Rhinoplasty or rhinoplasty is a branch of plastic surgery that specializes in the correction of congenital or acquired deformities, as well as the restoration of individual segments of the nose or the entire body.
Rhinoplasty can increase or decrease the size of the nose, change its shape, and eliminate respiratory problems. The aesthetic purpose of rhinoplasty is to achieve harmony in facial features by correcting defects in the nose. As a rule, such operations are performed at the age of 18-21 years, because by this time there is a physiological growth of bone and cartilage tissue.
The task of rhinoplasty is to restore the proper shape and function of the nose, which is damaged as a result of injury or during embryogenesis. Rhinoplasty is a range of different operations that will be discussed in more detail below.
Israeli clinics give excellent results, the medical service provided meets the expectations of patients.
In Israel, open or closed access can be used during rhinoplasty, depending on the purpose of the operation. An incision is made in the cavity with closed rhinoplasty, the skin is removed from the frame (cartilage and nasal bones). This method involves changing the shape, removing cartilage and excess bone, and so on. used for. If a large-scale operation is planned, open rhinoplasty of the nose is prescribed during incisions in the columella (vertical layer of skin separating the nostrils).
Nasal correction is divided into primary and secondary. After the initial operation, a revision or secondary plastic surgery is performed to remove the remaining defects.
In recent years, if it is necessary to correct small defects of the nose, fillers are actively used in rhinoplasty: to change the shape of the wings, to restore symmetry, to round the tip of the nose, and so on.
Rhinoplasty surgery in Israel: planning and implementation
In Israeli clinics, the patient is first consulted by a plastic surgeon, who examines the shape of the nose, the condition of the tissues, and diagnoses nasal breathing disorders. For best cosmetic results, nose photos and computer modeling are performed. The patient is also advised by an ENT doctor. If there are obvious defects, nasal rhinoplasty is performed in conjunction with an otolaryngologist and plastic surgeon.
As a rule, general anesthesia is used during surgery in combination with local infiltration anesthesia. The duration of rhinoplasty depends on the complexity and takes 1-2 hours or more. The surgeon changes the frame of the bone and cartilage to give the nose an aesthetically pleasing size and shape. Lack of properly performed rhinoplasty and complications in Israel - and postoperative wounds will not actually appear.
Recovery period after nasal correction
After the operation, tampons are placed in the nasal passages and removed after 2-3 days. A special plaster or colloid sticker is applied for five to seven days (if the plastic touches the cartilaginous part of the nose) or twelve to fourteen days (for the bone part) to correct the new shape.
Swelling can make nasal breathing difficult in the first weeks. The bruises and swelling disappear within ten to fourteen days. It is not recommended to wear glasses for a month and a half after nasal correction. The full recovery course lasts from six to eight months, after which the final results of the operation will be visible. Smoking and taking certain medications can slow down recovery.
Rhinoplasty in Israel: removal of the nasal mucosa
This operation is multi-stage. In the process of its implementation, osteochondrosis of the back of the nose is eliminated. Pigs can be caused by trauma or hereditary factors.
If the nasal mucosa is small, local anesthesia can be used, if large - general. The duration of surgery is 1-2 hours.
First, the surgeon cuts and removes the skin from the bony-cartilaginous base of the nose - the skeletal stage. After that, the cartilage is cut and the cartilaginous segment of the wall is gradually removed, starting from the smallest volume. The bony component of the nasal cavity is then cut.
After the mattress is removed, the skeleton takes the shape of a truncated pyramid. An osteotomy is performed to bring the nasal bones together and remove a wide platform. The surgeon cuts the bone tissue of the lateral slopes and brings them closer to the upper segments. To eliminate the irregularities, the patient uses contour plastic using his own cartilage or various implants. At the end of the nasal correction, cotton swabs are placed in the nasal passages and a plaster bandage is applied to correct the new condition of the tissues. The plaster is removed after eight to ten days.
