Rhinoplasty surgery: nose reduction, unpleasant aspects of the procedure and recovery. Nose wing – narrowing and reduction rhinoplasty, correction Nostril reduction

Rhinoplasty is considered a complex but quite common operation. It allows not only to improve the appearance of the face and the shape of the nose, but also helps to solve issues such as deformation of the tip and septum, the consequences of injuries and large wings of the nose. The latest type of plastic surgery is gaining increasing popularity, but is no less labor-intensive and requires high professional training from a medical specialist. Therefore, many patients before surgery ask the question: will the nostrils settle after correction of the wings of the nose, can there be crooked nostrils after surgery? In order for the final result of rhinoplasty to be positive, you should first discuss all the nuances with the surgeon and follow medical recommendations.

What surgery is performed to reduce nostrils and wings?

To reduce the nostrils and wings of the nose, it is prescribed. The operation is quite popular, helps eliminate deficiencies and defects, and improves respiratory function.

It is performed under general anesthesia, determined by the average duration of the rehabilitation period and lasts approximately from 20 minutes to 2 hours.

Surgical intervention is a complex procedure, but with the help of modern technologies it is possible to reduce the risk of consequences. This helps to give the correct shape to the nostrils and wings of the nose, adhering to the patient’s wishes and without violating the scope of what is possible in rhinoplasty.

Correction of the wings of the nose and nostrils is indicated for people who have them:

Wide - this feature is often found among people of Asian and African nationality, which is associated with the climate zone.
Curves - occur as a result of severe mechanical damage (impacts, bruises, consequences of an accident).
Large - characterized by the individual structure of bone, cartilage tissue and the shape of the nose.
Narrow.
Not the same size.

Various defects of the nostrils and wings of the nose can be congenital or acquired. In the first case, incorrect formation of the skull bones is observed during the period of intrauterine development; in the second, an unsuccessful operation is possible, after which pronounced asymmetry appears. Other causes include injuries, bruises, and deviated septum, which affects the shape of the nostrils and wings.

Progress of the operation and 2 main methods of correction

Correction of the wings and nostrils of the nose

Rhinoplasty is performed in several stages:

Consequences of the operation

Like other surgical interventions, rhinoplasty cannot guarantee a 100% positive result. During the operation, the integrity of the skin and cartilage tissue is violated, which can cause bleeding, swelling, hematomas and bruises.

The main consequence may be difficulty in nasal breathing or its absence, asymmetry of the wings of the nose, which can only be corrected through repeated surgery.

The main difficulty of rhinoplasty is that complications may not arise immediately, but after several months or 1 year. This is determined, first of all, by the long-term restoration of tissues, nasal function, and the long-term subsidence of swelling.

The main factors causing complications are:

Insufficient professional experience of the doctor.
Failure to follow recommendations during the recovery period.
Individual characteristics of the patient - a certain shape of the nose, the structure of bone and cartilage tissue, reduced blood clotting, poor regeneration.

To avoid complications, you should give preference to experienced, qualified specialists, first discuss the subtleties of the correction and undergo diagnostics.

Is it normal to have different nostrils after rhinoplasty?

Often after rhinoplasty, asymmetry of the wings of the nose and nostrils occurs, which frightens many patients. The reason for this is the incorrect actions of the surgeon during the operation. It may remove skin unevenly on both sides.

In this case, swelling is still present and the asymmetry of the nostrils is noticeable

What to do if your nostrils are different?

If the medical specialist is competent, he will notice the defect in time and try to eliminate it. To do this, use tampons or other means during the rehabilitation period. In cases where asymmetrical areas remain after the wounds have healed, repeat surgery is performed. But the difficulty is that it is allowed to be carried out only at least 6 months after the first intervention.

Often, different nostrils after rhinoplasty appear to the patient due to swelling, so until 2 months you should not worry too much about this. After this period, if the asymmetry persists, visit your doctor.

Nostril scars and other defects

An incision was made in this place for wing rhinoplasty

Scars after rhinoplasty in the nostril area are rare because the surgeon makes a small cut in the skin during the operation. If the incision is deep and large, noticeable scars remain. Poor skin regeneration and poor quality care of the operated area can also contribute to this.

Stitches do not heal after rhinoplasty?
If the patient has reduced tissue regeneration, their recovery is prolonged. Because of this, the sutures may not heal for a long time. Also, the cause of non-healing can be extensive swelling and improper care of the nose during the rehabilitation period. To eliminate this problem, you should consult a medical specialist, because in the future there may be a scar or scar on the open area.

