26Feb

Rhinoplasty concept, types, conduct, indications and contraindications

Rhinoplasty refers to an operation whose purpose is to correct the curvature of the nose, which can be both congenital and acquired, as well as complete restoration of the nose in the absence of it. Nose plasty is not an operation that can rejuvenate a person, but, nevertheless, it is she who is able to change and make it completely different. One and the same person, having different forms of the nose, will be perceived quite differently. This operation, like no other, can change the appearance.

Contents of

  • 1 At what age can this intervention be carried out?
  • 2 In what cases does the surgeon want to do rhinoplasty?
  • 3 When should rhinoplasty not be done?
  • 4 What are the types of nose plasty?
  • 5 How to prepare for nose plasty?
  • 6 What can you expect after rhinoplasty during the rehabilitation period?
    • 6.1 Stages of nasal plastic surgery( video)
  • 7 What complications is the risk of nose plasty?

At what age can this intervention be carried out?

In the presence of congenital pathologies of the nose, the operation can be done, starting from the age of majority, from 18 years. However, the nose as an organ finally completes its formation towards the 20th anniversary of man, therefore the most optimal period for correction is the age from 20 to 30 years.

In what cases will the surgeon not be against to do rhinoplasty ?

man made nose plastic

Like any surgery, the operation to correct the shape of the nose has its own testimony. They are of a functional nature( violation of nasal breathing) and aesthetic( due to a person's dissatisfaction with what his nose looks like). In the first case, the operation is recommended, and the second - the indications for surgical intervention are relatively relative. In any case, each person decides for himself whether it suits his nose and whether he needs rhinoplasty.
So, nose shape correction is shown if there are following its changes:

  • Pellets on the nasal back;
  • Too pointed, hooked or thickened tip of the nose( is performed on the rhinoplasty of the tip );Excessively long nose;
  • Strongly extended nostrils;
  • Saddle-shaped nose;
  • Curved nasal septum;
  • Nasal deformities( congenital or as a result of trauma);
  • Infringements of nasal breathing or its complete impossibility.

preparation and conduct of nose plasty

When should rhinoplasty not be done?

Nasal plasty is an operative intervention and is contraindicated in the presence of any serious conditions in the body that do not allow performing surgical intervention. It is prohibited in cases where:

  • The patient's age is less than 18 years;
  • Age over forty( due to an increased risk of complications);
  • There is a pathology of the cardiovascular system( heart failure or ischemic disease);
  • There are chronic liver and kidney diseases;
  • There is diabetes;
  • Blood coagulation is disrupted;
  • In the field of planned intervention, there are skin changes( folliculitis, acne);
  • The patient has acute viral diseases, oncological processes and mental illnesses;
  • There is a pregnancy.

What are the types of nose plasty?

Depending on the technique of the operation performed, the rhinoplasty is isolated from the open and closed .A closed view is performed by performing internal incisions on the mucosa inside the nasal cavity. Plus, this intervention is that after the operation outside there are no visible traces, and all the scars are hidden inside. When using an open form of nose plastic, the surgeon provides access by making a cut in the skin fold between the nostrils. In this case, the doctor has more freedom in carrying out the operation, but then there is a scar. The closed form of intervention is technically much heavier than the open form, which requires the surgeon skillful possession of the technique of the operation.
Depending on the volume of surgical intervention, there are two types: full plastic and rhinoplasty of the tip of the nose. In the first case, the bone base of the nose( back) and tip are exposed to the change, in the second case, plastic is produced only on the nasal cartilages.
Also, in the case of nasal breathing, a correction of the septum of the nose( septoplasty) is often performed.

How to prepare for a nasal plasty?

patient immediately after surgery Before the operation, the doctor needs to conduct a thorough investigation of the state of human health, to exclude the presence of diseases in which the conduct of surgery is contraindicated. The patient receives a list of tests and examinations that he must perform before the date of the operation. Most often this list includes: clinical blood and urine tests, studies for the presence of syphilis and HIV, coagulogram, fluorography and electrocardiography. It must be remembered that the tests submitted are valid only for two weeks. If contraindications to surgical intervention are not found, the doctor necessarily conducts a conversation with the patient about what awaits him for the operation and how to prepare for it. A person is advised to give up smoking and taking all medicines for the treatment of the nose, as well as drugs that affect blood clotting( aspirin) two to three weeks before the plastic surgery. It is also recommended before the operation as much as possible to rest and not to abuse alcohol. The day before the intervention, the patient needs to take a bath, dinner should be as light as possible. Do not eat or drink five hours before surgery.
Also, before the intervention, the doctor advises the patient to visit the psychologist for the fact that definitively it is necessary to correct his appearance.
The main points of plastics, which need to be emphasized when preparing for rhinoplasty, are to learn some features of this operation:

