Rhinoplasty and septoplasty should be performed together. Rhinoseptoplasty

Reading the blogs of girls participating in rhinoplasty campaigns, I realized that many of them, in addition to dissatisfaction with their nose, have breathing problems. Specifically, the problem is associated with a deviated nasal septum.

Deviation of the nasal septum is a deviation of the septum in both or one direction from the midline. It manifests itself as difficulty or absence of nasal breathing through one or both nasal passages. A deviated septum is observed in 90% of the world's population.

Of course, there is a way to fix the septum and return it to its correct position.

In this case, a person can turn to septoplasty.

The purpose of this operation is to improve nasal breathing. Most operations take place within 60 minutes; the duration of the operation depends on the individual structure and condition of the nasal septum.

Such an operation will be called an ENT operation, i.e. should be performed by an otolaryngologist.

Rhinoplasty is the correction of congenital or acquired deformities of the nose, as well as the complete restoration of a missing nose.

Modernity forces us to strive for the ideal. Therefore, now it is not at all necessary to injure the nose to undergo rhinoplasty.

Indications for rhinoplasty:

A hump on the back of the nose;

Too pointed or thickened tip of the nose;

Hooked nose tip;

Excessive length of the nose;

Saddle nose shape;

Deviated nasal septum;

Congenital and post-traumatic deformities of the nose;

Impaired or complete inability to breathe through the nose.

Modern plastic surgery gives a positive answer to this question.

The combination of rhinoplasty with correction of the nasal septum is called rhinoseptoplasty.

Not every surgeon will tackle two problems at once - correcting a deviated nasal septum and improving the aesthetic appearance.

The choice of method depends on the preferences of the surgeon and the tasks assigned to him.

“The procedure for recovery after surgery is similar to conventional rhinoplasty, the operation is carried out, if possible, without external sutures, the postoperative period is up to 7 days, the patient wears a plaster cast and comes for rinsing every day. After 2-3 weeks, the recovery period ends and the nose takes on its final shape.”

With best wishes, Molka.

An ENT specialist showed that you need septoplasty.

You write nothing about the expected date of consultation with Morozov. Have you already called?

He specializes in rhinoseptoplasty.

For some reason I had this information in my head that he invites an additional ENT specialist if he needs to straighten the septum...or am I misinformed?

But I don’t know about Zholtikov. You need to look at the Attribute website.

Not only did she turn out to be the winner, she also turned out to be a doctor with a wide profile.

Septoplasty specifically deals with problems with the septum.

If there is a deformation, the first thing to do is get rid of it. There will be no point in rhinoplasty, because... the nose will not be perfect due to a deviated septum.

but as for me, the photo shows very clearly that the nose goes to the side. When I look in the mirror it’s not so obvious from the front. but if you lower your head (a terrible angle for a big nose) you can see everything right away... well, the profile(((the profile is not the same((this is the main problem((

It is clear that the nose is crooked.

It's sad, of course.

But now Neomagia and the plastic wizard Morozov S.V. have appeared in your destiny.

But you don’t write when there’s a consultation!

So very soon we will admire her new beautiful nose

It's less intervention.

The topic is painful, but at the same time, it seems to me, always relevant.

I tried to print the information that will be of interest to you.

This way we can all discuss issues that concern us together. Isn't it true?!

Well, never mind...we'll deal with them! down with humps and drooping ends)

may we have beautiful and straight noses

I, too, have already reviewed so much... that my eyes are already dazzled from the descriptions, types and indications for rhino... to the holes it’s just already

and so since the age of 15

Yes, there will be noses.

And the topic is relevant for many) I myself realized not so long ago that my nose is slightly skewed to the side - it doesn’t seem to be visible, but in the photo from a certain angle it is very noticeable (Apparently, 90% of people really have a curvature in one or the other otherwise there is)

The more often we look at ourselves in the mirror, the more flaws we find.

You are beautiful. Question closed

The only thing is asymmetry.

But in the near future you too will join the ranks of the lucky girls of Neomagia.

I have a deviated nasal septum and a hump

if the curvature of the nasal septum is not striking, then in the photo everything is very visible

Thank God this problem bypassed me))

In Europe and the USA, for example, mammoplasty and liposuction are in first place.

We have more and more people dissatisfied with their noses.

Thank you, Molka, it was educational for me! Everyone didn’t get around to looking at what rhinoseptoplasty is.

Girls, everyone has beautiful noses! And breasts! and bellies!

Roska, you're always saying something funny. It's amazing how you manage to look at every situation only from the positive side.

You infect me with your positivity.

Now I understand someone like you - it’s impossible to forget, impossible to erase from fate and heart (I’m talking about the long wait for you by your current husband).

You conquer with your positivity.

This is a sick question, of course, because I studied all these subtleties related to rhino for myself a long time ago) But I was happy to refresh my memory of my knowledge)

Worried about my nose, I was always sure that rhinoplasty was in demand.

We Russians are accustomed to full breastfeeding; for this we need a stronger, and bigger nose.

Well, if you also “suck in the earth with your nostrils” (according to O. Gazmanov), then you cannot do without a large unit.

Nose plastic surgery, details of the procedure

Any deformation of the nasal septum can lead to impaired nasal breathing and improper air circulation in the upper parts of the respiratory system, which can lead to the occurrence of many diseases, for example, sinusitis or chronic rhinitis, as well as the appearance of polyps on the mucous membranes of the nasal cavity.

What is the difference between rhinoplasty and septoplasty, and can they be combined?

Rhinoplasty of the nose today is considered one of the most common plastic surgeries aimed at correcting the natural shape of the nose and its size, as well as eliminating various pathologies resulting from injuries. The operation allows you to completely restore the nose after serious injuries, even if it is completely absent.

Rhinoplasty of the tip of the nose, as well as the entire organ, in most cases is carried out for purely aesthetic reasons, when it is necessary to correct congenital or acquired defects in appearance and give (or return) a pleasant appearance to a person.

The procedure has age restrictions; it is not performed on children and adolescents under 17 years of age, as well as people over 40 years of age. Since after 40 years, the elasticity of the skin decreases significantly, so the healing process is slow.

The operation can be performed closed or open. In some cases, correction is carried out without incisions, by puncturing the mucosa.

Septoplasty of the nose? type of rhinoplasty. The operation is aimed at eliminating pathologies and curvatures of the nasal septum. Septoplasty of the nasal septum in most cases is performed in a closed manner.

If necessary, these types of operations can be combined, which allows not only to correct a violation of the septum, but also to reduce the tip of the nose, change the shape of the nostrils and the size of the nasal wings, eliminate a snub or hump, and narrow the bridge of the nose.

Regarding age restrictions, the opinions of many doctors differ sharply; most experts argue that children under 18 years of age cannot undergo such operations, since the formation of a cartilaginous septum occurs before this age, but some doctors, if necessary, perform septoplasty even on young children.

Indications for rhinoplasty

The operation is performed in cases where the patient needs:

• Correct the nostrils, make them smaller or narrower.
• Remove a natural hump on the nose or a protrusion caused by an injury.
• Change the size of the nose and its shape.
• Correct a drooping, thickened, hooked or upturned nose.
• Eliminate various defects, both congenital and acquired.
• Correct pathologies of the nasal septum.

The main indication for rhinoplasty is the patient’s dissatisfaction with his appearance, namely his nose. As a rule, flaws in appearance prevent people from living a full life and achieving their desired goals, since they cause complexes and a feeling of inferiority.

Contraindications for surgery

Contraindications to rhinoplasty of any type are:

• The presence of inflamed hair follicles in the nose area.
• Severe acne.
• The presence of severe diseases of internal organs.
• Diabetes mellitus.
• Blood clotting disorder.
• Presence of mental illness of any category.
• Presence of viral infections.

Types of rhinoplasty

Rhinoplasty can be performed in two ways, which differ from each other in the method of intervention and access to the correction site. The doctor always chooses a certain type of operation depending on what problems he has to solve.