Why didn't my nostril grow together?
This complication occurs quite rarely, but does occur. The reason for this may be incorrect actions of the surgeon during the operation, infection, poor skin regeneration, or non-compliance with medical recommendations during the recovery period.

Reduction of the wings of the nose without surgery

Injection to reduce the wings of the nose

In addition to surgical intervention, non-surgical correction methods are widely used. It allows you to give the necessary shape to the nose or parts of it and improves its appearance. It is mainly effective for minor deformities of the wings of the nose. This technique requires a longer time to achieve the desired result and is not long-term.

You can reduce the wings of your nose using the following non-surgical procedures:

Hormonal injection effectively copes with the task, helping to reduce the size of the wings of the nose. The technique is based on the introduction of synthetic components into the skin - glucocorticosteroids, which destroy soft tissue.
The use of threads - this procedure involves the introduction of threads under the soft tissue, which can be adjusted in different directions. With their help, some parts of the nose are tightened and a beautiful appearance is formed. The manipulation is done under general anesthesia, the threads are removed after a few days.
Using a splint is an effective and safe correction method. It is longer lasting than the others and is characterized by the use of plaster and plastic surgery, which are applied to the nose. The splint helps to give the desired shape to the nose and reduces the wings. The result will be noticeable after at least 8 months of wearing the cast.
Exercises - minor defects in the wings of the nose can be eliminated with the help of exercises at home, which are selected together with a medical specialist. To achieve a noticeable result, it will take a lot of effort and time. You should allocate 10-15 minutes to exercise every day.

Read all the details of non-surgical rhinoplasty for nose correction in our

If the size and size of the nostrils are disproportionate by nature or have acquired a not very aesthetic appearance as a result of facial injuries, the optimal solution is correction of the nostrils - a popular type of rhinoplasty, which involves correcting the shape of the wings of the nose.

People of some nationalities have flat or widened wings of the nose. Sometimes expansion of the nostril area is observed in the case of improper scarring of the mucous membranes: rhinoplasty will also come to the rescue - this is the safest and most aesthetic solution to cosmetic problems of this kind.

Rhinoplasty of the nostrils includes reducing the external size of the nostrils and correcting their incision. By surgically removing certain areas of skin and cartilage, the shape of the wings of the nose can be effectively corrected.

The choice of type of operation should be entrusted to an experienced plastic surgeon, who will professionally assess the size and shape of the nostrils and select the optimal technique.

During the operation, surgeons make every effort to ensure that the scar is positioned vertically: this increases the aesthetic appearance of the nose. In more complex cases, the doctor makes a careful incision at the base of the nostril. If partial excision of the base of the nasal wings is indicated, the surgeon observes the symmetry of the nose and the characteristics of the patient’s tissues.

Preparing for nostril correction surgery

Planning a nostril rhinoplasty requires that the patient fully understands the seriousness and responsibility of the surgical procedure. Such operations are carried out exclusively in reliable clinics whose specialty is plastic surgery.
Before the procedure of rhinoplasty of the nostrils, a full medical examination is required, and the patient undergoes consultation with specialists.
Before nose correction surgery, the patient also visits a therapist, ENT specialist and anesthesiologist: this allows you to choose the most suitable set of procedures and medications for the patient.
It is mandatory that the surgeon conducts a preoperative assessment of the appearance of the nose, and photographs of the nostrils are taken in order to compare the result after the operation. Based on preoperative studies, the surgeon models the ideal size and shape of the nostrils. All of this is then reflected in the cost of rhinoplasty surgery.
Restrictions before the rhinoplasty procedure require compliance with certain rules. For several weeks, the patient should limit himself to smoking and drinking alcoholic beverages. You should not take medications that cause changes in blood clotting. There is also a ban on certain types of products. Detailed advice should be obtained from the surgeon who is planning the operation.

The risks associated with nostril rhinoplasty should be assessed in advance. This is the possibility of infection, rupture of blood vessels, as well as adverse reactions to medications used during surgery. 98% of these types of procedures usually go without complications.

Risk factors and possible contraindications

As with any major surgery, to correct the nostrils There are a number of contraindications.

