Rhinoplasty surgery: nose reduction, unpleasant moments of the procedure and recovery. Nose wing - narrowing and reduction rhinoplasty, correction Reduction of the nostrils

Rhinoplasty is considered a complex but fairly 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 tip and septal deformity, the consequences of injuries and large nose wings. The latter type of plastic surgery is gaining more and more popularity, but it is no less time-consuming and requires high professional training from a medical specialist. Therefore, many patients before the operation ask themselves the question: will the nostrils shrink after the correction of the wings of the nose, can there be crooked nostrils after the operation? 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 the nostrils and wings?

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

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

Surgical intervention has a complex course of the procedure, but with the help of modern technologies it is possible to reduce the risk of consequences. It helps to give the correct shape of the nostrils and nose wings, adhering to the wishes of the patient 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:

1. Wide - this feature is often found among people of Asian and African nationality, which is associated with the climatic zone.
2. Curves - arise due to severe mechanical damage (bumps, bruises, consequences of an accident).
3. Large - characterized by the individual structure of bone, cartilage and the shape of the nose.
4. Narrow.
5. Not the same size.

Various defects of the nostrils and wings of the nose can be congenital or acquired. In the first case, there is an incorrect laying of the skull bones during fetal development, in the second, an unsuccessful operation is possible, after which a pronounced asymmetry appears. Also causes are injuries, bruises, curvature of the septum, which affects the shape of the nostrils and wings.

The course of the operation and 2 main methods of correction

Correction of the wings and nostrils of the nose

Rhinoplasty is carried out in several stages:

Consequences of the operation

Like any other surgical intervention, rhinoplasty cannot guarantee a 100% positive result. During the operation, there is a violation of the integrity of the skin, cartilage tissue, which may 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 a second operation.

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

The main factors for the occurrence of complications are:

1. Insufficient professional experience of the doctor.
2. Non-compliance with recommendations during the recovery period.
3. Individual features of the patient - a certain shape of the nose, the structure of bone and cartilage tissue, reduced blood clotting, poor regeneration.

To avoid complications, preference should be given to experienced qualified specialists, pre-specify the subtleties of the correction and undergo diagnostics.

Different nostrils after rhinoplasty is it normal?

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 can unevenly remove the skin on both sides.

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

What if different nostrils?

If the medical specialist is competent, then 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 the case when asymmetric areas remain after wound healing, they resort to a second operation. But the difficulty lies in the fact that it is allowed to conduct it only at least 6 months after the first intervention.

Often, different nostrils after rhinoplasty seem to the patient due to swelling, so up to 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

In this place, an incision was made during rhinoplasty of the wings

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

Stitches not healing after rhinoplasty?

If the patient has reduced tissue regeneration, their long-term recovery is noted. Because of this, the seams 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 contact a medical specialist, because in the future there may be a scar or scar in the open area.

Why didn't the nostril grow together?

This complication occurs quite rarely, but still occurs. The reason for this may be incorrect actions of the surgeon during the operation, infection, poor skin regeneration, 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, methods of non-surgical correction are widely used. It allows you to give the necessary shape to the nose or its parts and improves the appearance. Effective mainly with minor deformations of the wings of the nose. This technique needs a longer time to achieve the desired result and is not long-term.

You can reduce the wings of the nose with the following non-surgical manipulations:

1. 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 into the skin of synthetic components - glucocorticosteroids, which destroy soft tissues.
2. The use of threads - this procedure is the introduction of threads under soft tissues that can be adjusted in various directions. With their help, some parts of the nose are pulled up, a beautiful appearance is formed. Manipulation is done under general anesthesia, the threads are removed after a few days.
3. The use of a splint is an effective and safe method of correction. It is longer than the rest, characterized by the use of plaster and plastics, which are applied to the nose. Langet helps to give the desired shape to the nose, reduces the wings. The result will be noticeable after at least 8 months of wearing a cast.
4. Exercises - small defects in the wings of the nose can be eliminated with the help of exercises at home, which are selected in conjunction with a medical specialist. To achieve a noticeable result, it will take a lot of effort and time. Daily classes should allocate 10-15 minutes.

