Rhinoplasty is ... Rhinoplasty (nose plastics): prices, photos before and after, contraindications, rehabilitation
More and more people are unhappy with their appearance andtry to somehow correct some parts of the body. Sometimes it comes to marasmus, but to a greater extent all of this began to be treated completely indifferently, as the demand for plastic surgery grows every year. For example, rhinoplasty is an opportunity to correct the shape of your nose, and blepharoplasty corrects eyelids, etc.
What is rhinoplasty?
Rhinoplasty is an operation that changesshape and, if desired, the size of the nose. The first such correction was carried out by a surgeon from Germany named Jacques Zhozev in the first half of the last century. After this successful experience this kind of operations began to gain popularity every day, and thanks to the constant development of medicine and equipment, it became even easier and safer. The very essence of this surgical intervention is to change the bone-cartilaginous skeleton of the nose, immediately after removal of the skin. Despite the fact that this type of procedure is already very popular, there still exists a fairly large number of myths that one way or another can scare the patient.
Myths and Reality
The first myth says that this kind of operationscan carry out any plastic surgeon. In fact, a doctor of this specialization should be able to have at least knowledge, and as a maximum - superficial skills. Unfortunately, this does not mean at all that he has enough practical experience to perform such an operation at the highest level. This procedure is very complicated, and any plastic surgeon should know all the nuances and subtleties of the structure of the nose and respiratory system, because the main task is not only the attractiveness of the patient, but also the proper operation of the organ after the operation. Thus the doctor should observe aesthetic proportions of the face.
There is an opinion that rhinoplasty of the noseis held mainly for those people who have some obsession with the alteration of their body. But the fact is that such a correction can appoint a doctor himself, in the event that the correct operation of the respiratory organ is disrupted. However, it should not be denied that the beautiful and graceful nose gives more self-confidence (especially for women), which will definitely change the life for the better. But to regard this operation as the satisfaction of its inner "ego" is completely wrong, rather, as a modern kind of psychotherapy.
Rumors that rhinoplasty of the nose are not groundlessis a painful operation. Like any other surgical intervention, it carries with it some risks, but when compared with the same breast augmentation, the former is less dangerous. As for pain, the patient will not feel it, as the whole procedure is performed under general anesthesia. After the operation, puffiness and slight discomfort persists for 5-7 days, but not more.
Some believe that it is better to carry out rhinoplasty in spring or summer, but in fact it is pure myth, since the procedure can be performed at any time of the year.
The best rhinoplasty is the one performed by a professional doctor, after which there will be no traces of intervention. Whether the operation will be noticeable or not depends initially on the degree of curvature.
Do not think that rhinoplasty is capablecompletely change the shape of the nose in such a way that it becomes perfect. Much is limited to individual features of the structure, the skin and the bone-cartilaginous frame, because of which patients can even be unhappy with the result of the operation. So, according to statistics, every tenth patient, after the tissue is healed, returns again to the doctor, in order to change the form.
Choosing a New Nose
In order to take into account the capabilities of the doctor andpatient requirements, computer diagnostics is done, after which you are provided with a photo. Rhinoplasty and, accordingly, the surgeon himself, can not go beyond safe intervention, if the shape of the nose does not allow you to get the desired result. But the doctor will be able to offer the closest to the ideal of intervention.
Based on the aesthetics of the parameters of the nose, moreattention is paid to the profile corner, which is calculated by the line connecting the chin with the forehead relative to the back of the nose. As for women, for them the rhinoplasty of the tip of the nose is actual, when it is made slightly elevated above the plane. Thanks to this correction, the face becomes noticeably younger. Do not forget that the form will be chosen by the surgeon with the maximum consideration of the facial parameters. The operation should be performed in such a way that the nose not only harmonizes with the rest of the body, but also gives the individuality to the owner.
Types of rhinoplasty
Rhinoplasty is a surgical intervention, which is represented by several types:
- open intervention;
- operation without removal of the skin (closed);
- with the use of fillers;
- repeated (secondary);
- columella operation;
- changing the shape of the nostrils;
- Rhinoplasty of the wide nose.
With regard to the first method, then for this doctormakes a cut directly on the bridge between the nostrils, thus achieving the greatest possible view for the surgeon. In this case, complete control over the progress of the operation is possible. During the closed method, the incision is made from the inside, which is why it is less traumatic, just like when correcting the shape of the nose, thanks to the use of fillers. Other types of interventions are determined based on individual anatomy.
Recently, the most popular speciesRhinoplasty is a procedure in which a correction is made to influence the age-related increase in the convexity of the back of the nose, the tip and base drop. Over time, it becomes bigger and more embossed, because of what a woman looks older. And with age, the ears also increase, so the surgeon must take this into account in the correction, so that everything is proportionate. Even with a facelift, you often need to adjust your nose relative to the new face oval. By the way, the most individual type is precisely rejuvenating rhinoplasty. Prices for this type of correction will also be different in each case, on average in Russia they range from 1500 to 2500 u. e.
There is a list of conditions in which the operation is not carried out:
- Rhinoplasty is not performed before the age of 18, unless it is a forced measure after injuries.
- Inflammatory processes of the skin in the nose.
- Serious diseases of the internal organs, which can cause complications.
- Infectious, oncological and acute viral diseases.
- Diseases of the blood.
Preparing for an operation
Quality rhinoplasty is first of allfull mutual understanding between the doctor and the patient. During the first reception the surgeon should listen to all wishes. Further, based on the requirements, the doctor should discuss possible techniques that will be relevant in a particular case. After that, various nuances are evaluated, which directly or indirectly can affect the course of the operation. The choice of this or that technique is based solely on the following parameters:
- customer requirements;
- the structure of the bone-cartilaginous corset of the nose;
- condition and thickness of the skin;
- the age of the patient;
- type of face.
At the same stage, it is necessary to conductcomputer simulation, whose goal is to create a virtual shape of the nose thanks to a special program. Regarding the choice of the procedure of the operation, the initiative is completely transferred to the hands of the surgeon. There is a careful collection of anamnesis.
The physician should inform the patient about thecorrect preparation for surgery. This refers to the exclusion of certain foods from food, the mandatory refusal to smoke and the restriction of the intake of a certain liquid, especially alcohol.
The operation can be postponed ifthe patient most recently suffered an infectious lesion of the skin, or diseases associated with the upper respiratory tract. Approximately 1-2 weeks before the correction procedure, it is necessary to completely abandon the drugs that contain salicylates, often the drugs "Aspirin" and "Alka-Seltzer."
At the moment, there is sufficientthe number of private and public clinics where rhinoplasty can be performed. The prices in such medical institutions are set depending on the level of the institution, the equipment, the professionalism of the doctors and, of course, the procedure that they offer and conduct. Often, local anesthesia is used, and several sedation cubes are injected into the vein. There are cases when general anesthesia is required. During the operation, the patient is constantly monitored by special computerized equipment that monitors the stable functioning of the heart, pulse, pressure, etc.
At the end of all surgical interventions andprocedures, the patient is transferred to the ward. Often there may be some feeling of discomfort, but all this quickly passes, thanks to the corresponding directional medication. In some operations, a special tire must be applied to keep the nose stationary and protected from accidental bruises. If rhinoplasty of the tip of the nose has been performed, then a special triangular-shaped bandage is applied for support, it is possible to use nostrils that fit inside. You can leave the clinic for several hours, but some patients decide to stay the night.
The operation itself lasts not very long, about a couple of hours, it all depends on the chosen method of intervention and the initial complexity.
The first stage implies an incisionvestibule of the nasal mucosa. After that, the surgeon needs to adjust the end section of the nose, sometimes it is necessary to change the height of the nostrils and the width of the base of the nose. After the hump has been removed or the nose has been given the necessary appearance, the final adjustment using cartilage takes place, and they can be either own or canned. During deformations, the operation proceeds in parallel with the change in the position of the nasal septum.
It is worth noting that after all themanipulation of the nose is undergoing some changes that the surgeon will not be able to predict with absolute accuracy, this can be evidenced by numerous photos. Rhinoplasty is a very complicated procedure, but nevertheless there is a small percentage of unsuccessful interventions, which are due solely to the individual characteristics of the patient.
Any surgical intervention in the body is notnaturally and does not pass without a trace, is not an exception and rhinoplasty. Surgeons, of course, must have a high level of skill, but sometimes there may be complications that are associated exclusively with individual characteristics. These include:
- anatomical structure;
- reaction to anesthesia;
- wound healing;
- nose bleed;
- general reaction of the body to a surgical operation;
The risk of complications can be reduced to zero, if you carefully follow all the recommendations of the doctor.
In the first days after rhinoplasty, the nose may becomecause some discomfort. There is also an appearance of swelling near the eyes, but after 4 days after the operation there will be no trace left of them. Already after 2 weeks, the nose will almost completely fix its final shape, but still full formation takes place within six months. During this period, it is necessary to be especially careful when taking care of the skin in the region of the nose, because it will become especially susceptible to damage. During this period it is recommended to refuse to visit the sauna and wear glasses for a month and a half.
Return to normal life
If you do not burden yourself with large physicalload, then begin their daily life, or even work, can be as early as 1 week after the end of the operation. As for the resumption of sports, it is recommended to proceed to them no earlier than 3-4 weeks. Also, avoid direct sunlight on the face. In fact, anyone can do rhinoplasty, but to obtain and fix the desired result will be possible only with full compliance with all the recommendations of the doctor.