Rhinoplasty: preparing for the procedure, the contraindications, and the nuances of rehabilitation of the

In the opinion of the experts, which is the most common among women, plastic surgery is the rhinoplasty. The shape of your nose, frustrated, and, often, the psychological factors, the problem is so big that it makes you go under the scalpel. The benefits of plastic surgery now make it possible to achieve what had previously seemed unreal.

Rhinoplasty nose before and after,

Types of rhinoplasty, and the characteristics of the process

A popular surgical repair of the nose, at the same time, however, it is one of the most difficult in plastic surgery. We all want to have a perfect look, however, before you opt for such a radical change, you will need to carefully weigh up the pros and cons, and make sure you have no contra-indications to the surgery.

To get a nose job surgeons recommend that for a number of reasons, the medical and the aesthetic of the character. The main indications for surgery are the following:

  • congenital or acquired (after trauma) deformity of the nose;
  • the difficult nasal breathing due to the curvature of the septum or hypertrophy of the mucous membrane of the turbinates;
  • the goal of aesthetic defects — the presence of a severe gibbo, is an alert, bold, or lower the tip, the disproportionate size of the nose, or parts of it.

As each and every surgical procedure is a rhinoplasty, there is an extensive list of contra-indications. Of operation, that they forget about the ones who have one of the following chronic systemic diseases:

  • diabetes;
  • coronary heart disease (CHD, severe hypertension, valvular heart disease, arrhythmia);
  • auto-immune diseases (rheumatoid arthritis, systemic lupus erythematosus);
  • viral hepatitis, cirrhosis and other liver damage;
  • bronchopulmonary diseases.
  • immune deficiency States;
  • the disease is associated with bleeding disorders;
  • malignant tumors;
  • allergic disease may result in the development of anaphylactic shock).

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

Some of the diseases and conditions, and to exclude the possibility of rhinoplasty it is only on a temporary basis. These include the following:

  • for acute viral infections (SARS, influenza, herpes);
  • diseases of ENT organs (rhinitis, sinusitis, otitis);
  • inflammatory changes in 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. in the process of formation of the anatomical structure of the nose has not yet been completed, and results of operations may be unpredictable. After 55 years, the performance of the plastic is also undesirable: the earlier slow pace in the recovery process, and it complicates the course of the rehabilitation period of time. However, the age-related contra-indications are not absolute, and the question of the operation in this case is to draw a line. For example, if congenital malformations of the structure of the nose, may cause shortness of breath, frequent rhinitis, sinusitis, otitis, plastic made, even if the patient has not reached 18 years of age.

To determine the indications for rhinoplasty, and to make sure that there are no contra-indications prior to the procedure, a survey was carried out. The primary stage, training is consultation, where the patient talks with the doctor and his annoying mistakes, and to talk about the results you want. The duty of the surgeon to make a fair return and to maintain unrealistic expectations, which are sometimes referred to in the party.

The following is the standard for preoperative diagnosis. You will be asked to take a blood General and biochemical testing for infections (HIV, viral hepatitis, syphilis), on the ECG, visit a therapist, and an anesthesiologist. Sometimes you have to x-ray paranasal sinuses and consult with a dentist.

The operation of rhinoplasty has been a success and recovery is quick, it is a process that is required in order to properly prepare. Two weeks ahead of schedule, it is recommended that you adjust your lifestyle and diet, to give up bad habits, and unhealthy food, and for the establishment of the sleep mode. You need to stop taking medications that prevent blood clotting (anticoagulants): your action may lead to serious bleeding during an operation. On the day of the procedure do not eat, if the surgery will be under General anesthesia.

The performance characteristics are determined by its shape. Plastic surgery of nose (rhinoplasty) is a common name, which brings together the different types of surgical correction. With regard to the failure of one of the following types of intervention:

  • Recovery is a complex operation, and it is to restore the anatomical structure of the nose is damaged as a result of damage or botched rhinoplasty. A frequently-used method of implantation.
  • Correction of the shape of the — function at the bridge of your nose, that's narrower, or wider, the elimination of bending in order to remove gibbo, or a retraction.
  • The plastic columella . In medical language, is called a jumper, which separates the nostrils. With the operation, you can zoom in or out, raise or lower.
  • The plastic nose tip is a relatively simple process for removing such common defects, such as the "bulbous nose", up his. Surgically possible to lift the tip of the nose to enhance or to expand.
  • The plastic wings of the nose . Its most often used by those who own the nose seems too wide: an intervention allows you to adjust the size and cut of the nostrils. After the plastic of the nose to be more refined and aristocratic look and feel.
  • Septorhinoplasty . At its core, however, lies in the correction of the errors of the nasal septum. Plastics of this type carried out for medical reasons.
  • Augmentationem, plastics — the operation to raise the sunken bridge to the implantation of their own or a donor's cartilage.

