The plastic of the nose: the procedure of preparation, contraindications, and the nuances of rehabilitation

According to experts, the most common among women of plastic surgery operation is rhinoplasty. The shape of her nose unhappy many, and often the psychological problem is so great, that it makes you go under the scalpel. The good opportunity of plastic surgery now allow you to achieve what before seemed unreal.

Nose rhinoplasty before and after

Types of plastic of the nose and the characteristics of the procedure

Popular operation of plastic surgery of the nose at the same time is one of the most difficult in plastic surgery. We all want to have a perfect appearance, but before deciding on such radical changes, it is necessary to evaluate carefully the pros and cons and make sure that you do not have contraindications to the intervention.

Her nose surgeons recommend for a variety of reasons, medical and cosmetic in nature. The main indications for the intervention are:

  • the congenital or acquired (after the injury) deformation of the nose;
  • difficulty of nasal breathing due to curvature of the bulkhead or hypertrophy of the mucosa of the turbinates;
  • objective cosmetic defects — the presence of express buffalo hump, pointed, thickened or drooping tip, the disproportionate size of the nose or of its parts.

As with any surgery, you have rhinoplasty and a large list of contraindications. The operation will have to forget those who have one of the following chronic diseases systemic:

  • diabetes mellitus;
  • cardiovascular disease (ischemic heart disease, severe hypertension, heart disease, arrhythmia);
  • autoimmune diseases (rheumatoid arthritis, systemic lupus erythematosus);
  • viral hepatitis, cirrhosis and other liver damage;
  • bronchopulmonary disease;
  • immunodefitsitnye condition;
  • camilla, papal legate to blood clotting disorders;
  • malignant tumors;
  • allergic diseases (that can lead to the development of anaphylactic shock).

Absolutely contraindicated rhinoplasty with heavy common infections, such as tuberculosis.

Some diseases and conditions can exclude the possibility to spend a plastic nose, only temporarily. These include:

  • sharp viral infections (SARS, influenza, herpes);
  • diseases ENT (rhinitis, sinusitis, otitis media);
  • inflammatory changes of the skin of the face;
  • pregnancy and breast-feeding.

There are no age limits for the procedure. Rhinoplasty advised not to have children and adolescents up to 18 years of age the process of formation of the anatomical structures of the nose is not yet completed, and the consequences of the operations can be unpredictable. After 55 years of performing plastic surgery is also desirable: advanced in age hinder the processes of recovery, and this complicates the course of the rehabilitation period. However, age contraindications are not absolute, and the question of an operation in this case is solved individually. For example, if congenital abnormalities of the structure of the nose are the cause of respiratory disorders, frequent rhinitis, sinusitis, infections of the ear, the plastic running, even if the patient has not reached 18 years of age.

To determine the readings for the rhinoplasty and verify the absence of contraindications, before the procedure takes place via the. The primary phase of training — consultation, in which the patient discusses with the doctor to harass his fault and tells you the desired results. The duty of the surgeon — give a truthful prediction, and do not keep unrealistic expectations, which sometimes are the customers.

Later it takes place the standard of preoperative diagnosis. You need to give blood general and biochemical examinations, the presence of infections (HIV, viral hepatitis, syphilis), pass the ECG, visit a therapist, and an anesthesiologist. Sometimes you need an x-ray of the paranasal sinuses and of the council of the dentist.

For an operation of plastic surgery on the nose has been successful, and the recovery was quick, the procedure is necessary to prepare adequately. Two weeks before the event, we recommend that you adjust the life-style and power to abandon bad habits and junk food, in order to establish the sleep mode. It is necessary to cancel the intake of drugs that prevent the blood clotting (anticoagulants): their action can lead to a strong bleeding during surgery. Directly on the day of the procedure, you can not take food, if the intervention takes place under general anesthesia.

Characteristics of the intervention are defined, the sight of her. The plastic of the nose (rhinoplasty) is the common name that unites the different types of surgical correction. Depending on the defect performs one of the following types of intervention:

  • Reconstruction — the complex operation, which consists in the recovery of the anatomical structures of the nose, that are damaged as a result of the accident or already negative done rhinoplasty. Are often used implantation techniques.
  • Corrections of the form — operation on the back of the nose, that allows you to make it more narrow or wide, to eliminate bending, to remove buffalo hump or the retraction.
  • Plastic columella . So in medical language it is called the bridge between the nostrils. With the operation, you can increase or decrease, increase or be lowered.
  • The plastic of the tip of the nose — a relatively simple operation, the purpose of the removal of these common defects, as a "bulbous nose", upwards. Surgically possible to lift the tip of the nose, refine or expand.
  • Plastic wings of the nose . Her most often make use of those that your nose seems too wide: the action allows you to adjust the size and the cut of the nostrils. After the plastic nose becomes more refined and aristocratic view.
  • Septorhinoplasty . Its essence consists in the correction of defects of the nasal septum. Intervention of this type in place for health reasons.
  • Augmentationem in plastic — the operation to lift the sunken bridge of the nose by means of an implant or donor cartilage tissue.

