Rhinoplasty – Know the Procedure, Types, Risk and Recovery

Rhinoplasty is a separate area of ​​plastic surgery to correct congenital or acquired nasal defects. With the help of rhinoplasty, you can solve the problems of nasal breathing, correct the external effects of injuries, and also carry out the correction of appearance for aesthetic reasons.

The people who are dissatisfied with the shape of their nose, rhinoplasty can be a salvation. When the nose does not match the ideal, you can correct its outlines with the help of rhinoplasty. 

This is an operation that allows you to change the shape and position without disturbing the functions of the body. And in some cases, with its help and improves the performance of the nose. 

Rhinoplasty has the ability to correct the shape of its inner part – the septum. Improve the appearance of the body and functionality by changing the cartilage tissue.

Indications for the procedure

Plastic surgery of the nose is indicated for the following problems :

Aesthetic 

Aesthetic affect mainly the parameters of beauty. In this, the person has a desire to correct the shape or length of the nose. The main requirements with which the patient comes are:

Removing the hump;

Custom shape of the tip of the nose;

Desire to lower or lift the tip;

Change the distance between the upper lip and nose;

Constriction of the nasal bridge;

Resizing nostrils;

Resizing the nose;

Nose alignment; etc.

Medical indications

There are also direct medical indications for rhinoplasty of the nose.  Usually, such operations are prescribed when they were received:

Injuries;

Burns;

Fractures of the bones of the nose; etc.

Types of rhinoplasty

There are mainly two types of rhinoplasty, which is designed to solve a specific problem and can affect different types of tissue.

The method of rhinoplasty is selected on a face-to-face consultation after visual inspection. 

Open rhinoplasty

The technique involves making an incision in the narrowest part of the median part of the nose called columella, after which the rest of the skin above the cartilage is disconnected and raised. After exposing the desired cartilage, problems with the nose are solved. 

The open appearance of rhinoplasty gives free access to the septum, which can be corrected on site or removed first and then, after elimination of the deformity, returned and fixed to the bone with sutures. It makes it possible to change the internal and external valve, which could cause breathing problems. this is the most preferred technique because of wide exposure of nose anatomy and for correction of deformities.

This technique makes it possible to improve the aesthetic appearance of the nose, but at the same time, it is accurate and cannot harm the patient.

Closed Rhinoplasty

It assumes that incisions are made inside the nose mucosa, subsequently healed scars are invisible. During the operation, the arteries feeding the tip of the nose are not damaged – the main advantage of this type of rhinoplasty. Because of what the restoration and healing of the nose occur much faster than after applying the open form. 

But in this technique, there is a huge minus – the inaccuracy of surgical intervention. During the operation, it is difficult to control each stage of its implementation, which is why it is difficult to predict its effectiveness.

Conducting a closed rhinoplasty requires a certain amount of experience from a doctor, it is better to entrust its implementation to an experienced surgeon, who has not one successful operation of this type under his belt.

Non-surgical method

Non-surgical rhinoplasty is performed without a single incision and solves, above all, small cosmetic defects. For example, smooth the sharp tip of the nose, the corners of the wings of the nose, or eliminate asymmetry.

Operation process of Rhinoplasty ( In Steps )

Surgical types of rhinoplasty consist of several stages:

1. The anesthesiologist injects local anesthesia to the patient with minor surgical intervention or places general anesthesia for more complex cases of cartilage deformity. Additional anesthesia may be performed to disable receptors.
2. In the area of ​​the columella, between the nostrils, a thin incision is made with a scalpel and the operation itself begins – open or closed. In the first case, the surgeon frees the cartilage from the skin, in the second – makes the necessary manipulations without temporarily removing the skin.
3. With the help of surgical instruments, the doctor corrects the defects discussed with the patient. If necessary, implants are inserted into the cartilage area or, on the contrary, a part of the tissue is removed. The average time range for the operation is 50-120 minutes.
4. At the end of the procedure, sutures are applied and the nose is closed with a fixing bandage. Non-operative rhinoplasty options for the correction of small sections of the nose require only local anesthesia or are carried out without it, so the correction consists of three stages – preparatory, injection and reconstructive. If necessary, the injection is repeated.

Contraindications

Contraindications to rhinoplasty are:

Chronic diseases of the heart, respiratory system;

Endocrine pathology;

Acute infections;

Blood diseases;

Serious mental illness.

Rhinoplasty is also not performed on menstrual bleeding days and during pregnancy.

Rehabilitation

The main recovery period after rhinoplasty lasts up to 3 weeks. However, the deadline for the full completion of the rehabilitation period, when the results are evaluated, is determined by the doctor and take around 6-12 months. Certain restrictions should be observed at this time.

After 1-1.5 weeks after the intervention, the plaster splint and stitches are removed. During the first two weeks, you cannot wash yourself with hot water or take hot baths, as bleeding, bruising and swelling can occur with spread to the entire face and neck. It is necessary to sleep only on the back in an elevated position, which helps to facilitate breathing. In dusty places, it is advisable to wear a protective mask on the face. Avoid tilting and lifting.

Also, within 3 months it is necessary to abandon the use of glasses and wearing tight or heavy hats. You cannot visit the pool and sunbathe for 3 months. In hot weather and in the sun, the use of an umbrella or a wide-brimmed hat is recommended.

When planning options for rhinoplasty, an experienced surgeon adheres to the principles of three types of restrictions: restrictions determined by the surgeon himself; patient limits; restrictions that are associated with the condition of the patient and the anatomical features of his nose.