Bleeding and swelling in the nasal area continue for several weeks after removing the nasal passages. As the edema decreases, nasal breathing is restored. The final result of the operation can be evaluated within six months, when the tissues are fully restored.
Nasal septoplasty in Israel
This is an operation performed to repair the nasal septum while protecting the bone and cartilage framework. This type of plastic allows you to achieve an aesthetic result and eliminate breathing difficulties.
The nasal septum is a thin vertical bone and cartilage plate that is easily deformed, leading to impaired respiratory function and deteriorating aesthetic appearance. Causes can be injuries, childhood rickets, hereditary predisposition.
Contraindications are:
- severe pathologies of the internal organs;
- oncology;
- infectious diseases;
- problems with blood clotting;
- diabetes.
Indications for nasal septoplasty:
- allergic pathologies (itching, runny nose, etc. );
- difficulty in nasal breathing and its absence;
- chronic and acute diseases of the paranasal sinuses (frontitis, ethmoiditis, sinusitis);
- vasomotor rhinitis and frequent nosebleeds;
- snoring due to nasal breathing disorders, etc.
In case of exacerbation, septoplasty is performed two weeks after its removal. In Israel, the instructions for surgery are determined by an otolaryngologist based on history and diagnosis (rhinoscopy). Before the operation, laboratory tests, ECG, X-ray of the lungs are performed.
Infiltration anesthesia (injected into the nasal septum with the help of needles), topical anesthesia (injected tourniquets implanted with anesthesia into the nasal passages), as well as general anesthesia can be used as painkillers.
In Israel, with septoplasty, the surgeon makes an incision inside the nose or endonasally, resulting in no visible scar after surgery. On both sides of the nasal septum, it erodes the mucous membrane, emphasizes and removes the curved parts of the bone structures and the rectangular cartilage of the septum. After the correction of the nose, the stitches are applied and the tampon is held with a finger or gauze pads. A sling-like bandage is applied to the nose.
Also, in Israel, septoplasty is performed using endoscopic access. An optical fiber endoscope is inserted into the nasal cavity, which allows you to see the hard-to-reach sections on the monitor and perform the operation as accurately as possible. This type of nasal septoplasty causes minimal damage to cartilage and tissues, reducing recovery time.
In addition, laser septoplasty is used in Israeli clinics to prevent the development of bleeding and edema, as the laser "seals" blood vessels by cutting tissue. In addition, it has an antiseptic effect.
The duration of septoplasty is determined by the degree of curvature of the septum, the operation can last from thirty minutes to an hour and a half.
This type of rhinoplasty is very easily tolerated. The patient is in hospital until the nostrils are removed. Ten to fourteen days are enough to restore the ability to work, full rehabilitation takes about a month.
Rhinoplasty in Israel: convergence of the nasal bones
In Israel, osteotomy (bone replacement, bone convergence) can be an independent operation that corrects the shape of the nose or one of the steps to remove the front of the nose. Thanks to this type of plastic surgery, the surgeon achieves ideal proportions to the face of the nose by reducing the lateral bones of the bridge of the nose.
In the process of osteotomy, it joins the walls of the bone pyramid, after which the cartilage attached to the bones moves. The skin, as a rule, adapts to the changed contours of the back of the nose without much difficulty.
Osteotomy takes several minutes of the total duration of rhinoplasty. After the correction is completed, the nose is closed with surgical plaster and fastened with a bandage to maintain its shape and protect it from damage.
Hematomas and edema disappear within 2 weeks. New contours are finally formed within a year.
Rhinoplasty in Israel: nose tip support
Support to the tip of the nose is provided by a stable, strong and correct placement of cartilage. Normally, they are located just above or below the line running along the back of the nose.
Insufficient support leads to undesirable consequences of rhinoplasty (in the absence of adequate support) or age-related tissue ptosis (weakening of cartilage-supporting ligaments).
All external noses are proportionately and properly shaped to create support. The norm is the nasolabial angle (formed by the upper lip and columella) - 90-120 °.
During rhinoplasty in Israel, the tip of the nose can be raised seven to eight millimeters above the posterior profile line. The skin of the tip is less elastic and thicker, making it difficult to adapt to changes.
Transplanted cartilage grafts - "props" can be used to restore support. The surgeon places such cartilage between the lateral cartilage and tightens it, then cuts it to the desired size.
Also, the tip graft can be placed on the cartilage, perpendicular to the support. This option is used when the cartilage of the tip of the nose is damaged and is not used for self-support. The ideal source for a graft is cartilage from the nasal septum.
If it is not possible to remove the graft from the tip, the cartilage can be removed from the pin. However, it is considered not strong enough to hold pressure and shape. Therefore, the ear cartilage is often connected to the strong and thin bony nasal septum. Part of the bone is attached to the cartilage graft.
Rhinoplasty in Israel: nasal shortening
Nasal shortening is a plastic operation that reduces the length of the outer nose. Most often, the length of the cartilage of the septum is reduced, more rarely a large area, the side wall of the nose, formed by triangular cartilage and bones.
Different methods are used to estimate the length of the nose. The most common method is to measure the distance from the tip of the nose to the bridge of the nose. Another method involves determining the size of the nasolabial fold.
As you age, the cartilage ligaments weaken, the tip of the nose drops, and visually increases in length. For this reason, during adolescence, patients shorten the length of their noses less than young people.
Types of nose shortening surgery in Israel
With a long nose, as a rule, the cartilaginous and bony parts of the nose, the triangular and lateral cartilages in the transverse and longitudinal directions, and the cartilaginous part of the septum generally extend evenly. As a result, operations are performed to shorten the lateral cartilage wall of the nose, or resection of the distal wall cartilage.
In the second option, partial resection is performed using infiltration anesthesia. The surgeon performs 2 transfusion parallel incisions, through which the cartilaginous septa are removed from the mucous membrane and the excise skin strips in the area of the columella. Then the cuts are sewn with catgut threads. As a result, the nose shortens and the nasolabial angle increases.
Another method is to increase the nasolabial angle by placing silicone or cartilage liners in front of the jaw spine.
Rhinoplasty in Israel: nasal tip correction
In Israel, this type of rhinoplasty can be performed in several ways. The operation is performed on the terminal part of the outer nose: by removing the deformed or excessive parts of the cartilage tissue, its shape is improved and the new position is stabilized.
Correction of the tip of the nose is a complex aspect of rhinoplasty, the task of which is to restore harmonious anatomical features without disrupting the supporting structures of the body.
Due to the variety of nasal alignment options, Israel develops an individual rhinoplasty plan that takes into account the strength and shape of the cartilage, the thickness of the skin, the width and length of the nose, the nasolabial angle, and the anatomy of the nose. vault angles, back contour and the patient's own wishes.
To narrow the tip of the nose, the surgeon cuts the cartilage segments and partially removes the adipose tissue. One option can be used, during which the domes are split and seams are applied, narrowing or joining them together.
Rhinoplasty in Israel: repositioning of a broken nose
To correct the nose, this operation involves returning the dislocated bone fragments to their normal position. The optimal time for this plastic is the first hours after the fracture, until the development of soft tissue edema, or the next 3-7 days after the edema has subsided. A callus forms 10 days after the injury, so repositioning can no longer be performed.
Forty percent of all facial injuries are fractures of the nasal bones caused by sports injuries, street and domestic disputes, traffic accidents, falls. Such a fracture can be closed and open without displacement and with displacement of bone fragments. Symptoms of a fracture include deformity of the outer nose, swelling, pain, mucous membrane leakage, bleeding, wounds, abrasions, and nosebleeds as a result of rupture of the mucous membrane. In addition, the sense of smell and nasal breathing are impaired.