Already in this brief description it is intended that the scope of intervention and the degree of trauma when rhinoplasty can vary greatly. One thing, when it is necessary to correct the tip of the nose or reduce the columella, and much more — when you need to "cut" buffalo hump or raise the bridge of the nose. Depending on the final goal are applied different techniques of open-access and closed. The first way is more invasive: are performed by the incisions of the skin, are the affected cartilage and bone tissue. When closed rhinoplasty is accessed by the mucosa. This operation takes place with a minimum of damage, and the period of rehabilitation after the most brief. But serious defects it is often possible to resolve only with open access.

The operation is performed step-by-step in general anesthesia. The procedure lasts on average one to three hours. By correcting the defect, the surgeon will suture and plaster.

This is important

Return to life of a time after the operation does not work. During the period of recovery, perhaps, it will be difficult to breathe through the nose, can also disturb the problems of an aesthetic nature: edema, hematoma. Not abbiategrasso fear: it is quite natural, because during the operation damaged blood. Bruising and swelling after the plastic of the nose disappear after about two weeks.

For the period of rehabilitation has passed quickly and without complications surgeons recommend to follow some rules:

  • exclude sports, not lifting weights;
  • do not eat spicy foods, hot dishes and drinks, alcohol — may cause bleeding;
  • wear a bandage fastener (for about 10-14 days);
  • to accelerate the resorption of hematomas and relieve the swelling, you can apply special external means, and perform the rehabilitation procedures, which assigns the doctor.

The final result of the transformation will be visible one year after surgery, because the edema of the soft tissues lasts for up to three–four months, and swelling of the periosteum after osteotomy — up to six–eight months.

How to choose a doctor to perform the operation of rhinoplasty

All of the above convinces as the head step is the decision to resort to plastic surgery of the nose. Rely on luck in this case is not valid: because of the lack of skill of a surgeon large risk of getting complications or, at least, is not satisfactory. Therefore, the choice of the doctor and the clinic needs to be taken more seriously. To protect yourself from errors, it is necessary to pay attention to the following points:

  • Study the documentation, on the basis of which works the clinic selected. You must have a license for the exercise of medical activity. There are other necessary documents: sanitary-and-epidemiologic supervision, the rules for the provision of health services. It is worth to inquire about the availability of the certificates for the use of equipment and materials.
  • Make sure that the doctor has enough high qualification. On the professional achievements surgeon will tell you diplomas, awards, and diplomas, certificates on how to obtain additional training.
  • Assess the level of service in the clinic. In the first place, service affect the psychological comfort of patients, and this is very important, in a sector, such as aesthetic medicine. In the second place, the service — level indicator of the clinic in general, and, therefore, the quality of the services rendered. It is possible to communicate with the staff, know what is included in the program, in addition to more transactions (which are provided counseling and rehabilitation during the rehabilitation and post-rehabilitation periods).
  • To find out responsibility of the doctors. Good surgeons are not sure of their professionalism and ready to respond to the results of the operations. Before entering into a contract with the agency, you should carefully review the text of the document and all the conditions under which they are provided medical services.
  • The cost of services is an important selection criterion. The price to redo the nose is different everywhere, and do not always satisfy the quality of service. The operation, in principle, a good market can not be appointed, and this question deserves a consideration.

How much is nose plastic

At the cost of plastic nose affect different conditions:

  • the complexity of the procedure, the volume of intervention;
  • qualification surgeon (for example, the intervention of the doctor of higher category, will cost more, and less of an eminent specialist);
  • the level of the clinic;
  • region (price rifacessi the nose in the larger cities mentioned above, that in the province).

The first factor is the most important. Different types of rhinoplasty are different, and this is natural: the characteristics of operation determine the time and the efforts of the surgeon.

The range of prices for the same services in different clinical very large. Choose the cheapest offer is always risky: it is unlikely that it is worth the risk to your own health and beauty in search of savings. Better orientation on the average level of prices, of course, without neglecting other selection criteria.

Thanks to the skill of the plastic surgeons can get rid of any defects. But in an attempt to for a perfect look you must not forget that rhinoplasty is a difficult operation, and perform at its best only in the presence of severe-readings. But no matter what exactly was the reason for such a decision: a medical necessity or dissatisfaction with the shape and size of the nose, — important to pay attention to the choice of the clinic and the specialist.