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 best solution is nostril correction - a popular type of rhinoplasty, which involves correcting the shape of the wings of the nose.

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

Rhinoplasty of the nostrils includes a reduction in the external size of the nostrils, correction of their incision. Due to the surgical removal of certain areas of skin and cartilage, the shape of the wings of the nose can be effectively corrected.

The choice of the 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 located vertically: this increases the aesthetic appearance of the nose. In more complex cases, the doctor performs a neat incision at the base of the nostril. If a partial excision of the base of the wings of the nose is indicated, the surgeon observes the symmetry of the nose and the features of the patient's tissues.

Preparing for nostril correction surgery

• Planning for rhinoplasty of the nostrils implies that the patient is fully aware of the seriousness and responsibility of the surgical intervention. Such operations are carried out exclusively in reliable clinics, whose profile is plastic surgery.
• Before the procedure of rhinoplasty of the nostrils, a complete medical examination is mandatory, the patient is consulted by specialists.
• Before nose correction surgery, the patient also visits a general practitioner, an ENT specialist and an anesthesiologist: this allows choosing the most appropriate set of procedures and medications for the patient.
• Without fail, the surgeon conducts a preoperative assessment of the appearance of the nose, 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 this is then reflected in the cost of rhinoplasty surgery.
• Restrictions before the rhinoplasty procedure require the implementation of certain rules. For several weeks, the patient should limit himself to smoking and drinking alcoholic beverages. Do not take medications that cause changes in blood clotting. A ban is also imposed on certain types of products. Detailed advice should be obtained from the surgeon who plans the operation.

The risks associated with rhinoplasty of the nostrils 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 pass 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 oncological diseases, heart and liver diseases. Also, surgeons do not operate 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 the period from adulthood to 40-45 years. It is not advisable to do the operation 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.
• Surgical intervention is carried out under general or local anesthesia.
• The procedure lasts no more than one and a half hours.

Features of the operation on the wings of the nose

• Open plasty is performed in case of complex intervention, 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. Also perform excision of the skin.

Features of the rehabilitation period

The postoperative recovery process includes swelling of the face which is considered a natural consequence of the operation. The swelling subsides easily after a few weeks.

The first days after the 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 pain relievers.

After a month, the patient is allowed to play sports and lead a normal life. The terms of the rehabilitation period are determined individually. Patients should regularly undergo examinations by a surgeon, follow a special diet.

In order 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 the achievement of ideal proportions of the nose.

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

It is not uncommon for the fact that it is not the length, shape and tip of the nose that spoil the appearance, but the nostrils. Such a small but important touch can noticeably change the look. That is why rhinoplasty of the nostrils is performed. The results of such an operation help to generally imperceptibly improve the overall impression of the face and add attractiveness.

Main principles of rhinoplasty of the nostrils

Any adjustment has its own principles or, if you like, postulates, on which the high-quality professional work of a plastic surgeon is based. 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 Evgeny Pavlov, and I am a leading plastic surgeon at a well-known Moscow clinic.

My medical experience is over 15 years. Every year I do hundreds of operations, for which people are willing to pay HUGE money. Unfortunately, many do not suspect that in 90% of cases, surgery is not required! modern medicine has long allowed us to correct most of the flaws in appearance 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 precisely the symmetry. It allows you to eliminate sharp differences in their size, configuration, shape. Speaking of 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, the accuracy of execution is extremely important during the operation. Therefore, the actions of the surgeon must be as careful, planned and thoughtful as possible. Otherwise, even larger defects may occur, such as large nostrils after rhinoplasty.

When is rhinoplasty of the nostrils indicated?

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. Speaking of acquired defects, they usually mean either post-traumatic or postoperative. An example would be different nostrils after rhinoplasty. In this case, it means that the primary rhinoplasty led to undesirable consequences due to surgeon errors or complications. We decided to highlight the main reasons for the appointment of rhinoplasty of the nostrils:

1. Uneven or too wide nostrils, if you look at their shape relative to an imaginary horizontal axis. So you can correct different nostrils during rhinoplasty.
2. Too narrow nostrils (this is usually a birth defect, but it can also appear after burns or other injuries).
3. Fleshy, thick nostrils. The reason for this is usually either a thickening of the skin, or an excess of cartilage.
4. Groove, retraction or retraction of the wings often occurs due to injury.
5. Excessively long wings can significantly increase the nose. This happens due to overhanging 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 experience is required from a plastic surgeon. Therefore, it is necessary to carefully choose a doctor before going under the knife. You may want to look at photos of alar rhinoplasty to decide if you need it or not.

