There are literally only a few people who have not injured their nose at least once in their lives. This is due to the fact that the nose is the most prominent part of the face.
Author:
Chuprikov Roman Sergeevich
otolaryngologist of the highest category, rhinosurgeon, phoniatrist, leading physician of the clinic
Added information about burns and frostbite.
There are literally only a few people who have not injured their nose at least once in their lives, since it is the most protruding part of the face.
Clamps and splints
On sale you can find nasal correctors from the brands NoseUp, Rhinocorrect, etc. These are clips that are attached to the nose. They need to be worn 2-3 hours a day so that, according to the manufacturers, a result comparable to plastic surgery appears.
In fact, correctors are completely ineffective. You cannot fix your nose by putting short-term pressure on it.
A splint is a device made of plaster or plastic. It is used to correct the contour of the nose. The splint puts pressure on the cartilage and corrects defects - it narrows the wings, raises the tip, smoothes out the hump (if it is completely cartilaginous). However, you don’t need to expect colossal changes - the correction will be very minor, and the effect will be short-lived if you stop using the corrector.
Choosing a rhinoplasty method for a wide tip of the nose
The thinner the skin and the thickness of the soft tissues, the more difficult the plastic surgery of the tip of the nose. Thick skin makes it easier to achieve the desired aesthetic result, but the thicker the skin, the more difficult it is to get a well-defined tip of the nose and it is almost impossible to get relief at the tip points.
With a bulbous tip of the nose, the shape of the domes changes and the degree of their delineation increases. For this purpose, the domes are narrowed, brought together and incised. If necessary, asymmetry is eliminated and the lateral crura are corrected, which ensures the desired result of rhinoplasty.
Reducing the volume of soft tissues of the tip of the nose is performed when there is a significant thickness of the tissues that cover the cartilage of the tip of the nose; the same technique is performed during revision rhinoplasty when there are pronounced scars.
Exercises (face building)
The author of the most effective technique is Carol Maggio. She has developed a whole set of exercises for face-building, which can be found in her book. It all started with the fact that Carol herself was able to change the tip after an unsuccessful rhinoplasty.
By the way, these exercises are recommended for people without pronounced defects. They will help keep your nose young and beautiful longer.
Example exercise to raise the tip:
1) With the index finger and thumb of your right hand, grasp and pinch your nostrils tightly. Place the index finger of your left hand on the tip with the pad up and lift it. At this moment the upper lip rises.
2) While in the starting position, tense your upper lip and lower it, resisting the nasal muscles.
3) Repeat every day 40 times. The effect will be noticeable after 2-3 months, but the exercises must be continued constantly.
Application of threads
The thread technique allows you to slightly raise the tip. The essence of the procedure is that the doctor inserts strong threads with notches into the tissue through micropunctures with a special needle. Thanks to the counter arrangement of notches on the threads, the skin and soft tissues are raised. Next, the threads are fixed in the desired position and become a frame that prevents the soft tissue from descending. To lift the tip, threads are passed through the cartilage and secured at the top of the nose.
Two days later, the cosmetologist trims the ends of the threads, after which the final result appears. It lasts for approximately three years.
Advantages of threads:
- minimum swelling and bruising;
- no significant complications;
- tissues are not affected in large quantities;
- speed of the procedure – about 20 minutes;
- no general anesthesia.
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.
Rhinoplasty of drooping nasal tip
Surgery is the most effective and reliable method of correction, providing significant lifelong results.
A “potato” nose and a drooping tip can form for two reasons:
- the skin on the nose is too thick - in this case it can be removed;
- too wide or convex lower and lateral cartilages.
With the help of surgery, you can reduce a rounded tip, raise a drooping one, straighten a curved one, or narrow a too wide one.
The drooping tip is corrected by removing part of the cartilage. Access can be open or closed. The first option involves an external incision and full visual control over the progress of the operation. First, an incision is made in the area of the nasal bridge, then the cartilage of the wings is released. Excess cartilage tissue is removed and sutures are applied. To raise the tip or strengthen it, post cartilage is used. The closed method involves an incision in the mucosa. Through it, the pterygoid cartilages are released, and sutures are applied to model the desired shape. The scope for the doctor’s actions in this case is not as wide as with open access, but the patient will not have an external scar.
