Otoplasty (ear surgery)

If you want a beautiful nose, rhinoplasty!

Perfect proportions are rare by nature, so often the beauty and aesthetics of the face are hampered by a nose that is too large or small, too wide or narrow, crooked or flattened.

Sometimes rhinoplasty is due to medical reasons - for example, if a deviated septum resulting from an injury makes breathing difficult and leads to discomfort.

Rhinoplasty allows you to:

• adjust its shape,
• lengthen it or shorten it,
• adjust the tip of the nose, the shape and size of the nostrils,
• remove the hump, as well as cope with other imperfections.

Important! Initially, every patient must understand that rhinoplasty is a complex operation, the results of which, on the one hand, should not disrupt the normal physiology of the nose, and on the other hand, cannot exceed a certain limit determined by its anatomical structure.

Preparing for surgery

To prepare for surgery, it is necessary to undergo tests, examine the nasal septum, and intranasal pressure. The doctor conducts a consultation, identifies the specifics of the problem, and finds out the patient’s wishes.

At the end of the examination, the stage of modeling the future shape of the nose begins. The doctor and patient must jointly choose the optimal model of the nose shape. The doctor takes into account all the structural features of the patient’s nose and the best preservation of its functions, and it is important for the patient to evaluate the model so that after the operation the nose emphasizes the attractiveness of the face and the result brings pleasure.

Operation

Rhinoplasty can last from 30 minutes to 3 hours. Most often it is performed under general anesthesia, because... because it is completely safe for the patient and does not leave any memories of the operation.

Operations are performed closed or open. Closed ones are performed inside the nasal cavity, under the wings. In open surgery, a small incision is made in the columella, the front part of the nasal septum. The recovery period for closed surgeries is usually shorter.

What types of blepharoplasty do I perform?

Lower eyelid surgery

An operation to eliminate bags under the eyes and fatty hernias. The procedure is performed under local anesthesia. The operation can be performed both at a young and at a more mature age.

An incision is made a few millimeters from the eyelash edge. Excess fat tissue and skin are removed through it. Then stitches are applied.

Upper eyelid blepharoplasty

Plastic surgery to eliminate sagging folds on the upper eyelids. Not only excess skin is removed, but excess adipose tissue in deeper layers is removed. The procedure is performed both for older people and for younger people, under local anesthesia. The operation lasts 20-40 minutes.

The incision is made according to preliminary markings with excision of excess skin. Then the hernias of the upper eyelids are eliminated. After this, a new fold of the upper eyelid is formed and a neat suture is applied.

Circular blepharoplasty

Combines both upper and lower plastics.

Transconjunctival blepharoplasty

This is a less traumatic plastic surgery that allows you to remove bags under the eyes without cutting the skin. This operation is possible when there is no excess skin.

The essence of the technique is that a small incision is made on the inner surface of the lower eyelid, through which the hernia is removed, and then the conjunctiva is sutured with absorbable thread. In this case, the amount of skin remains the same. This type of blepharoplasty is effective at a relatively young age, when the skin still retains its elasticity and firmness. As a result, no scars are visible.

"Sangapuri" or Asian eyelid surgery

This plastic surgery is aimed at changing the Asian shape of the eyes and forming a Caucasian fold. The operation lasts 30-60 minutes, is performed at any age and is performed under local anesthesia.

The following stages of blepharoplasty of Asian eyelids are distinguished: 1. The boundaries of a new fold of the upper eyelid are formed. To do this, part of the adipose tissue is removed.

Next, the epicanthus is removed and a new fold of the upper eyelids is formed.

Canthoplasty

This procedure is used to change the shape of the eyes. There are two types of such operations:

When an incision is made on the inner corner of the eyes (most often, internal canthoplasty is necessary for people with the so-called “Mongolian” fold)

When the incision is made on the outer corner of the eyes (allows you to lengthen the shape of the eyes and make them more open)

Rehabilitation period

After the operation, the patient is usually in the hospital, under the supervision of doctors, for two days. After rhinoplasty, you are prescribed to wear a special butterfly bandage for 10-14 days. Swelling goes away in 2-3 days. After 7 days, the nose acquires an aesthetically acceptable appearance. Full recovery takes no more than six months.

Rehabilitation after rhinoplasty

When working with the cartilage and bone structures of the nose, it is impossible to completely avoid bruising and swelling, but after 2 weeks you can return to normal life. As a rule, there is no pain after rhinoplasty, but if it suddenly appears, it can be easily relieved with simple painkillers.

After the operation, the patient is in the hospital, a bandage is applied, which restrains swelling and shapes the nose for a week. After 7-10 days, the bandage is removed. After removing the plaster cast, swelling will appear, and difficulty breathing may occur due to swelling of the mucous membrane inside the nose. The swelling will go down in 2-3 days, and breathing will be restored. After 7 days, the nose acquires an aesthetically acceptable appearance. Full recovery takes no more than six months.

Rehabilitation period

Otoplasty does not require long-term rehabilitation: the sutures heal quickly, the pain syndrome is mild and easily relieved with painkillers, and a hospital stay is not required.

