Rhinoplasty tip of nose — before and after photos, reviews, videos
The tip of the nose consists of several components: cartilage, pterygoid cartilage and the septum. Towards the Department determines the direction of the tip, so, very often, during the injury, it changes its direction.
In addition to the injuries possible congenital curvature, not only the tip but also the whole axis. In such cases, can only help conservative treatment, namely, surgery.
The operation can be done in several ways:
In the closed technique, the incision is made in the mucous, are allocated to the lower pterygoid cartilage, followed by stitches, which are subsequently intended to form the right tip of the nose. The drawback of this method is that the doctor is not able to use the entire potential set of techniques, which could lead to a better result.
Furthermore, damaging of blood vessels during surgery is almost not controlled, which may lead to hematoma formation and significantly increase the recovery period. During the open method, an incision is made in the area of the jumper, then released pterygoid cartilage, and then removed the excess.
In both cases, the work ends with seams that give the nose the desired shape. If you only need to strengthen the tip and lift it, then the operation is podarochny cartilage. The advantage of this method of rhinoplasty is its openness and the reduction of errors to a minimum.
The essence of the procedure
The surgery is performed under anesthesia: local or General, on average, it takes about two to three hours. By a physician taking into account the anatomical and individual characteristics of the patient, because different cases require different technical solutions.
During the operation, the affected columella, cartilage, soft tissue, making rhinoplasty the tip of the nose is a little different from a regular rhinoplasty.
The essence of the procedure is that the doctor separates soft tissue from the nasal cavity and bone structures and then produces all the necessary manipulations to change the shape.
The cuts can be different: a longitudinal, oval, inclined, vertical. The correction can be both congenital and acquired defects of the end portion of the nose.
What is better to choose?
Rhinoplasty nose requires a highly individual approach, because the nose has many anatomical features that must be considered. If corrections need to develop an individual plan, which should consider the following factors:
- the thickness of the skin;
- the strength of the cartilage;
- the length and width of the nose;
- nasolabial angle;
- the contour of the back.
It is also necessary to take into account the wishes of the patient, since a complete excision of the cartilaginous structures can lead to the destruction of the supports of the nose and unesthetic appearance, since they are the backbone of this body.
Congenital split of the tip of the nose
Congenital split of the tip of the nose that often is a congenital defect and at the same time an indication for rhinoplasty. In such cases, the tip of the nose is wide, and in the middle there is a recess instead of a protrusion. Rhinoplasty tip of nose helps in getting rid of this drawback.
During the procedure, the surgeon cuts and peels the skin on the tip of the nose, thereby, exposing the cartilaginous skeleton. Thereafter, a manipulation in the region of the pterygoid cartilage (they are part excised) and as a result, the end portion of the nose is narrowed. Once complete, the ends are stapled and sutured.
There is also another method of operation, namely excision of the individual sections of cartilage.
Through the mucous subcutaneously is a special entrance and on-site depressions formed in the place where you subsequently enter the cartilage. This method gives excellent results and is also suitable for lifting the tip of the nose.
What to do if the cause of the injury?
The percentage of appeals to plastic surgeons because of injuries is quite high, and oddly enough, but a variety of injuries in the nose area are typical not only for athletes, they happen to ordinary people.
Causes can include excesses, infectious diseases (syphilis, lupus), tumors, etc. With all this, the damage and deformation of the nose are very diverse in severity and form.
In such cases, rhinoplasty nose implies its restoration and is as follows: the surgeon cut out a small part of the ear, which is transplanted to the prepared surface of the tip of the nose and sutured to it.
He later stitched horsehair and within a few days lubricated with vaseline and heated the blue lamp. When successfully performed the procedure the recovery results exceed all expectations, moreover, this method is very time-saving.
Video: Closed rhinoplasty
Preparation for surgery, tests
Before surgery seems to a number of tests. It is designed to protect the patient and to protect him from serious consequences. So, I give up the following tests:
- General analysis of blood;
- a blood test for prothrombin;
- HIV and hepatitis;
- biochemical analysis of blood;
- analysis of the antigen;
- CT (computed tomography) of the paranasal sinuses.
Before surgery makes the following recommendations, which the patient must comply with:
- a week before the surgery should not smoke and drink alcoholic beverages;
- to stop taking anticoagulants (blood thinners);
- a few hours before the operation you should refrain from food and water;
- avoid exposure to sunlight for several days before the procedure.
