When you go to a plastic surgeon, a nose job can be performed in several ways. The following surgical options are used:
Septoplasty is an operation aimed at correcting the nasal septum; it is indicated for nasal breathing disorders.
Closed rhinoplasty - the price of this surgery is higher, but the amount of intervention is much greater. The doctor begins to separate the skin from the cartilage and bones with one or more incisions. Correction is performed by removing or changing specific parts. The skin is then gently sutured in its place. No incisions are made in the columella area. Surgeons use this method of nasal defect plasty most often.
Open rhinoplasty is an intervention performed when a large volume of defects must be corrected. The incision is made in the area of the nasal cavity and along the columella. This rhinoplasty is usually performed after an injury.
The duration of the operation depends on the amount of manipulation required and the type of plasty of the crooked nose. It usually takes up to 30-40 minutes for a closed surgery and up to an hour or more for an open one. Additionally, you need to take into account the time for preparation and introduction to anesthesia.
Rhinoplasty is performed at the clinic of plastic surgery in the presence of both medical and aesthetic indications. First of all, the following aesthetic indications are highlighted:
For medical indications, plastic surgery is performed for a broken nose, removal of deviations in the nasal septum, congenital nasal deformities, and acquired post-traumatic lesions. In addition, it is worth making an appointment for rhinoplasty when you have a significant difficulty or complete inability to nasal breathing.
In plastic surgery clinics, where you can get a nose job, the doctor will always conduct a full examination to preclude contraindications to surgery. Surgery may be refused if there are the following pathologies:
In girls do not have plastic surgery until 18 years old, in young men until 21, due to the final formation of the facial skeleton. Possible restrictions on plastic surgery after 40 years of age, when tissues are less regenerative.
After admission to surgery it is necessary to clarify the cost of plastic surgery on the nose and determine the scope of examinations. EKG, X-ray or fluorography, and nasal X-ray are required. It is necessary to pass a number of tests - clinical blood analysis, biochemistry, electrolytes, coagulation, glucose levels and the exclusion of HIV, hepatitis and syphilis, the study of urine. You also need the opinion of a general practitioner and an anesthesiologist.
In preparation for surgery about two weeks before surgery it is important to cancel all medications that may affect the blood (herbal supplements, vitamins, anticoagulants, antiaggregants). About a week should give up bad habits, the day before surgery should switch to light foods, the last meal before surgery should be 8 hours, then require fasting and avoiding water for 3-4 hours before anesthesia.
Usually the surgery is performed under general anesthesia, so the first step is sedation and induction into a state of anesthesia sleep. After the patient falls asleep, the surgeon proceeds with the operation. If it is a closed plasty, it is performed with incisions that are located inside the nose. With open rhinoplasty, the doctor makes an additional incision at the base of the nose, in the tissues between the nostrils. The choice of surgery is left to the surgeon, depending on the amount of intervention. Relatively simple correction or primary surgery is possible with the closed technique, more serious problems are solved with the open technique.
The surgeon will reshape the nasal bones and cartilage structures using instruments, removing or adding tissue volume in the desired areas. If a small reconstruction is needed, cartilage is taken from the deep layers of the nose or from part of the auricular cartilage. For a large volume of plastic surgery, cartilage is taken from the ribs and implants are placed. After making adjustments in the bone-cartilage structures, they are covered with skin and stitched. If there is a deviation of the septum, the doctor corrects it. At the end of the surgery, a plaster bandage is applied to fix the nose in its new position and shape.
After surgery, the patient is transferred to a room under the supervision of a doctor. If the surgery is outpatient, you can go home at the end of the day. Sometimes patients are left until the next day. There will be splints in the nose, which cannot be taken out; they make nasal breathing easier.
The first results will be visible after the removal of the plaster splint, finally the nose will take a few months to take shape, the swelling at the tip goes away during the year.
After surgery you should avoid sudden movements, you can wash your hair immediately, avoiding water on the bandage. The face can be washed without touching the bandage, wiped with water and blotted with a soft towel.
The cast is removed after two weeks, and the splints are removed at the same time. After that you can breathe normally with your nose. Before that, you need to rinse your nose regularly with saline solutions, irrigating each nasal passage. You should not strain your nose for the first 4-5 weeks.
*The site is a reference and information material for getting acquainted with the approximate price level by analogy with any advertising medium. The exact cost can always be found in the PRICE. The price includes: surgery, anesthesia, hospital stay, postoperative care, anesthesiologist supervision, implants (if necessary). The exact cost of the service depends on the scope of the intervention and is established only after a personal examination by a specialist. To find out the cost of the service for you, sign up for an initial consultation by clicking on the button below:
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Chief Physician of the DEGA Clinic
Plastic surgeon
Candidate of Medical Sciences
Experience 29 years
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