Rhinoplasty of the wings and nostrils: how it is performed

As a rule, such an operation is not carried out separately. It is often done with either a 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 nostrils by mobilizing the skin on the nose, which is released 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

Subject: Corrected the nose

From: Catherine 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 as I would like, there was not a big hump and wide wings. By the age of 30, the nose had grown even more and became quite a “potato”, I was terribly complex about this and even wanted to have an operation, but the prices are simply cosmic for this procedure.

Everything changed when a friend gave me one to read. You have no idea how grateful I am to her. This article literally gave me a second life. Within a few months, my nose became almost perfect: the wings narrowed noticeably, the hump smoothed out and even the tip slightly rose.

Now I do not complex about my appearance at all. And I'm not even shy about meeting new men, you know))

Overhanging tissues 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. In the second method, the excess is simply hemmed.

Two methods also solve problems such as wing retraction or furrow. In the first case, the tension changes with subsequent displacement of the skin from other areas of the nose that are close to the defect. In the second case, to restore the support, the surgeon uses a composite complex piece of cartilage and skin, which is taken during transplantation from the auricle or nasal septum (this is why rhinoplasty of the nostrils is often accompanied by septoplasty).

To expand the narrow nasal passage, cartilage spacers are used along the edge of the nostrils. You can also change the location of the tissue flap in the lateral 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 in rhinoplasty of the wings of the nose

If you decide to do rhinoplasty of the nostrils and wings, then the first thing to do after you have decided on the doctor and the clinic is to consult with the surgeon. He will determine exactly how the operation should be carried out, what exactly to change and, using a computer program, will draw up an approximate result that the patient needs. Reduction of the wings of the nose by rhinoplasty is a complex procedure and requires special attention, precision and a firm hand of the surgeon.

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

Stories from our readers

Corrected the shape of the nose at home! It's been half a year since I forgot what a hump of the nose is. Although in society it is generally accepted that appearance is not the main thing for a man, but I really did not 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 in total - all the doctors called exorbitant prices and talked about a long rehabilitation, but for me this does not suit at all because weddings go on all the time, especially during the season. Once I got an appointment with Dr. Pavlov E.A. He told me that in my case it is quite possible to do without surgery, it is enough to wear a special proofreader every day. Here is an article in which he describes this method in detail. I obediently wore the corrector every day for several months and was amazed at the result, 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 do not want to go under the knife, then I recommend that you read this article.

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

Another mandatory item is a visit to a number of specialists: an ENT doctor, a dentist, an anesthesiologist and a general practitioner. Moreover, rhinoplasty of the wings of the nose should be allowed last. The anesthesiologist, based on your indications and the type of operation, should 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 self-treatment takes about 20 minutes.

Revision rhinoplasty of the nostrils

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

• Asymmetric nostrils (after rhinoplasty, one nostril is higher than the other);
• Wing asymmetry;
• Enlargement or excessive reduction of the 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 occur 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 rhinoplasty of the wings and nostrils?

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 endure. 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.

Get ready for the fact that the scars will remain visually for about two months. Although in general this question depends on the patient's body. In some, the wounds heal without a trace, while others walk with scars for years. This problem is generally solvable with the help of powder and tonic, but the first stage of rehabilitation cannot be used. You can not wet the site of intervention 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. The doctor will tell you more about the rest of the recommendations, as well as explain what kind of care you need, what medications you will have to take for a while.

Can there be different nostrils after rhinoplasty?

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

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

1. 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 the deformation of the nasal septum.
2. Saddle deformations. It is noted by the formation of a “sagging” area on the back of the nose, as well as the formation of a depression.
3. Step deformations. There is a noticeable line between the bone of the back and the cartilage.
4. beak-shaped nose. This is a type of complication when the lower part of the back resembles a bird's beak.
5. Descent or elevation of the tip of the nose. This happens when the tip of an organ moves or rises.

