The prevailing idea of rhinoplasty is that it means reducing the nose, but it is true that rhinoplasty includes several types of cosmetic operations such as reducing the nose, enlarging the nose and changing the position of the nose, and rhinoplasty may achieve health goals in addition to cosmetic purposes such as solving some respiratory problems due to a deviated septum .
What is meant by rhinoplasty:
It is a plastic surgery procedure that aims to reshape the nose in a way that achieves cosmetic goals, so that the nose is proportional to the measurements of other facial organs, and the operation can be associated with solving some health problems as well, and it is one of the most important cosmetic operations because it is performed on the most prominent part of the face.
Types of rhinoplasty:
Rhinoplasty can be divided according to the goal for which the operation will be performed, and it is as follows:
Rhinoplasty: The intention is clear: to remove part of the nose (cartilage or the bone of the nose) or reduce the width of the nose to reduce the size of the nose.
Nose augmentation surgery: They are mostly surgeries performed with the intent to treat some deformities, whether congenital (incomplete growth) or due to accidents or removing part of the nose (some cases of nasal cancer).
Nose reconstruction: Nose restoration operations are performed after accidents when the nose is shattered and the shape of the nose is severely damaged. Nose restoration must be performed after injury for a period not exceeding ten days.
Congenital rhinoplasty: Some people define it as ethnic cosmetic surgeries, meaning that some peoples have a specific shape of the nose, such as a snub nose (wide) or a bumpy nose.
What are the indications for a rhinoplasty procedure:
Rhinoplasty can be expressed as cosmetic operations that the doctor and patient resort to to change the shape of the nose, whether by enlarging or reducing it, or to solve some health and psychological problems. The reasons for resorting to nose reduction operations can be presented as follows:
Psychological reasons: The statistics of the cosmetic centers indicate that 27% of people need rhinoplasty, and the deformities and aesthetic defects cause great embarrassment for their owners, and this embarrassment may develop into psychological problems such as collapsing, since the nose is the most prominent organ in the face, which is the first thing that attracts the attention of the onlookers.
Aesthetic reasons: Rhinoplasty can correct many aesthetic defects, such as correcting a protruding or crooked nose, widening the nostrils, correcting a humped nose, removing asymmetry in the nose, and correcting the angle between the nose and the upper lip.
Medical indications: Some people may be surprised that the medical reasons for rhinoplasty are broader than the aesthetic reasons. Among the medical reasons for rhinoplasty:
- Congenital anomalies: that appear with the fetus from birth due to the mother’s exposure to health problems that negatively affected the development of the fetus, or because of the mother’s infection with some diseases that are transmitted to the fetus, such as immunodeficiency or syphilis, which leads to the fetus being infected with a deformity called the horse saddle, and one of the most congenital malformations The appearance of an absence of the nasal septum and a blockage in one of the nostrils.
- Skin cancer and requires surgical intervention in the nose area.
- Infection with leprosy, which causes erosion and deformation of the nose.
- Enlarged glands in the nose, which will cause the nose to enlarge.
- Nose fractures or deformities due to accidents and burns.
Preparations for rhinoplasty:
- Preparations begin three weeks before rhinoplasty and begin with some blood tests and an EKG.
- Inform the doctor about the medicines that the patient or the patient is taking.
- Taking pictures of the nose before the operation and visualizing the results of rhinoplasty.
- Refrain from taking medications that cause blood thinning such as aspirin, and not take painkillers that contain ibuprofen, herbal supplements and anti-inflammatory drugs.
- Refrain from taking vitamin E and take vitamin C in the amount of 1000 mg per day.
- Refrain from smoking and drinking alcoholic drinks two weeks before and after the operation for at least two weeks.
- Mouth breathing training, as the patient will not be able to breathe through their nose after the procedure.
- Discussion with the doctor about the results of rhinoplasty and what the nose will look like after.
Procedures of rhinoplasty:
Rhinoplasty is performed under general, partial or local anesthesia, according to each case and at the doctor’s discretion.
Plastic surgeons at Vera Clinic tell us that there are two methods of performing rhinoplasty (open rhinoplasty and closed incision rhinoplasty), and the doctor chooses the method of operation according to the patient’s condition and according to the doctor’s estimation of the amount of change planned in the nose.
Open incision rhinoplasty:
An incision with a length of 4 to 5 mm is made through the septum that separates the two nostrils (right and left), then the skin of the nose is folded up. This method enables the surgeon to see the entire nose and evaluate the components of the nose accurately, and the surgeon chooses this method when adjustments are needed. Large in the nose (removal of part of the nasal bone and cartilage, cartilage and even bone restoration).
Closed incision rhinoplasty:
The doctor makes parallel incisions inside the nose, and the incisions are invisible and thus this rhinoplasty does not leave visible scars, but this method requires high precision and skill from the doctor because changing the position of the skin is very difficult and the possibility of deformation in the cartilage during skin tightening the nose.
Tips after rhinoplasty:
- Use ice packs or cold compresses on the eyes and nose to reduce swelling.
- Keep the head elevated even during sleep after rhinoplasty for several weeks.
- Avoid strenuous activities and strenuous exercise until the wound has healed.
- Not to be exposed to direct sunlight until full recovery.
- Keep the cast dry until you remove it, and it is preferable to bathe in a bathtub and avoid showering under the shower.
- Eat foods high in fiber to avoid constipation.
- Avoid extreme facial expressions like laughing, screaming and crying.
- Avoid eating foods that are hot and foods that need to be chewed hard, and avoid foods with a spicy taste.
- Avoid bending over as much as possible and don’t wear glasses.
Recovery after rhinoplasty:
The recovery period after rhinoplasty is divided into time periods, although the boundaries between time periods are not final and differ from patient to patient, but they are generally correct.
- A week after the operation, the splinter can be removed from the nose, and you can leave the house if the swelling is gone.
- After two weeks after rhinoplasty, most of the bruising and swelling will disappear from the face, and you can return to daily activities while avoiding violent movements.
- In the third and fourth weeks, you can return to some sports such as running, swimming and cycling.
- In the sixth week, you can practice even difficult sports such as weightlifting, and you can wear glasses.
- After a period of 3 to 6 months after rhinoplasty, the sensation of numbness in the nose and the skin around the nose will disappear.
- The healing phase is not completed until one year after the rhinoplasty operation, so all the post-operative signs of swelling and numbness have disappeared, the movement of the nasal bone and cartilage has been completed, and the nose has taken the final shape. Lack thereof.