Rhinoplasty
Everything about rhinoplasty surgery and frequently asked questions about this surgery
If you are looking for nose surgery, you need to pay attention to some important points in this regard. By reading this article, you can get more information about this nose job, its costs, risks and possible benefits.
Regardless of the type of rhinoplasty a patient needs, the doctor will use one or two of the following basic techniques to correct the problem:
. Closed Rhinoplasty: This surgical technique is usually superior to other techniques because all the slits are made inside the nose and there is no need to make a slit in the external area of the nose. In this case, even though the slits are hidden, the surgeon can access most parts of the nose and correct many of its aesthetic and structural problems.
. Open rhinoplasty: Open rhinoplasty gives the surgeon better access to the cartilage and bone of the nose, but with this procedure, some scarring remains on the patient’s nose. In this case, by creating a gap at the end of the middle nasal septum (the area between the two nasal cavities), the doctor can remove the skin of the nose and repair its cartilage. After healing, very limited marks remain on the skin from the gap created, which are mostly hidden under the nose area.
Choosing the right technique
Both open and closed rhinoplasty techniques can bring very satisfactory results for the patient. In this regard, the doctor can determine the appropriate technique for each patient according to the natural appearance of the nose and the goals of the surgery
The types of plastic nose surgeries that are performed on patients are as follows:
Correcting the shape of the tip of the nose: The tip of the nose is located exactly at the end of the nose, and in some people, one side of the nose is different from the other side. For example, one side of the nose can be bigger, smaller, higher, lower or slightly deviated from the other side. However, the surgeon can create a symmetrical appearance for both sides by manipulating the condition of the cartilage under the nose.
Correction of nasal deviation: nasal deviation occurs when the bones or septum of the nose are not located in a quarter of the middle line of the face. As a result of these conditions, the patient’s nose will appear to be drawn to one side. Most of the time, nasal deviation is a hereditary problem, although the condition can also develop as a result of an injury. However, by manipulating the bones and nasal septum, surgery can permanently smooth its appearance and eliminate the deviation of the nose.
Sunken nose: Sometimes the nose of some people has a depression on the bridge of the nose, which is called a sunken nose problem. Usually, this problem is treated by manipulating the nasal cartilage or using an implant or prosthesis. The results of this treatment can give a person a smooth, flat and uniform nose in the bridge of the nose.
image
Nasal nose surgeon: Some people feel that the appearance of their nose is suitable from the front and it may even be suitable from the side, but what these people are dissatisfied with is the thickness and bulkiness of their nose, and that is why these people They tend to thin their noses. However, if a person’s nose is wide due to the underlying bone structure, the plastic surgeon can usually make a significant reduction in the width of the patient’s nose and thus correct the appearance of the nose according to the person’s wishes.
Nose reduction: If your nose is clearly too big for your face, rhinoplasty can be used to reduce the size of your nose. Most large noses have a bony structure that can easily be changed.
Small nose: Not everyone wants to have a smaller nose. For example, if a person’s nose has been damaged due to an accident and the bridge over it has been destroyed, or if the person’s nose is normally small, rhinoplasty surgery can be used to increase the size of the nose and produce the desired results. To raise the bridge of the nose, the plastic surgeon uses one of the following two methods:
The first method involves taking cartilage from the nose, ears or ribs and using it to change the shape of the nose.
In the second method, implants or prostheses made of silicone or other bone-like materials are used to create changes in the appearance of the patient’s nose.
Fixing the hump of the nose: The bump or hump of the nose can be caused by an injury or due to genetic issues, but genetic issues are the most common cause of the hump of the nose. A hump can be caused by all types of noses. But if you have special problems in this regard, the surgeon can simply correct the hump of your nose by manipulating the cartilage under the bridge of the nose and straighten the appearance of your nose.
Big nose tip: A big nose tip usually has a bulbous appearance and makes the tip of the nose look rounder than normal or fat. The surgeon can change the cartilage under it by manipulating the tip of the nose and modify its appearance.@dr.mostafahosseini
Preparation for surgery
Before the nose surgery operation, it is necessary for the patient to speed up the recovery period and minimize possible discomfort after the operation, as well as to reduce the risk of seeing complications after the nose job, to pay attention to the following points:
Diet: A few weeks before rhinoplasty surgery, it is important for the patient to have a healthy diet. Proper nutrition can increase the speed of the patient’s recovery and minimize the risk of infection.
Medicines: When preparing for nose surgery, the patient should inform his doctor about all the medicines he is currently taking. In fact, the use of certain drugs can cause problems for the patient before or after surgery. In this way, the doctor can temporarily prohibit the use of the drug or prescribe safe alternative drugs for the patient.
Smoking: Using tobacco can slow down the blood circulation in the body. Because in this case, oxygen cannot quickly reach the places where the cracks are created, smokers face a longer recovery period and a higher risk of infection, and the possibility of scarring is more likely to remain on their face. Although it is possible to use this treatment method for smokers, these people should refrain from smoking at least two weeks before and two weeks after surgery.
Day of surgery: The night before nose surgery, the patient should rest well and avoid eating and drinking after midnight. Before going to the hospital or surgical service center, the patient should wash his face and hair to avoid bacterial contamination. For special reasons, cosmetics or other beauty products should not be used at this time.
Surgery
Because today many different types of nose surgery are used with different goals to treat people, this surgical method widely depends on the treatment characteristics of each person. However, in this regard, special measures should be taken for all types of nose surgery.
unconsciousness
The doctor performs rhinoplasty with one of the following two methods:
General anesthesia: which is performed using a mask or injection and puts the patient in a state of complete sleep.
Anesthesia through injection into the patient’s vein: In this case, the doctor anesthetizes the patient’s face locally by injecting strong sedatives into the vein. In this way, the patient falls into a half-asleep state and will not remember much of the surgery after the anesthesia wears off.
To choose the appropriate anesthesia method for nose surgery, the doctor will talk closely with the patient.
surgical procedure
After the anesthetic has taken effect, the surgeon makes small incisions inside the nostrils or at the base of the nasal septum. In this way, the surgeon can carefully remove the skin of the nose and access its bone and cartilage. Then remove the required tissue or use a tissue graft if needed. Usually, the doctor uses conservative methods for the effect caused by surgery on the tissues around the treatment site and tries to create the desired appearance of the patient using appropriate methods. When the nose reshaping process is complete, the doctor returns the removed nose skin to its original location and creates a new nose appearance. Finally, the created gaps are closed.
@dr.mostafahosseini
closing the nose
In the first days after rhinoplasty, it is important to protect the changes made in the nasal tissue. After closing the gaps created during the surgery, the surgeon uses a splint to help maintain the new look of the nose. In some cases, the doctor also uses sterile gauze pieces or special bandages inside the nostrils. In this way, the bleeding of the patient can be reduced and the nasal septum can be stabilized in the new place. However, the use of sterile gas can cause some discomfort to the patient. Nasal gas is usually removed within a few days after the rhinoplasty surgery, and if needed, a special adhesive is used to preserve the results of the surgery.
Recovery and care after surgery
Rhinoplasty requires several weeks of recovery time, and patients should pay attention to special measures for faster recovery and to ensure that they achieve their desired aesthetic results and care before nose surgery.
The first few days after surgery
During the first 48 hours after rhinoplasty, it is necessary for the patient to rest sufficiently. Especially at this time, patients should pay attention to the following points:
Sleep in a position with their head facing up
Use clothes that do not need to be worn on the head
During this period, it is necessary to brush the teeth slowly in order to avoid inflammation of the upper lip and nose due to brushing.
Keep your face as still as possible
Use a cold compress for the nose and middle area of the face
Eat soft foods rich in nutrients and fiber
Use a tub instead of a shower to take a bath and do not remove the bandage from your nose while taking a bath
Avoid blowing air out of the nose at a high speed
Bandages and sterile nasal gauze should be changed regularly according to the doctor’s opinion
The first few weeks after treatment
Typically, patients can return to work two weeks after rhinoplasty. However, at this time, it is necessary to control the activity level by the patient and protect the sensitive tissues of the nose. At this time, patients should pay attention to the following points:
Avoid vigorous activities until the surgeon has given permission.
Avoid consuming foods containing sodium in order to reduce swelling of the nose after surgery.
Use sunscreen with an SPS level of at least 30 when going out.
Avoid using prescription glasses or sunglasses for at least four weeks. If necessary, the patient can use special glasses with a chin rest during this period to keep the shape of the glasses.
It is especially important that patients meet their surgeon regularly after surgery. Usually, the first meeting with the doctor is about a week after the rhinoplasty. At this time, the doctor will remove the stitches and bandage inside the nose. In the following, the patient’s condition is monitored periodically for the next few months
.
View the results of the operation
Rhinoplasty can be used to correct a number of cosmetic problems. This surgery can create more balance between the parts of the face and correct the protrusion or asymmetry of the nose. Also, rhinoplasty can play an effective role in reducing the size of the nose. However, in order to achieve ideal results, it is important for patients to be honest with their surgeon before surgery.
Rhinoplasty is unique in that it can take a year to see its final results. In this case, side effects such as swelling and bruising around the nose and eyes can prevent seeing treatment results in the nose area for the first two to three weeks after surgery. In this way, it is necessary for the patient to be patient regarding the final results of his treatment. In the first months after surgery, the nose will gradually find its new appearance. Because the final results of this treatment require time, the doctor usually asks the patient to be patient for at least one year for corrective rhinoplasty.
Advantages
The rhinoplasty method has certain advantages as follows:
Creating symmetry between facial parts: limited imbalance in the nose area can cause significant defects in a person’s appearance. In this way, rhinoplasty can create a balanced appearance for the patient.
Improving appearance: changing the shape of the bridge of the nose or its head can attract people’s attention to other parts of the face.
Appropriate size: reducing the width of the nose even by a small amount can have a significant effect on the fit of the nose with the rest of the person’s face.
Removing the hump or correcting the nasal deviation: Regardless of whether the hump is caused by hereditary factors or due to an injury, rhinoplasty can correct defects on the bridge of the nose.
In addition to cosmetic benefits, rhinoplasty can also correct health-related problems. The two main advantages of this method for correcting the function of the nose are as follows:
Improvement of respiratory problems: rhinoplasty can open narrow nasal passages and correct its structural problems. In this way, this surgery can help improve breathing problems.
Correcting cases of congenital defects: rhinoplasty can correct external problems as well as internal congenital problems of the nose such as deviation of the nasal septum.
When rhinoplasty is used to correct structural problems, insurance providers may cover the cost.
Temporary side effects after surgery
Although long-term side effects are rare in this surgery, rhinoplasty can have some temporary side effects for a person as follows:
Bruising: Bruising usually occurs in the areas around the eyes and disappears after 10 days of surgery.
Discomfort: Patients may experience some discomfort and inflammation, especially in the reshaped areas of the nose or tissue removed for bone grafting. In most cases, sick people can relieve their discomfort by taking available painkillers.
Swelling: Most of the swelling caused after surgery usually disappears after a few weeks. However, it takes six months to a year to fully resolve this condition.
Side effects of anesthesia: Some people may experience nausea after using anesthesia, and this problem can be accompanied by temporary changes in voice and excessive secretion of mucous fluid.
Nosebleeds: Having nosebleeds for 72 hours after surgery is normal. Although the possible bleeding after this period is usually not serious, the patient should inform his surgeon about his nosebleeds if he observes these conditions.
dangers
When this surgery is performed by an experienced plastic surgeon, it can be a safe procedure with limited long-term side effects for the patient. However, all surgeries have certain levels of risk and danger. For this reason, it is necessary for the patient to be aware of these risks and to control his recovery process according to the surgeon’s care instructions. If any abnormal symptoms are observed in the patient’s condition during the recovery period, it is necessary to meet with the attending physician in this regard.
Potential side effects
The risks of rhinoplasty, despite being rare, are as follows:
. infection
. Allergic reaction to anesthetics
. Adverse cosmetic results include nasal asymmetry
. Remaining undesirable scars after surgery
.numb
. Respiratory problems
. Chronic nosebleeds
. Nasal septum perforation
Hematoma (accumulation of blood under the skin)
. Cut off blood vessels
. The possibility of having corrective surgery
Cost and price
Because rhinoplasty is different for each patient, the cost of rhinoplasty is not the same and depends on many factors. In this way, patients should discuss the total cost of surgery with their doctor and learn about payment methods and possible financing plans that can be used.
image
The nasal gel injection method is especially suitable for patients who are looking for reconstructive nose surgery and non-surgical nose surgery (re-rhinal surgery). Performing nose surgery weakens the internal structures of the nose and by performing repeated surgeries, your nose becomes highly susceptible to injury. On the other hand, correcting deformities and minor disorders with surgery can be very challenging and difficult. In this case, it is much more appropriate to use injectable gels to shape the nose, and with this method, the related abnormality can be removed without damaging the sensitive structures of the nose.
1- How much time does nose surgery require?
Nose surgery usually takes one to two hours, although this time may be longer depending on the surgeon’s goals. Also, secondary rhinoplasty surgery takes about four hours. Again, the duration of this surgery also depends on the treatment needs of the patient and the specific techniques used by the doctor.
2- Is old age an obstacle for nose surgery?
There is no age limit for rhinoplasty surgery. However, in order to avoid the risk of infection and the complications of unconsciousness, you must be in good physical health. In addition, to achieve optimal beauty results, the elasticity of the skin must be at an appropriate level.
Some doctors advise their elderly patients to use anesthetic injection and semi-conscious state instead of general anesthesia for surgery.
3- Can a doctor fix a broken nose even in cases where the damage was caused in the last few years?
Yes. Although in the best case, it is necessary to treat as soon as possible after the injury, the doctor can usually correct the injury by re-breaking the patient’s nasal bone and correcting its position.
4-Is this surgery safe for teenagers?
Doctors usually suggest that girls wait until they reach the age of 14 or 15 to perform this surgery, and boys need to wait a few more years for rhinoplasty. At the time of surgery, the growth process of the nose must have stopped.
Is there a permanent scar on the nose after surgery?
Similar to most types of plastic surgery, there is a possibility of scarring on the face after rhinoplasty. In closed rhinoplasty, all the slits are created inside the nasal cavity, and therefore, no visible scar is left on the face. In open rhinoplasty surgery, an additional slit is created in the lower part of the nasal septum, which can leave some scars after the treatment. Fortunately, due to the size and location of the incision, this scar is usually not visible to others.
6- Does rhinoplasty cause a lot of pain for the patient?
Patients may experience some discomfort during the first few days after surgery, but it is possible to control this pain and discomfort easily with pain medication.
7- How much time off is needed after nose surgery?
Patients can usually return to work one to two weeks after rhinoplasty.
When will the stitches be removed after rhinoplasty?
The stitches are usually removed six or seven days after surgery.
@dr.mostafahosseini
@dr.mostafahosseini