Rhinoplasty transforms the patient and is considered one of the most effective methods for changing the appearance.
The face becomes open, looks younger, visible imperfections are eliminated, and sometimes breathing problems. Surgeons in our country have a sufficient arsenal of tools and techniques to give a person a new look.
But every operation has its advantages and disadvantages.
Types of rhinoplasty
How is rhinoplasty different from rhinoplasty?There is no difference between these terms.
There are several types of corrections.Here's 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 goes like this: through one or more incisions the skin is separated from the frame - cartilage, bone. Then they make a correction - the parts are removed or enlarged. The skin is then sewn. The cut of the columella is not performed. This is a common technique used by surgeons.
- Open rhinoplasty: indicated for a large volume of corrections. The incision is made in the nasal cavity and in the area of the columella.
How long does rhinoplasty last: 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 completely closed rhinoplastylasts 1 hour, open - about 1, 5 hours.
Video of the operation
To make it clear how rhinoplasty is done, we suggest you watch the video about the operation.
Non-surgical rhinoplasty
It is resorted to if small defects are to be remedied.It is performed in 5-7% of patients.
Fillers are used to smooth or change the angles of the tip of the nose, restore symmetry and mask the hump. The disadvantage of such a correction is that after 12-18 months the fillers dissolve, there is a risk of migration of the substance.
Absorbent preparations are also used. So it is possible to get rid of bumps, bumps. The technique is applied to the top, wings, supra top zone, occasionally - on the coat of arms. It goes through several stages.
Threads inserted through the stitches allow you to tighten the tip, adjust the shape of the wings. This technique is unpopular, because there is a danger of cracking the thread, the appearance of rough scars.
Before and after photos
We offer to see the results of rhinoplasty in other people in these photos.
Indications and contraindications
Indications for rhinoplasty are associated with such shape imperfections:
- Gorbinka.
- Sharp or thick, hooked tip.
- Long length.
- Wide nostrils.
- Saddle shape.
Rhinoplasty is indicated for deviation of the nasal septum, deformities - both congenital and as a consequence of trauma. The operation is performed with violation and complete cessation of nasal breathing.
The surgeon will refuse to make the correction if the client:
- Cardiovascular diseases,
- Blood clotting disorders;
- Diseases of the liver, kidneys;
- diabetes;
- Active form of tuberculosis;
- pregnancy, menstruation;
- Folliculitis (inflammation of the hair follicles), acne at the site of upcoming surgery;
- Acute viral infections;
- Cancer diseases;
- Disorders of the mental sphere.
There are also age restrictions. Rhinoplasty is not performed until the age of 18 in girls and up to the age of 21-23 in boys, which is associated with the process of forming the facial part of the skull.
Correction is not recommended even after the age of 40, due to the slowing down of tissue regeneration and the risk of complications at this age. Elderly patients have a hard time getting used to the new look and often complain about the changes.
At the consultation before the procedure, the surgeon discovers why the patient is interested in rhinoplasty, what kind of result he expects, explains the consequences and warns of possible complications.
Training
Nose correction is performed after preparation. The surgeon will tell you how to prepare for rhinoplasty.
Preparation for rhinoplasty includes standard examinations:
- Electrocardiogram.
- Chest X-ray or fluorography.
- Picture of the nose.
Refuse blood thinners 2 weeks before the upcoming procedure. 7 days before rhinoplasty it is recommended to abstain from alcohol and smoking. Light food is left in the diet during the day, and food and water are refused for 6 hours.
Before the operation, consultations with an anesthesiologist are performed. The specialist clarifies the information on the tolerability of anesthesia.
List of analyzes
Such analyzes are performed before rhinoplasty:
- Blood (general, biochemical, electrolytes, coagulogram, blood type, Rh, factor) - 14 days.
- HIV, HBS, HCV, RW - 3 months.
- Urine - 14 days.
Does it hurt?
During the rhinoplasty itself, the patient does not feel anything, because he is in a state of sleep caused by medication or the doctor uses an analgesic.
During the rehabilitation period, there is more discomfort than pain - for example, due to tampons in the nose that are removed after one day and swelling. Compared to breast surgery, rhinoplasty is said to be painless.
Rehabilitation
If an osteotomy (artificial bone fracture) is performed, then a cast is applied7-10 days. Edema that occurs in the nose and around the eyes,disappear after 10-20 days.
The doctor can preliminarily evaluate the results after 6 months, and finally after a year. How long it will take for the tissue to heal depends on the characteristics of the organism and age.
After removing the plaster, the patient is obliged to visit the doctor within the prescribed period. For a while, they refuse to wear glasses, exclude spicy and hot foods from their diet to prevent bleeding and limit physical activity.
The full course of rehabilitation lasts 6-12 months.
How long a person heals depends on the severity of the surgery and the complications.With a good course, after 10 days, the person gradually returns to a normal rhythm of life., goes 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 have rhinoplasty, especially if the surgeon does not see any abnormalities or medical indications.
An anaphylactic reaction to anesthesia is possible - a life-threatening allergy 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, side effects develop in only 4-18, 8% of patients, and every tenth in this group has complications on the skin and soft tissues.
During the operation, excessive bleeding, ruptures of the skin, mucous membranes and cartilage structures, burns, injuries of the bone pyramid and others are fixed.
In the first hours, days after the operation, anaphylaxis, vision and breathing disorders can develop. Of the hidden complications - bleeding, hematoma of the septum.
Rarelyinfection enters the wound, which requires treatment with antibiotics, in case of sepsis (blood poisoning) hormones and blood transfusions are used.
Other complications include:
- Reduced sensitivity.
- Scars, scars that require re-intervention.
- Difficulty breathing.
- Deterioration of odor.
- Perforation (holes) of the nasal septum.
- Cartilage atrophy.
- Occurrence of vascular network, pigmentation.
- Rarely - tissue necrosis (death).
In addition, the patient is not always satisfied with the result -such patients 3 out of 10.The probability that the examination will be as planned is about 70%. The nose may look too straight, look unnatural and will not combine with other facial features. Therefore, before you decide to change, you should weigh the pros and cons.
After that, another correction may be needed, which is carried out after 6 months, but not earlier. Indications are improperly sutured or excessively removed cartilage, in which the nose appears short, a small columella (lower part between the nasal passages), etc.
When is the best time to cancel surgery?
Often people with dysmorphophobia or dysmorphomania turn to plastic surgeons for help. In the first case we are talking about a painful attitude towards a minor defect or feature of the body, in the second - about an imaginary external defect.
If the surgeon has not determined deviations from the average parameters in the size of the nose, its location in relation to other parts of the face, it is recommended to consult a psychologist.
You should also study reviews about the clinic and the specific specialist. The lower the qualification of the doctor, the higher the probability of complications.