Rhinoplasty or rhinoplasty is a branch of plastic surgery that deals with the correction of various congenital or acquired deformities of the nose. Also, with the help of rhinoplasty, in some cases, it is possible to completely restore the missing nose or its individual parts. A plastic surgeon experienced in rhinoplasty will be able to increase or, on the contrary, reduce the size of the nose, change its shape and eliminate respiratory problems. The rhinoplasty service is accessible to all patients of the clinic. Our specialists use modern and safe methods to effectively and quickly eliminate various flaws, making facial features more harmonious and attractive.
|Complex (nose roperation + consumables + anesthesia allowance + hospitalization)|
|Nostrilectomy (on one side)|
|Nostriloplasty (on one side) during surgery|
|Septoplasty (isolated operation/one of the steps)|
|Bulhorn cheiloplasty (isolated operation / one of the stages)|
|Stationary (1 day)|
Indications and contraindications for rhinoplasty
The rhinoplasty procedure will help restore the correct forms and functions of the nose, which were disturbed during fetal development or as a result of various diseases, as well as injuries suffered during life: thermal, chemical, mechanical.
There are no strict medical indications for surgery. If the patient is not satisfied with the shape of his nose or it does not work properly, you can voluntarily contact a plastic surgeon, explain the problem, and the specialist will select the most effective method of correction, taking into account theindividual characteristics.
Rhinoplasty, the cost of which in the clinic is available to any patient, allows you to eliminate various aesthetic and functional defects:
- saddle shape;
- pronounced bump;
- thickened or split tip;
- dilated nostrils;
- "eagle beak" effect;
- disproportionate to face size, shape;
- breathing problems;
- deviated nasal septum.
As for contraindications, it should be noted that the procedure is not prescribed for pregnant and lactating women. There are also medical contraindications, in which plastic surgery is fraught with serious complications. These include:
- diseases of the hematopoietic system (relative contraindication);
- chronic cardiovascular diseases;
- oncological disease of any localization;
- renal, hepatic, cardiac insufficiency;
- recent heart attack, stroke;
- infectious process in the acute stage;
- congenital or acquired immunodeficiency (relative contraindication);
- severe mental illness and disorders (relative contraindication);
- pregnancy, lactation.
Types of operations
Rhinoplasty includes the following types of surgery:
- plastic surgery of the nasal septum - septoplasty;
- repositioning of a broken bone;
- hump removal;
- shortening of the nose;
- convergence of the nasal bones;
- spike support and correction;
- correction of the wings of the nose;
- full nose correction.
Depending on the method chosen by the surgeon, closed access and open access can be used during rhinoplasty. Closed rhinoplasty is performed by small incisions in the nasal cavity with detachment of the skin from the framework. Through closed access, the following types of operations are performed:
- shape change;
- removal of excess nasal bone or cartilage;
- increase in volume, etc. . .
If the volume of surgery is large, open access rhinoplasty is used. The incisions are made at the level of the columella, the vertical skin fold that separates the nostrils.
In addition to traditional surgical rhinoplasty, a type of non-surgical rhinoplasty using fillers has recently become very popular. This type of intervention is used to solve the following problems:
- correct minor imperfections of the nose;
- get a rounded tip;
- restore symmetry, etc.
Nose tip rhinoplasty
Plastic correction of the tip of the nose includes a number of surgical operations performed on the terminal part of the nose. It is possible to improve the forms by removing the deformed or excess parts of the cartilage tissue, fixing them in the correct position.
Nose tip rhinoplasty is one of the most difficult types of plastic surgery, achieving the following results:
- narrow or increase the width of the tip of the nose;
- reduction or increase in projection;
- restoration of the symmetry and natural shape of the nose.
The variety of anatomical variants of the nasal conic forces the surgeon to develop an individual plan of surgical intervention for each patient. When choosing a methodology, different factors are taken into account:
- skin thickness;
- shape and strength of cartilage tissue;
- anatomy of the angles of the vaults;
- nose length and width;
- back contours;
- nasolabial angle;
- the results expected by the patient.
Correction of the wings of the nose can be performed as an independent operation or as one of the stages of a more extensive surgical intervention. Rhinoplasty allows you to change the width, thickness, symmetry of the nostrils, correct various birth defects, eliminate obstruction of nasal breathing due to too narrow nostrils and nasal passages.
Correction of the shape of the nose to correct the hump can be carried out both with surgery, and without it - by injection. The choice of technique depends on the degree of deformation, as well as the wishes of the patient.
The surgical option of rhinoplasty involves removing cartilage or bone tissue through an external or internal incision. After the operation, sutures are applied. Another surgical method of correction is grinding. The procedure allows you to correct a small bump without excising bone structures.
A non-surgical rhinoplasty technique involves introducing a special filler under the skin, which will fill the pits, eliminating a small defect in one session. The effect of this procedure lasts 1-1. 5 years.
Correction of the nasal septum
It is a surgical correction of deformed cartilage or bony structures in the nose. This type of rhinoplasty is indicated for patients who, due to the deformation of the nasal septum, fear respiratory problems.
A columellaplasty is a cosmetic surgery to correct the size and shape of the septum that separates the nostrils. The columella plays an important role in the aesthetic perception of the face as a whole, and any changes in its size and shape can adversely affect its appearance.
A plasty of the columella may be necessary if it is deformed, too large or on the contrary small, the nasolabial angle is smooth or sharp, etc. A columella is considered harmonious if it is located below the level of the wings.
If during a rhinoplasty the surgeons are mainly concerned with the appearance of the nose and the aesthetic aspects, then during a septoplasty they mainly work on what is inside and solve physiological problems. Combined rhinoplasty (rhinoplasty + septoplasty) includes correction of deviated nasal septum, correction of nose shape and size. The technique allows you to restore normal nasal breathing, eliminate deformities, as well as the deviation of the nose. Can be done open, closed or endoscopic.
Preparation for rhinoplasty
At the initial stage of preparation, a consultation with a plastic surgeon is necessary, who will conduct an examination, find out the reasons why the patient decided to undergo surgery, determine the type and extent of the intervention and approximately tellhow much plastic nose surgery costs. In order to achieve the best cosmetic results, photographs and computer simulations of the new nose are taken.
At the preparation stage, it is important to exclude contraindications. To assess the general condition of the patient, a comprehensive examination is prescribed, including the following diagnostic procedures:
- general and biochemical blood test;
- general urinalysis;
- tests for hepatitis, HIV, STIs;
- CT of the skull.
How is rhinoplasty performed?
You can have rhinoplasty and get the best results in the clinic. The procedure is performed under general anesthesia associated with local anesthesia by infiltration. Depending on the complexity of the intervention, the duration of the intervention is 1 to 2 hours, sometimes more.
During the operation, a surgical correction of the bone and cartilaginous framework is carried out in order to give the external nose dimensions and a more aesthetically favorable shape:
- change in length;
- width, height correction;
- removal of the bump;
- curvature correction and back retraction;
- rhinoplasty, etc. .
For rhinoplasty, the clinic's plastic surgeons use modern and sparing techniques, so scars are practically not visible after surgery, and the risks of postoperative complications are reduced to zero.
Possible complications after surgery
The risks of complications after rhinoplasty are minimal, but unfortunately not completely excluded. Possible negative consequences of the postoperative period:
- persistent edema that does not disappear within six months;
- join the infection;
- enlargement of the subcutaneous tissue as part of the surgery or in the area of cartilage removal;
- smell disorders;
- tissue necrosis.
Rehabilitation after rhinoplasty
After all surgical interventions, tampons are installed in the nasal passages, which can be removed only after 2-3 days. The new shape of the nose is fixed with a cast. When performing an intervention on the cartilage of the nose, such a sticker should be worn for 5-7 days. When performing manipulations on the bone section, the pad is worn longer - 12-14 days.
Pain after surgery is moderate, to relieve the condition the doctor may prescribe an anesthetic drug. In the first days, due to severe swelling, breathing problems can be bothersome. It is not recommended to wear glasses for 1. 5 months after rhinoplasty. A full rehabilitation course lasts an average of 6-8 months, so the final results of the procedure can be assessed from six months to a year after the operation.
The cost is determined by the complexity of the intervention, the technique of execution and the type of anesthesia. To clarify the cost of nose correction, you need to get a more detailed consultation during an appointment with a specialist.