Rhinoplasty: preparing for the procedure, contra-indications and the nuances of rehabilitation

According to experts, the most common women's plastic surgery is rhinoplasty. The shape of his nose, angered many, and often the psychological problem is so large, that go under the scalpel. The benefits of plastic surgery it is now possible to achieve what previously seemed unreal.

Rhinoplasty nose before and after

The type of the nose and the features of the procedure

A popular surgical correction of the nose at the same time is one of the most difficult plastic surgery. We all want to have a perfect appearance, but before you decide on such a radical change, you need to carefully weigh the pros and cons and make sure that you have no contraindications to surgery.

Get a nose job surgeons recommend a number of reasons, medical and aesthetic nature. The main indications for surgery are:

  • congenital or acquired (after trauma) deformity of the nose;
  • difficulty in nasal breathing, due to the curvature of the nasal septum or hypertrophy of the mucous membrane of the turbinates;
  • the aim of aesthetic defects — the presence of serious gibbo, pointed, thickened, or calculate the tip, the disproportionate size of the nose or parts of it.

As with any surgical intervention, rhinoplasty, there is a large list of topics. Surgery is forget about them, having any of the following chronic systemic diseases:

  • diabetes mellitus;
  • cardiovascular disease (CORONARY artery disease, severe hypertension, valvular disease, arrhythmia);
  • autoimmune diseases (rheumatoid arthritis, systemic lupus erythematosus);
  • hepatitis, cirrhosis and other liver damage;
  • bronchopulmonary disease;
  • immunodeficiency states;
  • diseases related to bleeding disorders;
  • malignant tumors;
  • allergic diseases (can cause the development of anaphylactic shock).

Rhinoplasty is absolutely contraindicated in severe General infections, such as tuberculosis.

Some diseases and conditions can exclude the possibility that rhinoplasty is only temporarily. These are:

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

There are also age restrictions for the procedure. Rhinoplasty is not recommended for children and adolescents up to 18 years, the process of formation of the anatomical structures of the nose is not yet ready, and the surgery effects can be unpredictable. After 55 years of performing plastic also unwanted: the elderly slow recovery process, and this makes it difficult during the rehabilitation period. However, age-related contraindications are not absolute, and the question of operating in this case is solved separately. For example, if congenital malformations of the structure of the nose causing breathing difficulties, often rhinitis, sinusitis, otitis media, plastic made, even if the patient has not reached 18 years of age.

To determine the indications for rhinoplasty and make sure that there are no contraindications before the procedure research has been carried out. The primary stage of training consultation, where the patient will discuss with the doctor of his disruptive failure and speaking the desired results. The duty of the surgeon to give an honest forecast, and do not maintain unrealistic expectations, which are sometimes from customers.

Next is the standard preoperative diagnostic. You need to take a blood General and biochemical tests for infections (HIV, hepatitis, syphilis), ECG, the therapist and the anesthesiologist. Sometimes you need x-ray paranasal sinuses and consult a dentist.

Operation of rhinoplasty was successful, and recovery was quick procedure, you need to properly prepare. Two weeks before the planned event, it is advisable to adjust your lifestyle and nutrition to give up bad habits and unhealthy foods, create sleep. You should stop using drugs that prevent blood clotting (anticoagulants): their action can cause severe bleeding during surgery. The day of the procedure, do not eat, if the surgery will be under general anesthesia.

Features of the action are determined by its form. Plastic surgery of nose (rhinoplasty) is the most common name, which combines different types of surgical repair. Depending on the fault is one of the following:

  • Reconstruction is a complex operation, that is, restoring the anatomical structures of the nose damaged by injury or already botched rhinoplasty. A frequently used method of planting.
  • Repair form — action on the bridge of the nose to make it narrower or wider, to eliminate bending, to remove gibbo or closing.
  • Plastic columella . So medical language is called a jumper, which separates the nostrils. Surgery can enlarge or reduce, raise or lower.
  • The plastic mouthpiece is a relatively simple procedure, which aims to eliminate these common failures as a "bulbous nose", upside down. Surgically possible to lift the tip of the nose, sharpen it or extend.
  • Plastic wings of the nose . His frequent use of them, that their nose seems too wide: intervention it is possible to adjust the size and cut of the nostrils. After the plastic nose will become more refined and aristocratic look.
  • Septorhinoplasty . Its essence lies in the correction of defects of the nasal septum. Plastic of this type is carried out for medical reasons.
  • Augmentationem plastic operation to raise the sunken bridge to the implantation of their own or donor cartilage.

Although this brief description it is clear that the scope of activities and the degree of trauma rhinoplasty can vary greatly. It's one thing when you need to fix the tip of the nose or reduce the columella, and quite another — when you want to "cut" the gibbo or raise the nose. Depending on the final purpose and different methods of access — open and closed. The first method is more invasive: are skin incisions, the affected cartilage and bone tissue. Closed rhinoplasty can get to the mucosa. This action takes place as little harm as possible, and the rehabilitation period after it, when it is shorter. But serious deficiencies can often be addressed only with open access.

The operation is performed under general anesthesia. The procedure itself takes an average of one to three hours. To fix the bug, surgeon, stitches and plaster.

This is important

To return to normal life as soon as the surgery didn't work. During the recovery period, it can be difficult to breathe through the nose, may also be concerned about the problems of aesthetic nature: swelling, hematomas. Don't be afraid: it is quite natural, because during surgery, the damaged vessels. Bruising and swelling after rhinoplasty will disappear in about two weeks.

The rehabilitation period passed quickly and without complications, surgeons recommend to follow a few rules:

  • delete the sport, not to lift weights;
  • do not eat spicy food, warm food and drinks, alcohol — it can cause bleeding;
  • use a pressure bandage (about 10-14 days);
  • early resorption of hematomas and swelling, you can use a special external resources and implement rehabilitation treatments that the doctor prescribes.

The final result of the display changes through the year after surgery because of soft tissue swelling lasts up to three to four months, and the swelling of the periosteum osteotomy up to six-eight months.

How to choose a doctor for rhinoplasty

All of the above convinces us that how important step is the decision to resort to rhinoplasty. Rely on luck in this matter is unacceptable: because of the insufficient qualification of the surgeon at high risk of getting complications or at least satisfactory result. Therefore, the choice of doctor and clinic should be treated very seriously. To protect yourself from mistakes, you need to pay attention to the following points:

  • Documentation based on which works you select clinic. He has a license for implementation of medical activities. There are other necessary documents: sanitary-epidemiological conclusion, the rules of the health services. It is necessary to ask about the presence of certificates of equipment and materials.
  • Make sure that the doctor is high enough qualification. About professional achievements of the surgeon told, diplomas, awards, and degrees, certificates of additional education.
  • To assess the level of service in the clinic. First, the service affects the psychological comfort of patients, and this is very important in sectors such as aesthetic medicine. Secondly, the service — level indicator of the clinic as a whole, and thus the quality of services. You can meet staff, learn what is involved in the program, in addition to the action itself (not advice and recovery procedures during the rehabilitation and after the rehabilitation periods).
  • Learn responsibility to the doctors. A good surgeon you are confident in your skills and ready to respond to the results of operations. Before you sign a contract with the institution, you should carefully examine the text of the document and all the terms and conditions, which rendered medical services.
  • The price of services is an important selection criterion. The price of a nose job is always different, and not always they correspond to the quality of services. Action, in principle, can not be called cheap, and this question deserves a separate attention.

How much is rhinoplasty

The cost of rhinoplasty depends on the conditions:

  • the complexity of the procedure, the volume of surgical intervention;
  • degree surgical (surgery, for example doctor of the highest category will cost more than the less prestigious expert);
  • level clinic;
  • territory (the price of rhinoplasty in big cities is higher than the province).

The first factor is the most important. A variety of rhinoplasty are not the same, and it is natural: the specific characteristics of the intervention determine the time and effort spent surgeon.

Between prices for the same services in different clinics is very high. Choose the cheapest offer is always risky: likely to endanger their own health and beauty the pursuit of savings. It is better to focus on the average price level, and, of course, not forgetting the other selection criteria.

Thanks to the skills of plastic surgeons to get rid of the bugs. But the quest for the perfect appearance don't forget that rhinoplasty is a complex operation, and to make it better only if there is serious evidence. But no matter what was the reason for the decision: medical necessity or dissatisfaction with the shape and size of the nose, — the main thing — to be attentive to the choice of clinics and specialists.