Correction of the nose through surgical intervention is positioned as one of the most popular and popular procedures, because it is with its help that results such as correcting irregular shapes, eliminating external imperfections and restoring the functioning of the organ are achieved. The recovery process after rhinoplasty can be described as short, associated with a minimum of side effects. But the final result of the operation depends on compliance with the rules of rehabilitation as a whole.
What is this procedure?
If aesthetic defects are observed at the tip of the nose, the plastic surgeon surgically corrects the location of the soft tissue, columella and cartilage located in the nasal area. During the operation, soft tissue is separated from the nasal cavity and bones, and the shape of the tip of the nose is changed.
Several methods are used for correction:
- Closed method.
- Open method.
- Non-surgical method (contour plastic surgery).
Important! Each specific case requires a separate decision. In general, nasal tip rhinoplasty is no different from rhinoplasty itself.
The nose and its unpleasant features
Most often, the nose creates problems for its owner, because due to congenital characteristics or after injury, it can significantly spoil the appearance. This especially spoils the lives of young women and girls - either an irregular nose, or prominent plump cheeks, or the shape of the lips does not at all fit the generally accepted standards of beauty for a certain period of time. Today, plastic surgery will help to radically change the nose, making it the way the owner wants to see it or the doctor recommends. Rhinoplasty of the nose is a very popular procedure nowadays; its features are described below.
Photos before and after rhinoplasty
Check out the photos before and after nose surgery:
Service cost
The price of rhinoplasty depends on the region, the level of the medical institution, the doctor’s experience, and the volume of intervention. Often the clinic’s price list indicates an amount that is not final.
Particularly trustworthy are centers that offer a turnkey package and accompany the patient for a year after surgery.
The full range of services should include:
- consultation with 3D modeling;
- placement in a hospital with meals;
- the work of the medical personnel involved (anesthesiologist, surgeon and assistant);
- anesthesia;
- eliminating the defect;
- materials used during and after surgery;
- examinations and dressings.
The average price for tip plastic surgery ranges from 150,000 to 250,000 rubles; work on the entire length of the nose will cost 250,000-300,000 rubles.
Contraindications
Any surgical intervention has its limitations . It is not permissible to do this procedure if:
- an inflammatory process was detected inside the nasal cavity or on the mucous membrane;
- chronic ENT disease is in an acute stage;
- period of the menstrual cycle in female representatives;
- the woman is pregnant or breastfeeding;
- The patient has an advanced infection;
- cancer;
- liver or kidney diseases are chronic;
- diabetes;
- herpes rash;
- poor blood clotting;
- increased body heat, fever.
What happens?
Open way
There is a bridge between the nostrils of a person.
This is where open rhinoplasty is performed. The doctor makes a small incision to release the pterygoid cartilage and corrects the tip with sutures. During the operation, cartilage support material is used, which cannot be used with the closed method.
Closed method
With this method of correcting the tip of the nose, the doctor makes the incision inside, so the scars are not visible. The disadvantage of a closed operation is the inability to properly control the tissue and blood vessels, which is why hematomas then appear, slowing down the healing process.
But this rhinoplasty also has its advantages: swelling is less evident, and there is practically no scar deformation. And the procedure itself takes little time, unlike the open method.
How is rhinoplasty of a wide nose (tip and back) performed?
The operation has its own subtleties if different parts of the nose are corrected. It is usually done under general anesthesia, but if only work with cartilage is intended, local anesthesia is also used. Incisions are made at the base of the nose, exposing the areas to be changed. If a closed method is chosen, access is made through incisions on the mucous membrane, inside. There are 2 types of operations:
- Back correction . The goal here is to bring the widely spaced bones closer together. They are broken using a tool and excess segments are removed. Sometimes just an osteotomy and moving the bones is enough to narrow the nose.
- Tip correction . This part is made wide by excess cartilage tissue. It is removed and the remaining parts are connected. Sometimes it is possible to do without resection of the lower cartilage. The widely spaced components of the tip are pulled together with surgical sutures.
Rhinoplasty is completed by suturing the wound. Tampons are placed in the nostrils and a plaster bandage is fixed on top.
To learn how wide nose rhinoplasty is performed, watch this video:
Preparation
The surgeon visually examines the patient’s nose and determines the volume and progress of the work being performed, taking into account the anatomical structure of the nose, the thickness of the skin, etc.
You need to start preparing for surgery a couple of weeks in advance:
- do not drink alcoholic beverages, do not smoke;
- do not sunbathe;
- do not take antithrombotic medications that thin the blood;
- adhere to a gentle diet;
- You should not eat or drink for several hours before surgery.
The preparatory period includes the following tests:
- blood and urine tests;
- calculation of prothrombin index;
- blood for hepatitis, HIV;
- tumor marker test;
- ECG, FLG;
- tomography of the nasal sinuses.
Carrying out the operation
Both general anesthesia and local anesthesia are used.
