rhinoplasty

 

What is rhinoplasty?

 

Deviation of the nose and nasal bridge

 

The process of deviation of the cartilage that forms the front of the nose

 

The process of the emergence of the nasal bridge clearly

 

narrowing or widening of the nostrils

 

Nose enlargement surgeries

 

Double operations for the front of the nose and the front edge

 

Inconsistency in the size of the upper part with the lower part with the nose, or in many cases it is the opposite

 

Rhinoplasty surgeries such as birth defects, deformities and injuries

 

How long does rhinoplasty do?

 

This type of operation takes place under general anesthesia, and its duration ranges from one to two hours, according to each case

 

What are the methods used in rhinoplasty during the operation?

 

Rhinoplasty uses several methods

 

The first internal method:

 

This type of operation is used in simple or medium cases where an internal incision is made between the lower and upper nasal cartilages of the patient without any wounds or external opening.

 

As for the second method: It is external and it is a very sensitive process and it needs doctors with high experience and strong skill

 

To carry out this type of operation, because it is done in cases of deformities or serious injuries and a clear deviation, and is done through

 

Opening an external surgical incision to separate the skin from the inner tissues of the nose, and after the operation, this type of operation is often

 

Knocking a small scar to the patient but can not notice after that.

 

What are the types of rhinoplasty?

 

There are several types of rhinoplasty surgeries, for example, there is an operation for the large part of the nose: This type is used

 

In cases of external curvature, where the major part of the nose is reshaped and restructured by breaking the bone

 

Internally, then it is re-installed, but in the case of nasal bridge implants, this extra large part is removed

 

As for the other part of rhinoplasty, it is performed on the cartilaginous part of the nose: Where the process is modified

 

And reduce the cartilage because this forms the outer appearance of the front of the nose and the middle part of it.

 

The previous step is considered one of the most important and dangerous stages of the process and requires experience, accuracy and high skill on the part of the plastic surgeon

 

Because it will form the formation of the front of the nose, which will harmonize with the modification of the front cartilages of the front of the nose.

 

Another type of rhinoplasty is done to repair a deviated septum or an apparent protrusion of the nasal septum: It is usually done

 

During the time of adjusting the nasal septum and removing the deviated part of it, because this adjustment is an essential element for correcting a deviation

 

The external nose.

 

As for the other part in rhinoplasty, it is a process that is performed to inflate and enlarge the nose and is done by adding parts

 

Natural cartilage or bone to compensate for the deficiency in some parts of the nose that are missing and vacant as a result of injuries or previous operations of the nose

 

What happens after rhinoplasty?

 

After the operation is completed, a plastic splint is placed for the patient in case the structure is modified on the nose in order to reduce swelling and puffiness, and an internal splint is placed on both sides of the nasal septum to prevent adhesions and it is removed within a few days after the operation

 

It also puts an open filling from the inside, and it is removed within 24 hours, and it is recommended

 

Putting ice bags on the nose and face within 24 hours after the operation, because it helps

 

To reduce swelling and puffiness, and the plastic splint is removed after a week in

 

The clinic, and then the final result is obtained from six months to a year, so it is recommended

 

Do not perform another operation until after the results of the first operation are shown.

 

What are the contraindications of rhinoplasty?

 

This type of operation should be prevented and performed in the following cases

 

The patient is prevented from performing the operation if she has an acute inflammation of the nose, because this will help the failure of the operation and lead to the transmission of infections in the tissues of the cartilage of the nose.

 

It also prevents this type of rhinoplasty for young people less than 15 years of age for females and 17 years for males, because the growth of the face is almost complete at those ages.

 

It is not possible to perform rhinoplasty for people with chronic diseases because it causes severe bleeding

 

Also, the patient’s psychological suffering may affect the failure to perform rhinoplasty operations, and this is due to the patient’s lack of acceptance and understanding of this type of operation.

 

Therefore, the psychological factor affects the patient greatly in this type of operation, so the doctor must discuss the patient

 

Before the operation until the feeling of satisfaction and compatibility and access to the solution helps to satisfy both parties and a feeling of psychological satisfaction for the patient.

 

Rhinoplasty may be used for many reasons, Some are purely cosmetic, some are medical. What do you need to know about this process? Here is the most important information.

It is a surgical procedure in which the shape or inclination of the nose is changed by making specific changes to the nasal bones. What do you need to know about this process?

Common reasons for rhinoplasty
As we have already mentioned, This procedure is not only done for cosmetic purposes only. These are the most common causes of rhinoplasty and the problems that this process can fix:

Narrowing of the nostrils that impede breathing.
Nose fracture.
Congenital problems in the structure of the nose.
changing certain things in the shape of the nose, Such as: inclination, the size.
Deformity of the nasal bone.
In general, rhinoplasty is one of the most common plastic surgeries in our time

The right age for rhinoplasty
If the purpose of the operation is purely cosmetic, You must wait until the growth of the nasal bone is completely completed, That is, after at least adolescence.

If the purpose of the operation is medical or even an emergency, The operation can be performed at any time, even at a young age.

Preparations and steps for rhinoplasty
Before performing the operation, you must first confirm the decision and discuss it with the doctor, Some patients and cases may not be suitable for rhinoplasty. Also, some tests are requested and the nose is examined from the inside and outside first, along with taking pictures of it.

It is preferable to quit smoking before the operation, The smoker will have a longer recovery period.

These are the expected steps of rhinoplasty:

Usually a local anesthetic is used on the patient, which makes him feel complete numbness in the face area (or if the patient is a child, full anesthesia is used).
An incision is made in the skin of the nose from the outside and removed to expose the bone.
Then the surgeon begins to work on reshaping and correcting the nasal bone, Or even adding extra cartilage or bone to it, for example, Depending on the needs of the situation.
The surgeon usually clears up within 1-2 hours. But in more complex cases, it may take a little longer.

Recovering from rhinoplasty
After the operation, This is what you should expect:

The doctor will often place a special stent on the nose while the nose is fixed to its new shape and shape. It may also need stents inside the nose, These stents may remain with the patient for an entire week.
The patient is monitored a few hours after the operation, It may be sent home on the same day or 1-2 days after the operation, depending on the patient’s condition.
The patient must lie down after the operation for prolonged periods. With the head raised above chest level.
Often the doctor will use stitches that do not need to be removed, It identifies with your skin and melts into it over time. If the doctor has used an electrode that does not dissolve, Here, you must visit the doctor a week after the operation to remove the stitches.
It is normal to feel nasal congestion or even mild and frequent bleeding.
You may need to cover your nostril with a special pad to absorb mucus and any remaining blood.
The patient may feel a kind of headache and memory problems in addition to swelling or even numbness in the face, These are normal things.
The doctor will prescribe suitable pain relievers, prevent you from performing certain activities, Such as: running, Blowing the contents of the nose into a tissue, swimming, chewing vigorously or brushing teeth vigorously, Laughing or smiling.
It is preferable not to be exposed to the sun during the recovery period. For fear of skin pigmentation.
You can use compresses on swelling and swelling after consulting a doctor about the safety of their use.
Be sure to take the medicines prescribed by your doctor regularly and according to the instructions.
Stay in touch with the doctor in case of any emergency, Like sudden nosebleeds.
And you have to realize that the pain in the bones of the nose may last you for a maximum period of 8 weeks, And you can relieve the pain by using pain relievers after consulting your doctor about what is right for you.

Possible complications of rhinoplasty
Before deciding whether or not you want to undergo rhinoplasty, You have to be aware of the potential risks of the process, Here is a list of the most important ones:

Breathing problems.
Permanent scars and traces on the face.
Constant numbness and tingling in the nose.
Nose bleeding.
A ruptured blood vessel in the nose area.
If you are not completely satisfied with the results of the operation, You have to wait at least a year to be able to undergo another rhinoplasty again.

Medical evaluation before rhinoplasty The initial medical evaluation before rhinoplasty includes a discussion of the important factors that determine the probability of success of the operation, Among these factors are the following:

 

Medical history: The most important question in the medical history is that of the motives behind the surgery. and its aim, The doctor also inquires about the medical history related to any diseases and medical procedures the person underwent, Such as: having a history of nasal obstruction, the surgeries he underwent, the medications he takes, Having some health problems may preclude undergoing rhinoplasty, as is the case with patients who suffer from bleeding disorders such as: hemophilia; Physical examination: The doctor performs a complete physical examination, It includes laboratory tests such as: blood tests, In addition to examining facial features, inside and outside the nose, It is worth noting that the physical examination helps the doctor determine the changes that need to be made and also determines how a person’s physical characteristics may affect the results of the operation, such as: skin thickness, Or the strength of the cartilage at the end of the nose, In addition to determining the effect of rhinoplasty on breathing. Photography: Many pictures of a person’s nose are taken from different angles. The surgeon may use a computer program to process the images to discuss the types of possible results with the individual wishing to undergo rhinoplasty. These images are also used to assess the shape of the nose before and after the operation. Discuss expectations: The person should talk to his or her doctor about the motives and expectations involved in rhinoplasty, If a person’s chin is small, The surgeon may talk to the person about having chin augmentation surgery. This is because the small chin increases the feeling of the large size of the nose.