How to Perform Rhinoplasty Surgery: Surgical and Non-Surgical Methods

Long, humped, Grecian, Roman, potato, aquiline—if any of these definitions apply to your nose, you may have considered rhinoplasty. But why isn't it done yet? Do you have concerns, or do you have a question that you can't find the answer to? We have prepared an article with answers to the most frequently asked questions. We'll tell you how rhinoplasty is performed, how to choose the right nose shape, and most importantly, show how rhinoplasty can change your appearance with before and after photos.

How do I know if I have indications for rhinoplasty surgery?

According to the Australian Society of Aesthetic Plastic Surgeons, indications for rhinoplasty include any embarrassing visual imperfections, as well as functional impairments such as difficulty breathing.The most common visual defects patients seek correction include:

• The nose is disproportionate to other facial features;
• asymmetrical;
• There is a hump;
• Large or asymmetrical nostrils;
• Large tip, excessive folding or drooping;
• The back is too thick, too thin, or uneven;
• Too much or not enough length.

Defects that lead to functional impairment include:

• Congenital or acquired nasal septum deformation;
• fracture.

What types of rhinoplasty are there?

The American Society of Plastic Surgeons classifies rhinoplasty into the following types, depending on the problem the surgery is intended to solve: aesthetic and functional. Let's figure out how they differ.

Cosmetic rhinoplasty surgery

This is surgery to correct the shape and size of your nose. According to the British Association of Aesthetic Plastic Surgeons, this type of rhinoplasty surgery can correct:

• Hump – removal of bone and cartilage tissue from a specific area at the back of the nose;
• Nostrils - change their shape and size, making them symmetrical;
• Columella (bridge between nostrils) - straightened or thinned;
• tip - to raise, lower, or decrease;
• Wings - make them symmetrical or less expressive.

During surgery, the doctor can not only change the shape of the nose by removing tissue, but also conversely change the shape of the nose by adding volume to the nose. To do this, he uses artificial implants or cartilage obtained from another part of the patient's body. Plastic surgeons call this surgeryrhinoplasty surgeryorgrafting.

Functional rhinoplasty (septoplasty)

According to Stanford University Medical Center, the goal of septoplasty is to restore respiratory function that has been compromised by congenital abnormalities, injury, or other changes in the body.

If a patient who needs surgery to restore breathing decides to further correct the shape of his nose, doctors from the American Society of Aesthetic Plastic Surgeons recommend a combination of interventionsseptoplasty.

There are also 2 subtypes of functional and aesthetic rhinoplasty:

• nose reconstruction surgery- This is what the American Society of Plastic Surgeons calls interventions to correct the shape of the nose due to a congenital defect (for example, rhinoplasty for cleft palate and lip) or to reconstruct a shape altered by injury.
• Rhinoplasty surgery- This is a repeated correction of the nose. Plastic surgeons may recommend this surgery if the patient is dissatisfied with the results of previous interventions.

How is rhinoplasty performed?

The Spanish Society of Plastic, Reconstructive and Aesthetic Surgery distinguishes between two types of rhinoplasty – open and closed. The main difference is how the doctor performs the surgery.

How is closed rhinoplasty performed?

Plastic surgeons say closed rhinoplasty is the least invasive way to correct your nose. The procedure leaves no scars because the doctor performs everything through the nostrils without making incisions on the outside of the nose. Doctors use this technique to treat minor curvatures or defects.

How is open rhinoplasty performed?

In an open rhinoplasty, the nasal surgeon makes an incision in the columella and outer corner of the nose. Afterwards, he lifts the skin and corrects it. Open rhinoplasty can correct severe defects and deformities. In this case, a small mark will be left on the base of the nose, which will become less noticeable over time. It can be removed using special cosmetics and procedures.

How to judge which nose is suitable for you?

Before deciding to have surgery, it is important to know whether your face will look better with the desired nose shape. After all, in some cases, after rhinoplasty surgery, people lose their personality and become less interesting and attractive.According to the study, a 3D modeling machine allows you to choose a nose that best coordinates with other features. This setting takes a 3D photo of your face. Doctors and patients work through special procedures and adjust the nose until the best shape and size is chosen.

Are there any preparations required for such a procedure?

According to the Australian Society of Plastic Surgeons, rhinoplasty surgery requires some preparation. This includes:

• Consult a plastic surgeon. During this time, a person will state what exactly he wants to change. The doctor examines the nose, explains how realistic it is to achieve the desired result, and creates a surgical model. During your consultation, it is important to ask your doctor all of your questions, ask about pre- and post-operative limitations, and understand the risks and possible complications.
• Preoperative examination, which helps ensure there are no contraindications. It includes laboratory tests of blood and urine, electrocardiogram (ECG), and fluoroscopy.

The American Society of Plastic Surgeons recommends not smoking or taking aspirin, anti-inflammatory drugs, or herbal supplements during preparation because they can impair blood clotting.

How is rhinoplasty performed?

According to the American Society of Plastic Surgeons, patients are under general anesthesia or local anesthesia during the procedure. The doctor decides on the type of anesthesia during a preoperative consultation, focusing on the complexity of the surgery.Depending on the type of entry, the surgeon makes incisions inside or outside the nose and makes tissue corrections, focusing on the 3D model.At the end of the surgery, the doctor puts stitches and fixes the nose with a special tampon or splint/septal splint (a silicone plate that follows the shape of the nose) and a cast. Generally, the procedure lasts between 1 and 2 hours (according to the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery).

How does recovery work and when can I see results?

The issue that raises the most questions is recovery after rhinoplasty. Patients want to know how quickly signs of intervention will disappear, when they can return to their normal lifestyle, and most importantly, when they will see results.

recovery

Depending on the general situation, patients stay one night at the clinic or go home the same day. This is enough time to recover from anesthesia and gain strength. Subsequent recovery takes place at home. Nosebleeds may occur during this period, so it is important to stay in touch with your doctor and let him know about your condition.It is important to understand that after rhinoplasty surgery, facial swelling will last for 2-3 weeks and the final result cannot be evaluated (according to plastic surgeons). If after this the patient discovers that the new nose does not match the 3D model at all, it is necessary to inform the doctor about this. In this case, he will undergo nose repair surgery.

possible side effects

Plastic surgeons warn of the following possible complications:

• Difficulty breathing;
• numbness at the surgical site;
• asymmetrical;
• pain;
• Pigmentation;
• scar;
• Holes (perforations) form in the septum.

limit

During recovery, plastic surgeons recommend:

• Avoid strenuous physical activity and running;
• Do not bathe;
• Don’t blow your nose;
• Eat high-fiber foods (e. g. , fruits, vegetables) to avoid difficulty in bowel movements and thus high blood pressure;
• Smile, smile less;
• Brush your teeth carefully to avoid active movement of your upper lip;
• Choose clothes that don’t stretch over your head to reduce the risk of accidental injury;
• No glasses;
• Use sunscreen.

result

If we talk about the final results of rhinoplasty surgery, they will be visible after 6 months (according to the American Society of Plastic Surgeons). During this time, the swelling completely subsides and the tissue grows together.

Is one operation enough to achieve results?

It would be enough if, before the intervention, the patient clearly understands what result he wants to achieve, discusses all the nuances with the doctor, and together they form a 3D model of the future nose, and the surgeon recreates it accurately.If, after the cast is removed or after complete recovery, the patient realizes that there are certain problems that he wants to correct, the doctor will perform another surgery.

It’s important to understand that rhinoplasty is a surgical procedure, which means it can put stress on the body. Therefore, before agreeing to surgery, make sure you clearly understand the results you want to achieve and communicate this to your surgeon.

How is non-surgical rhinoplasty performed?

People who want to straighten their nose, but for whatever reason are not ready to address the problem with surgery, can look at other rhinoplasty options—non-surgical ones. They provide temporary results and help you decide whether surgery is worth it. The procedure is performed under local anesthesia and requires no recovery—redness and swelling will disappear within a few hours. There are several types of non-surgical rhinoplasty procedures:

Filler Correction (Contour Rhinoplasty)

According to the data, the procedure involves injecting medication into the area that needs to be changed (for example, at the back of the nose to smooth the hump, or at the tip of the nose to widen the hump). Doctors most commonly use hyaluronic acid as a filler and less often collagen. They are natural substances found in each of us. Therefore, the risk of complications is minimal. The effects of these injections can last up to 14 months. After this period, the filler dissolves. Possible side effects include encapsulation (compression of the tissue around the drug). This process is the body's natural response to foreign objects.

Be careful!If you decide to have contour rhinoplasty, be sure to ask your doctor which medications he uses. Some doctors recommend the introduction of biopolymers (biogels) - a synthetic substance that, unlike hyaluronic acid and collagen, is not excreted from the body. Such procedures are considered dangerous and are banned in some countries. Biopolymers can cause inflammation and migration. This means that over time, filler injected into the nose may end up in the chin, cheeks, or eye area. The biogel can only be removed through surgery, leaving scars on the face after the surgery.

Nasal fat filling

According to the American Society of Plastic Surgeons, lipofilling is performed by injecting your own fat under the skin (this material is also called an autologous filler). The procedure provides results similar to those of hyaluronic acid and collagen injections: filling in bumps and bumps and adding tissue volume to specific areas. The effects of lipofilling last for approximately 3 years. To maintain it, you cannot lose weight.

Botox injections

According to data, Botox reduces tissue volume by relaxing muscles. This technique allows you to raise or lower the tip of your nose, making your nose symmetrical and correcting the shape of your nostrils. Possible side effects include difficulty breathing and changes in the height of the upper lip when smiling. Results last up to 2 years.

filament

This type of nose correction is called a thread lift or midline lift. According to research, it allows you to change the shape of your wings and raise the tips. The essence of the surgery is the introduction of special threads under the skin. Over time, they dissolve, forming a collagen framework that anchors the tissue and maintains the nose's new shape. Results last up to 2 years.

the most important is. . .

Before agreeing to any of the above procedures, make sure the plastic surgeon is competent.When performing surgery, the American Society of Plastic Surgeons recommends first considering the doctor's experience with the specific procedure. Pay attention to his profile - he must specialize in facial correction surgery. It is important that doctors have international certificates and certifications that confirm their qualifications. Doctors are recommended to practice abroad (such as the United States and European countries) to improve their skills.Do you want to undergo a non-surgical rhinoplasty? Choose a highly educated esthetician who sees patients not at home but in a specialized clinic. In these centers, all conditions for sterility and safe performance of medical procedures are observed.Take care of your health and beauty and only trust the professionals!