• After the operation, the sutures are removed after 10 days. The bandage should be worn at night for 1 month so as not to damage the ears that have not yet fully healed during sleep.
• Avoid traumatic effects on the ears for 2 months. You will have to refrain from extreme and contact sports for about six months.
• Correcting the shape of your ears will forever help you get rid of the feeling of discomfort, psychological complexes, and restore harmony in your appearance.

Make an appointment with a plastic surgeon by calling +7 (8452) 911-112 or on-line.

Why do they resort to rhinoplasty?

• deviated septum
• impaired breathing
• hump
• disproportionately large nostrils
• long, too big or small nose
• "dangling" drooping tip

Restrictions

After rhinoplasty it is prohibited:

• remove tampons yourself;
• sleep on the nose;
• visit the pool for 2 months;
• heavy physical activity;
• severe nose blowing for 2 months;
• remove, move, adjust the bandage;
• pull out and trim threads;
• do any cosmetic procedures on the skin of the nose for 3 months.

Complications

Complications after rhinoplasty are rare. In theory, there may be breathing problems, pus, or bleeding. But if you follow all the recommendations, the recovery will take place without problems.

Breast augmentation

At the SOVA clinic, implants are installed through 3 types of approaches: 1. Submammary (inframammary) An incision is made under the mammary gland, mainly on the large breast. access is achieved through an incision along the fold under the mammary gland. This is the most commonly used and convenient access for installing large implants.

Advantages: the breast tissue is not damaged and the patient can plan a pregnancy and breastfeed in the future 6 months after the operation. Disadvantages: during the operation, if the bust is small, a visible scar may remain.

2. Periareolar (around the nipple)

The implant is installed through a pigmented areola.

Advantages: after healing, the scar becomes pigmented and becomes almost invisible. In addition, with this access it is possible to perform areola correction.

Not recommended: for women planning to breastfeed, as the operation may damage the excretory ducts of the mammary glands. Some colleagues note a decrease in nipple sensitivity in patients in the postoperative period.

3. Transaxillary (axillary)

The incision is made in the armpit. For installation through this access, endoscopic technology is used; the formation of the implant bed occurs under the control of a camera, with the help of which the image from the surgical field is transmitted to the monitor.

Advantages: invisible scar. Disadvantages: inability to install implants with a volume of more than 350-375 ml.

Types of implants: Round and anatomical. A plastic surgeon will help you decide on the choice of implants during a consultation, focusing on your preferences and wishes.

Breast augmentation surgeries often combine breast augmentation with implants and breast lift. This allows you to achieve the ideal breast shape for the patient.

Rehabilitation period: Many women are worried about when, after surgery, they will be able to return to their normal lifestyle - work, play sports, go to the pool.

Rehabilitation period after breast augmentation: The patient remains in the clinic for the next 1-2 days after the operation under the supervision of surgeons. Cosmetic absorbable sutures are used.

• You can take a shower no earlier than 4-5 days after the operation.
• It is recommended to wear special compression garments for about a month and a half to maintain breast shape.
• It is recommended to limit physical activity for 2 weeks.
• You are allowed to return to sports training after 1.5. months

What tests are needed for breast augmentation?

• General urine analysis
• General blood analysis
• Blood test for RW (syphilis)
• Blood test for HIV (valid for 6 months)
• Blood test for hepatitis B, C (HbS-Ag, Anti-HCV) (valid for 6 months)
• ECG with interpretation
• Examination by a therapist and conclusion that there are no contraindications to surgery
• Biochemical blood test (urea, creatinine, bilirubin, total protein, blood glucose)
• Blood group, Rh factor
• Ultrasound of the mammary glands
• Mammography (for patients over 40 years old)
• Coagulogram

Detailed information about the necessary tests, indications and contraindications for breast augmentation can be obtained at a consultation with a plastic surgeon in Saratov at the SOVA clinic.

Make an appointment by calling +7 (8452) 911-112 or on-line.

“Myths” about rhinoplasty

“Rhinoplasty can give you any size and shape”

There are certain limitations associated with the characteristics of both the bone structure and soft tissues: each patient has their own. In addition, it does not always make sense to change your nose beyond recognition, since the aesthetic result depends not only on the shape and size, but also on how harmoniously it looks on your face.

“Nose job is painful”

For this operation, general anesthesia is most often used so that patients do not feel pain or discomfort. Any discomfort in the first days of the rehabilitation period can be neutralized with painkillers, but the real need for this arises in no more than 6% of cases.

“Plasty does not leave scars”

This is not entirely true: when performing rhinoplasty with an open approach, a W-shaped incision mark will remain in the middle of the columella, but don’t worry - after a few months it becomes barely noticeable, and after a year it is almost impossible to find it even for the patient himself.

“The nose will look unnatural”

To carry out this type of operation, you definitely need a consultation, where, taking into account the characteristics of your appearance, we will determine the shape and profile of the new nose so that it looks natural. With a high-quality operation, no one will even notice that there was a surgical intervention.

“Special care of the nose is required after surgery”

Of course, in the first time after surgery, the nose does require special careful care and remains quite vulnerable, but in the future no problems arise with it. Some experts believe that the nose even becomes stronger due to the formation of bone calluses.

Rhinoplasty in Saratov, performed using the latest methods, at the level of world standards, is real! Candidate of Medical Sciences, plastic surgeon, E.A. Dobreikin invites you to make an appointment!

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