In practice, the technique of constructive rhinoplasty is often used specifically to make the shape of the nose easier to predict and make it as aesthetically pleasing as possible! Structural rhinoplasty of the nose is performed only openly and guarantees a gorgeous result that will accompany you for the rest of your life!
The nature of facial perception is largely determined by the neatness of the appearance of the nose.
Thus, the optimal length of the back of the nose is the distance that is approximately 1.68 above the very tip. The best proportionality in the size of the nostrils should be no more and no less than 2/3 of a triangle, which can be seen in the proportions.
What is nose tip rhinoplasty?
The operation of rhinoplasty of the tip of the nose is a very difficult and quite popular type of plastic surgery, which is aimed at transforming the shape of the nose and its angle of inclination.
As a rule, it involves raising the tip of the nose or narrowing it, as well as additional correction of the wings of the nose and nostrils.
This procedure is in demand among those who have already had experience in rhinoplasty (unsuccessful), or after serious injuries. She is excellent at achieving facial aesthetics to improve the client's appearance.
Alternative methods
In special cases, when tip correction is extremely necessary, but the patient does not dare to undergo complex surgical intervention, or there are contraindications to its implementation, non-surgical correction may be an alternative solution.
This technique allows you to correct the defect with the help of fillers, which will serve as fillers in the formed or pathological space. This will give the nose the correct outline and shape.
Substances are injected under the skin and can have different structures, which affects the duration of their effectiveness. As a rule, the main active ingredients of fillers are:
- hyaluronic acid;
- collagen;
- synthetic materials.
In particular, non-surgical rhinoplasty involves the use of special threads, which can also change the shape of the tip of the nose.
It is worth noting that you should not expect pronounced results when using this material. The threads can slightly smooth out the shape of the tip and eliminate tubercles and pits.
In the video, watch the process of rhinoplasty of the tip of the nose.
Indications for rhinoplasty of the nose
With the help of correction, the following aesthetic problems can be eliminated:
- Reducing the volume of the “potato nose”.
- Creating a thin and graceful nose tip.
- Elimination of bifurcated cartilage.
- Correction of the consequences of injuries.
- Raising an extremely drooping tip of the nose.
- Drooping of a strongly upturned nose.
Preparation for the patient
Since the operation must be very precise in its execution, it is important to take the choice of a clinic and surgeon extremely seriously. Experienced specialists will be able to prepare their patient at the highest level for the upcoming rhinoplasty surgery.
This includes not only physical preparation, but also moral one. Before deciding whether to undergo rhinoplasty, the surgeon should make sure that the operation will really bring benefits, and the patient will be able to easily go through the rehabilitation period.
There is a rumor that sometimes men and women even need consultations from experienced psychologists to prepare their perception of themselves after surgery.
There are also situations when it is, frankly speaking, dangerous to carry out an operation, and it can result in not the most pleasant consequences. This most often applies to revision rhinoplasty. In such cases, a conscientious specialist will insist on abandoning the venture and avoiding additional risks.
In order to understand all this more deeply, we recommend watching an interview with Vladislav Grigoryants, who will talk about all the nuances in consultation with different types of patients.
Also, in addition to psychological preparation, physical preparation should not be neglected. First, you should examine your body to find out if there are any absolute contraindications to the operation.
Are there factors that may make rhinoplasty impossible?
Contraindications for nasal tip rhinoplasty:
- Diseases associated with the immune system.
- Systemic diseases.
- Inflammatory processes.
- Diabetes mellitus of various degrees.
- Oncological diseases.
- Chronic heart and kidney diseases.
- Lactation.
- Pregnancy.
If no diseases from the list of contraindications were found during the examination, the surgeon uses a computer program to create a three-dimensional model that will demonstrate what the final result of the operation will look like. This will help achieve complete mutual understanding between the patient and the doctor.
It is important one week before surgery:
- Quit alcohol and smoking.
- Stop using medications that contain aspirin or other dirt-thinning ingredients for a while.
The day before surgery:
- Eat only light foods.
On the morning before surgery:
- Don't eat breakfast or drink drinks.
Peculiarities
Many experts note that correction of the tip of the nose is an indicator of the surgeon’s skill, and this is absolutely true. Working with the back of the nose is technically much easier than working with the tip of the nose. Therefore, surgery to correct only the tip of the nose truly demonstrates the skill of the specialist.