The operation lasts 1-2 hours and can be performed under general anesthesia or local anesthesia.
Nose shortening
Nasal shortening is a plastic surgery that is aimed at shortening the length of the external nose.
The content of the article:
- Types of operations that can reduce the length of the nose
Most often, during surgery, the surgeon reduces the length of the nasal septum, less often - the lateral parts of the nose, which consist of bone and cartilage tissue. A long nose can disrupt the harmony of facial features. Because of it, even the sweetest and neatest features lose their attractiveness. There are a huge number of methods to help determine the length of the nose, but in plastic surgery the most correct method is to measure from the tip of the nose to the bridge of the nose. A nose whose length is 1/3 of the length of the face is also considered beautiful. One of the main reasons for a long nose is a long nasal septum. A long septum holds the tip of the nose down, making it appear visually longer. In this case, you can shorten the length by removing part of the cartilage from the septum. After plastic surgery, its length will decrease, and the tip of the nose will move upward. One of the common ways to determine the length of the nose is the nasolabial angle. Ideally, for men it should be 90-95 degrees, and for women - 95-100. The drooping tip of the nose, which covers the nostrils, can also create additional length.
When determining the length of the nose that a patient should have after rhinoplasty, the following factors must be taken into account:
- patient's gender. The standard of beauty for women is considered to be a small, neat, slightly upturned nose. It makes the face cuter and more sophisticated. At the same time, most men do not want to have such a nose, since it will cause their face to lose its masculinity;
- patient growth indicators. A tall person should have a longer nose, otherwise, when viewed from the front, it will appear that his nostrils are disproportionately large;
- age. Today there is a common myth that the nose grows throughout your life. Actually this is not true. It increases, but this is due to the fact that over the course of life the cartilage weakens and the nose sags. Most people associate a short nose with youth, which means that such a nose is more suitable for young girls, while on a mature lady it will look ridiculous. It is important to note that rhinoplasty is not recommended for patients under 17 years of age. Since until this time the cartilage and bone tissue of the nose have not yet been fully formed;
- individual proportions. If the surgeon shortens the nasal bone too much, the area between the patient's upper lip and nose may become too large. This will also create disharmony of facial features and will not add aesthetics;
- The wishes of the patient are also an important factor.
All types of nose shortening operations are performed exclusively under general anesthesia.
If the length is due to an excessively elongated nasal septum, and the nasolabial angle is acute, the operation is performed in the following way. First, incisions are made on the nose to shorten the septum by removing some of its parts, as well as to excise excess skin. After this, the parts of the lateral cartilages are superimposed on each other, and the tip of the nose is raised. Finally, the hole is closed. After surgery, the tip of the nose narrows.
If the excessive length of the nose is a consequence of too massive lateral cartilage, then it needs to be narrowed during surgery. Cartilage cannot be removed from the nose. At the very beginning, it is cut into two equal parts with a scalpel, and excess tissue is removed. Next, its parts are superimposed on each other. The skin forms a fold under the cartilage. After the operation she straightens up. If the nose is too large and the cartilage is placed at a great distance, a large fold of excess skin may form. In this case, it is cut off with small scissors
In situations where significant shortening of the nose is required during surgery, the columella is separated from the nose. This gives the surgeon more flexibility.
The method of applying lateral cartilages helps not only to correct the length of the nose, but also to create a narrow and graceful tip and reduce the protrusion of the nose.
To reduce the length of the nose in some situations, the surgeon can use silicone inlays, which are placed in front of the spine of the upper jaw. As a rule, the operation lasts 1-2 hours, but it all depends on the skill of the surgeon. Rehabilitation after surgery takes 2-3 weeks, and you can see the final results only after six months or a year.
When performing an operation, the doctor must observe moderation and balance. During the application of cartilage, the nose should not be lower than the required level. Otherwise, you may need repeated surgery, during which you will have to create a new support for the tip of the nose. This type of surgery is considered difficult, since improving the appearance of one part of the nose may lead to deterioration of another.