Even in this short description, it is clear that the scope of the intervention, and the degree of injury to the rhinoplasty can be very different from one another. It's one thing to do when you need to fix the tip of the nose, or the reduction of the columella, and the very different — if you want to "cut" gibbo, or to raise the nose. Depending on the purpose, and in a variety of ways to access the open-and closed-ended. The first method is more invasive: the incisions of the skin, affecting the cartilage and the bone tissue. With a closed rhinoplasty and is accessible from the lining of the. This operation takes place with a minimum of injury, and the rehabilitation period is shorter. However, serious errors often can be overcome only by open access.

The surgery is performed under General anesthesia. The procedure itself takes an average of one to three hours at a time. The correction of the error, the surgeon stitches and a plaster cast.

It is important to

To return to your normal life immediately after the surgery is not going to work. During the period of recovery, it may be difficult to breathe through your nose, you may also be concerned with the problems of an aesthetic nature: swelling, hematomas. Don't be afraid of it, it is quite natural, because during the surgery, the damaged blood vessels. Bruising and swelling after rhinoplasty will it go away in about two weeks.

For the rehabilitation of the period passed quickly and without any complications, surgeons recommend that you follow a few rules:

  • if you want to delete the sport, not to lift weights;
  • do not eat spicy foods, hot foods, and beverages, with alcohol, can cause bleeding;
  • to wear a pressure bandage (around 10-14 days);
  • in the early resorption of hematomas and swelling, you may want to use different external sources and for the implementation of the rehabilitation treatment that the doctor prescribes.

The end result of the transformation, which will be shown during the year following the surgery because of soft tissue swelling to last up to three to four months, and the swelling of the periosteum osteotomy for up to six to eight months.

How do I choose a doctor for rhinoplasty

All of this for us is to be satisfied that this is a major step was the decision to resort to rhinoplasty. To rely on luck in this case, it is not acceptable: due to the lack of the qualification of the surgeon at high risk to get a complication or, at least, give a satisfactory result. Therefore, the choice of the doctor and the clinic should be treated very seriously. To protect yourself from mistakes, you need to pay attention to the following points:

  • The documentation, on the basis of which the work of the chosen clinic. She must have the license for carrying out medical activities. There are also other necessary documents: sanitary-epidemiological conclusion, the rules of the medical services. It is important to ask about the presence of the certificates, the equipment and the materials used.
  • Make sure that the doctor has sufficient capacity. The professional achievements of the surgeon will tell you, the diploma, awards, and diplomas, certificates of additional education and training.
  • For the assessment of the level of service at the clinic. First, the service provider, which has an impact on the psychological comfort of the patient, and this is very important in the areas of aesthetic medicine. In the second place, and the service — level indicator of the clinic as a whole, and thus the quality of the service. You can meet the staff, find out what is included in the program, in addition to the performance itself (or the provision of advice and the procedures of recovery in a rehabilitation and post-rehabilitation periods).
  • Learn more about the responsibilities of doctors. Good surgeons are confident in their own expertise and is willing to respond to the outcome of the operation. Before you sign a contract with the institution, you need to carefully consider the wording of the document and all the terms and conditions on which the performed health care services.
  • The cost of services is an important selection criterion. Price of a nose job is always different and not always match the quality of the service. The operation of the, in principle, can not be called cheap, and it's a question worthy of separate consideration.

How much is a rhinoplasty

The cost of rhinoplasty depends on the situation.

  • the complexity of the procedure, the extent of the surgical procedure;
  • the qualification of the surgeon, for example, the operation of the doctor of the highest category, will cost more than the less-reputable, specialist);
  • the level of the clinic;
  • the region of the price of rhinoplasty in big cities is higher than in the provinces).

The first factor is the most important. The different types of rhinoplasty are not the same, and it is natural: the specifics of the intervention determine the time and the effort taken by the surgeon.

The range of prices for the same services in the different clinics was very high. Choose the cheapest offer there is always a risk: you are unlikely to endanger their own health, and beauty, in an effort to achieve savings. It is better to focus on the average level of prices, and, of course, without ignoring the other selection criteria.

Thanks to the skills of plastic surgeons to get rid of all the bugs. However, in the quest for the perfect look don't forget about the fact that rhinoplasty is a complex surgery and to make it better, only if there were serious evidence. But no matter what is the reason for the decision: medical necessity or the result of dissatisfaction with the shape and size of the nose, the top thing to do if you want to pay attention to the choice of clinics and specialists.