In nasal tip plastic surgery, there are simpler methods, but less effective and less predictable, which simply involve removing cartilage. They do not give the same results as more technically complex methods. But with the help of the latter it is possible to achieve a greater narrowing of the tip, moreover, they are more predictable and “high quality”. In our practice, we always use more complex and reliable types of correction. In general, tip rhinoplasty is easier to tolerate than full rhinoplasty. It doesn't cause bruising, and if it does, it's minimal.
Anesthesia
Rhinoplasty of the nose is performed under both general and local anesthesia. Everything directly depends on how complex the degree of the operation is.
General anesthesia is possible through multicomponent endotracheal anesthesia or through the administration of intravenous injective fluid with potent sedatives.
Rhinoplasty of the tip of the nose
The steps in rhinoplasty surgery may vary slightly in each case. The process, as a rule, is carefully thought out, not forgetting to take into account the following factors :
- The purpose of this procedure.
- Initial data (length and width of the nose).
- The degree of cartilage strength.
- Skin thickness.
In some cases, rhinoplasty can be combined with septoplasty, as well as hump removal and nostril straightening/reduction.
There are two simple access methods.
Open access
In this case, the incision is made in the columella area, in the shape of the letter “M”. For the best view, incisions are also made on the nostrils.
Next, the mucous membrane and skin are very carefully separated from the cartilage and all the necessary manipulations are performed.
The advantages of the method are that the doctor can clearly see what exactly he is doing, and it will be easier for him to achieve maximum accuracy. Bruising and swelling after surgery on the tip of the nose are moderate.
The downside is that after the operation there will be a scar that will go away, but not immediately.
Closed access
In this type of operation, an incision is made on the inside of the nostrils. All manipulations are carried out through them.
The advantage is that there are no visible scars.
The downside is that the surgeon has an extremely limited view, and therefore very little ability in terms of correction.
Correcting a split nose tip
One of the most common congenital defects of the tip of the nose that can be corrected by rhinoplasty is a split nose. In this case, the tip of the nose is slightly wider, and in the middle it has a small depression. This deficiency is easily corrected.
During the operation, the doctor cuts the skin at the tip of the nose, spreading it so that the cartilage tissue comes out. Parts of the cartilage are removed so that the central part of the tip becomes narrower. After this, the cartilage is sutured, and then sutures are placed on the skin.
Sometimes the operation is performed in another way. Then an incision is made from the side of the mucosa, and cartilaginous tissue is inserted into the cavity. This technique allows you to raise the tip of the nose; it is very convenient if the tip of the nose is not too wide.
Wide nose rhinoplasty
A wide and round nose can appear very massive and make the face look rougher than it actually is.
If we talk about the complexity of the operation, but rhinoplasty to create a narrow nose is the most common of all simple operations. The doctor only needs to bring the domes of the large nasal cartilages closer together. As a result, after rhinoplasty, the patient’s nose becomes more defined and pointed.
When the tip of the nose is very wide, the surgeon begins to use cartilage tissue that was taken from the patient to install grafts between the domes of the lateral cartilages. This operation is more complicated and is suitable only for people with a small nose height.
In order to narrow the round tip of the nose, it is often necessary to trim a certain area of the central cartilage with suturing. Very often this procedure is combined with reducing the width of the backrest. It is done using the open method.
Rhinoplasty of drooping nasal tip
Often people come to the clinic and seek help to raise the downward tip of the nose, which makes the face look extremely sinister. This aesthetic flaw is also known as a “hooked nose.”
Causes of the problem
There are several different options here:
Genetics and predisposition. It happens that flaws in appearance are inherited.
Changes in age. The older the body gets, the more the connections between the cartilages weaken, and under the force of weight, the tip moves down more and more over time.
Primary rhinoplasty (those cases where serious mistakes were made). A slight drooping of the tip of the nose is a useful consequence of the operation, which disappears within about a year, when the swelling of the deep tissues has healed completely.
We can talk about a delayed complication after rhinoplasty if:
- there was a mistake by the surgeon, who did more excision of the tissues of the nasal structure than should have been done.
- due to the characteristics of the body, the tissues did not heal as they should have during the rehabilitation period.
To eliminate a defect that arose after an unsuccessful rhinoplasty operation, a repeat procedure is needed. It can be done only a year or a year and a half after the initial procedure, since recovery will take 2-2.5 times longer.
