The most popular, but at the same time the most difficult operation to change the appearance of the nose is rhinoplasty. It is performed under general anesthesia and can be either closed or open. More common is closed rhinoplasty, which is characterized by many advantages.
Procedure description
Endonasal rhinoplasty is a surgical intervention that helps to change the size or shape of the nose. In this way, all congenital and acquired defects and shortcomings are eliminated. What is the difference between closed rhinoplasty and open rhinoplasty? Only because the incisions are made inside the nostrils, and the stitches after rehabilitation are completely invisible.
During surgery, the surgeon makes symmetrical incisions along the contour of the nostrils. Cosmetic stitches heal quickly at the end of the rehabilitation period. During such an operation, the risk of ischemic complications and scarring is minimal (columellar arteries will not be affected), which provides the patient with a quick and comfortable recovery.
Featuresholding
The choice in favor of closed rhinoplasty will depend not only on the decision of the patient, but also on the recommendations of the plastic surgeon. If there are no difficulties and problems, the doctor is highly qualified and has extensive experience, then it is better to prefer this method. If, however, some difficulties may arise during surgery, or the shape of the patient's nose is greatly changed as a result of an injury, the surgeon will prefer an open method, which will involve a large surface of the nose.
Simple correction of the shape of the nose, its length most often does not require open rhinoplasty. But if the bones, cartilage or soft tissues were severely damaged, then this method will fully restore the appearance of the nose and perform the operation without the risk of complications.
Dignity
Closed rhinoplasty is especially popular and in demand among all clients who want to somehow change the look of their nose. But it is important to remember that this method also has its own characteristics. The entire procedure is performed by a rhinoplasty surgeon through one or several small incisions. The size of the affected area will directly depend on which correction method was chosen and how much the appearance of the nose should change. After a couple of incisions, the doctor separates soft tissues from cartilage and bone.
At the very end of the operation, when all procedures with cartilage tissue are completed, the skin is stitched together. This method of changing the appearance of the nose will last no more than one hour. A lot moretime in this case is given to the examination of the client.
Diagnostic measures
After a detailed examination, the goal of the doctor is to determine whether such an operation can be performed at all:
- all possible contraindications are mandatory;
- respiratory functions are assessed;
- the nose itself is carefully examined, its shape, its anatomical features are determined (they will be different for each patient);
- doing a blood test;
- tomography is scheduled.
At first, the patient has many consultations with his surgeon. The doctor analyzes his wishes, creates a computer model of the finished nose after the operation, notes all the anatomical features. The patient must strictly follow the doctor's recommendations and carefully prepare for the upcoming procedure. In addition to simple tests, the patient must visit the dentist, do fluorography and ECG.
It is important to tell your doctor about all medicines you have recently taken or continue to take. This is especially true for drugs that provoke a decrease in blood clotting. It is also important to indicate all dietary supplements and vitamins used. Before the operation, it is forbidden to stay under the rays of the sun for a long time and sunbathe.
Before the procedure, all facial piercings, false eyelashes, contact lenses and cosmetics are removed. Also, a preliminary consultation with an anesthesiologist is carried out, due to the fact that not everyone can comfortably endure general anesthesia.patients.
Diagnostic procedures are considered very important as closed rhinoplasty is contraindicated for some people due to he alth concerns. If the patient has no problems and the doctor did not find any contraindications during the examination, then the process of preparing for the operation begins.
Preparation for surgery
It will be much easier for a patient to undergo endonasal rhinoplasty of the tip of the nose or part of it if before that he adheres to a certain diet, stops eating fatty, spicy, smoked, s alty foods, drinking alcoholic beverages and energy drinks. It is also important to give up cigarettes completely for a while.
Experts advise you to follow all the rules in preparation for the operation, as the patient's condition after the procedure and the time of his recovery will depend on this. You must stop eating 12 hours before the operation, and completely stop drinking 4 hours before the operation.
Operating
How is closed rhinoplasty done? During such rhinoplasty, access to the internal tissues of the nose appears only after the doctor makes an incision through the cartilage.
Since the incisions are made only on the inside of the nostrils during the closed procedure, the nasal cavity does not open completely. This presents some difficulties for the plastic surgeon. If the patient needs to correct the cartilage tissue, the specialist will perform an intercartilaginous or subchondral incision, which will help increase the viewing angle and facilitate the work of the doctor.
Due to the fact that the soft tissues in the nose are characterized by poor mobility, after the operation, the cartilage may not be located asymmetrically. To perform the procedure correctly and without complications, the doctor must have the necessary qualifications.
After the surgeon removes all disturbing defects, special stitches will be applied. This method helps to avoid a possible inflammatory process, accumulation of pus and fluid during the healing of stitches after rhinoplasty.
Throughout the operation and several hours after it, the patient is under anesthesia. This helps to avoid discomfort and pain. On the second day, the recovery process will begin.
Rehabilitation course
Depending on the decision of the doctor, the first few days after the operation, the patient continues to be in the clinic. This helps prevent potential complications. At the same time, a plaster is applied to the nose, which provides support for its shape and helps the tissues grow together in the right direction.
After closed rhinoplasty, rehabilitation requires compliance with certain conditions. In the first 14 days, experts forbid patients to go to baths, saunas or solariums. It is also important to avoid contact of the plaster with water. You do not need to greatly deplete the body with physical exertion or hard work - this can lead to injury. If a person constantly goes to the gym, then during the recovery period it is important to temporarily forget about training.
Many of those whodid rhinoplasty, they say that the full result can be seen after three months, but in fact it turns out that this is just the primary effect. Complete changes in the shape of the nose and its appearance will occur only after 1-1.5 years.
Main advantages
Like any surgical intervention, closed rhinoplasty has both pros and cons.
Main features:
- does not leave scars on the nose, which are characteristic of other methods;
- there are small swellings, the structure of the vessels is not damaged;
- during such an operation, there is a minimum of complications;
- the patient is guaranteed a quick recovery;
- the effect of the procedure can be assessed much faster than in the case of open rhinoplasty.
Disadvantages of the method
Before the procedure, it is important to remember about its shortcomings. Main cons:
- Smaller field of view for the plastic surgeon, making the whole job much more difficult. During the procedure, the professionalism of the doctor will play a big role.
- Difficulty of the operation due to the fact that the work takes place on a limited area of the nose.
- The doctor does not always manage to make symmetrical and clear stitches.
- Most of the procedure has to be done by touch, as it is very difficult to see the nasal cavity.
- If you need to insert grafts, then it will be very difficult to do this by this method, and it is rarely possible to set them in one position and symmetrically. With large grafts, carry out suchadjustment is not possible.
- Existing anatomical features - thin or too thick skin, loose cartilage tissue - greatly complicate the procedure.
Even with all its shortcomings, this type of nose surgery continues to be the most sought after. Now closed rhinoplasty is already performed in almost every hospital that is associated with plastic surgery. The most important thing in this case for the patient is to contact only an experienced plastic surgeon.
When to get rhinoplasty?
Before closed rhinoplasty, all the details of the procedure, as a rule, are first agreed with the patient, and then all the indications for it are revealed. The operation should be carried out in the following cases:
- if there is a hump on the nose, from which the patient experiences aesthetic discomfort;
- damage to the concha of the nose;
- too narrow nasal passages;
- long nose;
- presence of a curvature of the septum;
- tip too big;
- congenital abnormalities in anatomy.
Operation cost
Regarding the prices of rhinoplasty in Moscow, patient reviews contain the following information: the operation is carried out quickly and efficiently, there are no scars and unpleasant marks left, the rehabilitation time is only 2 weeks. The cost of the operation can vary from 50,000 to 300,000 rubles.
Everything will depend on the severity of external disorders, the complexity of the work, the venue and the professionalism of the doctor.
Not only prices for rhinoplasty inMoscow in the reviews are discussed by patients. Also, people who survived this procedure note that surgery is performed by qualified plastic surgeons and is used for extensive injuries. With the help of incisions, the specialist facilitates his work, but the vessels can be damaged, which will lead to circulatory disorders in the tip of the nose.
What attracts patients to rhinoplasty in Moscow?
- politeness and experience of doctors;
- quality procedure;
- affordability;
- equipment of clinics with modern technology;
- round-the-clock monitoring of patients in the hospital;
- using only modern methods of treatment;
- painless recovery period.
Best plastic surgeons
A good result and complete safety of rhinoplasty is provided by an experienced plastic surgeon at the Art Plastic clinic - Aleksanyan Tigran Albertovich. This doctor is considered the best practitioner, he was able to completely refuse to perform open operations. Currently, Aleksanyan Tigran Albertovich effectively conducts operations of any complexity, but only in a closed way. This helps to avoid injury during the procedure and achieve maximum effect.
Kosinets Vladimir Alexandrovich - plastic surgeon at the GEMC Aesthetic Clinic. In the vast majority of cases, this doctor uses only the closed method of rhinoplasty. This method is notable for its complexity, but at the same time it helps the patient to recover faster afteroperations.
Abramyan Solomon Maisovich - maxillofacial surgeon "Frau Clinic". Performs closed rhinoplasty, is highly qualified.
Main contraindications
There is a group of contraindications for closed rhinoplasty. In some cases, the operation can be postponed for a while to eliminate the factors that prevent the procedure from being performed at the moment.
The main contraindications include:
- diabetes;
- infectious diseases of the respiratory system;
- carrying a child;
- oncology;
- under 18 years of age;
- diseases of internal organs.
No plastic surgery is worth the patient's he alth and comfort, especially if you need to wait a while and get rid of contraindications. Specialists forbid hiding their medical indicators and he alth problems from attending physicians.