Indications are the following factors:
- wide nostrils;
- the wide tip of the nose;
- narrow nostrils;
- curvature (congenital and resulting from injuries);
- the displacement of the axis of the nose to the side;
- the tip of the nose in the form of «hanging drops»;
- the nose in the form of a «hook»;
- turned-up nose.
Contraindications the following factors:
- inflammation on the nose;
- exacerbation of chronic diseases;
- infectious diseases;
- heart disease and kidneys;
- diabetes in decompensated form;
- of blood clotting;
- increased temperature, fever;
- the herpes active;
- menstrual cycle;
- pregnancy and lactation.
After surgery possible side effects:
- swelling (occur in almost all patients and are a natural reaction of the body);
- bleeding (most often this side effect poses no danger and go away on their own within a few days);
- scars (their availability depends on the chosen method of rhinoplasty, but in any case, when faithfully carried out the operation, the scar should be almost invisible).
Rehabilitation and recommendations
The rehabilitation period after surgery lasts for one to two weeks and involves the observance of certain rules. As for the food, it makes the following recommendations:
- you can drink only after three hours after the procedure, and only small SIPS;
- in three to five hours you can make easy food;
- in the first week you should eliminate from your diet hot and cold food;
- the volume of fluids per day should be no less than two liters;
- you should exclude spicy and too salty foods;
- should refrain from coffee and alcohol.
As for General recommendations, they are as follows:
- the first days of prescribed bed rest and head to keep higher;
- the first month you should avoid heavy physical exertion;
- you can sleep only on the back (in any case, neither on the stomach and on the side);
- the first few days is to abandon a cold shower and hot baths;
- you need to avoid visiting tanning salons, swimming pools, saunas;
- not superfluous to avoid stressful situations.
Video: Open rhinoplasty
The average price for rhinoplasty tip of nose is approximately 160000-180000 rubles. More accurate price is determined individually, after consultation with the doctor and sometimes of the desires of the patients.
The prices in Moscow. Clinic of plastic surgery Clinic Lux
|Rhinoplasty (all inclusive)||Price, RUB.|
|Plastic septum of the nose||60 000|
|Plastic nose||110 000|
|Re plastic nose held earlier at another institution||130 000|
|Reduction of nose with osteotomy (complete rhinoplasty)||150 000|
|The rhinoseptoplasty||170 000|
|Repeated operation of the correction of the crooked nose held earlier at another institution||180 000|
|The second operation is the correction of crooked nose using implants or cartilage previously completed at another institution||215 000|
|Two-way vasotomy||50 000|
|Plastic wings of the nose||40 000|
|Grinding hump nose||40 000|
Frequently asked questions
What age is it possible to do the operation?
To pursue plastic surgery, you can age of eighteen. If the patient decides to do a rhinoplasty at the age of eighteen, a written authorization should give the parents.
How much you can change the shape of my nose?
Any plastic surgery has its limitations. Plastic nose is also not unlimited and to change the shape of the nose is possible only within certain limits.
How long is the recovery period?
On average, two to three weeks.
How long is the period of stay in the hospital?
The time spent in the hospital depends on the type and scope of the operation. If it were held, say, a small correction, then you can go home after a couple of days, if the surgery was extensive and complicated, then the patient can leave the hospital for five to seven days.
When you can evaluate the result?
Within a few days after the surgery comes swelling of the nose after rhinoplasty, then a few months goes swelling. Six months later, completed all the modeling processes of the tissues, respectively, to evaluate the result it is possible not earlier than six months after the surgery.
How long is the surgery?
About two to three hours.
How is it painful?
As it is performed under anesthesia, the pain the patient feels. They can appear only after surgery, but most often held by themselves during the day. If necessary, the patient is given painkillers, but the need for it occurs quite rarely.
How soon you can return to work?
After two or three weeks.
Can I exercise after rhinoplasty?
This is not worth at least in the first month after the procedure (unwanted stress and tension to the body after anesthesia, moreover, there is a risk of damaging the still fragile new shape of the nose).
The risks associated with the surgery?
First and foremost, a reaction to anesthesia. As there is a risk of infection and rupture of the vessels, however, if you choose a good reliable clinic and experienced surgeon, the appearance of such complications is minimized.
There is a perception that the nose after rhinoplasty becomes more vulnerable.
No, the nose does not become more vulnerable or weaker, but it definitely should be protected, because any injury can necessitate repeated surgical intervention.
How many times you can do the operation again?
Not earlier than in a year.
If plastic is covered by insurance?
No, cosmetic surgeries are not covered.
Photos before and after rhinoplasty nose