The surgeon will have to work with scarred tissue, which means the procedure is more complicated and will cost more.
How to raise the tip of the nose
There are several methods that will help raise the tip of the nose:
Next, the truncated sides are brought together and tightly stitched with threads with an absorbable effect. The location of the truncation is determined based on what shape the tip of the nose was previously and on the basis of what goal should be achieved. Due to truncation, the tip is raised up.
Removal of a small part of the osteochondral base.- When performing an operation, the surgeon uses cartilage graft patient and installs it vdol kolumellae in the center, which makes it possible to slightly raise the tip.
- The surgeon creates an internal incision and removes part of the nasal muscles, and then sutures it . This will cause the tip of the nose to rise.
Plastic results
With the help of correction, the tip of the nose can be made narrower, more defined, and also raised. Moreover, you can raise the tip of the nose provided that the bridge of the nose is low. Since simply narrowing in such a situation will not give anything. Quite often, patients with a high back come to us and want to lift the drooping tip of the nose, but in this case, plastic surgery of only the tip of the nose will only visually increase the “sail”. Therefore, the approach to aesthetic correction should be comprehensive.
Rehabilitation period
After the operation, the patient is given a plaster cast for 5-7 days. After its removal, swelling will persist for some time (up to 1 month), but it will be insignificant. For 1.5 months, restrictions on physical activity (sports, fitness), warming procedures (baths, saunas, solarium) are prescribed. For the first month, sleep only on your back.
Cleft nose rhinoplasty
Cartilage bifurcation is most often observed in people who have had unsuccessful surgery. This disadvantage is especially pronounced in people with thin skin. It often happens that the problem is congenital.
The operation to remove a split nasal tip is similar to a narrowing. First, the lateral cartilages are brought together, then a graft made from the patient’s autologous tissue is used to impart roundness.
FAQ:
Is it possible to change only the tip of the nose (raise it, or make it narrower) separately from the other “parts” of the nose?
Yes, it is indeed possible to change the tip of the nose separately from other “parts” of the nose. But this is only feasible if the back of the bow is “good” - not high, in other words, if you look in profile, the back does not have a large “sail”.
Are patients who come for rhinoplasty of the tip of the nose most often those who have never had rhinoplasty, or have the majority already had this operation and their tip has drooped?
In our practice, there are both cases. Some have never had rhinoplasty, and we see that the problem can be solved not with classical surgery, but with plastic surgery of the tip of the nose only. But there are also patients who have already had rhinoplasty previously, and they only want to raise the tip, which has sank over time.
Is it true that after rhinoplasty the tip of the nose always droops? Or is this a myth?
No, this is not a myth. The tip of the nose can indeed droop over time, and we have such patients. And in most cases, surgery on the tip of the nose gives an excellent aesthetic result; this small correction completely changes the patient’s appearance.
If a patient comes in with a problem of a drooping tip, is it possible to lift it once and for all?
In any case, the tip of the nose drops to a certain extent, so when we perform the operation, we lift it a little more than necessary. This is called overcorrection. Therefore, at first the tip of the nose may be raised a little, taking into account the fact that when it goes down, it will be at the level it needs to be.
Upturned nose tip rhinoplasty
If the nose is turned up and directed upward, this directly indicates a snub nose.
This defect visually makes the nose shorter and places emphasis on the nostrils. Despite all its massiveness, the tip of the nose begins to resemble a heel. Reasons for this type of problem may include:
- Genetic predisposition.
- Previous trauma or unsuccessful primary rhinoplasty.
For six months after the operation, you may still have an upturned nose, but this is normal and can be caused by deep edema.
If the problem has not gone away in more than six months, then you can think about a complication that requires full treatment.
Transplants are needed to lower a snub nose. They are usually installed in the area of the bridge of the nose. This will help achieve the desired effect.
Nose tip shape and appearance
Even a slight deviation from the classical form can create disharmony of facial features. Most often, nasal tip plastic surgery is used in the following cases:
- to reduce the large round tip;
- to narrow it;
- for lifting if it hangs;
- the opposite option also occurs - correction of pronounced snub nose;
- to eliminate asymmetry;
- when you need to get rid of sagging columella - this is the name of the skin septum that separates the nasal passages;
- to eliminate the consequences of injury or unsuccessful rhinoplasty.
The forked end of the nose looks unsightly - in this case, influencing the tip with the help of surgery is necessary and justified. Rhinoplasty of the bifurcated tip of the nose will allow you to cope with such a disadvantage.
Rhinoplasty of the tip of the nose without surgery
One method that allows for correction is contoured rhinoplasty , which does not involve direct surgery.
The main effect will be from the effects of filler injections. The place where the substance needs to be injected, as well as its quantity, is determined based on the problem.
Cosmetologists usually use several different types of fillers :
- biodegradable (non-absorbable),
- autologous (consisting of one’s own adipose tissue);
- biodegradable (resorbable over time).
The most popular type of injections are dermal fillers, which are based on hyaluronic acid. In order to avoid complications, you should entrust the selection of the right product to a responsible specialist. And don’t rely only on the duration of the effect. You also need to take into account what effect on health and the degree of correction this or that remedy will have.
The main advantages are that the recovery is fast, the result is instantaneous, and the effect does not last forever, so in case of failure you will only need to wait a little until the effect of the injection ends.
The downside is that such injections need to be repeated every six months, and there are certain restrictions. With the use of fillers, you can lift, narrow or straighten the tip of your nose. Leveling without surgery is also available.
Rehabilitation
Follow all doctor's instructions
The recovery period after rhinoplasty of the tip of the nose is 1-2 weeks. At this time, it is necessary to follow medical recommendations, eat right and take medications.
Rehabilitation after surgery includes:
- Until the tip takes its final shape, in the first week after rhinoplasty you should remain in bed and keep your head upright.
- You should limit various physical activities for a month.
- During this period you should sleep only on your back.
- You should avoid baths, saunas, and hot baths for about a week.
- It is necessary to protect the causes of stressful situations.
You also need to follow certain recommendations regarding nutrition:
- Drink more clean water.
- Avoid alcoholic drinks and coffee.
- For the first week, you need to limit your consumption of hot and cold foods.
The rehabilitation period will completely end when the tip drops, the stitches tighten and the pain goes away.
Rehabilitation after rhinoplasty of the tip of the nose
The recovery period is always divided into two main stages:
- Primary rehabilitation
Recovery time: from 1 to 3 weeks
If the operation was performed under general anesthesia, then you should definitely stay in the clinic for the first day after the procedure. In the next three days, turundas will be inserted into your nose, which will maintain the shape of your nose and control swelling. During this time, you will have to sleep on a high pillow only in a horizontal position. After ten days, the cast is removed, and the swelling and bruising after the operation gradually begin to subside.
There is almost no pain during recovery. Often, already on the third day, patients feel much better, especially after removal of splints or turundas.
The sutures are removed approximately 5-7 days, it all depends on regeneration. After rhinoplasty of the tip of the nose, there is a possibility of difficulty breathing and dry mouth (no more than 72 hours). In this case, it is better for patients to use sprays and softening ointments to reduce the degree of discomfort.
- Full recovery
Recovery time: several months
During this period of time, the swelling completely resolves. This rehabilitation period depends on:
- Skin type. Those with relatively thin skin will recover faster, while thick skin will, on the contrary, take longer to heal.
- Age. Tissue regeneration becomes slower in adulthood and old age.
- The extent of the operation performed and method. The more areas were affected, the more difficult the recovery.
- Compliance with doctor's orders and recommendations.
- Type of intervention. After a secondary rhinoplasty operation, the tissue heals twice as slowly.
During rehabilitation it is prohibited:
- Smoking and drinking alcohol.
- Wear sunglasses.
- Go to the sauna, bathhouse.
- Exercise.
- Visit the solarium.
- Sunbathe on the beach.
- Eating food that is too hot/cold.
- Lift weights.
- Injure the nasal area.
Rhinoplasty after injury
Nasal injuries are a fairly common reason for seeking rhinoplasty. Moreover, not only professional athletes, but also ordinary people are susceptible to them. In this case, the degree of damage, as well as the type of deformation, can be very different.
In case of injury, rhinoplasty of the tip of the nose is the restoration of its original appearance. To do this, most often you have to cut out a small fragment of the auricle. Having quietly removed part of the cartilage from the ear, the doctor places it on the tip of the nose.
After this, sutures are applied, and for some time the tip of the nose is treated with special means and a blue lamp. Recovery does not take long. If the operation is successful, the nose after rhinoplasty may look even better than before the injury. Often, during the surgical treatment of nasal injuries, patients take the opportunity to eliminate small defects in the tip.