Interviewing patients for diagnostic purposes in Israel, they can perform external and endonasal examination, endoscopic examination, radiography of the nasal bones.
A fairly common outcome of a bone fracture is curvature of the nasal septum, accompanied by recurrent sinusitis, rhinitis, and nasal breathing disorders. Curvature correction can only be done surgically.
Another complication may be a hematoma of the nasal septum below the mucous membrane, narrowing the lumen of the nasal passages and making it difficult to breathe. Perhaps its feeding and subsequent destruction of cartilage. Therefore, high-quality and operative medical care is extremely important in cases of fractures of the nasal bones.
Cold (ice or cold compress) can be used as a first step to reduce swelling and pain and stop bleeding.
In an Israeli clinic, plastic surgeons are replacing bone fractures. For the proper growth of bones in the future, manual repositioning is performed under local anesthesia for the first 6-7 days. A tight tamponade of the cavities is performed with tourniquets to compress and support the nasal skeleton. A bandage is applied abroad.
Self-reduction due to additional trauma is strictly prohibited. After the swelling subsides, the aesthetic and respiratory function of the nose is assessed. Bone fractures can lead to deformation of the nasal cartilage and its lateral displacement, narrowing of the nasal passages, curvature of the septum, etc.
If the nasal bones do not grow together properly, patients often have to resort to rhinoplasty later. To restore damaged breathing, the deviated septum is repaired - rhinoseptoplasty is performed.
Rhinoplasty in Israel: correction of nasal wings
This type of operation is performed to change the width, thickness and symmetry in the presence of obvious aesthetic defects and deformations. Different methods are used depending on the violations. For repair, the tissues surrounding the defect are mobilized or a cartilage or skin graft is transplanted.
Correction of the nasal wings can be an independent operation or the final stage of rhinoplasty in Israel.
Defects of the nasal wings are acquired and congenital, complete or partial. The causes are the result of nasal correction or removal of tumors, traumas, burns and diseases.
Most operations to correct the nasal septum are performed using local infiltration anesthesia. If there are extensive defects, intravenous anesthesia is used.
Tip plastic is sometimes used to straighten the nostrils. In this case, this operation completes the rhinoplasty. If aesthetic defects are expressed, the correction is carried out at the main stage of the operation.
When it is necessary to reduce the distance between the wings of the nose, incisions are made from the vestibule at the bottom of the wings and along the contour. Segments of skin and mucous membranes are cut, hemostasis is performed, sutures are made. Scars are placed on the folds of the nasal wings and natural nasolabial folds, making them virtually invisible.
If it is necessary to restore the support of the nasal wings (in case of retraction or damage), areas of adjacent tissues are transplanted, the skin cover or its own cartilage is transferred from the auricle or nasal septum, specially modeled.
The rehabilitation period can last up to five days, in the case of cartilage reconstruction - seven or more.
Rhinoplasty in Israel: complete nasal correction
In Israel, this type of rhinoplasty consists of complex rhinoplasty performed on the structural segments of the external nose and the thickness of the tissues of the body. It can reduce the length of the nose, change its shape, remove the hump, narrow the width of the back, and straighten the tip. Together with plastic, they restore respiratory function and the normal architecture of the cavity.
This operation is often performed after injuries.
In most cases, the correction is performed with a closed (endonasal) approach, except for external cuts of the skin. Surface manipulations can be performed using local anesthesia and intravenous sedation, while operations on deep structures require general anesthesia. This nasal correction is possible in the 18-40 age group.
In Israel, rhinoplasty can be combined with the following plastic surgeries: blepharoplasty, facelift, jaw and lip surgery, liposuction, breast lift, etc.
Before the operation, the anatomical structure of the nose is carefully analyzed and its future shape is modeled on a computer. In case of nasal breathing disorders, the nasal cavity is examined, X-ray or tomography is performed.
Modern rhinoplasty in Israel uses cost-effective methods that give excellent results and minimize the likelihood of complications.