Rhinoplasty transforms the patient and is considered one of the most effective methods of changing the appearance.
The face opens up, looks younger, visible flaws are eliminated, and sometimes even breathing problems. Surgeons in our country have a sufficient arsenal of tools and techniques to give a person a new appearance.
But each operation has its pros and cons.
Types of rhinoplasty
How is rhinoplasty different from rhinoplasty?There is no difference between these concepts.
There are several types of corrections.Here is how rhinoplasty is performed with each type of surgery:
- Septoplasty: aims to change the shape of the nasal septum and is prescribed if respiratory function is impaired.
- Closed rhinoplasty is carried out as follows: through one or more incisions, the skin is separated from the frame - cartilage, bone. Then they make a correction - parts are removed or increased. The skin is then sutured. The columella incision is not made. This is a technique commonly used by surgeons.
- Open rhinoplasty: indicated for large volumes of corrections. The incision is made in the nasal cavity and in the columella region.
How long does rhinoplasty take:The duration of the operation depends on the amount of work and technique. So,closed correction lasts 30-40 minutes, open - up to 60 minutes. For complete closed rhinoplastytake 1 hour, open - about 1. 5 hours.
To fully understand how rhinoplasty is performed, we suggest watching a video of the operation.
It is used if small defects need to be eliminated.It is performed in 5 to 7% of patients.
Fillers are used to smooth or change the angles of the tip of the nose, restore symmetry and hide the bump. The disadvantage of such a correction is that after 12-18 months the fillers dissolve, there is a risk of substance migration.
Absorbable preparations are also used. So it is possible to get rid of bumps, bulges. The technique is applied to the tip, wings, supra-tip zone, occasionally - to the hump. It goes through several stages.
The threads that are inserted through the punctures make it possible to tighten the tip, to adjust the shape of the wings. This technique is unpopular, because there is a risk of thread breakage, the appearance of rough scars.
Before and after pictures
We offer you to see the results of rhinoplasty in other people in these photos.
Indications and contraindications
Indications for rhinoplasty are associated with such shape imperfections:
- Sharp or thick, hooked point.
- Long length.
- Wide nostrils.
- Saddle shape.
Rhinoplasty is indicated for deviated nasal septa, deformities - both congenital and resulting from trauma. The operation is performed in violation and complete cessation of nasal breathing.
The surgeon will refuse to perform a correction if the client:
- Diseases of the heart and blood vessels,
- Blood clotting disorders;
- Diseases of the liver, kidneys;
- Active form of tuberculosis;
- pregnancy, menstruation;
- Folliculitis (inflammation of the hair follicle), acne at the site of the upcoming surgery;
- Acute viral infections;
- Cancer diseases;
- Disorders of the mental sphere.
There are also age restrictions. Rhinoplasty is only performed from the age of 18 in girls and up to 21-23 years in boys, which is associated with the process of forming the facial part of the skull.
Correction is not recommended even after 40 years, due to the slowdown in tissue regeneration and the risk of complications at this age. Older patients find it hard to get used to a new look and often regret the changes.
During the consultation before the procedure, the surgeon finds out why the patient is interested in rhinoplasty, what result he expects, explains the consequences and warns of possible complications.
The correction of the nose takes place after the preparation. The surgeon will explain to you how to prepare for rhinoplasty.
Preparation for rhinoplasty goes through standard examinations:
- Chest x-ray or fluorography.
- Picture of the nose.
2 weeks before the upcoming procedure, refuse blood thinners. For 7 days before rhinoplasty, it is recommended to abstain from drinking alcohol and smoking. For a day, light food is left in the diet, and for 6 hours they refuse food and water.
Before the operation, consultations with an anesthesiologist are held. The specialist clarifies information about the tolerance of anesthesia.
List of analyzes
Such analyzes are taken before rhinoplasty:
- Blood (general, biochemical, electrolytes, coagulogram, blood group, Rh, factor) - for 14 days.
- HIV, HBS, HCV, RW - for 3 months.
- Urine - for 14 days.
Does it hurt?
During the actual rhinoplasty, the patient does not feel anything, because he is in a state of drugged sleep or the doctor applies a painkiller to him.
During the rehabilitation period, there are more inconveniences than pain - for example, due to tampons in the nose, which are removed after a day, and swelling. Compared to breast surgery, rhinoplasty is said to be painless.
If an osteotomy (artificial bone fracture) has been performed, a cast is applied to7 to 10 days. Edema that appears in the nose and around the eyes,disappear after 10-20 days.
The doctor can pre-evaluate the results after 6 months, and finally after a year. The duration of tissue healing depends on the characteristics of the body, age.
After removing the bandage, the patient is obliged to consult a doctor within the specified time. For some time they refuse to wear glasses, exclude spicy and hot foods from the diet to prevent bleeding, and limit physical activity.
A full course of rehabilitation lasts 6-12 months.
The facial healing time depends on the severity of the operation and the complications.With a good course, after 10 days the person gradually returns to the normal rhythm of life., go to work.
Why is rhinoplasty dangerous?
This is a surgical intervention, which is associated with risks, sometimes there are side effects. These are good reasons not to undergo rhinoplasty, especially if the surgeon finds no abnormality and medical indication.
An anaphylactic reaction to anesthesia is possible - a rapid, life-threatening allergic phenomenon. In 0. 017% of cases, toxic shock syndrome is observed - a state of shock, which leads to the vital activity of exotoxins of bacteria or viruses.
In general, adverse events occur in only 4-18. 8% of patients, with one in ten of this group experiencing skin and soft tissue complications.
During the operation, excessive bleeding, breaks in the skin, muco-cartilaginous structures, burns, violations of the bone pyramid and others are corrected.
In the first hours, days after the operation, anaphylactic, visual and respiratory disorders may develop. Among the hidden complications - bleeding, hematoma of the septum.
Rarelyan infection enters the wound, which requires antibiotic treatment; in case of sepsis (blood poisoning), hormones and blood transfusions are used.
Other complications include:
- Decreased sensitivity.
- Scars, scars requiring repeated intervention.
- Difficulty breathing.
- Alteration of the sense of smell.
- Perforation (holes) of the nasal septum.
- Cartilage atrophy.
- The appearance of the vascular network, pigmentation.
- Rarely - necrosis (death) of tissues.
In addition, the patient is not always satisfied with the result -these patients 3 out of 10.The chance that the view will be as expected is about 70%. The nose may look too correct, not be natural and not be combined with the rest of the facial features. Therefore, before deciding to change, you need to weigh the pros and cons.
After that, a second correction may be required, which is carried out after 6 months, but not earlier. Indications are improperly stitched or excessively removed cartilages, in which the nose seems short, a small columella (the lower part between the nasal passages), etc.
When is the best time to cancel an operation?
Often people with dysmorphophobia or dysmorphomania turn to plastic surgeons for help. In the first case, we are talking about a painful attitude to a minor defect or feature of the body, in the second - about an imaginary external defect.
If the surgeon did not find deviations from the average parameters in the size of the nose, its location relative to other parts of the face, consultation with a psychologist is recommended.
You should also study reviews about the clinic and a particular specialist. The lower the qualification of the doctor, the higher the risk of complications.