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Rhinoplasty (Nose Plastic Surgery)

Rhinoplasty or nasal plastic surgery is a plastic surgery to improve, restore or create a new nose shape.

Nowadays, rhinoplasty is one of the top five most demanded plastic surgeries in the world: breast augmentation, rhinoplasty, eyelid correction, liposuction and abdominoplasty.

This is not surprising – it is the nose that determines the general appearance of the face, and first attracts attention. Too long or too wide, upturned or humpy, flattened or curve, our nose is able to either shade our best sides or, on the contrary, completely spoil the overall impression. With the help of rhinoplasty, you can make the nose longer or shorter, expand or narrow, adjust its tip, narrow the nostrils, change the angle between it and the upper lip, that is – achieve mental balance.Rhinoplasty_ The Nose of The Correct Shape

Some Facts about Rhinoplasty

According to Trust Pharmacy rhinoplasty is one of the oldest plastic procedures, which mention can be found in the ancient Egyptian papyrus of Ebers, one of the first medical compositions known to mankind. Evidence of early rhinoplasty operations can also be found in the ancient Indian papers “Sushruta-Samhita”. Ancient doctors possessed the skill of restoring noses, ears, lips that were damaged or maimed in combat or cut off as punishment for crimes. In those cruel times it was not a luxury, but an urgent need for life. In ancient papers, a detailed description of the rhinoplasty operation is given, an almost step-by-step instruction. By the way, many principles of early plastic surgery are used by modern medicine so far.

Reasons for Rhinoplasty

According to medical indicators

Some people from birth have a defect in the internal septum of the nose: it is curved and delays the passage of air in the nostrils, which causes difficulty in breathing and snoring.

The result of accidents

No one is protected from car accidents, domestic injuries, bruises received accidentally, or injuries got in fights. In any case, the broken nose looks awful. Sometimes after a serious fracture, the nose needs to be carefully restored.

People suffering from low self-esteem

If someone once expressed an unflattering opinion about the size or shape of their nose, one can expect, with a high degree of probability, that sooner or later such people will come to a plastic surgeon.

People are perfectionists

Idealists who dream of changing the world, including, first of all, their own appearance. The desire for excellence prevents them from living: I can no longer do so, my nose is too terrible! Excellent candidates for rhinoplasty surgery.

Despite the fact that the history of rhinoplasty has been counted for many thousands of years, it is considered to be one of the most complex plastic operations. Each such operation is unique in its essence: as there are no two absolutely identical noses, there cannot be the same operations. Do not forget that in addition to its aesthetic function, the nose is responsible for the respiratory system operation. In addition, the nose provides the process of smelling, ventilation and purification of the paranasal sinuses. In fact, it is impossible to overestimate the importance of the performance of our nose. Any aesthetic rhinoplasty should not affect the important functions that the nose performs. You must take this into account when considering possible risks.

Indications and Contraindications

Women tend to improve their appearance, and if they appear to be imperfect, they may resort to plastic surgery or injections.

Indications can be divided into two types – medical and aesthetic.

Medical refers to:

  • curved cartilaginous septum, making breathing difficult and provoking edema of the respiratory tract at temperature exposure;
  • post-traumatic deformation of the shape, curvature or displacement of the nasal septal cartilage;
    Congenital defects that prevent free breathing.

Aesthetic indications are very conditional and are not direct indications for surgery, except for explicit cases of disproportion:

  • wide nostrils or back;
  • a large tip of the nose;
  • the existence of a pronounced hump;
  • the absence of a pronounced nasal bridge;
  • hooked nose, with a bent down tip;
  • turned-up nose.

The operating types of rhinoplasty have a lot of contraindications:

  • acute infections;
  • malignant tumors;
  • herpes;
  • low blood coagulability;
  • acute rhinitis;
  • heart diseases;
  • pyelonephritis;
  • mental disorders.

Possible Risks

Rhinoplasty, like any other surgical operation, carries a portion of the risk. This is due to the peculiarities of the structure of the person’s face, the type of skin, the body’s response to surgical intervention, the possibility of infection, and many other complications. It is impossible to foresee everything in advance, you just need to know about possible dangers. Of course, the best option is to turn to highly qualified specialists who have vast experience in conducting such operations.

In such operations, absolutely unpredictable results sometimes occur, and this does not always depend on the surgeon. Simply, it is impossible to calculate the shape of the nose as accurately as possible: the surgeon simulates the chosen form during the operation but in each person, the postoperative period proceeds in its own way, its skin type, individual type of face.

The Steps of Operation

Operative types of rhinoplasty consist of several stages:

  1. Anesthesiologist introduces local anesthesia to the patient with minor surgical intervention or provides general anesthesia – in more complex cases of deformation of the nasal cartilage. Additional anesthesia may be performed to disconnect receptors.
  2. In the region of the columella, between the nostrils, a thin incision is made with a scalpel and the operation itself begins – an open or closed type. In the first case, the surgeon releases the cartilage from the skin, in the second – does the necessary manipulations without temporary skin removal.
  3. With the help of surgical instruments, the doctor corrects the defects specified by the patient. If necessary, implants are inserted into the cartilaginous area or, on the contrary, a part of the tissue is removed. The average operation duration lasts 50-120 minutes.
  4. After the operation is completed, the sutures and nose are protected by a fixing bandage. Non-operative types of rhinoplasty for the correction of small areas of the nose are conducted under only local anesthesia or are sometimes carried out without it, so the correction is comprised of 3 stages – preparatory, injecting and restorative. If necessary, the injection is repeated.