  • The general anesthesia used is the kind of anesthesia used;
  • The duration of the intervention is from one to three hours;
  • Long stay in the hospital after surgery is not required, the patient is discharged on the same day;
  • The severity of postoperative pain requires the use of pain medication for ten days after surgery, if the bone was broken during this process. If the bone has not been touched, the pain relievers need not more than a week;
  • Very often, bruises appear after the operation;
  • After the intervention, the nose is sealed with a band-aid and a gypsum bandage is applied, which is not removed for seven days;
  • When applying seams inside the nasal cavity, a resorbable thread is used. If rhinoplasty was carried out in an open way, then under the tip of the nose there is a seam, which is removed after seven days;
  • The nasal cavity is necessarily filled with swabs after the end of the operation, which takes no more than three days. During this period, it is necessary to suffer some discomfort, and removing tampons is not a very pleasant procedure.

What can you expect after rhinoplasty during the rehabilitation period?

beautiful nose after surgery

The nose after rhinoplasty strongly swells, and the area around the eyes also swells. If the operation breaks the bones, then it becomes necessary to wear the gypsum bandage for at least a week. Appeared edema is mostly in two months during the operation in a closed way, and three months later - with open rhinoplasty. Minor puffiness may persist even longer, but it does not cause severe discomfort. The bruises pass for five days( if the bone is not broken) and after 2 weeks if broken. It is also often enough likely to preserve up to 6 months of feeling of numbness in the nasal tip. In the postoperative period the patient, as a rule, does not experience strong painful sensations. If the surgeon leaves tampons in the nose, then some discomfort may cause the need to breathe through the nose. However, most often, tampons are removed after three days. The duration of wound healing depends on the characteristics of the organism of the person and his age. After the gypsum is removed, it is necessary to visit the doctor periodically to monitor the healing process. nose plastic with a hump
After the operative intervention, it is mandatory to limit physical activity. Also recommend to give up glasses, so as not to injure another weak nose. For the prevention of nasal bleeding advise to exclude the use of too hot or cold food. Makeup to women is allowed after the tire and plasters are removed. Exit to crowded places becomes possible not earlier than the past two weeks after surgery, with bruises to be hidden and masked with makeup. At work you can go out after seven days, the only factor limiting this, can be appearance. Renewal of physical activity is recommended no earlier than one month after the rhinoplasty performed. However, contact sports are contraindicated within one and a half months.
The final result is evaluated not earlier than one year after the operation, the preliminary result is visible after six months. If the patient remains satisfied with the effect obtained after the disappearance of the edema, then no additional operations are required.

Stages of nasal plastic surgery( video)

What complications can nose plasty carry?

The most common complications of rhinoplasty are:

  • The occurrence of an allergic reaction to anesthesia;
  • Development of bleeding from the nose for 2-3 days( blocked with a swab);
  • Appearance of swelling of the nose and entire face, which will cause difficulty breathing;
  • Attachment of infection( after the operation prescribe antibiotics);
  • Scar and scar formation, which will require a re-operation to eliminate them;
  • Appearance of bruises near the eyes;
  • Decreased sense of smell;
  • Perforation of the septum of the nose;
  • Destruction of nasal cartilage;
  • The sagging of the skin due to a decrease in its elasticity, which leads to deformation of the tip of the nose;
  • Appearance on the skin of nets from small vessels;
  • Change in skin color( darkening) on ​​the nose, which can persist for a long time;
  • Subsequent nasal breathing;
  • Nasal necrosis is extremely rare;
  • Impaired sensation of the nose after surgery;
  • The lack of satisfaction with the result of the intervention.

In addition to all the above complications, the most severe of them can be a lethal outcome, due to a severe form of allergy - anaphylactic shock. The probability of death in this case is up to 20%.