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Rhinoplasty is one of the most popular plastic surgeries in the world. This is an operation aimed at correcting the shape of the nose. Usually, rhinoplasty is recommended at the age of 18 years and older, that is, when the complete and final formation of the cartilage of the nose occurs.
There is no age limit for rhinoplasty, the main thing is that the patient’s health condition allows it. In some cases, rhinoplasty may be combined with a facelift or other plastic procedures to give the face a youthful appearance.
Rhinoplasty is also sometimes combined with other interventions on the nose when there is difficulty in nasal breathing as a result of, for example, deformity of the nasal septum, the presence of turbinates, etc. You should consult your doctor and determine the indications for such interventions.
Indications for rhinoplasty
When and to whom is rhinoplasty indicated? Usually, people who have complexes about the shape of their nose go for rhinoplasty. For example, you do not like the hump, or you think that your nose is too long. Or, on the contrary, you think that your nose is too short and ugly. In addition, rhinoplasty is used to recreate the shape of the nose after injuries, burns, or abnormal development of the nose. In addition, as already mentioned, rhinoplasty can be combined with other interventions on the nasal cavity to restore nasal breathing, if indicated.
Rhinoplasty allows you to make the shape of the nose correct, harmonious with the rest of the face, with the correct proportions, make it even, reduce or vice versa, give it volume and form a beautiful tip of the nose.
The main indications for rhinoplasty include:
Too big nose
hump on the nose, which the patient does not like and spoils the profile
too wide nose, which spoils the face
ugly tip of the nose, in the form of a hanging drop
thick or wide tip of the nose
too wide nostrils
sideways nose
hook-shaped nose
nose injury or deformity
It is very important that you understand what exactly you want to get from the operation, and at the same time realize that there are some limitations, since the plastic surgeon is still not a sculptor, but the patient’s nose is not a stone or granite, which simply you can cut off all the excess. In addition, it is important to understand that the healing process and the course of the postoperative period depend on many factors. You should be prepared in advance not for the ideal option, but for the correction of the shape of the nose. Ideally, the patient should understand that rhinoplasty cannot make another person out of him.
How does a plastic surgeon assess the need for rhinoplasty?
Before the operation, you should consult with your doctor about the presence of both indications for rhinoplasty in your case and contraindications, as well as discuss the expected result from the operation. The doctor will collect an anamnesis from you about previous diseases and operations, especially in the nose area. Your doctor evaluates your nasal breathing and examines your nasal cavity for deformities of the septum or other defects that interfere with nasal breathing. You should also tell your doctor what medications you are currently taking and if you are allergic to medications.
Rhinoscopy is mandatory, as well as radiography or CT of the nose area to assess the bone structure of the nose. In some cases, the surgeon may recommend chin surgery or a facelift at the same time.
How is rhinoplasty performed?
The purpose of rhinoplasty is to correct the shape of the nose. This intervention can be performed either under local anesthesia, but most often under general anesthesia. The choice of type of anesthesia for rhinoplasty depends on both the preferences of the patient and the preferences of the surgeon, as well as the presence of contraindications to a particular type of anesthesia and allergies to anesthetics.
Rhinoplasty is performed using incisions in the nasal cavity, that is, there will be no incisions on the nose itself, and therefore no scars. Sometimes incisions can be made in the area of the so-called. columella is a fold of skin between the nostrils.
The essence of rhinoplasty is that the plastic surgeon first separates the soft tissues of the nasal cavity from cartilage and bone structures, and only then corrects the shape of the nasal cartilage and bones.
Sometimes it is necessary to implant a piece of cartilage taken from other areas of the patient in order to increase the strength of the structures of the nose, or to form a beautiful tip of the nose, as well as to improve the respiratory function of the nose.
In the case when it is impossible to form a new nose from existing tissues, one has to resort to synthetic materials. The risk of using synthetic implants for rhinoplasty lies in the migration or extrusion of the implant when it is displaced in the tissues of the nose, which leads to a change in its shape. Cartilage of the nasal septum, auricle or rib cartilage can be used as a natural material for rhinoplasty.
Usually, rhinoplasty is performed on an outpatient basis, but sometimes it has to be done in a hospital. If rhinoplasty was performed on an outpatient basis, then after the operation, after a few hours, the patient can go home. The rhinoplasty operation itself lasts an average of one to two hours.
