Plastic surgery is not just the business of the surgeon, anesthesiologist and medical staff.The result of the operation largely depends on the patient himself and his behavior during the recovery period.Rehabilitation after rhinoplasty- the same part of the operation as its preparation and execution itself.
Rehabilitation after rhinoplasty: what can be the complications
Rhinoplasty is a complex operation, after which negative consequences occur in every tenth patient.Complications after rhinoplasty can be associated with both surgeon error and the patient's violation of restrictions after the operation.
Poor qualifications of the surgeon can lead to the formation of scars due to damage to the skin or cartilage tissue.Future scars and adhesions are quite difficult and time-consuming to treat.Damage to bone tissue also indicates a medical error, fraught with impaired respiratory function and an unsatisfactory aesthetic result.To correct it, a new operation is necessary, generally more difficult to perform, and the surgeon's skills must be optimal.
The consequence of a violation on the part of the surgeon and the patient is significant bleeding that opens during the operation.A damaged large vessel or medications taken that affect blood clotting can lead to a similar complication.
Failure to comply with sterility rules leads to infection;If detected, it is important to seek immediate medical attention.Unpleasant complications such as skin necrosis occur due to excessively excised surfaces.Repeated excision of damaged tissues avoids the further development of tissue necrosis.
If the patient did not follow the recommendations in the postoperative period and removed the dressing prematurely or did not properly care for the nasal cavity, there is a risk that the sutures will come loose.This will require repeated interventions and sutures.Patients who do not take the doctor's recommendations seriously can cause not only suture dehiscence, but also bone and cartilage tissue dehiscence due to a momentary desire to show off a new nose.
Due to a surgeon's error, various disorders are possible due to a deviated nasal septum, for example, impaired nasal breathing or problems with blood supply to the nasal passages.
Aesthetic complications caused by low qualifications of the surgeon include deformation of the nose at the bridge of the nose, too short or “beak” shaped nose, severe asymmetry and any other violations of the aesthetics of the nose.A complex consequence of medical error is the excessive removal of bone or cartilage tissue, which may require tissue augmentation through implantation, remodeling, or autotransplantation of the patient's tissues.To avoid any discrepancies between the result of the operation and the expected effect, it is important to carry out a preliminary simulation of the result in the clinic where the rhinoplasty is supposed to be performed.
Limitations after rhinoplasty
Rehabilitation after rhinoplasty involves a number of serious restrictions, strict compliance with which will have a positive impact on the result of the operation.
Smoking is prohibited two weeks before and two weeks after rhinoplasty, because nicotine limits the access of oxygen to blood vessels and nerves and thus prevents tissue healing.Tissue necrosis develops several times more often in smokers than in patients who lead a healthy lifestyle.Recovery after rhinoplastyimposes a similar restriction on alcohol consumption.
A mandatory restriction is sleeping on your back with a high pillow to quickly eliminate swelling and avoid injury to the operated organ.Sleeping on the back should therefore become a new habit for the patient.
Rehabilitation after rhinoplasty will require the patient to abandon medications that thin the blood or affect blood clotting.So, anticoagulants, as well as hormonal contraceptives, should be used only at the end of the recovery period.
Traumatic sports involving ball (basketball, football, etc.), skating, rollerblading and other similar means of transport, including downhill skiing, should be postponed until the nasal tissues have completely healed.You should not bend over your head or participate in exercises that involve lifting or abruptly changing the position of your torso.
When taking a hot shower, you should not allow the plaster to get wet, otherwise unpleasant complications may arise in the form of suppuration or tissue infection, and the soaked plaster will no longer be able to maintain the shape of the new nose.
The patient should not plan a pregnancy within a year after nose correction, since recovery after rhinoplasty implies complete rest of the operated organ and the absence of any stress on the body, including hormonal.
Stress on the body also includes physical activity, which must be excluded so that rehabilitation after rhinoplasty is successful and without complications.Any activity that causes increased pressure in the body can interfere with healing and proper tissue fusion.In this regard, the recommendation not to be nervous and avoid stress in light of rehabilitation after rhinoplasty seems especially relevant, since any stress immediately affects the internal processes of the body.
Minor restrictions include a ban on decorative cosmetics and cosmetic products, except for medicines prescribed by a doctor.
Rehabilitation after rhinoplasty will proceed without complications if, for a month after the operation, you refrain from any activities associated with temperature changes, for example, you should not visit baths and saunas, it is important to avoid solariums and sunbathing, and you will also need to avoid visiting the swimming pool, as chlorinated water can have an aggressive effect on healing tissues.
The operation is completed, what next?
Patients often worry about what to expect immediately after surgery.The first two or three days are the hardest and most uncomfortable.A bandage will be placed on the face and the nostrils will be closed with turundas - twisted cotton swabs.Turundas fix the nasal tissues from the inside and promote their healing in the correct position.In addition, they prevent bleeding, which is dangerous for unhealed sutures.The external fixator for the new nose is a plaster bandage or splint.The presence of turundas in the nose significantly limits breathing, and breathing through the mouth is very unusual and quickly dehydrates the oral mucosa.In addition, the presence of postoperative swelling also interferes with normal breathing, so the patient may feel like they have a cold, but the effect of a stuffy nose will disappear with the swelling.This unpleasant moment must be endured for 2-3 days, after which the turundas are removed and the patient goes home.Depending on the complexity of the operation, the patient will stay in the clinic for 2-3 days with constant care and under full medical supervision.Sometimes, less time in the clinic will be necessary depending on the complexity of the operation.
One of the unpleasant symptoms that may occur during rehabilitation after rhinoplasty may be a headache that occurs during the first two days.It can be treated with pain relievers prescribed by a doctor.
The already mentioned swelling of the nose may make the patient want to free the nose from mucus, but in no case should one blow their nose or cough, since any increase in pressure in the nose can lead to rupture of the sutures.For the same reason, after rhinoplasty, you should not catch a cold, so as not to provoke a runny nose and even more nasal congestion.After the operation, the doctor will show you how to clear your nose without risking injury.
Recovery after rhinoplasty is accompanied by slight weakness and even fever in the first days after surgery.This is normal after surgery, so it is best to give yourself a chance to rest.
After the operation, hematomas and swelling under the eyes are possible, however, in order to hide them, one should not wear glasses for 3 months after the operation: any weight and pressure on the bridge of the nose can change the results of the operation and deform the new bridge of the nose that has not yet been restored.Experts recommend not being socially active and staying home during rehabilitation.
To speed up healing, the clinic can offer special physiotherapeutic measures.They are generally carried out from the second day after the surgical procedure.In this way, rehabilitation after rhinoplasty will be easier and more comfortable than with personal care.