The duration of the surgical intervention is purely individual, from 1 to 2 hours. In the most severe cases, the operation can take up to 3 hours. During rhinoplasty surgery, the plastic surgeon touches the columella, cartilage and soft tissue of the nose. During surgery, the doctor takes into account the anatomical structure of the patient’s nose:
- How thick is cartilage tissue?
- Nostril shape.
- Nose strength, etc.
Rehabilitation
Attention! The postoperative recovery period passes without any complications.
- After the operation, the patient is allowed to drink and eat after 3-5 hours. Consume up to 2 liters of water per day. Eliminate salty/spicy foods from the menu.
- The first couple of days the patient will feel slight weakness. There may be bruises or swelling on the face. The last defect on the face can last up to one month. Swelling does not interfere with breathing.
- You will have to refrain from physical activity for some time.
- Do not sunbathe, do not smoke, do not drink strong drinks or coffee.
- Cold and heat are contraindicated.
- Maintain personal hygiene.
Consequences
After surgery, undesirable consequences may occur, leading to various complications.
Here everything will depend on the individual characteristics of the body and the qualifications of the doctor. The consequences of correction of the nasal tip may arise due to the following points:
- After rhinoplasty, swelling occurred at the tip of the nose.
- Bloody discharge is observed at the surgical site.
- Scarring.
Swelling is a temporary phenomenon. Swelling is quite natural for this type of operation; it occurs in almost everyone who has undergone rhinoplasty. Severe swelling on the face will disappear in a few days, and in the nasal cavity - later. Scarring of the tissue will depend on the correctness of the operation and the experience of the plastic surgeon.
Read about the consequences and complications after rhinoplasty here.
Types of rhinoplasty
In accordance with the goal pursued and the technique of surgical intervention, plastic surgery on the nose is divided into:
- Reconstructive, the purpose of which is to restore anatomical disorders resulting from abnormal intrauterine development, traumatic injuries or diseases.
- Aesthetic – correction of existing deficiencies.
In accordance with the same criteria, there are several types of rhinoplasty:
- Reduction or enlargement of the nose.
- Back alignment - correction of the saddle-shaped depression or elimination of the hump.
- Correction of aesthetic imperfections of the tip of the nose.
- Correction of the nasal septum (septoplasty).
- Post-traumatic reconstruction of the structure.
All types of operations, in turn, are divided into:
- primary;
- secondary, or repeated.
Repeated plastic surgery
Often it is not possible to improve the shape of the tip of the nose and solve the aesthetic problem the first time. I have to do rhinoplasty again. It happens that patients themselves remain dissatisfied with the result obtained after correction and demand that the work be redone even if there are no objective reasons for this.
There are clear criteria according to which the likelihood of revision rhinoplasty increases:
- The nasal septum is skewed.
- The nasal septum was partially destroyed or excessively deformed.
- The patient had difficulty breathing normally and had a headache.
- The sense of smell is partially or completely lost.
- Unexpected result after the first rhinoplasty: drooping of the tip of the nose, the wings have become disproportionate, the nose is too narrow (how to avoid an unsuccessful operation?).
- Noticeable scars, a hump, and depressions appeared on the nasal surface, which had not been observed before.
- Change in color of the skin of the nose.
- Infection or inflammatory process.
- Heavy bleeding.
Our website tells not only about rhinoplasty of the tip of the nose, but also how to correct the nose with a “potato”, as well as the correction of the wings and other parts of the nose using various techniques, including thread rhinoplasty.
Why is this type of surgery performed?
Plastic surgeons consider rhinoplasty to be the most difficult manipulation of the olfactory organ. This is due to the fact that the nose is considered one of the most vital organs and its damage is unacceptable. It is for this reason that specialists involved in such work require high medical qualifications. This remark applies not only to the surgeon, but also to the anesthesiologist and nurses.
Experts highlight functional and aesthetic indications for performing this type of nasal surgery. However, as a rule, the patient has both types of indications. For example, if we take the internal curvature of the septum of the olfactory organ, the latter not only spoils the aesthetic appearance of a person, but also interferes with normal breathing. Therefore, if we highlight the indications more specifically, they will be as follows:
- deformation of individual parts of the olfactory organ;
- disruption of its physiological functions as a result of the transferred form;
- patient dissatisfaction with the appearance of the nose.
The aesthetic indications for rhinoplasty include:
- saddle-shaped nose;
- presence of a hump on the back of the nose;
- hooked shape of the tip of the organ;
- excessively pointed or thickened tip of the olfactory organ;
- excessively long nose;
- asymmetrical wings of the olfactory organ;
- presence of dilated nostrils.
As for the presence of defects, the surgeon determines them by taking special measurements and comparing them with the average statistical data. If a patient has a mental disorder expressed by excessive concern about the presence of minor defects, then such a person will need to consult a psychologist.
As for aesthetic indications, rhinoplasty is performed only on adult patients whose body is fully formed. If we talk about contraindications to such manipulations, then it is worth noting the presence of pathologies of the cardiovascular system, kidneys and liver, diabetes mellitus, mental and oncological diseases, as well as blood clotting disorders. This kind of surgery is not recommended for people over the age of 40, since by this time the regenerative ability of tissues decreases.
