Septoplasty or rhinoplasty, what to choose. Rhinoseptoplasty. What is it, open, closed, laser surgery, rehabilitation period, prices. Surgery to correct the curvature of the nasal septum

Rhinoplasty and septoplasty: what are the differences?

The term rhinoplasty combines plastic surgery operations, the task of which is to eliminate aesthetic defects in appearance. The purpose of rhinoplasty may be to correct asymmetry, recreate the correct shape of a broken nose, eliminate a hump, or correct other defects, such as a saddle-shaped cavity on the back or overly wide nostrils.

Often nose surgery is aimed at changing the shape, size, projection and contours of its tip. Patients turn to a plastic surgeon to narrow a tip that is too wide, correct a congenital defect in the form of bifurcation, or raise a drooping or, conversely, lower an upturned tip of the nose.

Rhinoplasty is an aesthetic operation aimed at improving appearance by modeling the shape of the nose and eliminating congenital/acquired cosmetic defects.

Septoplasty has a fundamentally different goal - straightening the nasal septum. Understanding the origin of the term is very simple. From Latin the word “septum” is translated as “partition”. Accordingly, septoplasty is a plastic surgery of the nasal septum.

Why do you need to do plastic surgery on structures that are not visible to the eyes of others? The answer to this question no longer lies in the aesthetic, but in the medical plane.

A deviated nasal septum reduces the patient’s quality of life and creates preconditions for the development of various chronic diseases, not only of the upper respiratory tract, but also of neighboring organs.

Deformation of the nasal septum leads to persistent impairment of respiratory function. Patients complain of constant nasal congestion, which forces them to systematically use vasoconstrictor drops. The drops do not give the desired effect, but only bring temporary relief. Moreover, regularly using nose drops provokes the growth of the mucous membrane, which, in turn, further narrows the nasal passages and aggravates the situation.

The only way to solve the problem is to surgically straighten the nasal septum. The doctor resects the deformed areas and gives the anatomical structures that form the inner wall of the nasal passage the correct shape. If necessary, during the operation secondary changes are eliminated, for example, hypertrophy of the mucous membrane, cysts in the maxillary sinuses, polyps in the nasal cavity.

Septoplasty is a functional rhinoplasty aimed at restoring the function of external respiration by straightening the bone and/or cartilage formations that form the nasal septum.

So, the term rhinoplasty combines plastic surgeries, the main goal of which is to improve appearance and create harmonious and proportional facial features. The term septoplasty is used in relation to operations whose task is to normalize respiratory function and eliminate secondary changes caused by a deviated nasal septum.

Correction nasal septum is a fairly popular procedure. It is performed as a single operation or in .

The irregular shape of the cartilaginous and bone parts of the septum brings aesthetic discomfort and causes breathing problems.

Reasons for changing the shape of the nasal septum

Deformation is caused by:

Traumatic injuries;
Birth defects;
Hereditary structural features.

Fractures nose history may affect the shape of the nasal septum. Most often, its bone part changes. Congenital anomalies are associated with improper fusion or development of the nasal buds.

A deviated septum can be inherited from relatives.

Septoplasty and its types

Surgery to correct a deformed nasal septum is called septoplasty. It is performed by a doctor, a plastic surgeon.

It is based on a change in the bone or cartilaginous part of the septum. Plastic surgery is performed using special equipment or manually.

There are:

Classic version;
Endoscopic method;
Laser method;
Radio wave technique;
Ultrasound septoplasty.

The classic method is to correct the deformed part of the nasal septum using a regular scalpel.

Progress of the operation

An incision is made into the mucous layer. After reaching the cartilaginous plate, the surgeon begins leveling. In difficult cases, it can be removed for more thorough adjustments.

When the desired shape is achieved, the doctor places it back. To prevent excessive mobility, a special mesh is installed. There is no need to remove it. It resolves on its own after a year after surgery. The intervention takes from 1 to 3 hours. For pain relief, general anesthesia is used. This method is considered obsolete. It has a long rehabilitation period and a high risk of complications.

Using an endoscope greatly simplifies the septoplasty procedure. This allows the doctor to see the surgical site using the camera on the probe.

Small incisions are made on the mucosa. Through them, the doctor gains access to the cartilage of the nasal septum. Deformation zones are excised. Special tampons are placed into the nasal cavity. They prevent the development of bleeding.

Anesthesia can be carried out in the form of local or general anesthesia. The duration of the procedure is from 1 to 2 hours. It is much safer than the classic method. The recovery period takes from several days to a couple of weeks.

The use of laser septoplasty eliminates the development of bleeding when making incisions. The laser has a bactericidal property. The risk of infection with this technique is minimal.

The patient is under local anesthesia throughout the operation. The duration of the intervention is approximately 30 minutes. Although there are many positive aspects, the laser method cannot be used for a defect in the bony part of the nasal septum.

The radio wave technique is a surgical intervention where a radio knife is used instead of a scalpel. It cauterizes blood vessels and prevents bleeding. It can be used to correct both the cartilaginous and bony parts of the nasal septum. The essence of the procedure differs little from other methods.

Deformed plates of the septum are removed through incisions in the mucosa or correction is carried out directly through them.

Ultrasound can cut through tissue. With its help, the operation takes place without blood loss. It can excise both soft tissue and bone. This allows you to use an ultrasonic knife to remove growths and bone spines.

Ultrasound waves can correct even severe deformities.

Indications

like any operation, has its own indications:

Difficulty in nasal breathing;
Diseases of the nose and paranasal sinuses;
Visually noticeable curvature;
Chronic rhinitis;
Constant snoring or noisy breathing;
Frequent nosebleeds.

Any of these reasons occurs when the nasal septum is of irregular shape. A doctor can confirm the diagnosis of a deviated nasal septum during examination.

He will conduct a detailed examination and prescribe a range of tests. If necessary, a consultation with an ENT doctor is scheduled.

Contraindications for septoplasty

The operation before the age of 18 has a number of restrictions. If there are medical indications for plastic surgery, the operation is performed with the written consent of parents or official guardians.

It is prohibited to carry out correction using an invasive method in the presence of neoplasms of the nasal cavity. With such changes, there is a risk of heavy bleeding and tumor damage.

Septoplasty is contraindicated in acute diseases of the cardiovascular system, decompensated diabetes, infectious diseases in the acute stage and blood clotting disorders.

To identify contraindications, a full examination is carried out before surgery.

Preparation for the procedure

Before surgery begins, the patient undergoes a series of examinations.

They include laboratory tests, radiography in three projections, ECG and fluorography. This allows the doctor to navigate the method of nasal septum correction and the method of anesthesia.

5-7 days before the procedure, you should avoid drinking alcohol. Reduce the number of cigarettes you smoke or quit smoking. Doctors advise stopping taking non-steroidal painkillers and blood thinners.

If this is difficult, you need to inform a specialist about this.

Immediately before surgery, you should not consume food or water. Correction of the nasal septum is performed on an empty stomach.

Complications

Correcting the nasal septum is a fairly safe and simple procedure. This confirms the majority of positive reviews.

There is a risk of developing a number of negative consequences after the intervention:

Bleeding;
Damage to the septum;
Spikes;
Loss of sensation;
Hematomas;
Inflammation.

The appearance of bloody discharge from the nasal passages after surgery is normal. They should be minor and stop quickly.

If the blood flows for too long and there is a lot of it, it is worth talking about nosebleeds. This is often associated with taking medications that affect clotting, such as Aspirin.

In case of bleeding, it is worth placing tampons in the cavity of the nasal passages or injecting a hemostatic agent. If blood continues to flow, you should contact emergency medical services or your doctor directly.

Damage to the septum occurs during medical intervention. This may be due to a thin plate.

Adhesions occur in places where the mucous membrane is cut. These are adhesions that consist of connective tissue. They occur in people whose skin and mucous membranes are prone to scarring.

Hypoesthesia of the walls of the nasal passages occurs when nerve fibers are damaged during surgery. They are located under the mucous membrane. Restoration of the conduction of nerve impulses will occur spontaneously. It just takes some time.

If there is no improvement, you need to consult a doctor.

Hematomas develop when blood vessels are damaged. Most often they occur with classical septoplasty. They disappear on their own after 7-14 days.

In the area of the incisions, swelling develops in the first hours after plastic surgery. This is the body's natural reaction to external interference. If you follow your doctor's recommendations, the swelling goes away in 2 to 3 weeks.

If in doubt, it is better to see a doctor.

Recovery period after the procedure

Rehabilitation After septoplasty, it can take place in a hospital setting or at home. If the intervention went well and there were no complications during the procedure, you can continue treatment at home.

If the course of the operation is complex or there is a high risk of developing negative reactions, the patient is left under observation in the clinic.

After the procedure, no matter where the person is, it is worth following certain rules.

Special turundas are placed in the patient's nasal passages. Special tubes are inserted into them. They help you breathe. Mucus and blood can accumulate in their lumen. Therefore, it is worth regularly sanitizing with saline solution.

The first days there is swelling and nasal congestion. To combat discomfort, I prescribe vasoconstrictor drugs, for example Xylometazoline. It can be used for up to 7 days. Longer use may cause addiction.

The patient's diet should consist of balanced foods. Avoid hot, spicy foods and increase fluid intake. After the procedure, this will help combat dry mouth. It is caused by a change in the way you breathe due to nasal congestion.

After the procedure, physical activity should be avoided.

This means 3 – 4 days after the manipulation. Further light walks in the fresh air are allowed. If the patient has been involved in any sports, it is worth abstaining from them for up to 2-3 weeks.

If there is a risk of infection, the doctor prescribes antibacterial drugs. The course of treatment lasts on average 5 – 7 days. The dosage is selected separately for each patient.

Results

After a recovery period, the result will not take long. In 99% of patients, nasal breathing is restored; this is the main goal of plastic surgery. Concomitant diseases gradually go away, chronic rhinitis stops. Feeling better.

Septoplasty can be combined with other operations, for example, to correct a hump on the nose. Photos of patients who underwent septoplasty are presented on the website.

Where to go

Patients often ask the question, where to do septoplasty in Moscow with high quality.

If there is an indication for septum correction, consult a plastic surgeon. In our center you can get a preliminary consultation for free.

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Septoplasty is an ENT surgical procedure to correct defects of the nasal septum.– the wall that holds the shape of the nose, separating the two nasal passages from each other. The wall is a straight-shaped osteochondral tissue. When bone or cartilage becomes significantly distorted for a variety of reasons, it results in difficulty breathing in one nostril or a complete absence of nasal breathing.

Deformation of the nasal septum:

may occur at birth;
can occur during growth with uneven development of the skull;
arise as a result of injury;
or it is a congenital pathology.

Is it painful to have septoplasty? Septoplasty, like any surgical procedure, is accompanied by pain, so it is performed under local or general anesthesia. The following are the differences between rhinoplasty and septoplasty.

How is it different from rhinoplasty?

Rhinoplasty is an operation to change the shape of the nose, used when a person is dissatisfied with his appearance. What is the difference between septoplasty and rhinoplasty? The main difference between rhinoplasty and septoplasty is that:

the first is done for “beauty” at the request of the patient;
the second is necessary - for health.

Advantages and Disadvantages

Having decided to undergo surgery, a person is guaranteed to get rid of some of his health problems, but he may put off going to the doctor due to:

fear of pain;
fear of complications;
feeling unwell during the recovery period.

It is worth noting that medicine is developing, and surgical methods are improving, for example, during laser surgery, blood loss and are minimal. Within a few hours the patient can be sent home.

Unfortunately, modern methods are not free. And the price for them is quite high. Thus, when making a decision, you need to take into account the pros and cons of septoplasty that were mentioned above.

Species

Classical- performed with a conventional scalpel, using outdated technologies, the most traumatic compared to modern methods.
– the process is controlled by a mini-camera, which is inserted into the nasal cavity. The technique is effective for complex curvatures of the cartilaginous and bony part of the septum.
Laser– used for cartilage correction. The method is not suitable for correcting bone tissue. A laser is used as a scalpel, which seals the incision sites, minimizing bleeding. It also creates an antiseptic effect, which makes it possible not to use turundas.
Radio wave– occurs under the influence of high-frequency waves using a surgitron, a special apparatus. This method is the most modern and gentle. Septoplasty allows you to operate on a deviated nasal septum of any complexity, with minimal blood loss. Recovery after surgery takes no more than 10 days.

Is it worth doing?

Cases when septoplasty is necessary:

Nasal breathing is difficult or completely absent. While a person is young, he gets used to it, adapts, but in old age, inadequate oxygen circulation will definitely make itself felt in terms of deteriorating health, only the operation is more difficult for older people to tolerate and there are more contraindications.
For frequent lingering colds, constant use of vasodilator drops provides temporary relief and aggravates inflammation.
For chronic sinusitis, a deviated septum prevents the outflow of inflammatory fluid; as a result, its removal is possible only through regular medical intervention.
For chronic otitis media, migraines, pharyngitis and laryngitis. The respiratory and hearing systems are inextricably linked. Improper functioning of one link can lead to problems with the others. The need for surgery is determined by an ENT doctor.

Contraindications

Septoplasty of the nose is not performed in the presence of the following diseases:

problems with blood clotting;
pregnancy;
breastfeeding;
oncology;
infectious diseases;
diabetes mellitus;
diseases in the acute stage;
heart problems;
mental illness;
epilepsy.

How is the operation performed?

Before surgery you must:
- undergo medical examination;
- donate blood;
- take a urine test;
- make a fluorogram;
- do an ECG.
Depending on the complexity, the operation is performed under local or general anesthesia.
The process involves excision of the curved cartilage; for this, the mucous membrane is first peeled off. In some cases, part of the cartilage is removed, the excess is removed, and then put back in place.
The initial position of the mucosa is fixed with self-absorbing sutures.
To prevent bleeding, special tampons are inserted into each nostril - trunds, which prevent the possibility of breathing through the nose. Modern tampons have a tube through which the patient can breathe a little through the nose.

The total operation time is 1-2 hours. Depending on the complexity of the procedure, the patient may be sent home the very next day.

Rehabilitation after nose correction

Price in Moscow and St. Petersburg

Similar the operation is performed in public hospitals free of charge under the compulsory medical insurance policy or in paid clinics. Prices in Moscow paid centers vary. Depends on:

method of operation;
complexity of the case;
surgeon qualifications;
type of anesthesia.

For example, correction of a birth defect will cost less than correction after an injury. The cost may also depend on the distance of the clinic from the center. You can find a cheaper service in the region. In general, the price of the procedure is from 40 to 150 thousand rubles.

At a personal consultation after the examination, the doctor will name the price taking into account:

preoperative tests;
drugs and materials used;
recovery period.

The price range in the northern capital of St. Petersburg is approximately the same.

The fear that any procedure associated with surgery causes is the main reason that a person postpones going to the ENT, endures, adapts, and gets used to vasodilating drugs. But in fact, the operation is not at all complicated, as evidenced by numerous reviews of patients who decided to undergo septoplasty and regained full nasal breathing.

We invite you to watch a video about septoplasty of the nasal septum, indications and causes of curvature:

Plastic surgery on the nose leads in the statistics of reconstructive and plastic surgery in terms of frequency of performance. With this operation, you can correct the shape and size of the outer part of the nose, treat pathological conditions, and reconstruct the organ after injury. The possibilities of modern medicine are so wide that the nose can be formed and restored even in its absence.

Sometimes plastic surgery is used only if it is deformed, damaged, or has congenital features. This intervention does not affect the function of the organ and has a cosmetic effect.

Recently, most plastic surgeons perform rhinoplasty using the closed method - without the use of external incisions, through the mucous membrane of the nasal cavity. An open technique may be needed in particularly difficult cases, such as injuries.

What is septoplasty?

One of the types of surgical interventions that are performed on the nose - in particular on the nasal septum. This type of surgical treatment is also performed in a closed manner.

The purpose of this operation, in addition to cosmetic, is therapeutic, since if the septum is curved: breathing deteriorates significantly, chronic diseases occur. In addition, the curvature is noticeable visually. The result of the operation combines restoration of the appearance and function of the organ.

Combination of two types of plastic surgery

When there is a combination of internal and external deformation of the organ, a combined intervention is performed, which consists of septoplasty, supplemented by correction of the shape and size of the nose. With the help of plastic surgery, you can correct the shape of the back and wings of the nose, nostrils.

As a rule, the operation is performed after the formation of the tissues of the facial skull is completed - after 18 years. But, if the pathology significantly affects the health of the body, treatment can be applied in childhood.

When is rhinoplasty indicated?

The operation is prescribed for the following conditions:

congenital defect of organ structure
abnormal nose size
overly wide nostrils
hooked, upturned tip of the nose
septal pathology
consequences of traumatic injury

In most cases, patients turn to a plastic surgeon due to dissatisfaction with their appearance. Surgical intervention allows you to achieve the desired effect and enjoy a corrected appearance without flaws.

Contraindications for rhinoplasty

The operation can be performed in the absence of the following conditions:

purulent-inflammatory processes in the tissues of the nose (furuncle, abscess)
skin acne on the outer part of the nose
decompensated concomitant pathologies
severe form of diabetes mellitus
pathology of blood coagulation function
acute infectious process

A preliminary examination allows you to exclude these conditions and undergo unhindered surgical treatment, the result of which will be the embodiment of desires regarding appearance into reality.

At the First Surgery clinic, both methods of surgical intervention on the nose are performed using the latest technologies and under the supervision of qualified surgeons. On the website you can not only get acquainted with the price list and cost of the procedure, but also read reviews from clients who have undergone the operation.

Rhinoplasty is indicated for people over 18 years of age who have already formed the bones and cartilage of the nose. The upper recommended threshold for such an operation is forty years of age. After forty years, the recovery period is longer, and recovery is more difficult. Before the age of eighteen and after the age of forty, nose surgery is performed only to correct congenital defects or after injury.

Before undergoing surgery, you must follow the recommendations of your plastic surgeon. Ten days before surgery, you must refrain from cigarettes, alcoholic beverages, and taking medications that affect blood clotting. Rhinoplasty will be rescheduled or canceled if the patient has an exacerbation of diseases, diabetes mellitus, inflammation of the nose, or a woman’s menstrual period.

Although both methods are performed on the nose, rhinoplasty and septoplasty have differences in application.

Differences between rhinoplasty and septoplasty

Using rhinoplasty, a plastic surgeon changes the appearance of the patient’s nose and eliminates other defects. Rhinoplasty allows you to completely change your nose, achieving the desired result. If there are breathing problems caused by birth defects or as a consequence of injury, torinoplasty can relieve these shortcomings.

With the help of septoplasty, you can correct a deviated nasal septum caused by various reasons, for example, congenital curvature, curvature due to abnormal development of the body, curvature caused by injury.

Septoplasty is prescribed by a surgeon for therapeutic purposes; it is not an aesthetic plastic surgery, but a necessary surgical intervention. Septoplasty is indicated for problems with the respiratory tract, constant sore throat, recurring nosebleeds, snoring, chronic edema, frequent colds, and sinusitis.

Rhinoplasty and septoplasty procedure

Rhinoplasty can be open or closed, using general or local anesthesia of the area.

Open rhinoplasty is used to correct complex nasal defects. The plastic surgeon makes incisions on the outside of the nose, located between the nostrils. Next he works with the cartilage of the nose. After the procedure, a small thin scar remains, which will disappear after a short period of time.

Closed rhinoplasty is used more often to correct the nose. With the help of surgery, external imperfections can be corrected and the shape of the nose can be corrected. After the procedure there are no scars or marks left. An incision is made in the nasal cavity, and then all actions are carried out blindly.

Six months after the procedure, the patient can fully enjoy the effect of the surgical intervention.

The duration of septoplasty is directly related to the complexity of the operation and the degree of deviated septum. The effect is visible already two to three months after the procedure.

Septoplasty takes place in several stages: