Rhinoplasty or rhinoplasty is a branch of plastic surgery that specializes in correcting congenital or acquired deformities, as well as the restoration of certain segments of the nose or the entire organ.
Rhinoplasty surgeries can increase or decrease the size of the nose, change its shape and eliminate breathing problems. The aesthetic goal of rhinoplasty is to achieve harmony in facial features by correcting defects in the nose. As a rule, this type of operation is performed after the age of 18-21, because by that time there is a physiological growth of bone and cartilage tissue.
The task of rhinoplasty is to restore the correct shape and function of the nose that are impaired as a result of injury or in the period of embryogenesis. Rhinoplasty is a series of different surgeries, which will be discussed in more detail below.
Israeli clinics provide excellent results, and the medical care provided meets the expectations of 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 peels off the frame (cartilage and nasal bones). This method is used to change the shape, remove cartilage and excess bones, etc. If a large volume of surgery is planned, open rhinoplasty of the nose is prescribed when incisions are made on the columella (vertical skin fold that separates the nostrils).
Nasal correction is divided into primary and secondary. A revision or secondary plastic surgery is performed to eliminate the defects that remain after the primary surgery.
In recent years, fillers are actively used in rhinoplasty if it is necessary to correct minor imperfections of the nose: change 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 first consults a plastic surgeon, examines the shape of the nose, the condition of the tissues, and diagnoses nasal breathing 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, rhinoplasty of the nose is done together with an otorhinolaryngologist and a plastic surgeon.
As a rule, general anesthesia is used in combination with local infiltration anesthesia during surgery. The duration of rhinoplasty depends on the complexity and lasts 1-2 or more hours. To give the nose an aesthetically pleasing size and shape, the surgeon changes the frame of the bones and cartilage. Properly performed rhinoplasty in Israel and the absence of complications - and postoperative scars will not be visible.
Recovery period after nose correction
After the operation, tampons are installed in the nasal passages, and they are removed after 2-3 days. To solidify the new shape, a special plaster or colloid sticker is applied for five to seven days (if the plastic has touched the cartilaginous part of the nose) or twelve to fourteen days (if it is the bone part).
As a result of swelling, nasal breathing may be difficult in the first weeks. Bruises and swellings disappear within ten to fourteen days. It is not recommended to wear glasses for a month and a half after nose correction. The full course of recovery lasts six to eight months, then the final results of the operation will be visible. Smoking and taking certain medications can slow recovery.
Rhinoplasty in Israel: removal of the hump of the nose
This operation is multi-stage. In the process of its application, the osteocartilaginous protrusion of the posterior part of the nose is eliminated. Humpback can be caused by trauma or hereditary factors.
If the hump of 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 bone-cartilage base of the nose - the skeletalization phase. After that, the cartilage is cut and the cartilaginous segment of the septum is gradually removed, starting from the smallest volume. The bony component of the hump of the nose is then excised.
After the hump is removed, the skeleton takes the shape of a truncated pyramid. Osteotomy is performed to connect the nasal bones and remove the wide platform. The surgeon dissects the bone tissue of the lateral slopes and brings them closer to the upper segments. To correct 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 placed to fix the new position of the tissue. The plaster is removed after eight to ten days.
Bleeding and swelling in the area of the nose persist for several weeks after the removal of the hump of the nose. As the edema subsides, nasal breathing returns. The final result of the operation can be estimated in six months, when the tissues are completely regenerated.
Nasal septoplasty in Israel
This is an operation for the correction of the nasal septum while preserving the bone and cartilage frame. This type of plastic enables the achievement of an aesthetic result and the elimination of breathing difficulties.
The nasal septum is a thin vertical plate of bone and cartilage, which is easily deformed, which leads to damage to respiratory function and deterioration of aesthetic appearance. Reasons can be injuries, rickets suffered in childhood, hereditary predisposition.
Contraindications are:
- severe pathology of internal organs;
- oncology;
- infectious diseases;
- blood clotting problems;
- diabetes.
Indications for nasal septoplasty:
- allergic pathologies (itching, runny nose, etc. );
- nasal breathing difficulties 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 elimination. The indication for surgery in Israel is determined by an otorhinolaryngologist based on the anamnesis and diagnosis (rhinoscopy). Before the operation, laboratory tests, ECG, X-ray of the lungs are performed.
Infiltration anesthesia (injections into the nasal septum), local application anesthesia (turunds impregnated with anesthetics are injected into the nasal passages), as well as general anesthesia can be used as painkillers.
In septoplasty in Israel, the surgeon makes an incision inside the nose or endonasally, as a result, there is no visible postoperative scar. On both sides of the nasal septum, it exfoliates the mucosa, highlights and removes curved parts of bone structures and quadrangular septal cartilage. After the correction of the nose, sutures and tamponade are applied with finger tampons or gauze. A belt-like bandage is placed on the nose.
Also, septoplasty in Israel is performed by endoscopic approach. The fiber optic endoscope is inserted into the nasal cavity, which allows you to see hard-to-reach areas on the monitor and perform the operation as correctly as possible. This type of nasal septoplasty provides minimal cartilage and tissue damage, reducing the recovery period.
In addition, laser septoplasty is used in Israeli clinics, which can prevent the development of bleeding and edema, because the laser "seals" blood vessels by cutting tissue. 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 an hour and a half.
This type of rhinoplasty is quite easy to tolerate. The patient is in the hospital until the nasal swabs are removed. Ten to fourteen days is enough to restore working ability, full rehabilitation takes about a month.
Rhinoplasty in Israel: convergence of the nasal bones
Osteotomy in Israel (bone repositioning, bone convergence) can be a stand-alone operation to correct the shape of the nose, or one of the steps to remove the hump of the nose. Thanks to this type of plastic surgery, the surgeon achieves ideal proportions of the nose to the proportions of the face, reducing the lateral bones of the nasal bridge.
In the process of osteotomy, it connects the walls of the bone pyramid, after which the cartilage attached to the bones moves. As a rule, the skin adapts to the changed contours of the back of the nose without much difficulty.
Of the total time of rhinoplasty, osteotomy lasts a few minutes. After the correction, the nose is glued with a surgical band-aid and fixed with a bandage to keep the shape and protect it from damage.
Hematomas and edema disappear within 2 weeks. New contours are finally formed within a year.
Rhinoplasty in Israel: support for the tips of the nose
The support for the tip of the nose is provided by a stable, strong and correct cartilage arrangement. They are usually slightly above or below the line that extends along the back of the nose.
Insufficient support is caused by unwanted consequences of rhinoplasty (when adequate support is not provided) or aging-related tissue ptosis processes (weak ligaments that support cartilage).
To create support, the entire outer nose is shaped proportionally and correctly. The norm is the nasolabial angle (formed by the upper lip and columella) - 90-120 °.
During rhinoplasty in Israel, the tip of the nose can be raised seven to eight millimeters above the line of the back profile. The skin of the top is difficult to adapt to changes because it is less elastic and thicker.
Transplanted cartilage grafts - "props" can be used to restore support. The surgeon places such cartilage between the lateral cartilages and fixes it, and then cuts it to the desired size.
Also, the top of the 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-care. The ideal source for transplantation is cartilage from the nasal septum.
If it is not possible to get a transplant from the top, the cartilage can be taken from the pin. However, it is considered that it is not strong enough to withstand the pressure and form. Therefore, ear cartilage is often associated with a strong and thin bony nasal septum. Part of the bone was glued to the cartilage transplant.
Rhinoplasty in Israel: shortening of the nose
Nose shortening is a plastic surgery that reduces the length of the outer nose. The length of the septal cartilage is most often reduced, in rare cases the lateral wall of the nose, which consists of large alar, triangular cartilage and bone.
Different methods are used to estimate the length of the nose. The most common method is to measure the distance from the tip of the nose to the bridge of the nose. Another method involves determining the size of the nasolabial angle.
As we age, the ligaments that hold the cartilage weaken, the tip of the nose lowers and visually increases its length. For that reason, in adulthood, patients have shorter nose lengths than in young people.
Types of operations in Israel that shorten the nose
In the long nose, as a rule, the cartilaginous and bony parts 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 that shorten the lateral cartilaginous wall of the nose or resection of the distal septal cartilage are performed.
In the second option, partial resection is performed using infiltration anesthesia. The surgeon performs 2 transfection parallel incisions, through which he resects the cartilaginous septa from the mucosa and cuts the skin strips in the area of the columella. The incisions are then sutured with catgut threads. As a result, the nose shortens and the nasolabial angle increases.
Another way is to increase the nasolabial angle by placing silicone or cartilaginous linings in front of the maxillary spine.
Rhinoplasty in Israel: correction of the tip of the nose
This type of rhinoplasty in Israel can be reported in several ways. The operation is performed on the terminal part of the outer nose: its shape is improved by removing deforming or excess parts of the cartilage tissue and a new position is fixed.
Correction of the tip of the nose is a complex aspect of rhinoplasty, whose task is to restore harmonious anatomical properties without disturbing the supporting structures of the organs.
Due to the variety of options for correcting the tip of the nose, Israel is developing an individual rhinoplasty plan that takes into account cartilage strength and shape, skin thickness, nose width and length, nasolabial angle, anatomy, vault angles, back contour and patient preferences.
To narrow the tip of the nose, the surgeon cuts out segments of the alarm cartilage and partially removes adipose tissue. A variant in which the domes are dissected and sutured, narrowing or joining together can also be used.
Rhinoplasty in Israel: repositioning a broken nose
This nose correction operation involves returning the displaced bone fragments to their normal position. The optimal time for this plastic is the first hours after the fracture, until the development of soft tissue edema or the next 3-7 days, when the edematous condition decreases. A callus forms 10 days after the injury, so repositioning can no longer be performed.
Forty percent of all cases of facial injuries are fractures of the nasal bones, caused by sports injuries, street and domestic fights, traffic accidents, falls. Such a fracture can be closed and open, without displacement and with displacement of bone fragments. Symptoms of a fracture are deformity of the outer nose, swelling, pain, mucous discharge, bleeding, wounds, scratches, 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, external and endonasal examination, endoscopic examination, radiography of the nasal bones can be performed.
A fairly common consequence of bone fractures is 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 may be a hematoma of the nasal septum below the mucosa, narrowing the lumen of the nasal passages and making breathing difficult. Perhaps its suppuration and subsequent destruction of cartilage. Therefore, quality and prompt medical care for nasal bone fractures is extremely important.
Cold (ice or cold compresses) can be used as a first step to reduce swelling and pain and stop bleeding.
In an Israeli clinic, plastic surgeons are repositioning bone fractures. For the first 6-7 days, repositioning is performed manually with the use of local anesthesia in order for the bones to grow properly in the future. A solid tamponade of the cavities is performed with turundas to press and support the nasal skeleton. A bandage is placed on the outside.
Self-reduction is strictly forbidden 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 grow together properly, patients are often forced to turn to rhinoplasty later. In order to restore the disturbed breathing, the deviation of the septum is corrected - rhinoseptoplasty is performed.
Rhinoplasty in Israel: correction of the nasal wings
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 violation. Tissues surrounding the defect are mobilized for repair or cartilage or skin graft is moved.
Nose wing correction can be a stand-alone operation or the final stage of rhinoplasty in Israel.
Defects of the nasal wings are acquired and congenital in nature, 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 using local infiltration anesthesia. If there are extensive defects, intravenous anesthesia is used.
Sometimes the tip plastic is used to correct the wings of the nose. In this case, this operation ends the rhinoplasty. If aesthetic defects are pronounced, the correction is performed in the main phase of the operation.
When it is necessary to reduce the distance between the wings of the nose, cuts are made at the base of the wings from the vestibule and along the contour. Skin and mucocutaneous segments are excised, hemostasis is performed and sutures are placed. The scars are located in the folds of the wings 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 withdrawal or injury), move areas of adjacent tissues, transplant a skin flap or its own cartilage from the earlobe or nasal septum, 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 includes complex rhinoplasty that is performed in the structural segments of the outer nose and in the thickness of the organ tissue. They can reduce the length of the nose, change its shape, remove the hump, narrow the width of the back, adjust the tip. Together with plastic, they restore respiratory function and normal cavity architecture.
This operation is most often performed after an injury.
In most cases, the correction is performed with a closed (endonasal) approach, excluding external skin incisions. Surface manipulations can be performed under local anesthesia and intravenous sedation, operations on deep structures require general anesthesia. This nose correction is possible in the age group - 18-40 years.
Rhinoplasty in Israel can be combined with the following plastic surgeries: blepharoplasty, facial tightening, 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 computer-modeled. In case of violation of nasal breathing, examination of the nasal cavity is performed, radiography or tomography.
Modern rhinoplasty in Israel uses economical techniques that give excellent results and minimize the likelihood of complications.