Rhinoplasty and septoplasty should be done together. Rhinoseptoplasty

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

Deviated septum - deviation of the septum to one or both sides of the midline. It is manifested by difficulty or absence of nasal breathing through one or both nasal passages. Septal curvature is observed in 90% of the world's population.

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

In this case, a person may 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 the missing nose.

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

Indications for rhinoplasty:

Hump ​​on the back of the nose;

Too pointed or thickened tip of the nose;

Hooked nose tip;

Excessive length of the nose;

Saddle-shaped nose;

deviated nasal septum;

Congenital and post-traumatic deformities of the nose;

Violation or complete impossibility of nasal breathing.

Modern plastic surgery gives a positive answer to this question.

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

Not every surgeon will take on the solution of two problems at once - correcting the curvature of the 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 is washed daily. After 2-3 weeks, the recovery period ends and the nose takes on its final shape.

With best wishes, Molka.

The ENT showed that you need a septoplasty.

You do not write anything about the expected number of consultations with Morozov. Already called?

He specializes in rhinoseptoplasty.

for some reason, I had an infa in my head that he invites an additional ENT if you need to level the partition .. or am I misinformed?

But I don’t know about Zholtikov. Look at the Attribute website.

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

Septoplasty, just concerns problems with the septum.

If there is a distortion, then first of all get rid of it. There will be no point in rhinoplasty, because. the nose will not become perfect due to a deviated septum.

but as for me, the photo shows very well that the nose goes to the side. in the mirror I look not so striking in front. but if you lower your head (a terrible angle for a big nose) you can immediately see everything .. well, the profile (((the profile is not the same ((this is the main problem ((

You can see that the nose is crooked.

It's sad, of course.

But now Neomagic and the plastic magician Morozov S.V. have appeared in your destiny.

But only you do not write when the consultation!

So very soon we will admire her new beautiful nose.

It's less of an 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.

So we can all discuss issues that concern us together. Is not it?!

Well, nothing .. we'll deal with them! down with humpbacks and lowered tips)

May we have beautiful and even noses

I, too, have already reviewed so many things .. that it already ripples in my eyes from descriptions, types and indications for rhino .. to holes just already

and so from 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 a bit squinting to the side - it’s not like you can see it, but in the photo from a certain angle it catches your eye (Apparently, 90% of people really have a curvature in one or another otherwise there)

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

You are a beauty. The question is closed

The only thing is the asymmetry.

But in the near future you will join the ranks of the lucky ones of Neomagic.

I have a deviated nasal septum

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

Thank God, this problem has bypassed me))

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

We have more and more dissatisfied with their noses.

Thank you Molly, it was informative for me! All hands did not reach to see what rhinosEPTOplasty is.

Girls, all beautiful noses! And breasts! and bubbles!

Roska, you always have something funny to say. 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, it’s impossible to erase from fate and heart (I’m talking about the long-term expectation of you by your current husband).

Conquer your positivity.

It’s a sick question, of course, because I studied all these subtleties associated with rhino for a long time) But I refreshed my knowledge with pleasure)

I, worrying about my nose, have always been sure that rhinoplasty is in demand.

We, the Russians, are used to it with full breasts - for this we need a stronger nose, but more.

Well, if you also “draw the earth with your nostrils” (according to O. Gazmanov), then you can’t do without a large unit.

Rhinoplasty, details of the procedure

Any deformation of the nasal septum can lead to disruption of nasal breathing and improper air circulation in the upper respiratory system, which is fraught with the occurrence of many diseases, such as sinusitis or rhinitis in a chronic form, 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 is today 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 of 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 person a pleasant appearance.

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 is significantly reduced, so the healing process is slow.

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

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

If necessary, these types of operations can be combined, which allows not only to correct the 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 the snub nose or hump, and narrow the back of the nose.

Regarding the age limits, the opinions of many doctors differ sharply, most experts say that children under 18 years of age cannot undergo such operations, since a cartilaginous septum is formed before this age, but some doctors, if necessary, perform septoplasty even for small children.

Indications for rhinoplasty

The operation is performed in cases where the patient needs:

• Carry out correction of the nostrils, make them smaller or narrower.
• Remove a natural hump on the nose or a protrusion that has arisen after 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 the pathology of the nasal septum.

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

Contraindications for surgery

Contraindications to rhinoplasty of any kind are:

• The presence of inflamed hair follicles in the nose.
• Marked acne.
• The presence of severe diseases of the internal organs.
• Diabetes.
• Violation of blood clotting.
• The presence of mental illness of any category.
• The presence of viral infections.

Types of rhinoplasty

Rhinoplasty can be performed in two ways, which differ from each other in the way the intervention is performed and access to the place of correction. A certain type of operation is always chosen by the doctor, depending on what tasks he has to solve.

Open rhinoplasty

This type of nose correction surgery is different in that to carry out manipulations, the nose must be “opened” by cutting the skin in places where the nostrils connect to the upper lip, as well as on the columella, which is a septum between the nasal openings.

After that, the skin is lifted, opening the entire bone and cartilaginous 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 done in an open way, this allows you to collect the entire inside of the nose in pieces and reconstruct the organ.

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

In this case, the issue of postoperative scars is of secondary importance, since the priority task of the doctor is to properly heal the nose after rhinoplasty and reconstruction, 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 sutures 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 is almost will not be visible.

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

Closed rhinoplasty

Such an operation is performed inside the nasal cavity using a special scalpel and without external incisions. The work can rightly be called jewelry, requiring a high qualification of a doctor.

As a rule, a specialist with sufficient experience knows two methods of the operation at once, 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 on the patient's face, since all the sutures 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 reassemble a broken nose, remove a large hump, and connect fragments of cartilage.

You can often hear talk that if a surgeon has sufficient experience in performing rhinoplasty, then he can perform any operation in a closed way, but this is not true and is only a kind of speculation on the fear 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 case in order to most effectively solve the problem.

Septoplasty

The operation is one of the types of rhinoplasty and is aimed at eliminating pathologies of the nasal septum and its curvatures. Nature has assigned an important function to the nose of every person, which consists in processing the inhaled air.

Violations of the evenness of the septum can occur for various reasons, for example, due to birth trauma, 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 violation, align the nasal septum and restore free access of air to the lungs.

Endoscopic septoplasty of the nasal septum is considered a traditional and more gentle method of performing an operation in order to correct violations of the nasal septum. For its implementation, an endoscope is used, which allows the specialist to see the entire course of the operation on the computer screen.

The procedure can be carried out both under general and local anesthesia, it depends 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 an operation on children to eliminate a deformity of the nose, first an operation is performed aimed at eliminating the breathing problem, and then, when the facial bones are fully grown and the skull is formed, a secondary operation is performed aimed at eliminating aesthetic defects.

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

At the same time, during a secondary operation, it is often necessary to re-create and restore the structure of the nose. In some cases, patients themselves insist on a secondary operation if they are not satisfied with the result or when they want to correct something else.

Preparing for the operation

Questions of preparation for the operation 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 transferred 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 worsens all the healing processes of bones and soft tissues, therefore, if you have this bad habit, you must either completely abandon it for the duration of 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 medicines based on salicylates, such as Aspirin, Alka-Seltzer or Bufferan. Salicylates contribute to the appearance of severe bleeding during operations;
• wash your hair before the operation;
• do not eat for at least 12 hours before rhinoplasty.

The amount of liquid consumed before the operation, as well as when exactly you should stop taking water, is set by the doctor individually.

It should be remembered that with a runny nose, the operation will be impossible, so the procedure will be postponed until the moment of complete recovery.

Women in preparation for surgery 2 weeks before it should stop taking hormonal drugs, as they can also increase bleeding. You must tell your doctor in advance about taking any medication.

It is necessary 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. During menstruation, it is forbidden to perform rhinoplasty, and you should not prescribe an operation in the period 4-5 days before it starts and after it ends.

Operation

Rhinoplasty surgery takes an average of 1 to 2.5 hours, depending on the chosen method of manipulation and the complexity of the task.

With open rhinoplasty, the incisions are made in the natural folds of the skin, which allows you to hide further thin traces of the intervention. 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 takes all the necessary actions to eliminate the problem.

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

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

Conducted incisions usually go around about half of the nostril ring and are symmetrical. But the conditions for the operation are sharply limited, since the surgeon does not have sufficient access and visibility. Such an operation requires a very high qualification of the doctor.

With the closed method, the doctor can remove excess soft tissue, 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 a faster visible result, 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 inner 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 note some discomfort caused by the need to breathe through the mouth.

During the recovery period, extensive bruising can be observed on the patient's face, mainly in the eyes and nose. Swelling of tissues 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 the recommendations and procedures prescribed by the doctor. It is necessary to clean the nasal passages, and then lubricate them with special means.

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

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

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

Possible Complications

Among the most severe complications after rhinoplasty, it can be noted: the appearance of suppuration, infections up to 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 evaluating the results of the performed plasty, it should be remembered that it is far from always possible to achieve perfect symmetry, therefore, one 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 the 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 to the millimeter, since human tissues do not have stability and high plasticity.

Septoplasty

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

Despite the fact that septoplasty is a surgical intervention, it is the least traumatic operation, in addition, in addition to eliminating the defect and problem, septoplasty allows you to save the bone and cartilage structure of the nose without changes and damage.

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

• quickly improve the quality of life;
• resume nasal breathing;
• save the patient from numerous problems associated with chronic ENT diseases that are caused by deformity of the nasal septum.

It should be noted that septoplasty does not change the shape of the nose and does not apply to aesthetic surgical interventions for its correction, however, it may well be combined with rhinoplasty.

Causes of deformity of the nasal septum

The nasal septum is a section of bone and cartilage tissue that divides the nasal cavity into two parts. With its deformation, 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 is deformed. Among them are physiological features, as well as traumatic and compensatory causes.

The physiological factor is the most common cause of nasal septal deformity. This means that human bone and cartilage tissues acquire uneven growth, and this happens during the development and growth of the whole organism. In the case of a physiological cause, the nasal septum, as a rule, is completely deformed, often shifted to one side, or protrusions called ridges or spikes form on it, as well as their combinations and combinations. A less common cause of deviated septum is a traumatic factor, most often it occurs in athletes, but it can also be caused by other causes (fall, bruise, impact).

Photo: deviated septum after injury

Traumatic curvature of the septum is a mechanical defect of the nose, its injury or fracture, which entails various complications. Even a minor injury, in which the bone is not deformed, but only the cartilage, especially if it is received in childhood (or the age accompanying the growth of the organism as a whole), leads to a disruption in the development of the bone and cartilage tissue of the nose, and, accordingly, a curvature of the nasal septum. Compensatory causes of septal deformity include, as a rule:

• 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 caused 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 with the help of laser technologies.

In the vast majority of cases, people facing the problem of deviated septum prefer the proven method - endoscopic septoplasty.

Laser septoplasty

Laser septoplasty is characterized by the correction of the nasal septum using a laser beam. This procedure is often performed under local anesthesia, it is bloodless and almost 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 a hospital 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 sparing, 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 allow not only to maintain the aesthetic effect and avoid scars and scars, but also make the rehabilitation period much easier and shorter.

Photo: resection on the nasal mucosa

Classical endoscopic septoplasty in modern medicine involves the resection of minor sections of the septum that prevent 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 curvature due to a traumatic factor, where deformed areas of cartilage must be removed in order to leave the supporting function of the nasal septum unchanged. Typically, endoscopic septoplasty takes 30 to 40 minutes; taking into account the preparation of the patient 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 a sufficiently strong intravenous sedation to the patient).

Symptoms of a deviated septum, or who needs septoplasty?

The first, and perhaps the main symptom of a deformed nasal septum is difficulty in nasal breathing, whether it is chronic congestion in one or both nostrils. Full breathing through the nose is literally necessary for a person. The inhaled air is moistened and purified in the nasal passages before it enters the lungs, which is why it is the nasal cleansing and filtering functions that are so important for human health, in particular the prevention of bronchial diseases (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 unexpressed or absent, which makes it difficult for the person himself to diagnose his pathology, but does not at all cancel the fact of its existence.

Photo: normal nasal septum

A deviated nasal septum is the cause of frequent and prolonged respiratory diseases in humans, often acquiring chronic forms. People with a deformed nasal septum also often have recurrent inflammatory diseases of the airways and paranasal sinuses. Chronic sinusitis and rhinitis develop, frontal sinusitis, tonsillitis and otitis media are also often observed. Concomitant pathologies of the throat are a very natural process with a deviated nasal septum. From this follow diseases of the pharynx, such as pharyngitis and tonsillitis, as well as diseases of the larynx, such as laryngitis, which become chronic. Often, people self-medicate, constantly use vasoconstrictor drops and drink antiviral drugs, not 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

• dryness of the nasal cavity;
• allergic reactions;
• hearing loss.

The last symptom is due to the fact that obstructed nasal breathing does not provide proper ventilation of the middle ear cavity (tympanic cavity). If any symptom is observed, the most reasonable solution would be to visit an otolaryngologist who will prescribe the correct treatment or refer you for surgery. It should be remembered that with minor violations and deformities 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 for septoplasty. As with any other surgical intervention, an absolute contraindication to septoplasty is impaired blood clotting. Also, contraindications should include:

• diabetes;
• diseases of the cardiovascular system;
• infectious diseases of a different nature (including syphilis, hepatitis, etc.);
• oncological diseases;
• in addition, septoplasty is contraindicated in 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 fast, with minimal trauma and virtually no damage to cartilage and bone tissue. Modern methods of septoplasty are minimally invasive and allow correcting 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 operation - deviated septum

How is the operation going?

Let's see how a 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 needs to undergo some examinations and pass the following tests:

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

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

Complications and contraindications of septoplasty

Septoplasty is an operation that almost always allows you to rehabilitate without complications.

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

Therefore, before doing a septoplasty, it is necessary to consult a doctor regarding medications and remedies, and in some cases cancel them some time before surgery. Before the operation, it will not be superfluous to stop taking antibiotics and use drugs 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), there are special tight tampons in the patient's nose. They are designed to reduce the risk of postoperative bleeding and to stabilize the correct position of the nasal septum. Therefore, you should prepare for the fact that the nose after septoplasty will not breathe while the tampons are in it.

In some modern clinics, silicone tampons are now used, which also effectively maintain the shape and prevent the development of 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 the patient any inconvenience and pain.

In the period after removing the tampons from the nose, you should also follow the doctor's recommendations regarding hot drinks, smoking, physical activity and water procedures.

All these simple things will have some restrictions that will have to be observed for a speedy recovery and return to working capacity. For the prevention of infections and general relief of the condition, after septoplasty, various painkillers and antipyretics are prescribed, and, in some cases, injections and droppers of antibiotic drugs are given. After removing the tampons, the doctor often prescribes to the patient special moisturizing drops for the mucous membrane, since after the operation the nasal cavity becomes quite dry, and mucus and blood clots accumulate and dry in it. Of course, it is impossible to remove them yourself with your hands, therefore special drops, sprays and solutions help to soften this substance and “drive” it out of the nasal passages.

Photo: Nasal spray for easier breathing

Most often, these drugs 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 cleared and restored, breathing becomes easier, the mucous membrane is completely restored, and surgical incisions heal. Fully normalized breathing usually occurs in a patient after a few weeks. If we talk about laser septoplasty, here the rehabilitation proceeds much faster, due to the bloodlessness of such an operation. The laser automatically coagulates the incision sites (solders 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 also not required.

If a 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.

Working capacity fully returns 8-10 days after the operation. Even if a plaster fixing bandage is installed, by this time the patient is free from it. There are practically no external bruises and edema after septoplasty. With proper care of the nose after the 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 nasal septum correction (septoplasty) varies in Moscow clinics, depending on the specialist who will operate, the authority of this or that clinic, as well as on the chosen method of septoplasty and anesthesia. The average cost of septoplasty by a qualified specialist in a good commercial clinic is approximately 00 rubles.

This amount usually includes anesthesia, the patient's inpatient 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 the costs of anesthesia and medicines on his own. In addition, in private clinics, the patient has full guarantees that the operation will be performed successfully, and the rehabilitation period will proceed under the supervision of a doctor.

FAQ

Among the frequently asked questions about septoplasty by potential patients, the following are the most common: 1. Does septoplasty change the shape of the nose? Of course, with a traumatic curvature of the septum, when the deformation is very pronounced, the shape of the nose acquires normal features, the septum becomes horizontal and even, not shifted to one side. If the curvature is purely internal, 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 elimination of problems with the curvature of the 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. Can a septum be corrected without surgery? To date, septoplasty is the only way to effectively deal with the problem of a deformed nasal septum. If the deformity is not too complicated, it is possible to avoid direct surgical intervention (endoscopic septoplasty), and get by with the most minimally invasive techniques - laser and radio wave septoplasty. However, even if the case is quite complicated, and the curvature affects not only areas of cartilage tissue, modern medicine allows the use of classical endoscopic septoplasty with minimal trauma and health risks, and also maintains a cosmetic effect (the absence of traces and scars of surgical intervention on the face). 4. Are there scars after endoscopic septoplasty? All manipulations in endoscopic septoplasty are performed endonasally (inside the nose), including incisions that are made on the mucous membrane. This guarantees the absence of scars and 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), here scars occur if the surgeon performs open rhinoplasty. Septoplasty itself does not imply skin incisions, and no technique (endoscopic, laser or radio wave) suggests that 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, against the background of trauma, polyps, neoplasms and other factors. Some people turn to septoplasty at a very adult age, and often this can also be because the symptoms of such a deviation as a deviated septum may not be felt at a young age. With regard to age restrictions, the operation is not recommended for persons under the age, since the anatomy of the face is such that by this age the bone and cartilage skeleton of the nose is not fully formed, and surgical intervention may lead not to eliminate the problem, but to aggravate it. 6. Will the operation help if I use vasoconstrictor drops for a long time and my normal breathing is impossible without them? It is likely that the curvature of the nasal septum made it once necessary to start using vasoconstrictor drops to facilitate nasal breathing. However, it should be understood that the regular, and even more so the constant intake 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 (with intervention in the bone section and the elimination of aesthetic defects in it) and manipulations aimed at the aesthetics of the tip (its reduction, narrowing, elevation) are possible. Even if the bone section is not involved, any plastic surgery on the nose is called "rhinoplasty", while septoplasty allows you to 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 the curvature of the nasal septum can be both a congenital factor and an injury in an older age. The nose can look asymmetrical when viewed, 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 human health.

Who needs rhinoseptoplasty

The operation is carried out in order to noticeably improve the appearance of the patient. It is important to understand in advance that the end result may be slightly different from the image that emerges 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, 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 a partial deformation of the septum, which interferes with surgical access to the paranasal sinuses or the lacrimal sac. Rhinoseptoplasty can also be performed before the operation on the Turkish saddle.

The difference between rhinoseptoplasty and rhinoplasty

Rhinoseptoplasty is a simultaneous rhinoplasty and septoplasty. To understand the difference between these procedures, it is easier to study the table below:

Operation	Work area	Indications for carrying out	Expected results	Rhinoplasty	The entire area of ​​the nose	Bruises, fractures and injuries, breathing problems, aesthetic defects	Perfect nose appearance, corrected shape	Septoplasty	Nasal septum area	Aesthetically incorrect nose shape, difficulty breathing, asymmetry, the need to restore the 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 septum of the nose and disturbed breathing. Irregular nose shape, aesthetic defects	Restored breathing, ideal nose shape and appearance

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

Operation types

There are several septorhinoplasty techniques that open up the possibility of getting 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 need to be corrected.

Endoscopic technique

Thanks to endoscopy, doctors can deal with common problems. During the operation, the amount of damaged tissue is minimal, and rehabilitation takes little time and proceeds without complications. In the process, the doctor makes a small incision in the nasal mucosa. Then he introduces an endoscope that allows you to see a detailed picture on the monitor. The doctor separates the cartilage tissue from 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 closes the wound and plugs the nasal passages.

Laser technique

This is an innovative technique that has many advantages, but is not suitable for every patient. During the operation, the minimum 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 nasal breathing in the operated person resumes after a few hours.

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

Open operation

With an open technique, you can not only align the nasal septum, but also correct the shape of the patient's nose. The open technique does a great job with a hump, too rounded, wide, upturned or shifted to one side of the nose. During the operation, soft tissues are dissected in the area between the nasal passages, from where the doctor gets comfortable access to the cartilage tissue. So you can fix almost all defects, even the smallest ones. The duration of an open rhinoseptoplasty is 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, which means that he cannot clearly and accurately model the shape of the nose.

The doctor should choose which method to resort to in this or that case, based on the indications, contraindications, wishes and preferences of the patient, as well as on his own experience.

Stages of rhinoseptoplasty and their features

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

Preparing for the operation

Rhinoseptoplasty is a planned operation, and it is necessary to prepare for it in advance. First, the patient needs to undergo a series of examinations. It is necessary to pass urine and blood tests, do electrocardiography and fluorography, get medical advice according to the available indications.

If there are chronic diseases, then it may first be necessary to undergo a therapeutic course in order to stabilize the process and prevent complications. For a clearer understanding of the clinical picture in such cases, the doctor may prescribe the patient to undergo computed tomography.

The course of the procedure

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

The essence of the surgical intervention is the partial cupping of the bone and cartilage tissue of the nasal septum and the subsequent fixation of the remaining part in the required position. To achieve this goal, you must first make an incision at the border between the skin and the mucous membrane. After that, the mucosa is separated along with the perichondrium to the upper part of the ridge and the cartilage is carefully cut in the sagittal plane to the full thickness of the bone. Thus, the doctor stops its lower part.

Further, the joints 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 cannot be manipulated immediately, 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 puts through-type sutures on the incision line, and both halves of the nose are plugged 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 compliance with the recommendations for recovery.

Early rehabilitation and nasal care begins immediately after the end of the operation. The next day, the doctor removes turundas from the nasal passages, and upon discharge provides detailed recommendations to the patient regarding further actions. The gypsum bandage 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 influences.

While the nose is healing, the swelling will gradually pass, periodically moving from top to bottom and in the opposite direction. You need to be ready for this. The final result of the procedure can be assessed only after 7-8 months, and preferably after a year.

During the recovery period, the patient should exclude intense physical activity and sports activities for at least two months. Also, you can not eat too cold and 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 alcohol and smoking for two weeks.

Factors influencing the result

How effective a 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 needs to carefully choose a clinic and a surgeon, based on the experience of the doctor, reviews of other patients, etc. The presence of concomitant diseases in the patient is also important, since some of them can give complications. The doctor must necessarily eliminate the anomalies in the structure of the turbinates, if any, because otherwise rhinoseptoplasty will not give the desired result.

Contraindications for the operation

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

• pregnancy;
• elderly age;
• SARS and other infectious diseases;
• unstable arterial hypertension;
• inflammatory process in the nasal cavity or its sinuses of an acute type;
• acute allergic rhinitis;
• hematological diseases (clotting pathology).

Possible complications

Operations to correct defects of the nasal septum are safe. Undesirable effects are rare and are usually associated with such phenomena:

• bleeding;
• secondary deformation of the septum;
• violation of the integrity of the wall of the sphenoid sinus;
• perforation of the nasal septum (usually due to technical errors);
• rhino-liquorrhea (leakage of cerebrospinal fluid due to damage to the lattice plate);
• smell problems;
• collaptoid states;
• development of a hematoma or abscess between the layers of the mucous membrane;
• inflammatory process in the region 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 nose correction technique, the correct operation and a complete examination of the patient, excluding the presence of contraindications to intervention), complications can be avoided.

Cost of rhinoseptoplasty

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

Summing 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 any do arise, you should immediately visit a doctor for advice on further actions.

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

Both methods of nasal surgery are carried out at the First Surgery Clinic using the latest technologies and under the supervision of qualified surgeons. On the site, you can not only get acquainted with the price list, the cost of the procedure, but also read the reviews of customers who have undergone surgery.

Rhinoplasty is indicated for people over the age of 18 who have already formed the bones and cartilages of the nose. The upper recommended threshold for such an operation is forty years of age. After the age of forty, the recovery period is longer, and recovery is more difficult. Before reaching the age of eighteen and after forty years, rhinoplasty operations are performed only when congenital defects are eliminated or after an injury.

Before the operation, you must follow the recommendations of the plastic surgeon. Ten days before the operation, you must refrain from cigarettes, alcoholic beverages, taking drugs that affect blood clotting. Rhinoplasty will be postponed or canceled if the patient has an exacerbation of diseases, diabetes, inflammation of the nose, 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

With the help of rhinoplasty, a plastic surgeon changes the appearance of the patient's nose and eliminates other defects. Rhinoplasty allows you to completely change the nose, getting the desired result. If there are breathing problems caused by congenital defects or are the consequences of an injury, torinoplasty will get rid of these shortcomings.

With septoplasty, a deviated nasal septum can be corrected due to various reasons, such as congenital deviated, deviated due to abnormal development of the organism, deviated due to trauma.

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

Rhinoplasty and septoplasty procedure

Rhinoplasty can be open or closed with general or local anesthesia at the site.

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 cartilages of the nose. After the procedure, a small thin scar remains, which will disappear after a short period of time.

Closed rhinoplasty is used to correct the nose more often. With the help of the operation, you can correct external imperfections and correct the shape of the nose. There are no scars or marks left after the procedure. 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 surgery.

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

Septoplasty takes place in several stages:

• The surgeon anesthetizes the affected area with local anesthesia;
• Makes an incision;
• Exfoliates soft tissues;
• Moves cartilage and bone fragments to straighten the septum;
• Stitches the incision area;
• Installs tampons;
• Puts on a special bandage.

Complications after rhinoplasty and septoplasty

Postoperative complications may occur, such as:

• Severe swelling of the nose;
• Inflammation of the mucosa;
• Hematoma formation;
• Bleeding from the nose;
• Constant shedding of tears;
• Blockage of the sebaceous glands.

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

Question: What operations do you specialize in?

Answer: In general, we can say - aesthetic operations. Most of the calls are for, then if you look at the number - there is breast augmentation, a facelift, eyelids - up and down, liposuction. They also apply for abdominoplasty, breast reduction. I name in descending order.

Q: Do patient preferences change with fashion? If it exists in this area.

Answer: There is always fashion for beauty. A beautiful face, a beautiful body is always relevant and always fashionable. It’s just that sometimes its parameters change - if you take breast augmentation, then earlier, large sizes were 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, lift it up. All these are the criteria for a beautiful nose, so it’s wrong to talk about fashion here. A beautiful nose is always in demand.

Question: You were trained as an ENT doctor. Does it 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 is engaged in rhinoplasty is simply obliged to master the skills of septoplasty. And these are operations that are carried out by ENT specialists. But the patients say that when they did the correction of their appearance, 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 naturally he should think about improving his qualifications, he must take care of himself. And I believe that rhinoplasty and septoplasty should be done together and by the same surgeon. And basically this is done at the same time, although for some reason some surgeons separate this.

Question: Tell me, please, 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 septal curvature, after which breathing is restored. And rhinoplasty, 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 an absolutely straight nose, naturally we need to correct the septum that is inside. And again, I repeat: specialization must be general, so that a person has both skills, then he can correct a crooked nose.

Question: You are the founder of your own school of rhinosurgery. Tell 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, they mainly applied for rhinoplasty. And a lot of young professionals gathered around me. This direction is very attractive to plastic surgeons, first of all, for some reason, they start with nose plastic surgery. There were many of them - both novice specialists and experienced surgeons: they began to watch, come, help somewhere. And I felt that it was possible to create a group of followers from this team, to prompt them and show those skills and moments that are sometimes not even described in books. Someone does not even consider it necessary to talk about it, but for practice, all this is very important. And gradually this school of rhinosurgery was formed. I passed on my knowledge to those who were ready to receive it. I will not name their names now, but many of them have already opened their blades. And they successfully work in Moscow, many people know them.

Question: Do you have thoughts about starting a teaching career in earnest?

Answer: I don't have enough time for serious teaching. But when surgeons go through advanced training, there are certain courses that they take in general - this is a course in plastic surgery. And for the rhinoplasty part, many come to our clinic, that is, we carry out a narrow part related to rhinoplasty. This is still there, 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 need to somehow analyze it for yourself and get rid of unnecessary volumes of operations, somewhere you need to save what you already have. As sculptors say, getting rid of excess in a piece of marble 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 does not spoil the face, but rather paints it. There are many factors - first of all, a very deep analysis of what we have and what the patient wants to receive. Based on this, interference is minimized. This greatly reduces the time of the operation: sometimes even repeated operations take no more than an hour. And the result we get is the same as after operations in a few hours. There are many photographs and evidence of this.

By the way, I will soon publish this technique, which I call conservative. Its essence is that keeping everything you need - that which does not spoil the face, but on the contrary even emphasizes beauty - should be left. Make changes minimal and less traumatic. This gives us a very short recovery period. Patients quickly recover: after almost two weeks, swelling from the side is no longer noticeable. Of course, there are individual moments, but as a rule, two weeks is enough to go to work. The point is this. 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 prediction plays a very important role in getting a good result.

Question: How often do you get referred for reoperations? And is it a problem today?

Answer: There are a lot of repeated operations. If you count, then today almost 40% of repeated visits after various clinics. Because when we watch from the side 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 fact that the operation lasts instead of 50 minutes - 3-4 hours. And this misunderstanding of how to do it the right way leads to similar results. Too early, many begin to operate. On the one hand, independence is good, but in addition to knowledge and skills, mastery must be present in rhinoplasty. The person must be manipulative. 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 making beautiful noses is not for everyone. So many drop out. In general, there are not so many good rhinoplasty surgeons, although a whole army does this operation. Therefore, there is a huge mass of repeated operations.

Question: Are there any complications after primary operations that can no longer 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 pose any big problems for patients, they may not even be aware of it. But still it brings a certain discomfort, sometimes it even affects the shape of the nose. And it's very hard to fix.

When scars form on the skin after the first rhinoplasty, and unlike internal scars, which heal and go away after a year, this is how fibrous formations are often called to make it clearer to patients. I mean scars in the form of incisions, 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 on the nose there are still problems with nutrition. Therefore, one must be very careful and take into account these problems in repeated operations.

Question: Do you spend 3Dnose modeling. Tell us more about this technique.

Answer: Patients must understand what they want. Because aesthetics are aesthetics, but everyone has different tastes. And sometimes the patient may have such wishes that do not coincide not only with the opinion of the surgeon, but also with generally accepted norms. Therefore, here 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 photos and examples - this is also not enough. You need to understand which nose suits 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 the 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, the shape of the eyes, the distance between the eyes. And the patient, seeing herself from the outside, approaches the result more adequately.

Question: Do you also perform hair transplantation operations. How in demand are they? What methods are currently used in this area?

Answer: We made them. But this operation has one specificity: it takes a very long time. Therefore, I gradually moved away from these operations. I will explain why: for this you need to have a special command. We had such a team, but since we did not do these operations all the time, it dispersed. This operation requires a lot of time for each patient. This did not fit with the flow that came to us for rhinoplasty and breast augmentation - and I had to leave it. While I do not do this, but I own the technique. And if any of the young surgeons are interested in her, I am ready to pass on my knowledge to them.

This area of ​​surgery is very much in demand, but it requires a person to be a subspecialist. Because besides the transplant itself, you still need to have a huge base for care, injections and massages to help patients. That is, for full-fledged assistance, a specialized clinic is needed. Only transplants are not enough, it is necessary to provide comprehensive assistance. First, conservative methods are applied, then when they no longer help, hair transplantation is done, and then postoperative care. Such patients are almost all life.

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

Answer: We are also often visited for repeated breast augmentation surgeries. We thought for a long time what to do with 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 reoperations. What it gives us: this implant should give less texture, when the capsule is strongly compressed, pain occurs and the gland itself is deformed. Our implant virtually eliminates this. It also lifts the mammary gland well and removes the so-called ptosis. And so many patients after childbirth are treated with this very problem. So this new generation implant allows us to solve the main problems and make breasts, despite the fact that the primary operations were unsuccessful.

Question: How do you manage the rehabilitation of your patients? Do you have any original work on this?

Answer: We do not have special developments, to be honest. But in the clinic there are both hardware and injection methods. An individual approach is needed here: because some patients do not need anything, everything heals perfectly with them, and the edema disappears by itself. For some, a couple of massages are enough to relieve swelling, someone needs a more serious approach. We have all the necessary means for recovery in the postoperative period. In the areas: removal of edema, bruises and working with scars.

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

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

Question: Maybe patients who can't stop and suffer from such addiction need separate help?

Answer: Separate assistance 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 psychologists we know, to whom we turn. Sometimes we even invite them to the clinic when the patients do not agree to contact them on their own. And if there was an opportunity, we would have a separate staff of such specialists, because it 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 help of specialists.

Question: The ideal result after plastic surgery is…

Answer: The ideal result is obtained when even relatives and close relatives do not notice that the operation has been performed. But they note that something has changed, that the patient has become prettier, has become better looking and even 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 it down so that it sounds firsthand. I had one patient whom I did rhinoplasty, everything is wonderful. And then she and her husband went to the father-in-law. She had been married for 14 years by that time, and then the father-in-law looks at this girl and asks her son: “Where is your wife? And who is this girl? She had changed so much that even her father-in-law did not recognize her. There are such cases. This is the ideal result, when it is so natural that some do not even know what has changed, but they see what has become better.

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

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

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

Reviews are important too. But you need to understand that reviews on the Internet can be corrected, you can write anything. There should be testimonials from real people. To be honest, fewer and fewer random people come to me - they come already on the recommendation. 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

Clinic of Aesthetic Medicine Klazko

Moscow, Malaya Gruzinskaya 20/13 building 1

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

Septoplasty is a surgical ENT surgery to correct defects in the nasal septum.- the wall that holds the shape of the nose, separating the two nasal passages from each other. The wall is a bone-cartilaginous tissue of a straight shape. When the bone or cartilage is significantly twisted for a number of reasons, it results in difficulty breathing in one nostril or complete absence of nasal breathing.

Deformation of the nasal septum:

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

Does septoplasty hurt? 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 the 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, of necessity, is for health.

Advantages and disadvantages

Having decided on an operation, a person is guaranteed to get rid of some of the health problems, but he may postpone going to the doctor because of:

1. fear of pain;
2. fear of complications;
3. poor health during the recovery period.

It is worth noting that medicine is developing, and the methods of performing the operation are being improved, 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, one must take into account all the pros and cons of septoplasty, which were mentioned above.

Kinds

• classical- performed with an ordinary scalpel, using outdated technologies, the most traumatic, in comparison with modern methods.
• - the process is controlled by a mini-camera, which is inserted into the nasal cavity. The technique is effective for complex curvature of the cartilaginous and bone parts of the septum.
• laser- used to correct cartilage. The method is not suitable for the correction of bone tissue. A laser is used as a scalpel, which seals the incision sites, minimizing bleeding. It also creates an antiseptic effect, which allows you not to use turundas.
• radio wave- occurs under the influence of high-frequency waves with the help of a surgitron, a special apparatus. This method is the most modern and gentle. Septoplasty allows you to operate on the curvature of the nasal septum of any complexity, with minimal blood loss. Recovery after the operation 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 endure and there are more contraindications.
2. With frequent protracted colds, the constant use of vasodilator drops gives temporary relief, and exacerbates inflammation.
3. With chronic sinusitis, a curved septum prevents the outflow of inflammatory fluid, as a result, its removal is possible only through regular medical intervention.
4. With chronic otitis media, migraines, pharyngitis and laryngitis. The respiratory and auditory systems are inextricably linked. Failure of one link can lead to problems with the others. The need for surgery is determined by the ENT doctor.

Contraindications

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

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

How is the operation going?

1. Before the operation it is necessary:
   • undergo a medical examination;
   • donate blood;
   • take a urine test;
   • make a fluorogram;
   • do an EKG.
2. Depending on the complexity, the operation is performed under local or general anesthesia.
3. The process consists in excision of the curved cartilage, for this, the mucous membrane is first exfoliated. In some cases, part of the cartilage is removed, the excess removed, then put back in place.
4. The initial position of the mucosa is fixed with absorbable sutures.
5. To prevent bleeding, special tampons are inserted into each nostril - trunds, which exclude 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 can 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 are different. Depends on:

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

For example, Correction of a birth defect is cheaper than correction after an injury.. Also, the cost may depend on the distance of the clinic from the center. In the area you can find a cheaper service. 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 analyses;
• medicines and materials used;
• recovery period.

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

The fear that any procedure associated with surgical intervention causes is the main reason that a person puts off going to the ENT, endures, adapts, gets used to vasodilators. But in reality, the operation is quite simple, as evidenced by the numerous reviews of patients who decided on septoplasty and regained full nasal breathing.

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