Rhinoplasty is not performed if the patient is diagnosed with cancer, heart disease and liver disease. Also, surgeons do not perform surgery on people suffering from diabetes and bronchial asthma, various drug allergies, infectious diseases and exacerbation of chronic diseases. Among the absolute contraindications are mental disorders.
The optimal age for rhinoplasty of the nostrils is considered to be the period from adulthood to 40-45 years. It is not advisable to perform surgery earlier; later it is fraught with complications due to age-related skin changes and metabolic disorders.
The indicator for performing the operation is the final formation of the patient’s face.
Surgery is performed under general or local anesthesia.
The procedure lasts no more than one and a half hours.

Features of surgery on the wings of the nose

Open plastic surgery is performed in cases of complex surgery and the need to make small incisions. The operation implies optimal contact with the operated areas: this method gives the most effective results.
Closed rhinoplasty is performed by making incisions and carefully removing excess tissue. Skin excision is also performed.

Features of the rehabilitation period

The postoperative recovery process includes the occurrence of facial edema, which is considered a natural consequence of the operation. Swelling goes away easily after a few weeks.

The first days after correction of the nostrils, the patient breathes through the mouth, and cotton swabs are inserted into the nostrils to prevent bleeding. The surgeon may prescribe painkillers.

After a month, the patient is allowed to exercise and lead a normal lifestyle. The duration of the rehabilitation period is determined individually. Patients must undergo regular examinations with a surgeon and follow a special diet.

For rhinoplasty of the nostrils to be successful and bring positive results, you should choose the right clinic and doctor. This will be the key to a successful investment and achieving ideal nose proportions.

Photos Before and After rhinoplasty of the wings (nostrils) of the nose

It is not a rare occurrence that it is not the length, shape or tip of the nose that spoils the appearance, but the nostrils. Such a small but important touch can significantly change the appearance. This is why nostril rhinoplasty is performed. The results of such an operation help to, in general, imperceptibly improve the overall impression of the face and add attractiveness.

The main principles of nostril rhinoplasty

Any adjustment has its own principles or, if you like, postulates, on which the high-quality professional work of a plastic surgeon is built. Correct rhinoplasty of the wings of the nose and nostrils implies:

Symmetry;
Proportionality;
Accuracy.

RHINOPLASTY WITHOUT SURGERY

Plastic surgeon, Pavlov E.A.:

Hello, my name is Pavlov Evgeniy Anatolyevich, and I am a leading plastic surgeon at a famous Moscow clinic.

My medical experience is more than 15 years. Every year I perform hundreds of operations, for which people are willing to pay HUGE money. Unfortunately, many people do not even suspect that in 90% of cases surgery is not required! Modern medicine has long allowed us to correct most appearance flaws without the help of plastic surgery.

Plastic surgery carefully hides many non-surgical methods of appearance correction. I talked about one of them, check out this method

Since the nostrils are paired elements of the nose, the most important point is symmetry. It allows you to eliminate sharp differences in their size, configuration, and shape. When we talk about proportionality, we mean that the wings and nostrils should be visually combined with other parts of the nose in particular and the face in general. Since the nostrils are a small area, precision is extremely important during the operation. Therefore, the surgeon’s actions must be as careful, planned and thoughtful as possible. Otherwise, even larger defects may occur, such as large nostrils after rhinoplasty.

When is nostril rhinoplasty prescribed?

There are a number of shortcomings and defects due to which rhinoplasty of the nostrils (the photo shows how it can be done) becomes possible. These factors may be congenital or acquired. When talking about acquired defects, we usually mean either post-traumatic or post-operative. An example would be different nostrils after rhinoplasty. In this case, it is meant that primary rhinoplasty led to undesirable consequences due to surgeon errors or complications. We decided to highlight the main reasons for prescribing rhinoplasty of the nostrils:

Uneven or too wide nostrils when looking at their shape relative to an imaginary horizontal axis. This is how different nostrils can be corrected during rhinoplasty.
Too narrow nostrils (usually a congenital defect, but it can also appear after burns or other injuries).
Fleshy, thick nostrils. The reason here usually lies either in thickening of the skin or in excess of cartilage tissue.
Groove, retraction or retraction of the wings often occurs due to injury.
Excessively long wings can significantly increase the nose. This happens due to the overhanging of tissues in this area.

As you can see, there are a lot of defects and it is impossible to fix them. Since the area of correction is extremely small, a certain amount of experience is required from a plastic surgeon. Therefore, it is necessary to choose your doctor carefully before going under the knife. Perhaps you should look at photos of rhinoplasty of the wings of the nose to decide whether you need it or not.

Rhinoplasty of wings and nostrils: how it is performed

As a rule, such an operation is not performed separately. It is often done with either septoplasty or another type of rhinoplasty. The nostrils can be corrected by removing tissues on the back of the surface where they are attached to the cheeks, or by removing excess tissue at the base of the nose.

Rhinoplasty can reduce the size of the nostrils by mobilizing the skin on the nose, which is freed from its connection with cartilage and bone tissue. This technique is used when it is necessary to reduce too wide nostrils, pull them closer to the midline, making them narrower.

Our readers write

Topic: Fixed my nose

From: Ekaterina S. (ekary*** [email protected])

To: Site Administration

Hello! My name is Ekaterina S., I want to express my gratitude to you and your site.

Finally, I was able to change the shape of my nose. Now I am very pleased with my face and no longer complex.

And here is my story

From the age of 15, I began to notice that my nose was not what I would like, there was not a large hump and wide wings. By the age of 30, my nose had grown even more and had become quite a “potato”, I was terribly complex about this and even wanted to have surgery, but the prices for this procedure are simply astronomical.

Everything changed when a friend gave me one to read. You can’t imagine how grateful I am to her for this. This article literally gave me a second life. After just a few months, my nose became almost perfect: the wings noticeably narrowed, the hump smoothed out, and the tip even rose slightly.

Now I don’t have any complexes about my appearance. And I’m not even shy about meeting new men, you know))

Tissue sagging due to excess skin can be eliminated in two ways. In the first, this tissue is pulled inward along the upper border of the nostrils. With the second method, the excess is simply hemmed.

Problems such as wing retraction or grooves are also solved using two methods. In the first case, the tension changes with subsequent displacement of the skin from other parts of the nose located next to the defect. In the second case, to restore support, the surgeon uses a composite piece of cartilage and skin, which is taken during transplantation from the auricle or nasal septum (this is why nostril rhinoplasty is often accompanied by septoplasty).

To widen a narrow nasal passage, cartilage spacers are used along the edge of the nostrils. You can also change the location of the tissue flap on the side of the nose. This type of surgery is not only cosmetic, but also medical, as it helps to improve nasal breathing.

The main nuances of rhinoplasty of the wings of the nose

If you decide to have rhinoplasty of your nostrils and wings, then the first thing you need to do after you have decided on a doctor and clinic is to consult with a surgeon. He will determine exactly how the operation should be performed, what exactly needs to be changed, and, using a computer program, will create an approximate result that the patient needs. Reducing the wings of the nose with rhinoplasty is a complex procedure and requires special attention, precision and a steady hand of the surgeon.

The second stage (note that it is mandatory for everyone without exception) is a medical examination. This involves drawing up a medical record based on tests, ECG, and fluorography. You will need to provide information such as allergies, medications you take, and when was the last time you had a correction or other type of surgery in this area.

Stories from our readers

Fixed my nose shape at home! It's been half a year since I forgot what a hump of the nose is. Although it is generally accepted in society that appearance is not the most important thing for a man, I really didn’t like my nose. In addition, I also work in a field where appearance matters, I work as a wedding host.

Oh, how many consultations I attended - all the doctors quoted exorbitant prices and talked about long rehabilitation, but for me this is in no way suitable because weddings happen all the time, especially during the season. One day I had an appointment with Dr. E. A. Pavlov. He told me that in my case it was quite possible to do without surgery, it was enough to wear a special corrector every day. Here is an article in which he describes this method in detail. I obediently wore the concealer every day for several months and was amazed at the results, judge for yourself. In the end, I am very glad that I was able to get by with "little blood"

If you have the same problems with finances or don’t want to go under the knife, then I recommend reading this article

Let us remind you that at least a year must pass from the last rhinoplasty to the next one. We kindly ask you not to hide important data in pursuit of beauty. If you did, be sure to indicate this. If there are still remnants of the substance in the nose area, the result may be completely different. This is evidenced by photos after rhinoplasty of the nostrils. .

Another mandatory point is visiting a number of specialists: an ENT doctor, a dentist, an anesthesiologist and a therapist. Moreover, rhinoplasty of the wings of the nose should be allowed last. The anesthesiologist, based on your indications and type of operation, must select the type of anesthesia for you. If the correction of the nostrils is carried out separately, then local anesthesia will be sufficient. If this procedure is combined with others, then general anesthesia is necessary. The independent procedure lasts about 20 minutes.

Nostril revision rhinoplasty

Repeated rhinoplasty is usually prescribed for a number of deficiencies obtained after the first operation. Examples could be:

Asymmetrical nostrils (after rhinoplasty, one nostril is higher than the other);
Wing asymmetry;
Enlargement or excessive reduction of nostrils;
Excessive narrowing or widening of the nostrils.

Rhinoplasty of the nostrils in the before and after photo above is a vivid example of a not entirely successful correction. A striking example of such defects is Michael Jackson. Unsuccessful rhinoplasty of the nostrils in particular and the nose in general has led to the fact that the appearance has changed not for the best.

In general, defects after surgery arise for a number of reasons. This can happen both due to miscalculations of the surgeon, and due to complications that have arisen after the operation. Let us stipulate that it is often the manipulations of the patient with the newly operated area that quite often lead to such deplorable results. Often, due to external intervention of the patient, such a defect appears as different nostrils after rhinoplasty. Before deciding on a second operation, you will have to wait at least a year, because after the correction, the shape of the nose finally returns to normal only by this time.

What to expect after wing and nostril rhinoplasty?

First of all, after the operation, you will not have the most attractive appearance due to swelling, bruising and bandaging. This period will have to be endured. Since turundas are inserted into the nose, nasal breathing will be difficult. After about five days, the doctor removes the stitches, unless bioabsorbable materials were used during the operation to hold the skin together.

Be prepared for the scars to remain visible for about two months. Although in general this question depends on the patient’s body. Some wounds heal without a trace, while others live with scars for years. This problem can generally be solved with the help of powder and tonic, but they cannot be used during the first stage of rehabilitation. You should not get the intervention site wet after surgery (meaning the nostrils after rhinoplasty).

You will need to sleep on your back with your head elevated. Saunas, baths, swimming pools, gyms are postponed for the duration of rehabilitation. You will need to follow a diet both before and after the operation. Alcohol the first two stages of recovery can not be taken. It is also desirable to forget about smoking. You should also protect yourself from exposure to sunlight. Your doctor will tell you in more detail about the rest of the recommendations, and will also explain what kind of care you need and what medications you will have to take for a while.

Can there be different nostrils after rhinoplasty?

If the patient notices large nostrils after rhinoplasty or other defects after the operation, it means that some problems arose during the manipulations or the rules of the recovery period were violated.

After rhinoplasty with reduction of the wings of the nose, the following complications may occur:

Irregularity of the respiratory organ. Usually this does not appear immediately after the operation, but after a certain time. The most common cause of this complication is a deformed nasal septum.
Saddle deformations. It is marked by the formation of a “sagging” area on the back of the nose, as well as the formation of a depression.
Step deformations. A noticeable line appears between the back bone and the cartilage.
beak-shaped nose. This is a type of complication when the lower part of the back resembles a bird's beak.
Drooping or elevation of the tip of the nose. This occurs when the tip of the organ becomes displaced or raised.

If after rhinoplasty one nostril is higher than the other or other problems are noted, the reasons may be hidden in violation of rehabilitation rules:

use of glasses during the recovery period;
independently getting rid of plaster and tampons installed in the nasal passages;
receiving mechanical injuries in the respiratory organ area;
drinking alcoholic beverages, as well as smoking cigarettes in the postoperative period;
early start of sports activities.

Nostrils after rhinoplasty will acquire an aesthetic appearance if all medical recommendations are strictly followed. Therefore, you should listen to the advice of the surgeon.

Despite its complexity, rhinoplasty is a very common procedure. Some people are not satisfied with the shape of their nose, others with its length. Well, some people don’t like the cartilage that forms the nostrils. For such cases, there is rhinoplasty of the wings of the nose, without affecting the bone.

Reduction of the wings of the nose

The huge advantage of this operation is that it does not require intervention in the bone tissue. At the same time, reviews prove its unsurpassed effect: facial features become clearer and sharper.

Manipulation can be carried out:

under general anesthesia as the final stage of general rhinoplasty;
under local anesthesia as an independent operation.

Correction is carried out by excision of mucocutaneous and skin fragments along the contour of the nostrils at the base of the nose. As a result, small scars remain, which become completely invisible after one or two months.

Indications for the operation

Rhinoplasty - reduction of the wings of the nose - is aimed at narrowing this organ and making it more attractive. There may be several reasons for this: congenital defects, consequences of injury, or simply the desire to achieve an ideal appearance.

The main indications for surgery are:

wide or narrow nose;
crooked nostrils, which often manifests itself after strong blows or bruises;
nostrils too large;
uneven nostril sizes.

Features of the procedure

The whole operation takes about 20 minutes. Depending on the effect that needs to be achieved, the procedure itself differs.

1. The operation to reduce the wings of the nose due to its large size is carried out by making lateral wedge-shaped incisions at the base. After that, the excess part is removed, and the edges are sewn together.

2. In order to make the wings narrower, stitches are placed on the skin septum separating the nostrils.

3. In case of wing retraction, cartilage tissue transplantation is necessary. For such purposes, cartilage from the nasal septum or auricle is used.

In modern surgery, computer modeling is performed before rhinoplasty.

Rehabilitation period

If the operation is successful, recovery is quite easy. On the first day, special turundas are inserted into the nostrils. After 5-6 days, the sutures are removed, after which the scars heal completely over time. But it is believed that final recovery occurs after about six months.

In the photo you can see a comparison of the nose before and after surgery.

During the rehabilitation period you need to adhere to a number of rules:

do not remove the bandage yourself;
rinse the nasal passages with a special solution;
reduce physical activity;
limit exposure to heat.

Side effects and contraindications

Like any surgical procedure, rhinoplasty surgery cannot guarantee a 100 percent result without any complications. But this happens extremely rarely when the nose is corrected correctly by professional specialists.

Rhinoplasty of the wings of the nose, the photo of which is presented below, shows with the naked eye how not only its width has changed, but also the overall features of the entire face.

Contraindications for surgery:

age under 18 years;
diabetes;
violations in the work of internal organs;
poor blood clotting;
tumors;
infectious diseases;
ulcers in the nose;
elderly age;
anesthesia intolerance.

The price for the procedure varies depending on the complexity of the operation.

The most popular plastic surgeries are those aimed at changing the shape, reducing the size, and correcting nasal defects resulting from injuries or diseases. They are united under the general name rhinoplasty. According to statistics, these are some of the safest plastic surgeries.

Patients resort to this operation for many reasons, which are divided into physiological (difficulty with breathing) and aesthetic (improving appearance).

Nose reduction surgery is performed for the following indications:

Contraindications

Nose reduction surgery should be carried out after an examination to identify contraindications that may complicate the operation or affect the final result of rhinoplasty.

Nose reduction surgery has the following contraindications:

Surgeries to change the shape or size of the nose are performed using two methods: closed or open. Which one will be chosen depends on the type of operation and the tasks assigned.

Public method

Plastic surgery to change the shape or reduce the size of the nose is most often performed using the open method. The essence of this method is to make an incision at the edge of the wing cartilage and an incision along the columella. When the surgeon has made the incisions, the skin is retracted to the bridge of the nose, thereby opening access to the osteochondral tissue for further modification.

The main advantages of open rhinoplasty:

Because this is an external surgery, the surgeon has the ability to visually monitor the work being done, making it easier to make changes or adjustments along the way.
The tissues do not turn out or stretch during the intervention; this makes it possible to put the tissues in their places without distortion and apply sutures without undesirable changes in shape.
Even with severe defects in the anatomical structure of the nose, grafts of complex shapes can be installed.
Achieving ideal nasal symmetry after intervention.

Open rhinoplasty also has disadvantages:

Longer rehabilitation period due to high tissue trauma.
Cutting the collumellar arteries leads to disruption of the nutritional processes of the nasal skin during the surgical period.

Private method

Closed rhinoplasty is also widespread because it makes it possible to achieve the desired result without visible signs of surgery.

The main distinguishing feature of this method is minimal tissue damage; the incisions are made inside the nose, the columella is not damaged.

The main advantages of the closed method:

Disadvantages of closed rhinoplasty:

The surgeon must be highly qualified and have extensive experience, since the operation is performed almost blindly.
Operations performed using a closed technique do not make it possible to solve all problems of an aesthetic and physiological nature.
It is difficult to achieve symmetry, especially if the skin is thick.

The technique and type of operation are determined by an experienced surgeon, as a result of which the desired result is achieved.

Types of plastics

The type of plastic surgery on the nose required is determined by the objectives and goals of the surgical intervention.

Removing the hump

Rhinoplasty to remove a hump is performed using two methods: surgical and non-surgical.

Non-surgical rhinoplasty

This is a type of plastic surgery to contour the nose using injections. Biodegradable preparations are used as injectable fillers: they are based on collagen and hyaluronic acid. Also in such rhinoplasty, silicone is used, which belongs to bioindegradable drugs.

Recently, autologous fillers have been increasingly used. In this case, the nose is corrected by injections of the patient's fat cells. This type of plastic surgery is called lipofilling.

Surgical rhinoplasty

The surgical method is implemented through rhinoplasty. The intervention is performed under general anesthesia. The surgeon makes incisions inside the nasal openings, peeling off the tissues to get to the hump itself.

If necessary, bone tissue is cut down and cartilage is removed. After removing excess tissue, the surgeon fixes the tissue in its new position. To consolidate the result and to prevent side effects, For 10 days, a plaster cast is fixed on the nose, and tampons are inserted into the nostrils.

Wing reduction

Surgery to reduce the wings of the nose but it is carried out quickly. The surgeon completes the entire work in 20-25 minutes. The operation can be performed under general or local anesthesia. The specialist is guided by the volume of work, age, and health of the patient, and also takes into account the wishes of the client himself.

Reduction of the wings of the nose is carried out as follows: lateral wedge-shaped incisions are made at the base, excess tissue is removed, and then the edges are sewn together. If it was decided not only to reduce the nostrils, but also the wings of the nose, then the incisions are made in the form of an oval or sickle. At the end of the procedure, a plaster splint is applied to the tip of the nose, and tampons are inserted into the nostrils.

Reducing the height of the bridge of the nose

In the case of a high bridge of the nose, an operation is performed during which a part of the bone (nasion) is removed through incisions in the soft tissues of the nose using special instruments. As a result, the bridge of the nose becomes lower.

Length cutting

Length reduction surgery can be performed using open or closed methods. It all depends on the amount of work.
The surgeon cuts soft tissue to expose bone and cartilage tissue. Part of the cartilage and bone is removed; if necessary, the bone is only partially sawed off.

Narrowing of the back

Narrowing of the nasal bridge is performed during a controlled fracture of the nasal bones (osteotomy). The surgeon moves the bones closer together, thereby reducing the width of the nasal bridge.

Tip reduction

In a closed operation, the surgeon makes incisions inside the nose and removes part of the supporting cartilage. To achieve a narrow nasal tip, your doctor will apply sutures as needed to raise or tilt the cartilage.

Open surgery opens up more possibilities and simplifies the work, but the rehabilitation period is significantly longer.

Preparing for surgery

Before undergoing nose reduction surgery (two weeks), you need to undergo a standard medical examination.

To fully check your health status, you need to take the following tests:

blood (general and biochemical);
blood for prothrombin;
urine;
blood to check Rh factor and blood group;
for acute viral diseases (HIV and hepatitis C).

You also need to do:

In addition to undergoing standard tests, additional examinations should be carried out, if necessary, in order to maximally check your health status and identify all contraindications. The doctor is required to conduct tests for allergic reactions and review your medical history.

Immediately before rhinoplasty, you should consult with a surgeon, discuss all the nuances of the future nose job, and clearly and as deeply as possible describe the desired result.

stop taking anticoagulant medications two weeks before surgery (blood thinning medications) to avoid bleeding;
eat only light and quickly digestible foods (salads, fruits and dairy products) - the day before plastic surgery;
stop eating and drinking 6 hours before surgery;
Stop using alcohol and tobacco products a week before rhinoplasty.

On the eve of the operation, it is necessary to meet with the anesthesiologist to determine the method of anesthesia, check the patient for allergic reactions to anesthesia, and ensure that there are no contraindications. The examination and check must be thorough, since rhinoplasty is performed under general anesthesia.

Progress of the procedure

Based on the wishes of the patient, the degree of reduction of the nose (entirely or individual parts) and the nature of the incisions, the surgeon determines the technique of the operation. Immediately before plastic surgery, he marks out future incisions and discusses with the patient all the nuances of the operation and the desired result.

Stages of rhinoplasty:

Anesthesia.
Incision. Depending on the objectives and the surgical technique, incisions are made inside the nose (closed) or outside (open). In the latter case, the surgeon cuts the columella (the strip of tissue that separates the nostrils). Through the incisions made, the soft tissues of the nose are removed, allowing access to the cartilage and bone tissue.
Nose reduction. The surgeon removes part of the cartilage and bone tissue. If necessary, removes part of the bridge of the nose to reduce it.
Hump of the nose. A part of the bone tissue (the hump itself) is removed with a special rasp.
Correction of nostril width. The surgeon makes incisions and removes excess parts of soft tissue, and also distributes the wings of the nose closer to the midline.
Correction of nasal septum. If necessary, the specialist straightens the nasal septum, which will ensure normal physiological functioning of the nose.
Closing the incisions. Once all the steps to reduce and correct the size of the nose are completed, the tissue and skin are placed in place and stitches are performed.
Fixation. Special splints are applied and tubes are inserted to support the nose during the healing period. A special sticker made of plaster or pyroxylin (collodin) is applied to the nose; it will retain the shape of the nose.

Rehabilitation

The rehabilitation period after surgery to correct and reduce the size of the nose is divided into four stages. The first stage lasts the first week after rhinoplasty. This is the most difficult stage, since in the first days there is pain, you need to constantly take antibiotics to avoid infection.

Bandages, plaster casts and tampons in the nostrils prevent breathing through the nose. There is no opportunity to go to work or do housework. It is inconvenient to maintain personal hygiene. There are pronounced bruises, bruises and tissue swelling on the face.

The next stage lasts two weeks after the first stage of rehabilitation. At the beginning of this stage, the doctor removes the bandages and plaster, removes tampons, and removes some stitches. The nose is washed with a special solution to remove blood clots and mucus from the cavity.

This makes breathing much easier. The swelling of the tissues is significantly reduced, the bruises practically disappear, but the nose remains swollen and deformed. During the first two stages, it is advisable to sleep only on your back to avoid damaging your nose. It is forbidden to lift weights, bend over, eat hot food, or be in places with elevated temperatures.

The third stage lasts up to three months after surgery. The swelling of the nose becomes almost invisible, but it is not yet fully formed. Slightly swollen wings and the tip of the nose are observed.

The fourth stage lasts from three months after rhinoplasty to one year. The period of complete rehabilitation depends on the characteristics of the patient’s body and the amount of work done to reduce the nose. In about a year, the nose will be fully formed and the result of the operation will be visible.

Possible complications

The result of the operation is influenced by many factors, ranging from the professionalism of the surgeon to the activities of the patient during the rehabilitation period.

All sorts of complications may occur after nasal surgery:

Due to the fault of the surgeon, the nasal bone may be damaged, cartilage tissue or skin. If an error was made during the operation, repeated surgery will be required to repair the damage.
Seams coming apart. This depends not only on the professionalism of the doctor, but also on the patient’s body, as well as on caring for oneself during the rehabilitation period.
Numbness. In the first days after surgery, there is numbness and loss of sensitivity in the nose, as the surgeon made incisions that damaged the nerve endings. This is a temporary phenomenon.
Hematomas and tissue swelling. This is a natural phenomenon, since soft tissues were damaged during plastic surgery. If the operation took a long time and many changes were made, swelling may make breathing difficult. An experienced surgeon will prescribe medications that will make the rehabilitation period easier.
Getting infected. This happens extremely rarely. May be a consequence of insufficient disinfection of instruments and the patient’s skin before rhinoplasty. Timely identified infection is successfully neutralized with antibiotics.
Tissue necrosis. As a result of surgery, blood vessels are damaged and blood stops flowing to the skin, bone or cartilage. This causes tissue death. In this case, a repeat operation is performed under local anesthesia to remove excess skin, bone or cartilage tissue. A prolonged healing period can also lead to necrosis.

To avoid or reduce the likelihood of postoperative complications, you should follow several rules:

do not smoke or drink alcohol before and after surgery;
do not take drugs that reduce blood clotting;
do not succumb to stress, monitor your health, avoid pressure changes;
protect your nose from damage;
eat healthy and balanced food.

During nose reduction surgery, you can change the length and width of the nose and remove the hump. Despite the fact that this operation is one of the safest, complications are possible after rhinoplasty.

Video about rhinoplasty

Photos of rhinoplasty before and after: