Surgical correction of the base of the nasal wings. How does nostril reduction work? Stages of rhinoplasty

The path to beauty can be difficult. Especially when correction of such an important component of the face as the nose is required. If it looks inharmonious due to its shape and too large size, surgery will help. It is called rhinoplasty, nose reduction is not the only, but the most common type of intervention and correction in this way. It is carried out differently depending on the type of defect.

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Reduction options

The nose consists of several sections. The specific changes that it will undergo during surgery depend on which area is excessively large or unsuitable in shape. Experts distinguish the following types of operations:

removal of the hump;

reduction in the size of the wings of the nose;

tip reduction;

narrowing of the nasal bridge;

cutting the length of the organ;

reduction in the height of the bridge of the nose.

Indications for intervention

Reduction rhinoplasty can be performed in the following cases:

if you want to make your nose smaller and its outline neater;

it is necessary to get rid of the hump that disrupts the overall harmony of the face;

the bridge of the nose deviates from a straight line, making the nose asymmetrical, or the nostrils of different sizes;

the size and shape of the organ negatively affect respiratory capabilities;

the nose has lost its correct configuration as a result of injury;

when the excessive size of the wings of the nose makes it disproportionately thick or long.

Just the desire to reduce the size for surgery is not enough. If it is clear in advance that this can lead to breathing problems and negative external changes, rhinoplasty should not be performed.

Preliminary examination

Rhinoplasty is a serious operation, performed under general anesthesia, with trauma to many tissues. Therefore, it is necessary for her to be healthy. Several types of analyzes and instrumental studies will help determine the absence of contraindications. In addition, they will give the doctor an idea of the structure of the tissues of the nose and its structure.

A preliminary examination, carried out no earlier than 2 weeks before the date of surgery, should include:

general blood and urine tests;

tests for infections (hepatitis, HIV, syphilis);

biochemical blood test;

coagulogram and prothrombin analysis;

tomography of the paranasal sinuses.

In some cases, an ultrasound of internal organs is required. It is also important to know the patient's blood type and Rh factor.

Methodology of the procedure

In solving the problem of how to make your nose smaller, the main word belongs to the specialist. The doctor sees all the patient’s nuances, allowing him to judge the possibilities of the operation and its consequences. Usually a new nose is modeled on a computer, naturally, taking into account the wishes of its owner.

The operation is always performed under general anesthesia, so the patient wakes up with a new nose. The intervention itself is done in different ways:

Rhinoplasty of the nose with a potato involves changing its tip. If it is too massive due to widely spaced domes, they are pulled closer to each other with special threads. If the internal walls are too large, you must first reduce them by removing excess tissue. And only then sew it together. If the skin on the tip of the nose is thick, excess cartilage tissue is removed in an attempt to correct the domes. This method is the most complex, but in this case the first two will be inappropriate.

may consist of changes in the tip and back of the organ, or only the bridge of the nose. There are also several options for operations here. Radical is an osteotomy, that is, damage to bones using a medical cutter. Then they are directed inward, displaced and fixed. This is often done after removing the hump, because this change leads to a visual increase in the area of the back of the organ. Another way in which rhinoplasty is done to narrow the wide bridge of the nose is through a combination of osteotomy and transplantation. Indicated when the desired effect is not possible with one of the methods. The bridge of the nose can be narrowed using only cartilage transplantation. The material is taken from the patient's ribs, carefully rounding it.

Removing a nasal hump

Augmentation of the bridge of the nose by implantation of autografts

Rhinoplasty of a long nose is aimed at bringing the proportions of the length of the back of the organ and the distance from the base to the tip into correspondence. The ideal ratio should be 3:1. Therefore, you should not be afraid that the doctor will cut or leave excess. Moreover, depending on the degree of violation of proportions, the operation can be done in two ways. During the first, the lateral cartilages and the lower section of the cartilaginous septum are cut off. Then the edges are pulled to the middle with a seam, the nose acquires the desired length. If the disproportion is too great, the operation option is different. The cartilage is reduced in the septal part, which ensures that the sizes of all parts of the organ match.

Rhinoplasty to reduce the wings of the nose in some cases solves the problem of its “ugliness.” If the intervention is minimal, it can be performed under local anesthesia. The narrowing of the wings is done by placing sutures on the lower part of the column of the nose, then fastening them together. Excess skin is removed. If the width of the wings is too large, wedge-shaped cuts are made on the side parts at the base of the nose, then their edges are secured with a suture. This reduces not only the nostrils, but also the size of the wings.

To learn how rhinoplasty surgery works, watch this video:

Depending on the complexity of the operation, it can last from 40 minutes to 2.5 hours. Upon completion, gauze swabs are placed in the patient’s nostrils to maintain shape, and a plaster bandage is applied on top.

Recovery period

At first, the main inconvenience experienced by the patient is the inability to breathe through the nose. Tampons can be removed from it only after 3 - 7 days. Although discharge home follows after 2 days.

Plaster after rhinoplasty

You can get rid of the plaster cast only on the 11th day. And here the patient may be in for a surprise. Especially when a thick nose has been operated on, rhinoplasty may seem like a failure. After all, all this time, swelling remains on the face, which makes the tissue larger and wider. It also leads to the appearance of dark circles around the eyes in the first days. There is no need to despair, the swelling will go away after 3 months. And the nose will take on its final appearance in six months to a year.

The pain will bother you in the first days while the tissues remain damaged. To relieve it, tablets are prescribed. You will also need to take medications to prevent infection. The nose is treated from the outside and inside with ointments, drops and solutions recommended by the doctor. There is a whole set of requirements that must be met after rhinoplasty:

be on bed rest for the first days;

eat liquid and warm food to avoid damage to the operated area;

rinse your nasal passages several times a day with medications prescribed by your doctor;

apply furatsilin to combat swelling;

protect the nose from any mechanical and temperature effects (cold is contraindicated);

sleep on your back for at least 2 weeks;

do not wear clothes pulled over your head;

do not use glasses for 3 months;

Avoid cosmetics for the first 2 weeks after surgery;

for 2 - 3 months forget about a hot bath, sauna, solarium;

Do not smoke for 30 postoperative days.

Cost of the procedure

The range of prices for nose reduction surgery is large, as it depends on many things:

Volume of intervention performed. For example, if you need to shorten your nose, rhinoplasty will cost less than if you also need to correct the nostrils or use a graft.

Name of the specialist. Here its level is more important than anywhere else. The more successful operations a doctor has, the more expensive his work is. But there are also fewer health risks and fewer opportunities for complications.

Clinic level. Rhinoplasty is sometimes performed in public hospitals, where the stay itself is cheaper, although the quality of the work of doctors is excellent. In a private clinic, every day you are in the ward and meals are added.

Considering the above, Rhinoplasty can cost 70,000 - 300,000 rubles.

Getting a nose reduction is sometimes vital in order to gain self-confidence and establish interaction with the outside world. But it should begin with studying the capabilities of one’s own body, the market of specialists and all the intricacies of the operation. Because repeated rhinoplasty if the first one is unsuccessful will cost more in every sense.

Having a nose reduction is sometimes vitally important in order to gain self-confidence and establish interaction with the outside world. But it should begin with studying the capabilities of one’s own body, the market of specialists and all the intricacies of the operation. Because if the first one is unsuccessful, it will cost more in every sense.

If the size and size of the nostrils are disproportionate by nature or have acquired a not very aesthetic appearance as a result of facial injuries, the optimal solution is correction of the nostrils - a popular type of rhinoplasty, which involves correcting the shape of the wings of the nose.

People of some nationalities have flat or widened wings of the nose. Sometimes expansion of the nostril area is observed in the case of improper scarring of the mucous membranes: rhinoplasty will also come to the rescue - this is the safest and most aesthetic solution to cosmetic problems of this kind.

Nostril rhinoplasty includes reducing the external size of the nostrils and correcting their incision. By surgically removing certain areas of skin and cartilage, the shape of the wings of the nose can be effectively corrected.

The choice of type of operation should be entrusted to an experienced plastic surgeon, who will professionally assess the size and shape of the nostrils and select the optimal technique.

During the operation, surgeons make every effort to ensure that the scar is positioned vertically: this increases the aesthetic appearance of the nose. In more complex cases, the doctor makes a careful incision at the base of the nostril. If partial excision of the base of the nasal wings is indicated, the surgeon observes the symmetry of the nose and the characteristics of the patient’s tissues.

Preparing for nostril correction surgery

Planning a nostril rhinoplasty requires that the patient fully understands the seriousness and responsibility of the surgical procedure. Such operations are carried out exclusively in reliable clinics whose specialty is plastic surgery.
Before the procedure of rhinoplasty of the nostrils, a full medical examination is required, and the patient undergoes consultation with specialists.
Before nose correction surgery, the patient also visits a therapist, ENT specialist and anesthesiologist: this allows you to choose the most suitable set of procedures and medications for the patient.
It is mandatory that the surgeon conducts a preoperative assessment of the appearance of the nose, and photographs of the nostrils are taken in order to compare the result after the operation. Based on preoperative studies, the surgeon models the ideal size and shape of the nostrils. All of this is then reflected in the cost of rhinoplasty surgery.
Restrictions before the rhinoplasty procedure require compliance with certain rules. For several weeks, the patient should limit himself to smoking and drinking alcoholic beverages. You should not take medications that cause changes in blood clotting. There is also a ban on certain types of products. Detailed advice should be obtained from the surgeon who is planning the operation.

The risks associated with nostril rhinoplasty should be assessed in advance. This is the possibility of infection, rupture of blood vessels, as well as adverse reactions to medications used during surgery. 98% of these types of procedures usually go without complications.

Risk factors and possible contraindications

As with any major surgery, to correct the nostrils There are a number of contraindications.

Rhinoplasty is not performed if the patient is diagnosed with cancer, heart disease and liver disease. Also, surgeons do not perform surgery on people suffering from diabetes and bronchial asthma, various drug allergies, infectious diseases and exacerbation of chronic diseases. Among the absolute contraindications are mental disorders.
The optimal age for rhinoplasty of the nostrils is considered to be the period from adulthood to 40-45 years. It is not advisable to perform surgery earlier; later it is fraught with complications due to age-related skin changes and metabolic disorders.
The indicator for performing the operation is the final formation of the patient’s face.
Surgery is performed under general or local anesthesia.
The procedure lasts no more than one and a half hours.

Features of surgery on the wings of the nose

Open plastic surgery is performed in cases of complex surgery and the need to make small incisions. The operation implies optimal contact with the operated areas: this method gives the most effective results.
Closed rhinoplasty is performed by making incisions and carefully removing excess tissue. Skin excision is also performed.

Features of the rehabilitation period

The postoperative recovery process includes the occurrence of facial edema, which is considered a natural consequence of the operation. Swelling goes away easily after a few weeks.

The first days after correction of the nostrils, the patient breathes through the mouth, and cotton swabs are inserted into the nostrils to prevent bleeding. The surgeon may prescribe painkillers.

After a month, the patient is allowed to exercise and lead a normal lifestyle. The duration of the rehabilitation period is determined individually. Patients must undergo regular examinations with a surgeon and follow a special diet.

For rhinoplasty of the nostrils to be successful and bring positive results, you should choose the right clinic and doctor. This will be the key to a successful investment and achieving ideal nose proportions.

Photos Before and After rhinoplasty of the wings (nostrils) of the nose

Surgical reduction of the nostrils is a type of rhinoplasty. It is believed that such an operation is complex, requires a certain amount of experience from the doctor, and has a high risk of complications. Modern plastic surgery allows correction of the nostrils (nose wings) with minimal risks.

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Who needs surgery

Rhinoplasty, aimed at correcting the shape and size of the wings of the nose, is performed at the request of the patient. Naturally, the doctor will conduct a preliminary examination and determine whether there are contraindications to surgical intervention. But nostril reduction is carried out not only at the request of the person, but also for certain medical reasons:

overly wide or long wings of the nose;
disproportionate shape and size of the nostrils;
too thick skin in the area of the nose in question;
retraction of the wings as a result of their injury;
nostrils too wide;
inharmonious size of the nostrils with the nose.

Disturbances in the appearance of the wings of the nose can be congenital or acquired. In the first case we are talking about intrauterine disorders of the anatomical structure of the skull, in the second about the consequences of unsuccessful surgical intervention, injuries and curvature of the nasal septum.

How is surgery performed?

There are 2 main methods of performing surgery to correct the shape and size of the nostrils:

Removal of skin tissue. It can be used in all cases, regardless of the cause of nostril problems. The surgeon makes neat incisions at the base of the wings of the nose, removes the “loose” part of the skin and applies sutures.
Contraction of the nasal openings. Used only when necessary to correct too wide nostrils. The doctor makes an internal incision through which the thread is pulled. Then it is tightened to the desired size and fixed.

Technique of the operation

Most often, rhinoplasty is performed by removing skin tissue. The operation algorithm is as follows:

The doctor makes incisions at the base of the nostrils - this is done one at a time. The final result depends on the depth of the incision - for example, if the surgeon touches the base with a scalpel, the wings of the nose will become narrow.
The surgeon removes excess flaps of skin. Here you need to work extremely carefully - excision of too large a fragment of skin can lead to an inharmonious change in appearance. It is impossible to correct such an error.
The edges of the incision are connected and closed with a cosmetic suture.

If you need to solve the problem of the retraction of the wings of the nose, then you will need to restore their support. This type of surgery is performed using the patient’s cartilage tissue, which is obtained from the nasal septum or auricle.

Before the operation, each patient needs to undergo an examination - correction of the shape and size of the wings of the nose is carried out under general anesthesia or local anesthesia (the choice depends on the amount of work to be done). To undergo plastic surgery, the patient must have the results of the following studies:

general blood and urine tests, biochemistry - results are valid for 2 weeks;
HIV tests and ECG - data is valid for a maximum of a month;
blood for hepatitis and syphilis - considered reliable within 2 months;
fluorography - only a conclusion from a radiologist is required, which has no statute of limitations.

General analysis for choosing wing size

If 6 months before the planned rhinoplasty to reduce the nostrils, plastic surgery on the mammary glands was performed, then the surgeon will need the results of their ultrasound examination.

The recovery period lasts no more than 5 days, during which time the appearance becomes acceptable for going to work. For outpatient treatment, the patient is discharged from the clinic a few hours after the operation - the doctor will make sure that he is feeling normal.

If the rhinoplasty was performed under general anesthesia, you will have to stay in the clinic for 1 - 2 days. In the case of artificial formation of supports for the nostrils, you will need to wear a special plaster cast for a week, which supports the implanted cartilage.

For a month after the operation, you should not visit saunas and steam baths, play sports or expose your face to direct sunlight.

Possible complications

Nostril reduction– a full-fledged surgical intervention, which is accompanied by tissue incision and damage to the integrity of blood vessels. In the early recovery period, swelling, bleeding, and extensive hematomas may occur. These conditions disappear over time, often without the need for specific therapy. It is much more difficult to cope with the asymmetry of the wings of the nose and problems in nasal breathing.

A distinctive characteristic of complications after surgery to reduce the nostrils is that they can appear a month or even a year after the manipulation.

Watch the video about nostril reduction:

This can only be avoided by contacting a qualified specialist, in a clinic with an impeccable reputation, and by following all recommendations for managing the rehabilitation period.

Result before and after

Correcting the shape and size of the nostrils ensures the creation of a harmonious appearance with correct proportions. The face acquires softer lines, even its expression changes. The final result will be visible only 6 months after the surgical intervention - swelling will disappear, hematomas will disappear, cartilage and soft tissue will completely fuse, and scars will resolve.

Before and after nostril reduction surgery

Cost of nostril reduction

Rhinoplasty, aimed at correcting the shape and size of the wings of the nose, is quite expensive. Depending on the complexity of the work ahead, the price of the operation can be 21,000 rubles (about 4,000 UAH) and higher.

Nostril reduction is not the most popular plastic surgery. But it can solve many human problems - from difficulty breathing to psycho-emotional disorders and low self-esteem.

Rhinoplasty of a wide nose is performed due to the large shape of the tip, back, and wings. The before and after results can be shocking, because sometimes the nose becomes wider. Afterwards restoration is required.

Despite its complexity, rhinoplasty is a very common procedure. Some people are not satisfied with the shape of their nose, others with its length. Well, some people don’t like the cartilage that forms the nostrils. For such cases, there is rhinoplasty of the wings of the nose, without affecting the bone.

Reduction of the wings of the nose

The huge advantage of this operation is that it does not require intervention in the bone tissue. At the same time, reviews prove its unsurpassed effect: facial features become clearer and sharper.

Manipulation can be carried out:

under general anesthesia as the final stage of general rhinoplasty;
under local anesthesia as an independent operation.

Correction is carried out by excision of mucocutaneous and skin fragments along the contour of the nostrils at the base of the nose. As a result, small scars remain, which become completely invisible after one or two months.

Indications for surgery

Rhinoplasty - reduction of the wings of the nose - is aimed at narrowing this organ and making it more attractive. There may be several reasons for this: congenital defects, consequences of injury, or simply the desire to achieve an ideal appearance.

The main indications for surgical intervention are:

wide or narrow nose shape;
crooked nostrils, which often appears after severe blows or bruises;
nostrils too large;
unequal sizes of nostrils.

Features of the procedure

The entire operation lasts about 20 minutes. Depending on the effect that needs to be achieved, the procedure itself differs.

1. The operation to reduce the wings of the nose due to its large size is carried out by making lateral wedge-shaped incisions at the base. After this, the excess part is removed and the edges are sewn together.

2. In order to make the wings narrower, stitches are placed on the skin septum separating the nostrils.

3. In case of wing retraction, cartilage tissue transplantation is necessary. For such purposes, cartilage from the nasal septum or auricle is used.

In modern surgery, computer modeling is performed before rhinoplasty.

Rehabilitation period

If the operation is successful, recovery is quite easy. On the first day, special turundas are inserted into the nostrils. After 5-6 days, the sutures are removed, after which the scars heal completely over time. But it is believed that final recovery occurs after about six months.

In the photo you can see a comparison of the nose before and after surgery.

During the rehabilitation period you need to adhere to a number of rules:

do not remove the bandage yourself;
rinse the nasal passages with a special solution;
reduce physical activity;
limit exposure to heat.

Side effects and contraindications

Like any surgical procedure, rhinoplasty surgery cannot guarantee a 100% result without any complications. But this happens extremely rarely when the nose is corrected correctly by professional specialists.

Rhinoplasty of the wings of the nose, the photo of which is presented below, shows with the naked eye how not only its width has changed, but also the overall features of the entire face.

Contraindications for surgery:

age under 18 years;
diabetes mellitus;
disturbances in the functioning of internal organs;
poor blood clotting;
tumors;
infectious diseases;
ulcers in the nose;
old age;
intolerance to anesthesia.

The price of the procedure varies depending on the complexity of the operation.

