Plastic surgery is not only the work of surgeons, anesthesiologists 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 the preparation for it, and the actual execution.
Rehabilitation after rhinoplasty: what can cause complications
Rhinoplasty is a complex operation after which negative consequences occur in every tenth patient.Complications after rhinoplasty can be related to both the surgeon's error and the patient's violation of post-operative restrictions.
Poor qualification of the surgeon can lead to the formation of scars due to damage to the skin or cartilage tissue.Scars and adhesions in the future are quite difficult and time-consuming to treat.Bone tissue damage also indicates a medical error, fraught with disturbed respiratory function and an unsatisfactory aesthetic result.To correct this, repeat surgery is required, which is usually more difficult to perform, and the surgeon's skill must be at its best.
The consequence of the injury by both the surgeon and the patient is severe bleeding that opens during the operation.A damaged large vessel or drugs that affect blood clotting can lead to a similar complication.
Non-compliance with the rules of sterility leads to infection, if detected, it is important to seek medical help immediately.Unpleasant complications such as skin necrosis occur as a result of excessively excised surfaces.Repeated excision of damaged tissue avoids further development of tissue necrosis.
If the patient did not follow the recommendations of the postoperative period and took off the bandage too soon or did not take care of the nasal cavity properly, there is a possibility of disintegration of the stitches.This will require repeated interventions and suturing.Patients who do not take the doctor's recommendations seriously can cause not only dehiscence of sutures, but also dehiscence of bone and cartilage tissue due to the immediate desire to show off a new nose.
Due to a surgical error, various disorders are possible due to the deviation of the nasal septum, for example, difficult nasal breathing or problems with blood supply to the nasal passages.
Aesthetic complications caused by the low qualification of the surgeon include deformation of the nose in the area of the nasal bridge, 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, contouring, or autotransplantation of the patient's tissue.In order to avoid a discrepancy between the outcome of the operation and the expected effect, it is important to undergo a preliminary simulation of the results in the clinic where the rhinoplasty should be performed.
Restrictions after rhinoplasty
Rehabilitation after rhinoplasty includes a number of serious restrictions, strict adherence to which will have a positive effect on the outcome of the operation.
Smoking is prohibited two weeks before rhinoplasty and two weeks after it, because nicotine limits the access of oxygen to blood vessels and nerves and thus prevents tissue healing.Tissue necrosis develops in smokers several times more often than in patients who lead a healthy lifestyle.Recovery after rhinoplastyimposes a similar restriction on alcohol consumption.
A mandatory restriction is to sleep on your back with a high pillow in order to quickly get rid of swelling and prevent injury to the operated organ.Therefore, sleeping on the back should become a new habit for the patient.
Rehabilitation after rhinoplasty will require the patient to give up medications that thin the blood or affect blood clotting.Therefore, anticoagulants, as well as hormonal contraceptives, should not be used until the end of the recovery period.
Traumatic ball sports (basketball, football, etc.), skating, rollerblading and similar means of transportation, including alpine skiing, should be postponed until complete healing of the nasal tissue.You should not bend overhead or engage in exercises that involve sudden lifting or changing of trunk position.
During a warm shower, you must not allow the plaster to get wet, because otherwise unpleasant complications may arise in the form of suppuration or tissue infection, and the soaked plaster will no longer be able to keep the shape of the new nose.
The patient must not plan pregnancy within a year after nose correction, because recovery after rhinoplasty implies complete peace of the operated organ and the absence of any stress on the body, including hormonal.
Stress on the body also includes physical activity, which should be excluded in order for the rehabilitation after rhinoplasty to be successful and without complications.Any activity that causes increased pressure in the body can compromise healing and proper tissue fusion.In this regard, the recommendation not to be nervous and avoid stress in the light of rehabilitation after rhinoplasty seems particularly relevant, because any stress immediately affects the internal processes in the body.
Minor restrictions include a ban on decorative cosmetics and cosmetics, except for medicines prescribed by a doctor.
Rehabilitation after rhinoplasty will go without complications if you refrain from activities related to temperature changes for a month after the operation, for example, do not visit baths and saunas, it is important to avoid solariums and sunbathing, and you will also have to avoid visiting the pool, because chlorinated water can have an aggressive effect on tissue healing.
The operation is over, what next?
Patients are often worried about what awaits them 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 sticks.Turundas fix the tissues of the nose from the inside and promote their healing in the correct position.In addition, they prevent bleeding, which is dangerous for unhealed stitches.The external fixator of the new nose is a bandage or plaster cast.The presence of turundum in the nose significantly limits breathing, and breathing through the mouth is very unusual and quickly dehydrates the oral mucosa.In addition, postoperative swelling also interferes with normal breathing, which may make the patient feel as if he has a cold, but the effect of blocked nose will disappear along with the swelling.This unpleasant moment must be endured for 2-3 days, after which the tourniquets 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 full medical supervision.Sometimes it will take less time in the clinic depending on the complexity of the surgery.
One of the unpleasant symptoms that can occur during rehabilitation after rhinoplasty can be a headache that occurs in the first few days.It can be treated with painkillers prescribed by a doctor.
The already mentioned swelling of the nose can cause the patient to want to free the nose from mucus, but in no case should one blow the nose or cough, because any increase in pressure in the nose can lead to the disintegration of the stitches.For the same reason, you should not catch a cold after rhinoplasty, so as not to cause a runny nose and even more nasal congestion.After the operation, the doctor will show you how to clear your nose without the risk of injuring it.
Recovery after rhinoplasty is marked by slight weakness and even fever in the first few days immediately after the operation.This is normal after surgery, so it's best to give yourself a chance to rest.
After the operation, hematomas and swelling under the eyes are possible, however, to hide them, you 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 to be socially active during rehabilitation and to stay at home.
In order to speed up recovery, the clinic can offer special physiotherapeutic measures.They are usually performed from the second day after surgery.In this way, rehabilitation after rhinoplasty will be easier and more pleasant than with independent care.