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

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

Nostrils after rhinoplasty will acquire an aesthetic appearance with strict adherence to all medical recommendations. Therefore, you should listen to the advice of the surgeon.

Despite its complexity, rhinoplasty is a very common procedure. Someone is not satisfied with the shape of the nose, someone is not satisfied with its length. Well, some do not 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 to two months.

Indications for the operation

Rhinoplasty - reduction of the wings of the nose - is aimed at narrowing this organ, making it more pretty. There may be several reasons for this: congenital defects, the consequences of an 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;
• too big nostrils;
• uneven nostril sizes.

Features of the procedure

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

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

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

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

In modern surgery, computer simulations are performed prior to rhinoplasty.

rehabilitation period

With a successful operation, recovery proceeds quite easily. On the first day, special turundas are inserted into the nostrils. After 5-6 days, the stitches are removed, the scars after which completely heal over time. But it is believed that the final recovery takes about six months.

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

During the rehabilitation period, you need to follow 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

As with any surgical intervention, rhinoplasty cannot guarantee a 100% result without any complications. But this happens extremely rarely with proper nose correction by professional specialists.

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

Contraindications for surgery:

• age up to 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 of plastic surgeries are those that are aimed at changing the shape, reducing the size, as well as correcting defects in the nose resulting from injuries or diseases. They are united under the general name of rhinoplasty. According to statistics, this is one of the safest plastic surgeries.

Patients resort to this operation for a variety of reasons, which are divided into physiological (breathing difficulties) and aesthetic (improvement of appearance).

Nose reduction surgery is performed according to the following indications:

Contraindications

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

Nose reduction surgery has the following contraindications:

Operations to change the shape or size of the nose are performed in two ways: closed or open. Which one will be chosen depends on the type of operation, the tasks set.

public method

Plastic surgery to change the shape or reduce the size of the nose is most often performed by an open method. The essence of this method is to make an incision on the edge of the alar 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 up access to the bone and cartilage tissue for further modification actions.

Main advantages of open rhinoplasty:

• Since this is an external operation, the surgeon has the ability to visually monitor the progress of the work, making it easier to make changes or adjustments in the process.
• The tissues do not turn out and do not stretch during the intervention, which makes it possible to put the tissues in their places without distortion and suture them without undesirable changes in shape.
• Even with severe defects in the anatomical structure of the nose, grafts of complex shape can be installed.
• Achieving perfect symmetry of the nose after the 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 operating period.

private method

Closed rhinoplasty is also widely used, as it makes it possible to achieve the desired result without visible traces of surgical intervention.

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 technique:

Disadvantages of closed rhinoplasty:

• The surgeon must be highly qualified and have a lot of experience, since the operation is performed almost blindly.
• Operations performed by a closed technique do not make it possible to solve all the 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 is determined by an experienced surgeon, as a result of which the desired result is achieved.

Varieties of plastics

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

Hump ​​Removal

Rhinoplasty to remove the hump is carried out by 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 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 sawn off and cartilage is removed. After removing excess tissue, the surgeon fixes the tissue in a new position. To consolidate the result and to prevent side effects, on For 10 days, plaster is fixed on the nose, and tampons are inserted into the nostrils.

Wing reduction

Nose wing reduction surgery and is carried out quickly. The surgeon performs all the 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.

Reducing 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 cast 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 with special instruments. As a result, the bridge of the nose becomes lower.

Cut length

The operation to reduce the length can be carried out by open and closed methods. It all depends on the amount of work.
The surgeon cuts soft tissue to expose bone and cartilage. Part of the cartilage and bone is removed, if necessary, the bone is only partially sawn off.

back narrowing

The narrowing of the bridge of the nose is performed during surgery with a controlled fracture of the bones of the nose (osteotomy). The surgeon moves the bones closer together, thereby reducing the width of the bridge of the nose.

tip reduction

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

The operation in an open way opens up more opportunities and simplifies the work, but the rehabilitation period is significantly lengthened.