With the help of rhinoplasty of the wings of the nose, you can solve such common aesthetic problems as asymmetry of the nostrils, hypertrophied width, length and thickness of the tip. Plastic surgeons consider this operation to be relatively easy, both from the point of view of its technique and from the point of view of rehabilitation.

It can be performed using various surgical methods (depending on the nature and severity of the defect itself). Thanks to the operation, it is possible to create proportional harmony of facial features by correcting the wings of the nose.

If you think that you will feel confident after such changes, this surgery is really worth signing up for. But to do this, you need to find out more information about the principles of planning future changes, about the rules of preparation and recovery period, as well as about the surgical techniques by which rhinoplasty is performed.

When is correction of the wings of the nose necessary?

The operation can be performed if there are such significant indications as:

asymmetry of the wings of the nose;
thickening of the skin in the area of the nostrils and cartilage of the wings;
the effect of recessed nostrils;
hypertrophied width of the wings of the nose;
elongated wings.

The patient will not be able to independently determine whether correction of the wings of the nose is necessary, so it is better to entrust this issue to a competent surgeon. Sometimes it may seem that the disharmony of facial features is associated with widened nostrils or thickened skin in the area of the wing cartilages, but in reality it turns out that the problem is a pronounced hump or other defects.

Therefore, before making a decision, it is better to first consult with a specialist. The surgeon will examine and evaluate the condition of the nasal tissues and help characterize the anatomical features of its structure and shape.

Diagnostics will allow you to clarify the essence of the aesthetic problem and understand what exactly needs to be changed. If it turns out that the patient has some imperfections in the wings of the nose, he will be offered one of the methods of rhinoplasty.

What methods are used today?

In plastic surgery, a wide range of techniques is used to eliminate typical defects of the wings of the nose:

Tissue transplantation to eliminate the effect of recessed nostrils. During the operation, a method is used to transplant the patient's own tissues, which are collected from the mucosal side. The advantage of the method is that the transplanted tissues are not rejected by the body, because they are native to it. Rehabilitation, according to statistics, in most cases is quick and without complications.
Excision of excess tissue to reduce the wings of the nose. Widened and thickened wings of the nose can be corrected by removing excess tissue that visually “weights” its tip. The operation is also not considered dangerous and has minor tissue trauma. After it, the nose looks more elegant and sophisticated.

A closed rhinoplasty technique to change the size or shape of the nostrils. The operation is performed through a closed surgical approach, that is, from the inside of the nasal mucosa. The advantage of the technique is the ability to hide scars, that is, after surgery they will not be visible.
Stitching of the wing cartilages in the columella area. Enlarged nasal wings are a very common problem that can be solved in various ways. Sometimes surgeons use the method of suturing the cartilage of the wings of the nose. This allows you to create narrower nostrils.

Preparation for surgery and rehabilitation

Before surgery. At the preparation stage, the specialist uses an innovative computer modeling method. This is a great way to see the expected and approximate result of future rhinoplasty on a computer monitor. Moreover, if for some reason the patient does not like the result on the image, the specialist makes new adjustments and shows a second correction option. When the result suits the patient, the surgeon will be able to understand which technique to choose.

An equally important point in preparation is the examination: the patient will need to make sure that he does not currently have any health problems that could interfere with the operation.

The surgeon will provide him with a list of examinations (ECG, test for hepatitis, HIV, blood test, test for syphilis, fluorography and others) that will need to be completed some time before the expected date of the operation. If no contraindications are found, the patient is allowed to undergo surgery.

Contraindications:

age under 18 years;
somatic diseases(decompensation, exacerbation);
mental disorders;
blood clotting disorder;
heart failure;
some infectious diseases;
presence of a tumor(benign or malignant) in the body.

After the operation. You should know in advance that after rhinoplasty of the wings of the nose, a special protective splint made of plaster is applied to it. It allows you to protect the healing tissues of the nose from injury and damage. This is important because at this time they are still extremely fragile.