The most popular, but along with this and the most difficult operation to change the appearance of the nose is rhinoplasty. It is carried out under general anesthesia and can be either closed or open. More common is closed rhinoplasty, which is characterized by many advantages.
Description of procedure
Endonasal rhinoplasty is a surgical procedure that helps to resize or adjust the shape of the nose. In this way, eliminate all congenital and acquired defects and deficiencies. What is the difference between closed rhinoplasty from open? Only because the incisions are made inside the nostrils, and the sutures after rehabilitation are completely invisible.
With surgery, the surgeon performs symmetrical incisions along the contour of the nostrils. Cosmetic sutures heal quickly already at the end of the rehabilitation period. When carrying out such an operation, the risk of ischemic complications and cicatricial changes is minimal (Columella arteries will not be affected), which provides the patient with a quick and comfortable recovery.
Features
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 during surgery some difficulties may arise or the shape of the patient’s nose is greatly changed as a result of the injury, the surgeon will prefer an open method in which a large surface of the nose will be involved.
A simple adjustment of the shape of the nose, its length most often does not require open rhinoplasty. But if the bones, cartilage or soft tissues were badly damaged, then this method will fully restore the appearance of the nose and carry out the operation without the risk of complications.
Advantages
The closed method of 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 look of the nose should change. After a pair of incisions, the doctor separates the soft tissue from the cartilage and bone.
At the very end of the operation, when all procedures with cartilage tissue are completed, the skin is sutured. This method of changing the appearance of the nose will last no more than one hour. In this case, much more time is devoted to examining the client.
Diagnostic measures
In a detailed study, the doctor’s goal is to determine whether such an operation can be performed at all:
- without fail, all possible contraindications are established;
- respiratory function assessed;
- the nose itself, its shape are carefully examined, its anatomical features are determined (they will be different for each patient);
- a blood test is given;
- tomography is prescribed.
First, the patient conducts 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 visits the dentist, does fluorography and ECG.
It is important to tell the doctor about all medicines that have been used recently or continue to be taken. This is especially true for drugs that provoke a decrease in blood coagulability. It is also important to indicate all the used dietary supplements and vitamins. Before the operation, it is forbidden to be exposed to the sun for a long time and to sunbathe.
Before the procedure, all facial piercings, false eyelashes, contact lenses and cosmetics are eliminated. Consultation with an anesthesiologist is also carried out preliminary, because not all patients can comfortably endure general anesthesia.
Diagnostic procedures are considered very important, since for some people the closed method of rhinoplasty is contraindicated due to health problems. 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 the patient to transfer endonasal rhinoplasty of the tip of the nose or part of it to the nose if before that he will adhere to a certain diet, stop eating fatty, spicy, smoked, salty foods, drink alcoholic beverages and energy. It is also important for some time to completely give up cigarettes.
Experts advise to follow all the rules in preparation for the operation, since the patient’s condition after the procedure and the time of its recovery will depend on this. 12 hours before surgery, you need to stop eating, and 4 hours to completely stop drinking.
Operation
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 with the closed procedure, incisions are made only from the inside of the nostrils, the nasal cavity does not open to the end. For a plastic surgeon, this causes some difficulties. If the patient needs to correct the cartilage tissue, then the specialist will perform an inter-cartilage or under-cartilage incision, which will help to increase the viewing angle and facilitate the work of the doctor.
Due to the fact that soft tissues in the nose are characterized by poor mobility, cartilage may be asymmetrical after surgery. To carry out the procedure correctly and without complications, the doctor must have the necessary qualifications.
After the surgeon removes all disturbing defects, special sutures will be applied. This method helps to avoid a possible inflammatory process, accumulation of pus and fluid during the healing of sutures after rhinoplasty.
Throughout the operation and several hours after it, the patient is under the influence of anesthesia. This helps to avoid discomfort and pain. On the second day, the recovery process will begin.
Rehabilitation course
Depending on the doctor’s decision, the patient continues to be in the clinic for the first few days after surgery. This helps prevent potential complications. At the same time, gypsum 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, specialists forbid patients to go to baths, saunas or tanning salons. It is also important to avoid contact of gypsum with water. It is not necessary to drastically deplete the body with physical activity 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 who did rhinoplasty say that the full result can be noticed 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.
The main advantages
As with any surgical intervention, closed nose rhinoplasty has both pros and cons.
Main advantages:
- there are no scars on the nose that are characteristic of other methods;
- there are small swelling, the structure of the vessels is not damaged;
- when conducting such an operation, a minimum of complications occurs;
- the patient is guaranteed a quick recovery;
- the effect of the procedure can be estimated much faster than in the case of open rhinoplasty.
Disadvantages of the method
Before carrying out the procedure, it is important to remember its shortcomings. The main disadvantages:
- A smaller viewing angle for a plastic surgeon, which greatly complicates all the work. During the procedure, a great role will be played by the professionalism of the doctor.
- The 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 succeed in making symmetrical and clear seams.
- The surgeon is forced to touch most of the procedure, since it is very difficult to see the nasal cavity.
- If you need to insert transplants, then it will be very difficult to do this with this method, and to install them in one position and rarely symmetrically turns out. With large grafts, such an adjustment is not possible.
- Existing anatomical features - thin or too thick skin, loose cartilage tissue - significantly complicate the procedure.
Even with all its shortcomings, this type of nose surgery continues to be the most popular. Closed rhinoplasty is now performed in almost every hospital, which is associated with plastic surgery. The most important thing for the patient in this case is to turn exclusively to an experienced plastic surgeon.
When to do rhinoplasty?
Before conducting closed rhinoplasty, all the details of the procedure, as a rule, are first agreed with the patient, and then all indications for it are revealed. The operation should be performed in the following cases:
- if there is a hump on the nose that makes the patient feel aesthetic discomfort;
- damage to the nasal concha;
- too narrow nasal passages;
- long nose;
- the presence of curvature of the septum;
- tip too large;
- congenital malformations in anatomy.
Operation cost
Regarding the price of rhinoplasty in Moscow, patient reviews contain this information: the operation is carried out quickly and efficiently, there are no scars and unpleasant marks, 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 violations, the complexity of the work, location and professionalism of the doctor.
Not only the prices for rhinoplasty in Moscow in the reviews are discussed by patients. Also, people who have survived this procedure note that the surgical intervention 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 may be damaged, which will lead to circulatory disorders in the tip of the nose.
What attracts rhinoplasty patients in Moscow?
- courtesy and experience of doctors;
- high-quality procedure;
- affordability;
- equipped clinics with modern technology;
- round-the-clock monitoring of patients in a hospital;
- use only modern treatment methods;
- painless recovery period.
Top 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 abandon open surgery. At present, Tigran Albertovich Aleksanyan is effectively conducting operations of any complexity, but only in a closed way. This helps to avoid injuries during the procedure and achieve maximum effect.
Kosinets Vladimir Alexandrovich - plastic surgeon at the Aesthetic Clinic GEMC. In the vast majority of cases, this doctor uses only the closed method of rhinoplasty. This method is notable for its complexity, but it helps the patient recover faster after surgery.
Abrahamyan Solomon Maisovich - maxillofacial surgeon "Frau Clinics". Conducts closed rhinoplasty, highly qualified.
The 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 at the moment.
The main contraindications include:
- diabetes;
- infectious diseases of the respiratory system;
- bearing a child;
- oncology;
- age under 18 years;
- diseases of the internal organs.
No plastic surgery costs the patient’s health and comfort, especially if you need to wait a while and get rid of contraindications. Experts prohibit hiding their medical indicators and health problems from doctors.