Preparing for the operation

Prior to nose reduction surgery (two weeks in advance), a standard medical examination must be completed.

For a complete check of the state of health, it is necessary to pass tests:

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

You also need to do:

In addition to passing standard tests, if necessary, additional examinations should be carried out in order to check the state of health as much as possible and determine all contraindications. The doctor is obliged to conduct tests for allergic reactions and study the medical history.

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

• stop taking anticoagulant medications two weeks before surgery (blood thinning drugs) to avoid bleeding;
• eat only light and quickly digestible food (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 make sure that there are no contraindications. Examination and verification must be thorough, as rhinoplasty is performed under general anesthesia.

The course of the procedure

Based on the wishes of the patient, the degree of reduction of the nose (in whole or in separate parts) and the nature of the incisions, the surgeon determines the technique of the operation. Immediately before plastic surgery, he makes markings for future incisions and discusses with the patient all the nuances of the operation and the desired result.

Stages of rhinoplasty:

1. Anesthesia.
2. Incision. Depending on the tasks and technique of the operation, the 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, access to the cartilage and bone tissue is opened.
3. Nose reduction. The surgeon removes some of the cartilage and bone tissue. If necessary, removes part of the back of the nose to reduce it.
4. Hump ​​of the nose. Part of the bone tissue (the hump itself) is removed with a special rasp.
5. Correction of the width of the nostrils. The surgeon makes incisions and removes excess parts of the soft tissues, and also distributes the wings of the nose closer to the midline.
6. Correction of the nasal septum. If necessary, the specialist straightens the nasal septum, which will ensure the normal physiological functioning of the nose.
7. Closing the incisions. Upon completion of all actions to reduce and adjust the size of the nose, tissue and skin are placed in place and sutures are performed.
8. Fixation. Special splints are applied and tubes are inserted to support the nose during the healing period. A special sticker made of gypsum or pyroxylin (kollodin) is applied to the nose, it will keep 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, because in the first days there is pain, you need to constantly take antibiotics to avoid infection.

Bandages, plaster casts and tampons in the nostrils make it impossible to breathe through the nose. There is no opportunity to go to work, do housework. Inconvenient to maintain personal hygiene. Bruising, bruising and tissue swelling are pronounced on the face.

The next stage lasts two weeks after the first stage of rehabilitation. At the beginning of this stage, the doctor removes 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 the back so as not to damage the nose. It is forbidden to lift weights, bend over, eat hot food, be in places with high temperatures.

The third stage lasts up to three months after the operation. The swelling of the nose becomes almost imperceptible, but it is not yet fully formed. There are slightly swollen wings and the tip of the nose.

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 on the amount of work done to reduce the nose. After 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, ending with the patient's activities during the rehabilitation period.

All sorts of complications after nose surgery can occur:

1. Due to the fault of the surgeon, the bone of the nose can be damaged, cartilage or skin. If a mistake was made in the operation, a second surgical intervention will be required to repair the damage.
2. Divergence of seams. It depends not only on the professionalism of the doctor, but also on the patient's body, as well as on careful attitude towards oneself during the rehabilitation period.
3. Numbness. In the first days after the operation, there is numbness and loss of sensation in the nose, as the surgeon made incisions that damaged the nerve endings. This is a temporary phenomenon.
4. Hematomas and tissue edema. This is a natural phenomenon, since soft tissues were damaged during plastic surgery. If the operation was carried out for a long time and many changes were made, then swelling can make it difficult to breathe. An experienced surgeon will prescribe medications that will facilitate the rehabilitation period.
5. Infection. This happens extremely rarely. May be due to insufficient disinfection of instruments and patient's skin before rhinoplasty. Timely detected infection is successfully neutralized with antibiotics.
6. 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 second operation is performed under local anesthesia to remove excess skin, bone or cartilage tissue. A long healing period can also lead to necrosis.

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

• do not smoke or drink alcoholic beverages before and after the operation;
• do not take drugs that reduce blood clotting;
• do not succumb to stress, monitor the state of health, avoid pressure drops;
• protect the nose from damage;
• eat healthy and balanced food.

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

Video about rhinoplasty

Photos of rhinoplasty before and after: