Rhinoplasty or rhinoplasty is a branch of plastic surgery that specializes in the correction of congenital or acquired deformities, as well as the restoration of individual segments of the nose or the entire organ.
Rhinoplasty operations can increase or decrease the size of the nose, change its shape and eliminate respiratory problems. The aesthetic goal of rhinoplasty is to harmonize facial features by correcting the defects of the nose. As a rule, this type of operation is performed at the age of 18-21, since until this time there is a physiological growth of bone and cartilage tissue.
The task of rhinoplasty is to restore the correct forms and functions of the nose, which were impaired as a result of injuries or during the period of embryogenesis. Rhinoplasty is a range of different operations, which will be discussed in more detail below.
The Israeli clinics give excellent results, the medical care provided meets the expectations of the patients.
During rhinoplasty in Israel, open or closed access can be used, depending on the purpose of the operation. With closed rhinoplasty, an incision is made in the cavity, the skin is exfoliated from the frame (cartilage and nasal bones). This method is used to modify the shape, remove excess cartilage and bone, etc. If a large volume of surgery is planned, an open rhinoplasty of the nose is prescribed through incisions in the columella (vertical skin fold separating the nostrils).
Nose correction is divided into primary and secondary. A revision or secondary plastic surgery is performed in order to eliminate defects that remain after the primary operation.
In recent years, fillers have been actively used in rhinoplasty if it is necessary to correct minor imperfections of the nose: modify the shape of the wings, restore symmetry, round the tip of the nose, etc.
Rhinoplasty Surgery 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 respiratory disorders. In order to achieve the best cosmetic results, photographs and computer modeling of the nose are taken. The patient is also consulted by an ENT doctor. If there are pronounced defects, when nasal breathing is disturbed, nasal rhinoplasty is performed together with an otolaryngologist and a plastic surgeon.
As a rule, during the operation, general anesthesia is used in combination with local infiltration anesthesia. The duration of rhinoplasty depends on the complexity and takes 1-2 hours or more. In order to give the nose a more aesthetically advantageous size and shape, the surgeon modifies the bone and cartilage framework. Properly performed rhinoplasty in Israel and the absence of complications - and postoperative scars will not actually be visible.
Recovery period after nose correction
After surgery, tampons are installed in the nasal passages, they are removed after 2-3 days. In order to fix the new shape, a special plaster or colloidal sticker is applied for five to seven days (if the plastic touched the cartilaginous part of the nose) or for twelve to fourteen days (if the bone part).
Due to swelling, nasal breathing may be difficult for the first few weeks. Bruising and swelling disappear in ten to fourteen days. It is not recommended to wear glasses for a month and a half after the nose correction. The full recovery cycle takes six to eight months, this is when the final results of the operation will be visible. Smoking and taking certain medications can slow recovery.
Rhinoplasty in Israel: removal of the bump of the nose
This operation is in several stages. During its implementation, the osteocartilaginous protrusion from the back of the nose is eliminated. The hunchback can be caused by trauma or hereditary factors.
If the bump in the nose 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 bony-cartilaginous base of the nose - the stage of skeletonization. After that, the cartilage is cut and the cartilaginous segment of the septum is gradually removed, starting with the smallest volume. Next, the bony component of the nose bump is excised.
Once the bump is removed, the skeleton takes the form of a truncated pyramid. An osteotomy is performed to bring the nasal bones together and remove the wide platform. The surgeon dissects the bone tissue from the side slopes and brings 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 nose correction, cotton swabs are placed in the nasal passages and a plaster bandage is applied to fix the new position of the tissues. The dressing is removed after eight to ten days.
For several weeks after removal of the nose bump, bleeding and swelling in the nose area persists. As the edema decreases, nasal breathing is restored. The final result of the operation can be evaluated in six months, when the tissues are completely restored.
Septoplasty of the nose in Israel
This is an operation aimed at correcting the nasal septum while preserving the bone and cartilaginous 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, which deforms easily, leading to impaired respiratory function and deterioration of aesthetic appearance. The reasons may be injuries, rickets suffered in childhood, hereditary predisposition.
The contraindications are:
- serious pathologies of internal organs;
- Infectious diseases;
- blood clotting problems;
Indications for septoplasty of the nose:
- allergic pathologies (itching, runny nose, etc. );
- difficulty breathing through the nose and its absence;
- chronic and acute diseases of the paranasal sinuses (frontitis, ethmoiditis, sinusitis);
- vasomotor rhinitis and frequent nosebleeds;
- snoring due to impaired nasal breathing, etc.
In case of exacerbation, septoplasty is performed two weeks after its removal. The indication for the operation in Israel is determined by the otolaryngologist based on the history and diagnosis (rhinoscopy). Before the operation, laboratory tests, ECG, x-ray of the lungs are performed.
As painkillers, infiltration anesthesia can be used (with the help of injections, it is injected into the nasal septum), local application anesthesia (turundas impregnated with an anesthetic are injected into thenasal passages), as well as general anesthesia.
With septoplasty in Israel, the surgeon makes an incision inside the nose or endonasally, therefore, there is no visible postoperative scar. On both sides of the nasal septum, it exfoliates the mucous membrane, highlights and eliminates the curved parts of the bony structures and the quadrangular cartilage of the septum. At the end of the nose correction, sutures are applied and tamponade is performed with finger or gauze swabs. A sling-like bandage is applied to the nose.
Also, septoplasty in Israel is performed using endoscopic access. A fiber-optic endoscope 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 nose septoplasty causes minimal cartilage and tissue damage, thus reducing the recovery period.
In addition, laser septoplasty is used in Israeli clinics, thanks to which the development of bleeding and edema can be avoided, since the laser "seals" the vessels by cutting the tissues. In addition, it provides an antiseptic effect.
The duration of septoplasty is determined by the degree of curvature of the septum, the operation can last from thirty minutes to one and a half hours.
This type of rhinoplasty is quite easily tolerated. The patient is 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 (repositioning of bones, convergence of bones) can be an independent operation that corrects the shape of the nose, or one of the stages for removing the hump of the nose. Thanks to this type of plastic surgery, the surgeon obtains the ideal proportions of the nose in relation to the proportions of the face, by reducing the side bones of the bridge of the nose.
In the process of osteotomy, it brings together the walls of the bone pyramid, after which the cartilages attached to the bones move. The skin, as a rule, adapts without much difficulty to the changed contours of the back of the nose.
Of the total time of the rhinoplasty, the osteotomy takes a few minutes. At the end of the correction, the nose is sealed with a surgical dressing and fixed with a bandage to maintain its shape and protect it from damage.
In 2 weeks, hematomas and edemas disappear. New outlines are eventually formed within a year.
Rhinoplasty in Israel: support for the tip of the nose
The support of the tip of the nose is ensured by a stable, solid and correct disposition of the cartilage. Normally they are slightly above or below the line that runs along the back of the nose.
Insufficient support is caused by the undesirable consequences of rhinoplasty (when adequate support is not provided) or by age-related processes of tissue ptosis (the ligaments that support the cartilage become weak).
In order to create support, the entire outer nose is shaped proportionately and correctly. The norm is the nasolabial angle (formed by the upper lip and the columella) - 90-120 °.
During rhinoplasty in Israel, the tip of the nose can be raised seven to eight millimeters above the rear profile line. The skin of the tip hardly adapts to changes because it is less elastic and thicker.
In order to restore support, transplanted cartilage grafts - "accessories" can be used. The surgeon places this cartilage between the lateral cartilages and fixes it, then cuts it to the desired size.
Also, 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 graft is the cartilage of the nasal septum.
If it is not possible to obtain a graft from the tip, the cartilage can be taken from the auricle. However, it is not considered strong enough to withstand pressure and shape. Therefore, the cartilage of the ear is often connected to a strong and thin bony nasal septum. Part of the bone is glued to a cartilage graft.
Rhinoplasty in Israel: shortening of the nose
Nose shortening is a plastic surgery that reduces the length of the outer nose. Most often, the length of the cartilage of the septum is reduced, in more rare cases, the side wall of the nose, which is formed by large cartilages and alar and triangular bones.
Various methods are used to estimate the length of the nose. The most common method is to measure the distance between the tip of the nose and the bridge of the nose. Another method is to determine the magnitude of the nasolabial angle.
As we age, the ligaments that hold the cartilage weaken, the tip of the nose sags and visually increases its length. For this reason, in adulthood, patients shorten the length of the nose less than in young people.
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 usually evenly elongated. As a result, either operations are performed that shorten the lateral cartilaginous wall of the nose, or resection of the distal septal cartilage.
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 of the mucosa and excises strips of skin in the columella region. Then the incisions are sutured with catgut threads. As a result, the nose is shortened and the nasolabial angle is increased.
Another way is to increase the nasolabial angle by placing silicone or cartilage liners in front of the maxillary spine.
Rhinoplasty in Israel: correction of the tip of the nose
This type of rhinoplasty in Israel can be performed in several ways. The operation is performed on the terminal part of the outer nose: its shape is improved by removing deformed or excessive parts of the cartilaginous tissue, and a new position is fixed.
Correction of the tip of the nose is a complex aspect of rhinoplasty, the task of which is to restore harmonious anatomical properties without disturbing the supporting structures of the organ.
Due to the variety of options for correcting the tip of the nose, an individual plan for rhinoplasty in Israel is developed, which takes into account the strength and shape of the cartilage, the thickness of the skin, the width and length of the nose, the nasolabial angle, the anatomy of the arch angles, the contour of the back 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, during which the domes are dissected and sutures are applied, narrowing them or connecting them to each other.
Rhinoplasty in Israel: repositioning a fractured nose
This nose correction operation consists of returning the displaced bone fragments 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 state decreases. 10 days after the injury, a callus forms, the repositioning can no longer be carried out.
Forty percent of all cases of facial injuries are nasal bone fractures, caused by sports injuries, street and domestic fights, traffic accidents, falls. Such a fracture can be closed and opened, without displacement and with displacement of bone fragments. Symptoms of a fracture include deformity of the external nose, swelling, pain, mucous discharge, hemorrhage, wounds, 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 interviewed, he can perform an external and endonasal examination, an endoscopic examination, an x-ray of the bones of the nose.
A fairly common consequence of a bone fracture is the curvature of the nasal septum, which is accompanied by recurrent sinusitis, rhinitis and impaired nasal breathing. Curvature correction can only be done 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 cartilage. Therefore, high-quality and timely medical care for nasal bone fractures is extremely important.
Cold (ice or cold compress) can be used as a first step to reduce swelling and pain and stop bleeding.
In the Israeli clinic, plastic surgeons perform the repositioning of bone fractures. During the first 6-7 days, the repositioning is done manually under local anesthesia so that the bones grow properly together in the future. A tight tamponade of the cavities with turundas is performed in order to press and support the nasal skeleton. A dressing is applied externally.
Self-reduction is strictly prohibited due to additional trauma. After the swelling subsides, 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.
If the nasal bones do not develop properly, patients are often forced to turn to rhinoplasty next. To restore impaired breathing, a deviated septum is corrected - rhinoptoplasty is performed.
Rhinoplasty in Israel: correction of the wings of the nose
This type of operation is performed to change the width, thickness and symmetry in the presence of pronounced aesthetic defects and deformations. Different methods are used depending on the violations. For repair, the tissues surrounding the defect are mobilized or a cartilage or skin graft is moved.
Correction of the wings of the nose can be an independent operation or the final stage of rhinoplasty in Israel.
Defects of the wings of the nose are acquired and of a congenital nature, they are complete or partial. The reasons are the consequences of nose correction or removal of tumors, trauma, burns and diseases.
Most operations to correct the wings of the nose are performed under local anesthesia by infiltration. If there are extensive defects, intravenous anesthesia is used.
Sometimes tipplasty is used to correct the wings of the nose. In this case, this operation completes the rhinoplasty. If cosmetic defects are expressed, the correction is carried out during the main stage of the operation.
When it is necessary to reduce the distance between the wings of the nose, incisions are made at the base of the wings from the vestibule and along the contour. Cutaneous and mucocutaneous segments are excised, hemostasis is achieved and sutures are applied. The scars are placed in the folds of the sides of the nose and the natural nasolabial folds, making them practically invisible.
If it is necessary to restore the support of the wings of the nose (in case of retraction or injury), areas of nearby tissues are displaced, a flap of skin or its own cartilage is transplanted from the auricle or septumnasal, specially modeled.
The rehabilitation period can last five days, in the case of cartilage reconstruction - seven or more.
Rhinoplasty in Israel: complete correction of the nose
This type of rhinoplasty in Israel involves a complex rhinoplasty, which is performed in the structural segments of the outer nose and in the thickness of the tissues of the organ. They can reduce the length of the nose, change its shape, remove the hump, reduce the width of the back, adjust the tip. Associated with the plastic surgery, they restore the respiratory function and the normal architectonics of the cavity.
Most often, this operation is performed after injuries.
In most cases, the correction is performed through a closed (endonasal) approach, excluding external skin incisions. Superficial manipulations can be performed under local anesthesia and intravenous sedation, operations on deep structures require general anesthesia. This correction of the nose is possible in the age group - 18-40 years.
Rhinoplasty in Israel can be combined with the following plastic surgeries: blepharoplasty, facelift, chin and lip surgery, liposuction, breast lift, etc.
Before the operation, the anatomical structure of the nose is carefully analyzed and its future shape is modeled on a computer. In case of violation of nasal breathing, the nasal cavity is examined, an X-ray or tomography is performed.
Modern rhinoplasty in Israel uses sparing techniques that provide excellent results and minimize the risk of complications.