Open rhinoplasty

This type of nose correction surgery differs in that to perform the manipulations, the nose must be “opened” by cutting the skin in the places where the nostrils connect to the upper lip, as well as on the columella, which is the partition between the openings of the nose.

After this, the skin is lifted, exposing the entire osteochondral structure of the nose for the necessary manipulations.

If a complex intervention is required, for example, in case of a broken nose, then the operation is performed in an open way, this allows you to assemble the entire inside of the nose piece by piece and reconstruct the organ.

No experienced surgeon will perform a complex operation without free access to the damaged tissues.

In this case, the issue of postoperative scars is secondary, since the doctor’s priority task is to ensure that the nose, after rhinoplasty and reconstruction, grows together correctly and there is no need to perform a second operation.

There is no need to worry about the scars that may remain after such an operation, since a surgeon with sufficient experience will hide the stitches in the natural folds of the skin located at the base of the nose, while the incision made on the columella is sutured microsurgically, so in the future it will almost will not be visible.

In addition, the scars after open rhinoplasty, which many patients fear, are a thin line, no thicker than a sewing thread, which becomes invisible over time.

Closed rhinoplasty

This operation is performed inside the nasal cavity using a special scalpel and without making external incisions. The work can rightfully be called jewelry work, requiring highly qualified doctors.

As a rule, a specialist with sufficient experience knows two methods of performing surgery, both open and closed, and selects the necessary method for each specific patient based on the indications that need to be eliminated.

During a closed operation, there are no scars left on the patient’s face, since all the stitches are located on the inside of the nasal cavity, but during such an operation the surgeon does not have access to all tissues. For this reason, a closed operation cannot be performed in cases where a person needs to assemble a broken nose, remove a large hump, or connect cartilage fragments.

You can often hear talk that if a surgeon has sufficient experience in performing rhinoplasty, then he can perform any operation in a closed manner, but this is not true and is only a kind of speculation on the fears of many patients about the appearance of scars on the face after an open operation.

In fact, a doctor with extensive experience always decides for himself which method to use in each specific case in order to solve the problem as effectively as possible.

Septoplasty

The operation is a type of rhinoplasty and is aimed at eliminating pathologies of the nasal septum and its curvatures. The nose of every person is assigned by nature an important function, which is to process the inhaled air.

Violations of the evenness of the septum can occur for various reasons, for example, due to a birth injury, a fracture or damage to the nose in childhood, with frequent inflammatory processes in the nasal cavity and for many other reasons. Septoplasty allows you to correct this disorder, straighten the nasal septum and restore a person’s free access of air flow to the lungs.

Endoscopic septoplasty of the nasal septum is considered a traditional and more gentle method of surgery to correct violations of the nasal septum. To carry it out, an endoscope is used, which allows the specialist to see the entire progress of the operation on the computer screen.

The procedure can be performed under general or local anesthesia, depending on the complexity of the operation. Modern operations are aimed not only at eliminating the defect, but also at preserving the natural structure of bones and cartilage in the nasal cavity.

Secondary rhinoplasty

This procedure is more of a stage of treatment than a type of rhinoplasty and is usually performed in cases where it is impossible to solve the patient’s problem in one procedure.

For example, when performing surgery on children to correct nasal deformities, first an operation is performed to eliminate the breathing problem, and then, when the facial bones have fully grown and the skull is formed, a secondary operation is performed to eliminate aesthetic defects.

But much more often, secondary rhinoplasty is performed to correct any mistakes made during the main procedure or in cases where complications arose during the tissue healing process.

Moreover, during a secondary operation it is often necessary to rebuild the structure of the nose again. In some cases, patients themselves insist on performing a secondary operation if they are not satisfied with the result obtained or when they want to correct something else.

Preparing for surgery

Preparing for surgery should always be discussed with the surgeon after providing him with detailed information about the patient's health.

It is important to inform the doctor about all existing diseases and health problems, as well as inflammations or infections suffered the day before, if any, about previous operations, about taking medications, about the presence of bad habits.

It is important to remember that smoking significantly impairs all healing processes of bones and soft tissues, therefore, if you have this bad habit, you must either completely abandon it during the operation and recovery after it, or reduce the number of cigarettes per day to a minimum.

Proper preparation for surgery is very important, since following all the doctor’s instructions contributes not only to an easier recovery period, but also to a significant reduction in the risks of possible complications.

• stop drinking alcohol 10 days before surgery;
• 10 days before the procedure, you should stop taking medications that are based on salicylates, for example, Aspirin, Alka-Seltzer or Bufferan. Salicylates contribute to severe bleeding during operations;
• wash your hair the day before surgery;
• Do not eat for at least 12 hours before rhinoplasty.

The volume of fluid consumed before surgery, as well as exactly when to stop drinking water, is determined by the doctor individually.

It should be remembered that if you have a runny nose, the operation will be impossible, so the procedure will be postponed until complete recovery.

Women preparing for surgery should stop taking hormonal medications 2 weeks before surgery, as they can also increase bleeding. You must inform your doctor in advance about taking any medications.

You need to plan the date of the operation taking into account the menstrual cycle and its phase, so that there is not too much blood loss. It is prohibited to perform rhinoplasty during menstruation, and the operation should not be scheduled within 4–5 days before and after its completion.

Carrying out the operation

Rhinoplasty surgery takes on average from 1 to 2.5 hours, which depends on the chosen method of manipulation and the complexity of the task.

With open rhinoplasty, incisions are made in the natural folds of the skin, which makes it possible to hide subtle traces of the intervention in the future. At the first stage, the surgeon separates the skin from the cartilage and bone structure of the nose, which allows full access to them, after which he carries out all the necessary actions to eliminate the problem.

The advantage of open surgery is that the doctor has free access to carry out all manipulations and the ability to accurately connect all tissues, but this method requires a longer recovery period.

With closed rhinoplasty, all incisions are made only inside the nasal cavity, that is? endonasally.

The incisions made usually go around about half of the nostril ring and are located symmetrically. But the conditions for the operation are sharply limited, since the surgeon does not have sufficient access and visibility. This operation requires a very highly qualified doctor.

With the closed method, the doctor can remove excess soft tissue and change the shape of bones and cartilage if necessary. The advantages of this method include the absence of external scars, a shorter recovery period, as well as faster visible results, since swelling after a closed operation will be less pronounced.

Recovery period

After any type of rhinoplasty, including septoplasty, the doctor must apply a plaster cast to the entire surface of the corrected nose, which will need to be worn for about 10 days.

To fix the internal part and prevent postoperative bleeding, special turundas are inserted into the patient’s nasal passages, which are removed after a day. If during the operation rhinoplasty was combined with septoplasty, then the turundas will be removed no earlier than after 3 days. During this period, all patients report some discomfort caused by the need to breathe through the mouth.

During the recovery period, extensive bruising may be observed on the patient's face, mainly in the eye and nose area. Tissue swelling persists for about a month, but in some cases (very rarely) this condition can persist for up to six months. To quickly relieve swelling, the doctor may prescribe hardware cosmetology procedures to the patient.

During the rehabilitation period, patients must independently follow all recommendations and procedures prescribed by the doctor. It is necessary to clean the nasal passages, and then lubricate them with special products.

It must be remembered that the appearance of the nose will constantly change during the recovery process, which is explained by the gradual elimination of swelling, skin contraction, and the scarring process.

During the recovery period, you must avoid visiting baths, saunas, swimming pools, and direct sunlight, and when going outside, apply a special sun cream to your face. If compliance with this rule is problematic for the patient, then you should not plan to perform the operation in spring and summer; it is better to postpone the procedure until autumn or winter, when sun activity is much lower.

In addition, during the rehabilitation period, physical activity and consumption of alcoholic beverages, as well as other factors that will contribute to an increase in swelling, should be excluded.

Possible complications

Among the most severe complications after rhinoplasty are: the appearance of suppuration, infections and sepsis, but they occur only in isolated cases.

According to statistics, almost every fifth corrected nose has to be redone due to unpredictable fusion of cartilage and bones or because the patient does not like something.

When assessing the results of plastic surgery, you should remember that it is not always possible to achieve ideal symmetry, so you should not expect that the nose will look exactly the way it was modeled on a computer when planning the operation.

The model created on a computer is only a kind of guide for the doctor during the operation, but even the best surgeon will not be able to calculate the result down to the millimeter, since human tissues do not have stability and high plasticity.

Septoplasty

Septoplasty is a surgical procedure that allows you to correct and correct a deformed nasal septum.

Despite the fact that septoplasty is a surgical procedure, it is the least traumatic operation; in addition, in addition to eliminating the defect and problem, septoplasty allows you to preserve the bone and cartilaginous structure of the nose without changes or damage.

All surgical procedures are performed inside the nose through small incisions, thus, thanks to minor submucosal resection of the septum, its shape is corrected. Based on this, septoplasty in a short time allows:

• quickly improve your quality of life;
• resume nasal breathing;
• relieve the patient from numerous problems associated with chronic ENT diseases caused by a deformed nasal septum.

It should be noted that septoplasty does not change the shape of the nose and is not an aesthetic surgical intervention for its correction, but it may well be combined with rhinoplasty.

Causes of nasal septum deformation

The nasal septum is a section of osteochondral tissue that divides the nasal cavity into two parts. When it is deformed, a shift in the position of the septum from the midline is noted.

Deformation of the nasal septum can cause a lot of inconvenience to a person, and even provoke a number of chronic diseases of the respiratory organs (rhinitis, tonsillitis, sinusitis, frontal sinusitis, and the like).

There are a number of reasons why the septum becomes deformed. These include physiological characteristics, as well as traumatic and compensatory causes.

The physiological factor is the most common cause of deformation of the nasal septum. This means that a person’s bone and cartilage tissues acquire uneven growth, and this happens during the development and growth of the entire organism. In the case of a physiological cause, the nasal septum is usually completely deformed, often shifted to one side, or it develops projections called ridges or spines, as well as their combinations. A less common cause of a deviated nasal septum is a traumatic factor; it is most often found in athletes, but can also be caused by other reasons (fall, bruise, blow).

Photo: deviated nasal septum after injury

Traumatic deviated septum is a mechanical defect of the nose, trauma or fracture, which entails various complications. Even a minor injury, in which the bone is not deformed, but only the cartilage, especially if it occurs in childhood (or an age concomitant with the growth of the body as a whole), leads to a disruption in the development of the osteochondral tissue of the nose, and, accordingly, to a curvature of the nasal septum. Compensatory causes of septal deformation usually include:

• the presence of a foreign body in the nasal cavity (for example, piercing);
• the presence of polyps, adenoids and other neoplasms in the nasal cavity;
• the presence of vasomotor rhinitis in humans (swelling of the nasal mucosa).

In any case, no matter what factors and reasons are responsible for the deformation of the nasal septum, its correction today lies only in surgical intervention, that is, septoplasty.

Types of septoplasty

In modern medicine, septoplasty of the nasal septum is performed in several ways, in particular endoscopically (conventional surgery) and using laser technologies.

In the vast majority of cases, people faced with the problem of a deviated nasal septum prefer a proven method - endoscopic septoplasty.

Laser septoplasty

Laser septoplasty is characterized by correction of the nasal septum using a laser beam. This procedure is often performed under local anesthesia; it is bloodless and practically non-traumatic. In addition, the laser beam has pronounced antiseptic properties, which significantly reduces the risk of infections and complications in the postoperative period. Rehabilitation after laser septoplasty is quick and painless. Tight tampons (turundas) are not used in the postoperative period. After the operation, the patient does not need to stay in the clinic; the operation is performed on an outpatient basis and takes minutes. However, the laser method of septoplasty has a number of contraindications and, in addition, may be ineffective in complex cases when the curvature occurs not only in the cartilage tissue. Therefore, there are reasons why it is worth operating only through classical surgical septoplasty.

Video: laser septoplasty

Endoscopic septoplasty

Endoscopic septoplasty is a gentle, low-traumatic surgical intervention. Resection is performed on the mucous membrane inside the nose, which avoids scars and traces of surgery on the face.

Modern technologies for endoscopic septoplasty not only make it possible to maintain the aesthetic effect and avoid scars, but also make the rehabilitation period much easier and shorter.

Photo: resection of the nasal mucosa

Classic endoscopic septoplasty in modern medicine involves resection of minor areas of the septum that interfere with its normal position and functioning. At the same time, the nasal mucosa is preventively exfoliated, which preserves its integrity and prevents damage. However, there are individual cases, most often these include curvatures due to a traumatic factor, where deformed areas of cartilage tissue must be removed in order to leave the supporting function of the nasal septum unchanged. Typically, endoscopic septoplasty lasts 30 to 40 minutes; Considering the patient’s preparation for surgery, all manipulations can take about an hour. Anesthesia can be either general or local, or combined (for example, local anesthesia of the nose and the introduction of fairly strong intravenous sedation to the patient).

Symptoms of a deviated septum, or who is septoplasty indicated for?

The first, and perhaps the main symptom of a deformed nasal septum is difficulty in nasal breathing, whether it is chronic congestion of one or both nostrils. Full breathing through the nose is literally necessary for a person. The inhaled air is moistened and purified precisely in the nasal passages before entering the lungs, which is why the nasal cleansing and filtering functions are so important for human health, in particular the prevention of diseases of the bronchi (including asthma), heart and other vital organs. A deformed nasal septum prevents normal breathing through the nose, and often makes it completely impossible. But it should be borne in mind that at a young age, even with a significant deformation of the septum, this symptom may be mild or absent, which makes it difficult for the person to diagnose his pathology, but does not at all negate the fact of its existence.

Photo: normal nasal septum

A deviated nasal septum is the cause of frequent and protracted respiratory diseases in humans, often acquiring chronic forms. People with a deformed nasal septum also often experience recurrent inflammatory diseases of the respiratory tract and paranasal sinuses. Chronic sinusitis and rhinitis develop, and sinusitis, tonsillitis and otitis are also often observed. Concomitant pathologies of the throat are a very natural process with a deviated nasal septum. This leads to diseases of the pharynx such as pharyngitis and tonsillitis, as well as diseases of the larynx such as laryngitis, which become chronic. Often people begin to self-medicate, constantly use vasoconstrictor drops and take antiviral medications, without even suspecting that the cause of their frequent illnesses and constant nasal congestion lies in another defect that can be corrected by septoplasty.

Photo: deviated nasal septum

• dry nasal cavity;
• allergic reactions;
• deterioration of hearing ability.

The last symptom is due to the fact that difficulty in nasal breathing does not provide proper ventilation of the middle ear cavity (tympanic cavity). If you observe any symptom, the most reasonable decision would be to visit an otolaryngologist, who will prescribe the correct treatment or refer you for surgery. It should be remembered that for minor violations and deformations of the nasal septum, there are alternative methods of septoplasty - such as laser or radio wave.

Contraindications

As with any operation, there are a number of contraindications to septoplasty. As with any other surgical intervention, an absolute contraindication to septoplasty is impaired blood clotting. Also, contraindications include:

• diabetes mellitus;
• diseases of the cardiovascular system;
• infectious diseases of various types (including syphilis, hepatitis, etc.);
• oncological diseases;
• In addition, septoplasty is contraindicated for persons under the age of majority, since the bone and cartilage tissues of the nose are not fully formed until this moment.

Surgery to correct the curvature of the nasal septum

The operation to correct the nasal septum is painless and fairly quick, with minimal trauma and virtually no damage to cartilage and bone tissue. Modern methods of septoplasty are minimally invasive and allow you to correct dysfunction of the nasal septum with minimal damage and resection. Endoscopic septoplasty is performed mainly endonasally (inside the nose), which guarantees the preservation of the cosmetic effect and the absence of injury to nearby tissues.

Video: modern surgery - deviated nasal septum

How is the operation performed?

Let's figure out how septoplasty is done. Before performing the operation, the doctor prescribes a list of necessary tests and examinations. In most cases, they are generally accepted for any operation. Before septoplasty of the nasal septum, the patient must undergo some examinations and pass the following tests:

• consultation with an otolaryngologist (ENT);
• ECG (electrocardiogram);
• coagulogram (test for blood clotting);
• general clinical analysis of blood and urine;
• fluorography;
• blood test for HIV, syphilis and hepatitis;
• biochemical blood test;

Septoplasty, like any other operation, includes several stages. First, the patient is prepared for surgery, regardless of the chosen method of anesthesia. Currently, in most cases local anesthesia is used, but some patients still prefer general anesthesia (or have indications for it). Then an endonasal incision is made on the mucous membrane.

Complications and contraindications of septoplasty

Septoplasty is an operation that almost always allows for rehabilitation without complications.

But even with a low probability of complications, it should be understood that septoplasty is still a surgical procedure, and any operation carries certain risks. Complications after septoplasty can mainly be associated with bleeding and/or infectious diseases against their background. You should be aware that some medications taken by the patient before and after surgery may increase the risk of bleeding.

Therefore, before undergoing septoplasty, it is necessary to consult with a doctor regarding medications and medications, and in some cases, discontinue them some time before surgery. Before surgery, it would be a good idea to stop taking antibiotics and use medications aimed at preventing vascular fragility. It is also necessary to quit smoking, since smoking not only complicates the operation process, but also significantly complicates the rehabilitation and healing of tissues after it.

Rehabilitation and recovery (postoperative period)

The postoperative period (rehabilitation) after septoplasty is also almost painless and quite smooth. On the first day (or several, depending on individual characteristics), special tight tampons are placed in the patient’s nose. They are designed to reduce the postoperative risk of bleeding and stabilize the correct position of the nasal septum. Therefore, you should prepare for the fact that the nose after septoplasty will not breathe while tampons are in it.

Some modern clinics now use silicone tampons, which also effectively maintain shape and prevent bleeding, but due to the fact that they are empty from the inside, breathing is not difficult. Their removal from the nasal cavity does not bring any inconvenience or pain to the patient.

During the period after removing nasal tampons, you should also follow the doctor's recommendations regarding hot drinks, smoking, physical activity and water treatments.

All these simple things will have some restrictions that will have to be observed for a speedy recovery and return to functionality. To prevent infections and provide general relief, after septoplasty, various painkillers and antipyretic drugs are prescribed, and, in some cases, injections and drips of antibiotic drugs are given. After removing the tampons, the doctor often prescribes the patient special moisturizing drops for the mucous membrane, since after the operation the nasal cavity becomes quite dry, and clots of mucus and blood accumulate and dry out in it. Of course, you cannot remove them yourself with your hands, so special drops, sprays and solutions help soften this substance and “drive” it out of the nasal passages.

Photo: nasal spray to ease breathing

Most often, such preparations include drops and sprays based on saline and oil solutions. Sometimes the doctor prescribes ointments, including antibiotics, to the patient. As the nasal passages are cleansed and restored, breathing becomes easier, the mucous membrane is completely restored, and the surgical incisions heal. Completely normal breathing usually occurs in the patient within a few weeks. If we talk about laser septoplasty, here rehabilitation proceeds much faster, thanks to the bloodlessness of such an operation. The laser automatically coagulates the incision sites (seals their edges) and also disinfects them due to its strong antiseptic function. Therefore, after laser septoplasty, additional treatment is usually not required, and the introduction of tampons is not required.

If the patient has chronic and allergic rhinitis, relapses may occur during rehabilitation, which will require additional prescriptions from the attending physician and, accordingly, their implementation by the patient himself.

Performance fully returns 8-10 days after surgery. Even if a plaster fixation bandage is installed, by this time the patient is freed from it. There are practically no external bruises and swelling after septoplasty. With proper care of the nose after previous septoplasty, the postoperative period passes quickly and does not cause any discomfort to the patient.

Prices. How much does the operation cost?

The cost of correcting a nasal septum (septoplasty) varies widely in Moscow clinics, depending on the specialist who will operate, the authority of a particular clinic, as well as the chosen method of septoplasty and anesthesia. The average cost of septoplasty from a qualified specialist in a good commercial clinic is approximately 00 rubles.

This amount usually includes anesthesia, the patient’s hospital stay in the clinic (if necessary), subsequent postoperative dressings and sometimes medications (in most cases, they are purchased separately by the patient as prescribed by the doctor). In city hospitals, such an operation is performed free of charge, but the patient pays all costs for anesthesia and medications. In addition, in private clinics the patient has full guarantees that the operation will be successful and the rehabilitation period will proceed under the supervision of a doctor.

Frequently Asked Questions

Among the frequently asked questions about septoplasty by potential patients, the most common are the following: 1. Does septoplasty change the shape of the nose? Of course, with a traumatic curvature of the septum, when the deformation is severe, the shape of the nose acquires normal features, the septum becomes horizontal and even, not displaced to one side. If the curvature is purely on the inside, the shape of the nose remains completely the same. In general, septoplasty refers to ENT operations and has nothing to do with plastic surgery and aesthetic medicine. However, very often septoplasty (correction of the nasal septum) is combined with aesthetic rhinoplasty to completely change the shape of the nose, its aesthetic correction and eliminate problems with a deviated septum. 2. Does a deviated nasal septum pose a threat to health and life? A deformed nasal septum, of course, does not pose a direct threat to life. But it causes a number of health problems that can end very badly and at least pose a threat to the quality of life (ranging from hearing impairment, problems with the cardiovascular system, and ending with chronic diseases of the respiratory tract and organs). In addition, frequent diseases can develop into chronic and severe forms; insufficient air purification through the nasal passages and its direct entry into the lungs can lead to the development of asthma and heart disease, which, in turn, can pose a threat to life and normal functioning. 3. Is it possible to correct a septum without resorting to surgery? Today, septoplasty is the only way to effectively cope with the problem of a deformed nasal septum. If the deformity is not too complex, it is possible to avoid direct surgical intervention (endoscopic septoplasty) and use the most minimally invasive methods - laser and radio wave septoplasty. However, even if the case is quite complex, and the curvature affects not only areas of cartilaginous tissue, modern medicine allows the use of classical endoscopic septoplasty with minimal trauma and health risks, and also maintains a cosmetic effect (no traces or scars of surgical intervention on the face). 4. Are there any scars after endoscopic septoplasty? All manipulations during endoscopic septoplasty are performed endonasally (inside the nose), including incisions that are made on the mucous membrane. This ensures that there are no scars on the nose after septoplasty. In rare cases, the skin is involved, but this is the exception rather than the rule. If we are talking about septoplasty combined with rhinoplasty (aesthetic correction of the shape of the nose), there are scars if the surgeon performs rhinoplasty using the open method. Septoplasty itself does not involve skin incisions, and no technique (endoscopic, laser or radio wave) requires that any traces remain after the operation. 5. What is the optimal age for septoplasty, and is there an age limit for it? There is no optimal age for nasal septum correction, because... problems can develop at any age, for example, due to trauma, polyps, tumors and other factors. Some people turn to septoplasty in adulthood, and often this can also happen because the symptoms of such a deviation as a deviated nasal septum may not be felt at a young age. As for age restrictions, the operation is not recommended for persons under age, since the anatomy of the face is such that by this age the osteochondral skeleton of the nose is not fully formed, and surgical intervention may not lead to eliminating the problem, but to its aggravation. 6. Will surgery help if I have been using vasoconstrictor drops for a long time and my normal breathing is impossible without them? It is likely that the curvature of the nasal septum forced me to start using vasoconstrictor drops to ease nasal breathing. However, it should be understood that regular, and even more so constant, use of such drugs often leads to irreversible consequences (the mucous membrane atrophies), and there is little that can help here.

In the case of combining septoplasty and rhinoplasty, both a full version of plastic surgery is possible (with intervention in the bone section and elimination of aesthetic defects in it), as well as manipulations aimed at the aesthetics of the tip (its reduction, narrowing, lifting). Even if the bony part is not involved, any plastic surgery on the nose is called “rhinoplasty,” while septoplasty can get rid of breathing problems, chronic respiratory diseases and other problems caused by a deviated nasal septum.

Rhinoseptoplasty is an operation to correct the shape of the nose, which is one of the oldest methods of aesthetic surgery. The cause of a deviated nasal septum can be either a congenital factor or an injury in adulthood. The nose may look asymmetrical upon examination, have a hump, move to the side, etc. Sometimes the problem can be purely aesthetic, but often the pathology interferes with breathing and even harms a person’s health.

Who needs rhinoseptoplasty?

The operation is performed in order to significantly improve the patient's appearance. It is important to understand in advance that the final result may differ slightly from the image that appears in your head. To avoid misunderstandings, it is necessary to consult with an experienced doctor and immediately ask all questions of interest and concern. Rhinoseptoplasty is used by people who have problems with the nose, who need surgery to correct the septum, but at the same time want to improve its appearance by correcting aesthetic defects.

Indications for the procedure

• frequent relapses of otitis media;
• dacryocystitis;
• chronic nasal breathing disorders;
• chronic inflammation in the sinuses;
• problems with the outflow of tear fluid.

Another medical indication is partial deformation of the septum, which interferes with surgical access to the paranasal sinuses or lacrimal sac. Rhinoseptoplasty can also be performed before the sella turcica operation.

The difference between rhinoseptoplasty and rhinoplasty

Rhinoseptoplasty is a simultaneous procedure of rhinoplasty and septoplasty. It is easier to understand the difference between these procedures by studying the table below:

Operation	Area to be worked	Indications for use	Expected results	Rhinoplasty	The entire nose area	Bruises, fractures and injuries, breathing problems, aesthetic defects	Ideal appearance of the nose, corrected shape	Septoplasty	Nasal septum area	Aesthetically incorrect shape of the nose, difficulty breathing, asymmetry, the need to restore correct proportions	Solving ENT problems, easy breathing, correct proportions of the left and right sides of the nose	Rhinoseptoplasty	The entire nose, including the septum	Deviated nasal septum and impaired breathing. Irregular nose shape, aesthetic defects	Restored breathing, ideal nose shape and appearance

Rhinoseptoplasty is a type of surgery that can correct health problems and improve the appearance of the nose without the need for repeated special surgery in the future.

Types of surgery

There are several septorhinoplasty techniques that offer the opportunity to get rid of problems associated with the nose: endoscopic, laser, closed and open. Each type of operation has a number of features and is used depending on the defects that require correction.

Endoscopic technique

Thanks to endoscopy, doctors can deal with common problems. During surgery, the amount of damaged tissue is minimal, and rehabilitation takes little time and proceeds without complications. During the process, the doctor makes a small incision in the nasal mucosa. Then an endoscope is inserted, allowing you to see a detailed picture on the monitor. The doctor separates the cartilage tissue from the soft structures and fixes it in the desired position. Sometimes special plates are used for high-quality fixation. At the end of the operation, the surgeon sutures the wound and packs the nasal passages.

Laser technique

This is an innovative technique that has many advantages, but is not suitable for every patient. During the operation, a minimal amount of tissue is damaged, and the laser has an antiseptic effect, which negates the risk of infection. After the intervention, there is no bleeding, and the operated patient resumes nasal breathing after just a few hours.

Unfortunately, the laser technique can only correct minor defects of the nasal septum. If the deformity is severe, it is necessary to choose other rhinoseptoplasty techniques.

Open surgery

With the open technique, you can not only straighten the nasal septum, but also correct the shape of the patient’s nose. The open technique works great with a hump, a nose that is too round, wide, upturned or shifted to one side. During the operation, soft tissue is dissected in the area between the nasal passages, from where the doctor gains comfortable access to the cartilage tissue. This way you can correct almost all defects, even the smallest ones. Open rhinoseptoplasty takes approximately four hours. At the end of the operation, a plaster cast is applied.

Closed procedure

During the operation, the doctor makes incisions inside the patient's nose, which avoids noticeable scars - this is the main advantage of the closed technique. The disadvantage of this type of rhinoseptoplasty is that the surgeon does not have direct access to the cartilage, and therefore cannot clearly and accurately model the shape of the nose.

The doctor must choose which method to resort to in a particular case, based on the indications, contraindications, desires and preferences of the patient, as well as his experience.

Stages of rhinoseptoplasty and their features

Like all other types of surgical intervention, rhinoplasty has features and important points that it is advisable to familiarize yourself with in advance.

Preparing for surgery

Rhinoseptoplasty is a planned operation, and you need to prepare for it in advance. First, the patient needs to undergo a series of examinations. It is necessary to take urine and blood tests, do electrocardiography and fluorography, and consult doctors according to available indications.

If chronic diseases occur, then you may first need to undergo a therapeutic course in order to stabilize the process and prevent complications. To better understand the clinical picture in such cases, the doctor may prescribe the patient to undergo a computed tomography scan.

Progress of the procedure

Rhinoseptoplasty can be performed under both general and local anesthesia. The choice depends on the general and emotional state of the patient, as well as the doctor’s preferences. Local anesthesia, although it provides a sufficient level of pain relief, still cannot guarantee that the patient will not make involuntary head movements during the operation. In addition, during the intervention, blood and anesthetic flow into the nasopharynx, which means that the liquid will need to be constantly spit out, which is quite inconvenient and can violate sterility. Due to such features, doctors usually perform surgery under general intubation anesthesia.

The essence of the surgical intervention is to partially remove the bone and cartilage tissue of the nasal septum and then fix the remaining part in the required position. To achieve this goal, it is necessary to first make an incision at the border between the skin and the mucous membrane. After this, the mucous membrane is separated along with the perichondrium to the upper part of the ridge and the cartilage is carefully intersected in the sagittal plane for the entire thickness to the bone. Thus, the doctor crops the lower part of it.

Next, the articulations between the posterior zones of the cartilage and the perpendicular plate of the ethmoid bone are separated, and the curved sections of the septum are removed. As a result, the cartilage gains mobility and can be positioned and fixed by the doctor in the desired position. In some cases, when the cartilage is too large and has an irregular shape, it is not immediately possible to manipulate it, that is, there is no way to install it in the so-called bone “frame”. In such situations, you must first either straighten it or reduce it.

At the end of the operation, the surgeon places through-type sutures on the incision line, and packs both halves of the nose with special elastic tampons.

Postoperative period

The rehabilitation period after rhinoseptoplasty is extremely important and deserves special attention, because the final result of the surgical intervention largely depends on the correct and responsible adherence to recovery recommendations.

Early rehabilitation and care of the nose begins immediately after the end of the operation. The next day, the doctor removes the turunda from the nasal passages, and upon discharge, provides detailed recommendations to the patient regarding further actions. The plaster cast is usually removed no earlier than 10 days later, since during this time the splint performs an important fixing and at the same time protective function from external mechanical influence.

While the nose heals, the swelling will gradually go away, periodically moving from top to bottom and in the opposite direction. You need to be prepared for this. The final result of the procedure can be assessed only after 7-8 months, or better yet, after a year.

During the recovery period, the patient must exclude intense physical activity and sports activities for at least two months. Also, you should not eat too cold or too hot food for the first week. The first days you need to sleep on your back, preferably with your head elevated. At first, you should try not to tilt your head forward. Avoid alcoholic drinks and smoking for two weeks.

Factors influencing the result

How effective rhinoseptoplasty surgery will be depends on many factors. First of all, it is important to choose the right technique for correcting the existing deformity. The patient must carefully choose a clinic and a surgeon, based on the doctor’s experience, reviews of other patients, etc. The presence of concomitant diseases in the patient is also important, since some of them can cause complications. The doctor must eliminate abnormalities in the structure of the nasal turbinates, if any, because otherwise rhinoseptoplasty will not give the desired result.

Contraindications for surgery

Like other types of operations, rhinoseptoplasty is associated with some risks, and therefore cannot be performed on all patients. There are cases when this kind of intervention is completely contraindicated or must be postponed for a certain time. Such factors and phenomena include:

• pregnancy;
• old age;
• ARVI and other infectious diseases;
• unstable arterial hypertension;
• acute inflammatory process in the nasal cavity or sinuses;
• acute allergic rhinitis;
• hematological diseases (coagulation pathology).

Possible complications

Surgeries to correct nasal septum defects are considered safe. Undesirable consequences are rare and are usually associated with the following phenomena:

• bleeding;
• secondary deformation of the septum;
• violation of the integrity of the wall of the sphenoid sinus;
• perforation of the nasal septum (usually caused by technical errors);
• rhinoliquorrhea (leakage of cerebrospinal fluid due to damage to the cribriform plate);
• problems with smell;
• collapsed states;
• development of a hematoma or abscess between the layers of the mucous membrane;
• inflammatory process in the area of ​​the perichondrium or periosteum of the reimplanted sections of the septum;
• infectious complications (meningitis, brain tissue abscess, sepsis), etc.

With the right choice of technique for nose correction, proper operation and a complete examination of the patient, excluding the presence of contraindications to the intervention), complications can be avoided.

Cost of rhinoseptoplasty

The price of plastic surgery in Moscow varies depending on the status of the clinic, the doctor’s experience, the complexity of the operation, etc. The average price tag for rhinoseptoplasty is approximately 95,000 rubles. When choosing a clinic, you cannot be guided only by cost. First of all, you need to pay attention to reviews about the doctor and the institution itself, inquire about the qualifications of the working surgeons, and discuss all the important points in advance.

Let's sum it up

Rhinoseptoplasty is an operation that makes it possible to correct both a medical problem and an aesthetic defect in the form of a crooked nose, asymmetrical nostrils or hump in one session. Rehabilitation is usually tolerated by patients normally, without any complications. If such problems do arise, you should immediately visit a doctor for advice on further actions.

Have you or someone you know resorted to rhinoseptoplasty? Tell us about your experience in the comments. It will be useful for other readers to know in which clinic and with which doctor the treatment was carried out, as well as how satisfied you were with the result.

At the First Surgery clinic, both methods of surgical intervention on the nose are performed using the latest technologies and under the supervision of qualified surgeons. On the website you can not only get acquainted with the price list and cost of the procedure, but also read reviews from clients who have undergone the operation.

Rhinoplasty is indicated for people over 18 years of age who have already formed the bones and cartilage of the nose. The upper recommended threshold for such an operation is forty years of age. After forty years, the recovery period is longer, and recovery is more difficult. Before the age of eighteen and after the age of forty, nose surgery is performed only to correct congenital defects or after injury.

Before undergoing surgery, you must follow the recommendations of your plastic surgeon. Ten days before surgery, you must refrain from cigarettes, alcoholic beverages, and taking medications that affect blood clotting. Rhinoplasty will be rescheduled or canceled if the patient has an exacerbation of diseases, diabetes mellitus, inflammation of the nose, or a woman’s menstrual period.

Although both methods are performed on the nose, rhinoplasty and septoplasty have differences in application.

Differences between rhinoplasty and septoplasty

Using rhinoplasty, a plastic surgeon changes the appearance of the patient’s nose and eliminates other defects. Rhinoplasty allows you to completely change your nose, achieving the desired result. If there are breathing problems caused by birth defects or as a consequence of injury, torinoplasty can relieve these shortcomings.

With the help of septoplasty, you can correct a deviated nasal septum caused by various reasons, for example, congenital curvature, curvature due to abnormal development of the body, curvature caused by injury.

Septoplasty is prescribed by a surgeon for therapeutic purposes; it is not an aesthetic plastic surgery, but a necessary surgical intervention. Septoplasty is indicated for problems with the respiratory tract, constant sore throat, recurring nosebleeds, snoring, chronic edema, frequent colds, and sinusitis.

Rhinoplasty and septoplasty procedure

Rhinoplasty can be open or closed, using general or local anesthesia of the area.

Open rhinoplasty is used to correct complex nasal defects. The plastic surgeon makes incisions on the outside of the nose, located between the nostrils. Next he works with the cartilage of the nose. After the procedure, a small thin scar remains, which will disappear after a short period of time.

Closed rhinoplasty is used more often to correct the nose. With the help of surgery, external imperfections can be corrected and the shape of the nose can be corrected. After the procedure there are no scars or marks left. An incision is made in the nasal cavity, and then all actions are carried out blindly.

Six months after the procedure, the patient can fully enjoy the effect of the surgical intervention.

The duration of septoplasty is directly related to the complexity of the operation and the degree of deviated septum. The effect is visible already two to three months after the procedure.

Septoplasty takes place in several stages:

• The surgeon numbs the affected area using local anesthesia;
• Makes an incision;
• Peels off soft tissue;
• Moves cartilage and bone fragments to straighten the septum;
• Places sutures on the incision area;
• Installs tampons;
• Applies a special bandage.

Complications after rhinoplasty and septoplasty

After surgery, complications may occur, such as:

• Severe swelling of the nose;
• Inflammation of the mucous membrane;
• Hematoma formation;
• Bleeding from the nose;
• Constant secretion of tears;
• Blockage of the sebaceous glands.

What should rhinosurgery be like? Should a plastic surgeon have an ENT specialty? And other equally important aspects of work were discussed with us by Gaik Pavlovich Babayan, candidate of medical sciences, plastic surgeon and head of the Sharm clinic.

Question: What operations do you specialize in?

Answer: In general, we can say - aesthetic operations. Most of the requests are for , then if you look at the number - there is breast augmentation, face lift, eyelids - top and bottom, liposuction. People also come in for abdominoplasty and breast reduction. I call in descending order.

Question: Are patient preferences changing due to fashion? If it exists in this area.

Answer: There is always a fashion for beauty. A beautiful face, a beautiful body - it is always relevant and always fashionable. It’s just that sometimes its parameters change - if you take breast augmentation, then large sizes used to be in fashion, so to speak. And now naturalness is relevant, mostly patients ask for size 3, rarely 3 and a half. On the nose - they want to get rid of the hump, raise it. All these are criteria for a beautiful nose, so it’s wrong to talk about fashion here. A beautiful nose is always in demand.

Question: You received your education as an ENT doctor. Does this help you during rhinoplasty? Is it necessary for a plastic surgeon with this specialization?

Answer: It helps a lot in rhinoplasty. I believe that a person who does rhinoplasty simply must have the skills of septoplasty. And these are operations that are performed by ENT specialists. But patients say that when they had their appearance corrected, they were operated on by two specialists - a plastic surgeon and an ENT doctor. I think this is wrong. Because if a person works, then he naturally must think about improving his qualifications, he must take care of himself. And I believe that rhinoplasty and septoplasty should be performed together and by the same surgeon. And mostly this is done at the same time, although for some reason some surgeons separate this.

Question: Please tell us for those who don’t know. What is septoplasty and what is rhinoplasty?

Answer: Let me explain: septoplasty is a functional operation for health, correction of a deviated septum, after which breathing is restored. And rhinoplasty, as many probably already know, is a nose job. And these two operations are very interconnected. If we perform an operation on the nasal septum, then, of course, we need to correct something on the nose that we see. And vice versa, if we want to make a completely straight nose, naturally we need to correct the septum that is inside. And again, I repeat: the specialization must be general, so that a person has both skills, then he will be able to correct a crooked nose.

Question: You are the founder of your own school of rhinosurgery. Tell us about her.

Answer: It appeared when I had already founded the Sharm clinic, where we are now. Naturally, the majority of patients complained of crooked noses and mainly sought rhinoplasty. And many young specialists gathered around me. This area is very attractive to plastic surgeons; for some reason, they first of all start with nose surgery. There were many of them - both novice specialists and experienced surgeons: they began to look, come, help somewhere. And I felt that it was possible to create a group of followers from this team, give them tips and show them those skills and aspects that are sometimes not even described in books. Some people don’t even consider it necessary to talk about it, but for practice all this is very important. And gradually this school of rhinosurgery of ours was formed. I passed on my knowledge to those who were ready to accept it. I won’t name their names now, but many of them have already opened their blades. And they work successfully in Moscow, many people know them.

Question: Do you have any thoughts about seriously starting a teaching career?

Answer: I don’t have enough time for serious teaching. But when surgeons undergo advanced training, there are certain courses that they take in general - this is a course in plastic surgery. And many people come to our clinic for the rhinoplasty part, that is, we carry out a narrow part related to rhinoplasty. This still exists now, but not on a large scale, because I don’t have enough time for it.

Answer: I studied and watched a lot - both open and closed rhinoplasty. When you already have experience, you understand that you somehow need to analyze it for yourself and get rid of unnecessary volumes of operations, somewhere you need to preserve what you already have. As sculptors say, by getting rid of the excess in a piece of marble, you can get a beautiful shape. I am a supporter of the so-called conservative rhinoplasty, when the parameters that the patient has are preserved as much as possible. And it doesn’t spoil the face, but rather beautifies it. There are many factors there - first of all, this is a very deep analysis of what we have and what the patient wants to get. Based on this, interference is minimized. This also greatly reduces the operation time: sometimes even repeated operations take no more than an hour. And the result we get is the same as after operations that take several hours. There are many pictures and evidence of this.

By the way, soon I will publish this technique, which I call conservative. Its essence is that while preserving everything you need - what does not spoil the face, but on the contrary even emphasizes beauty - leave it. Make changes minimal and less traumatic. This gives us a very short recovery period. Patients recover quickly: after almost two weeks, swelling from the outside is no longer noticeable. Of course, there are individual issues, but as a rule, two weeks is enough to go back to work. That's the point. Analysis is very important, and good analysis requires experience. In order to predict in advance any intervention on cartilage (there are many of them on the septum), on the bone part, it is necessary to predict what changes will lead to what result. Correct forecasting plays a very important role in obtaining a good result.

Question: Do people often contact you about repeat operations? And is this a problem today?

Answer: There are a lot of repeated operations. If you count, today almost 40% are repeat visits after various clinics. Because when we watch from the outside how a surgeon operates, anyone - not necessarily me, it happens very easily and calmly. And naturally there is a desire to repeat. But it is not so easy, and repetition can lead to the operation lasting 3-4 hours instead of 50 minutes. And this lack of understanding of how to do it the way it needs to be done leads to similar results. Many people start operating too early. On the one hand, independence is good, but in rhinoplasty, in addition to knowledge and skills, there must be skill. A person must master manipulation. It's like in art: a person can be a good critic, but not as good at drawing and writing as someone else. A surgeon can perfectly remove appendicitis and save lives, but not everyone can make beautiful noses. That's why many drop out. In general, there are not so many good rhinoplasty surgeons, although a whole army performs this operation. Therefore, there is a huge mass of repeated operations.

Question: Are there any complications after primary operations that cannot be corrected?

Answer: There are such cases. It is difficult to correct when a perforation appears on the septum after surgery. When it is large, it is almost impossible to close it - although this does not cause any big problems for patients, they may not even be aware of it. But still it brings a certain discomfort, sometimes even affecting the shape of the nose. And it's very difficult to fix.

When, after the first rhinoplasty, scars form on the skin, and unlike internal scars that heal and go away within a year, fibrous formations are often called this to make it clearer for patients. I mean scars in the form of cuts, in the form of various dents - they are very difficult to restore and recreate. Because it is almost impossible to replace scarred skin with healthy one. And there are still problems with nutrition. Therefore, one must be very careful and take these problems into account when performing repeated operations.

Question: Are you spending 3Dnose modeling Tell us more about this technique.

Answer: Patients need to understand what they want. Because aesthetics are aesthetics, but everyone has different tastes. And sometimes the patient may have wishes that do not coincide not only with the opinion of the surgeon, but also with generally accepted norms. Therefore, you can’t just make a beautiful nose; you need to understand what the patient wants. How she sees herself from the outside, when she comes with some photographs and examples - this is also not enough. You need to understand which nose will suit her. Therefore, there is such a way - 3D modeling. It allows you to see yourself from the outside. We make several options, they are calculated mechanically according to wishes. And in the end, the most natural one is always chosen, which takes into account all the parameters of the face: its oval, cheekbones, eye shape, distance between the eyes. And the patient, having seen herself from the outside, approaches the result more adequately.

Question: You also perform hair transplant operations. How in demand are they? What techniques are currently used in this area?

Answer: We made them. But this operation has one specificity: it takes a lot of time. Therefore, I gradually moved away from these operations. I’ll explain why: for this you need to have a special team. We had such a team, but since we did not perform these operations constantly, it dispersed. This operation requires spending a lot of time with each patient. This did not fit with the flow that came to us for rhinoplasty and breast augmentation - and I had to leave it. I’m not doing this yet, but I know the technology. And if any of the young surgeons are interested in it, I am ready to pass on my knowledge to them.

This area of ​​surgery is in great demand, but it requires a person to be a specialist. Because in addition to the transplant itself, you also need to have a huge base of care, injections and massages to help patients. That is, for complete assistance, a specialized clinic is needed. Just a transplant is not enough; comprehensive care must be provided. First, conservative methods are used, then when they no longer help, a hair transplant is done, and then postoperative care. Such patients are treated almost their entire lives.

Question: You said that mammoplasty is in second place in terms of the frequency of operations performed. Tell us what methods you use and what results you achieve.

Answer: People also often come to us for revision breast augmentation surgeries. We thought for a long time what to do about this and came to the conclusion that most often the problem lies in the implants. And we found the implant that is most suitable for repeated operations. What does this give us: this implant should give less texture, when the capsule is strongly compressed, pain occurs and the gland itself is deformed. Our implant practically eliminates this. It also lifts the mammary gland well and removes so-called ptosis. And many patients after childbirth come with this very problem. So this new generation implant allows us to solve the main problems and make breasts, despite the fact that the initial operations were unsuccessful.

Question: How do you rehabilitate your patients? Do you have any original ideas on this matter?

Answer: We don’t have any special developments, to be honest. But the clinic offers both hardware and injection techniques. An individual approach is needed here: because some patients do not need anything, everything heals well for them, and the swelling goes away on its own. For some, a couple of massages are enough to relieve swelling; others need a more serious approach. We have all the necessary means for recovery in the postoperative period. In areas: relieving swelling, bruising and working with scars.

Question: Do you refuse operations to patients, and for what reasons?

Answer: You often have to refuse. The reasons may be different. Sometimes a patient comes and talks for 10-15 minutes, but in fact she doesn’t understand what she wants. I send such patients home. “It’s better for you to figure out for yourself whether you need any kind of operation - it doesn’t even matter what kind.” There is a group of patients who come just to do something. Everything about them is normal: a normal nose, and there’s nothing to complain about. And they come because of fashion to tell the company that I also did something. There are such things too. Therefore, there are refusals and there are grateful reviews even that we refused the operation. There is also a separate group of people who do not need surgery. They look like gambling addicts. We can even perform an operation on them according to indications, and then they go to do something and constantly redo something. We also need to work with them separately to at least stop them. Because it seems to them that every operation brings them closer to perfection, but this is not always the case. They need to stop at a certain point.

Question: Maybe patients who cannot stop and suffer from such addiction need separate help?

Answer: Special help is needed, and we refer them to specialists. It is clear that we do not have such a staff, but sometimes we send them to familiar psychologists to whom we turn. Sometimes we even invite them to the clinic when patients do not agree to contact them on their own. And if it were possible, we would have a separate staff of such specialists, because this is in great demand. And in the postoperative period, psychologists are sometimes needed: changes in appearance are not always perceived adequately, even when they are very successful. Sometimes you need some time and the help of specialists.

Question: The ideal result after plastic surgery is...

Answer: The ideal result is obtained when even loved ones and relatives do not notice from the outside that the operation was performed. But they note that something has changed, that the patient has become prettier, began to look better and even looked younger. And this is after rhinoplasty, although this operation is not considered anti-aging, but sometimes it is. By the way, I even have an idea to write this down so that it sounds first-hand. I had one patient for whom I performed rhinoplasty, everything was wonderful. And then she and her husband went to their father-in-law. She had been married for 14 years by that time, and then the father-in-law takes a closer look at this girl and asks his son: “Where is your wife? And who is this girl? She changed so much that even her father-in-law did not recognize her. There are similar cases. This is the ideal result when it is so natural that some people don’t even realize what has changed, but they see that it has become better.

Question: You are a member of several societies of plastic surgeons. How important is this for an active specialist?

Question: What should you pay attention to when choosing a clinic and specialist? Are reviews important?

Answer: Of course, the clinic must be chosen so that it fully complies with all regulations and standards. This is necessary to simply protect your health and life. Even when entering the clinic, a person can understand where he has ended up. It's just a random clinic or one that cares about its patients. Multiple licenses must be present. Experience is very important when choosing a surgeon. Moreover, I always emphasize that this is not experience in years, because often young surgeons, confused with mathematics, write so much work experience that they don’t even have enough years. You must understand that the surgeon must have experience in the operations the patient needs. For example, if you take rhinoplasty, then the specialist must perform at least 10-12, or even 15-20 operations per month. Otherwise, if a person accidentally does this, there may not always be a good result.

Reviews are also important. But you need to understand that reviews on the Internet can be corrected, you can write anything. There should be reviews from living people. To be honest, less and less random people come to me - they come based on recommendations. Again, if there are no patients in the clinic, this is alarming. There must be patients at different stages - the first day, the second day, the 10th and so on. You can talk to them and understand everything.

Ask a question to the doctor

Aesthetic Medicine Clinic Klazko

Moscow, Malaya Gruzinskaya 20/13 building 1

Professional growth, constant development and new achievements - this is the path that the recognized leader in the world of aesthetic medicine, the KLAZKO group of clinics, has been following for more than 16 years. Today, plastic surgery is one of the most dynamically developing areas of medicine, which opens up ever greater opportunities for solving problems associated with annoying defects in appearance.

Septoplasty is an ENT surgical procedure to correct defects of the nasal septum.– the wall that holds the shape of the nose, separating the two nasal passages from each other. The wall is a straight-shaped osteochondral tissue. When bone or cartilage becomes significantly distorted for a variety of reasons, it results in difficulty breathing in one nostril or a complete absence of nasal breathing.

Deformation of the nasal septum:

• may occur at birth;
• can occur during growth with uneven development of the skull;
• arise as a result of injury;
• or it is a congenital pathology.

Is it painful to have septoplasty? Septoplasty, like any surgical procedure, is accompanied by pain, so it is performed under local or general anesthesia. The following are the differences between rhinoplasty and septoplasty.

How is it different from rhinoplasty?

Rhinoplasty is an operation to change the shape of the nose, used when a person is dissatisfied with his appearance. What is the difference between septoplasty and rhinoplasty? The main difference between rhinoplasty and septoplasty is that:

• the first is done for “beauty” at the request of the patient;
• the second is necessary - for health.

Advantages and Disadvantages

Having decided to undergo surgery, a person is guaranteed to get rid of some of his health problems, but he may put off going to the doctor due to:

1. fear of pain;
2. fear of complications;
3. feeling unwell during the recovery period.

It is worth noting that medicine is developing, and surgical methods are improving, for example, during laser surgery, blood loss and are minimal. Within a few hours the patient can be sent home.

Unfortunately, modern methods are not free. And the price for them is quite high. Thus, when making a decision, you need to take into account the pros and cons of septoplasty that were mentioned above.

Species

• Classical- performed with a conventional scalpel, using outdated technologies, the most traumatic compared to modern methods.
• – the process is controlled by a mini-camera, which is inserted into the nasal cavity. The technique is effective for complex curvatures of the cartilaginous and bony part of the septum.
• Laser– used for cartilage correction. The method is not suitable for correcting bone tissue. A laser is used as a scalpel, which seals the incision sites, minimizing bleeding. It also creates an antiseptic effect, which makes it possible not to use turundas.
• Radio wave– occurs under the influence of high-frequency waves using a surgitron, a special apparatus. This method is the most modern and gentle. Septoplasty allows you to operate on a deviated nasal septum of any complexity, with minimal blood loss. Recovery after surgery takes no more than 10 days.

Is it worth doing?

Cases when septoplasty is necessary:

1. Nasal breathing is difficult or completely absent. While a person is young, he gets used to it, adapts, but in old age, inadequate oxygen circulation will definitely make itself felt in terms of deteriorating health, only the operation is more difficult for older people to tolerate and there are more contraindications.
2. For frequent lingering colds, constant use of vasodilator drops provides temporary relief and aggravates inflammation.
3. For chronic sinusitis, a deviated septum prevents the outflow of inflammatory fluid; as a result, its removal is possible only through regular medical intervention.
4. For chronic otitis media, migraines, pharyngitis and laryngitis. The respiratory and hearing systems are inextricably linked. Improper functioning of one link can lead to problems with the others. The need for surgery is determined by an ENT doctor.

Contraindications

Septoplasty of the nose is not performed in the presence of the following diseases:

• problems with blood clotting;
• pregnancy;
• breastfeeding;
• oncology;
• infectious diseases;
• diabetes mellitus;
• diseases in the acute stage;
• heart problems;
• mental illness;
• epilepsy.

How is the operation performed?

1. Before surgery you must:
   • undergo medical examination;
   • donate blood;
   • take a urine test;
   • make a fluorogram;
   • do an ECG.
2. Depending on the complexity, the operation is performed under local or general anesthesia.
3. The process involves excision of the curved cartilage; for this, the mucous membrane is first peeled off. In some cases, part of the cartilage is removed, the excess is removed, and then put back in place.
4. The initial position of the mucosa is fixed with self-absorbing sutures.
5. To prevent bleeding, special tampons are inserted into each nostril - trunds, which prevent the possibility of breathing through the nose. Modern tampons have a tube through which the patient can breathe a little through the nose.

The total operation time is 1-2 hours. Depending on the complexity of the procedure, the patient may be sent home the very next day.

Rehabilitation after nose correction

Price in Moscow and St. Petersburg

Similar the operation is performed in public hospitals free of charge under the compulsory medical insurance policy or in paid clinics. Prices in Moscow paid centers vary. Depends on:

1. method of operation;
2. complexity of the case;
3. surgeon qualifications;
4. type of anesthesia.

For example, correction of a birth defect will cost less than correction after an injury. The cost may also depend on the distance of the clinic from the center. You can find a cheaper service in the region. In general, the price of the procedure is from 40 to 150 thousand rubles.

At a personal consultation after the examination, the doctor will name the price taking into account:

• preoperative tests;
• drugs and materials used;
• recovery period.

The price range in the northern capital of St. Petersburg is approximately the same.

The fear that any procedure associated with surgery causes is the main reason that a person postpones going to the ENT, endures, adapts, and gets used to vasodilating drugs. But in fact, the operation is not at all complicated, as evidenced by numerous reviews of patients who decided to undergo septoplasty and regained full nasal breathing.

We invite you to watch a video about septoplasty of the nasal septum, indications and causes of curvature: