Nose plastic surgery (rhinoplasty)
First of all, nose reshaping plastic surgery known as rhinoplasty involves detaching of soft tissues in nasal cavity and removal of bone or cartilage by a surgeon. Then the bone and cartilage shape is corrected. The primary goal of rhinoplasty is reshaping your nose to make it consistent with other face parts.
Procedure of nose plastic surgery (rhinoplasty):
The most common rhinoplasty types are closed or open surgery and nonsurgical operation performed by injection of special fillers.
The closed rhinoplasty is carried out in the cavity through a small incision. The skin is detached from the bone and cartilage enabling a surgeon to correct the nose shape (remove excess bone or cartilage tissue or augment bone or cartilage tissue by an implant). Once the desired result is achieved the tissues are redraped and incisions are closed with cosmetic sutures.
The open procedure takes place when a large volume of work is anticipated. An incision is made across the columella, the narrow strip of tissue that separates the nostrils. Thus, the cavity is opened more widely allowing a surgeon more space to operate internal nasal tissues.
The easiest rhinoplasty type is carried out by injecting fillers. A surgeon can inject fillers when it is necessary to correct the nose shape slightly instead of reshaping it completely. Thus, a surgeon can increase the volume of sunken nostrils or make a pointed nose more round. This procedure is simple and causes practically no injury. The recovery period is short. But the achieved effect does not last long as well.
Preparation to nose plastic surgery:
Preoperative preparation includes patient inspection examination, general clinical examination: a comprehensive blood and urine test, screening for infectious and viral diseases, ECG, X-ray examination. It is also necessary to have a consultation with an anesthesiologist. Previous surgeries are discussed especially those that have been carried out in the nose area. A doctor should be informed about all taken medicines and allergies (if applicable).
During inspection a doctor evaluates the condition of the nasal cavity and nose breathing. Rhinoscopy, computer tomography of nose and face area are performed to assess the bone structure. Sometimes a doctor can advise to combine rhinoplasty with other types of plastic surgery (face or chin lift).
Procedure/surgery duration: 1,5 hours
Anesthesia: general anesthesia
Upon completion of the plastic surgery a special packing will be inserted into sinuses. It is intended to form a support for shaping and stop bleeding. A small splint is set on the nose to maintain the shape and protect from mechanical injuries. This splint should remain applied for 7 weeks. As the incisions are sutured with self-absorbable threads there’s no need to remove them.
Swelling and bruising can occur in some cases during the post-surgery period. In order to prevent them cold packs or compresses are applied to the face. Swelling will resolve on its own in 7 days. In about 14 days after surgery the nasal tampons and bandages will be removed. Swelling of mucous membrane will last for a month and it will be difficult for you to breath.
The final result of rhinoplasty will be visible in 8 to 12 months Only by that time all tissues will be fully healed and shaped. The recovery period is quite short and a patient can resume the ordinary life in a few weeks after surgery. A patient should also refrain from running and avoid falling to prevent accidental nose injuries.