Then an incision is made in the nasal cavity at the point where the fewest blood vessel bundles are located. This reduces the risk of intraoperative circulation.
After providing access, the surgeon will peel the soft tissue and correct the irregularities in the tip. If necessary, areas are enlarged with material from other areas or from other parts of the body. After the correction, the incision is sutured with atraumatic material. The total time to complete the work is only 1-2 hours. Rhinoplasty of the tip of the nose in the photo before and after, see below
Wing correction
A rhinoplasty of the nostrils is also performed under local anesthesia. It involves reducing the lateral areas due to the removal of excess tissue. Surgical intervention is carried out through small incisions in the area of the wings. The damaged tissue is sewn with sutures that quickly tighten the cuts.
Another type of surgery is to correct the indentation in the wing area. For this purpose, a cartilage fragment is implanted in the dimple area, which was previously removed from the tissue of the auricle. With this implant you can correct the shape of the nose and restore its normal anatomy.
Too wide a nose
The method of performing a rhinoplasty job on a wide nose depends on the area where the expansion is most pronounced. The patient will need a lateral osteotomy to correct the wide sidewalls and dorsal area. If the expansion needs to be corrected in the area of the base, a local plastic of the end part is carried out. In rhinoplasty, excess soft tissue is excised with a potato and the end part of the columella is removed.
Prepare for the operation
The preparation for the rhinoplasty begins with a preliminary discussion. The plastic surgeon then assesses the anatomy of the face, evaluates its geometric parameters and creates a preliminary model of the result of the rhinoplasty. At the same time, the doctor determines from what age the nose correction can be carried out. To do this, the surgeon assesses the condition of the bone-cartilaginous structure of the area.
In addition, a general examination is mandatory, which includes routine diagnostic procedures (general and biochemical blood tests, urinalysis, EKG). They are necessary to identify possible contraindications to the operation.
A few weeks before the operation, the patient has to prepare for the procedure. To do this, the following recommendations must be observed:
- Refrain from alcohol and smoking;
- If possible, limit your use of hormonal preparations and drugs that affect blood clotting;
- Eat right and whole;
- Reduce the physical activity of the body.
Compliance with the listed recommendations will allow the patient to recover quickly after the operation is completed. Although the procedure is minimally invasive, it still has a pronounced effect on the body. Therefore, good preparation is essential to complete rehabilitation quickly.
Rehabilitation phase
The operation is usually carried out on an outpatient basis. After the procedure, the patient spends several hours in the clinic, where doctors monitor his condition. Then the patient can go home. For the next 3-5 days, he may experience postoperative symptoms - pain in the wound area, dizziness.
The patient should not remove the bandage until the doctor removes it. To remove mucus and blood from the damaged nasal passages, the patient must flush them every 2 hours for the first few days. It is forbidden to drink alcohol and smoke for several weeks after the operation. It is recommended to massage the nose after the rhinoplasty. You shouldn't visit baths and saunas, you need to keep your sun exposure as low as possible.
Results before and after
Plastic surgery allows the patient to get an optimal result after the first operation. The result after the procedure will be noticeable in about a few months, the exact time in which the desired shape will be achieved depends on the scope of the operation performed. You can see the results of a successful and unsuccessful rhinoplasty on the photo before and after, where the change in the patient's appearance for the better can be clearly seen.
Non-surgical rhinoplasty
The rhinoplasty without surgery involves the elimination of possible defects without traumatic surgery. This procedure involves the use of various cosmetic procedures.
Types of Rhinoplasty Without Surgery
Nonsurgical rhinoplasty can be performed using a variety of techniques, each with their own advantages and disadvantages. How a nonsurgical rhinoplasty is performed depends on the individual case of the patient.
Rhinoplasty with fillers
Injected nose correction with fillers involves applying cosmetic preparations under the skin that correct the relief of the nose, fill cavities and eliminate asymmetries. Gel preparations are administered using point injections. With their help, it is possible to locally correct the deficiencies without pronounced skin trauma.
Rhinoplasty with hormonal drugs
Nasal plastic surgery with hormones aims at the targeted administration of drugs in the area of the excess soft tissues. The active ingredients break down fat deposits in the skin, thereby correcting the wings of the nose and making the tip of the nose smaller.
Hormonal correction with the help of drugs is a rather difficult procedure that requires great accuracy in the choice of the dosage of the drug. In order to prevent excessive lysis of soft tissues, drugs from the group of hormones are administered gradually through several procedures. This greatly reduces the likelihood of possible complications.
Rhinoplasty with threads
In plastic thread surgery, special elastic bands are inserted into the skin through small punctures on the surface of the patient. You can use this technique to correct significant asymmetries, eliminate shape errors, and correct the tip. A pronounced effect of the procedure can be felt within a few days after the procedure.
Possible complications after correction of the injection nose
Immediately after the procedure, the patient may experience minor changes in the drug delivery area. These include:
- Light pain;
- Reddening of the skin;
- Slight swelling of the nose after rhinoplasty;
- Bruises on the skin.
Once rehabilitation is complete, these symptoms will go away on their own without medical attention. In rare cases, however, more serious complications can occur if medication is improperly taken. These include local vessel embolism, severe allergic reactions, activation of fibrosis in the area of the filler injection. When performing procedures in professional clinics, experienced doctors have almost no likelihood of such complications.
Rhinoplasty - the cost of surgery
The cost of the procedure depends on its scope, the prestige of the clinic, the qualification of the specialist and many other factors.
Testimonials from customers who have had a nose job
- The first criticism: "I've wanted to have a nose plastic surgery for many years - the shape was always annoying. After consulting the doctors, it turned out that I only had to correct the tip. I had the operation two months ago now. " I see a noticeable oneImprovement. "
- Second criticism: "After an accident, my nose shape deteriorated a lot, there was a noticeable asymmetry. I was very scared of the operation because I didn't know what the consequences would be. My friends advised me to go for a nonsurgical nasal surgery through filler - and their feedback has been a salvation to me. A year later, no asymmetry can be seen thanks to the doctors who restored my normal self-esteem. "