The most demanded operation on the planet allows you to create the perfect shape of the nose, as well as correct anatomical defects. Impeccable proportions, delicate facial features and free breathing - the effect of surgical intervention that lasts a lifetime. But the results do not always match the expectations of the patient. An unsuccessful rhinoplasty may be the result of a medical error or a violation of the patient's recommendations.

What is rhinoplasty

The nose consists of the frontal, nasal bones, large, small, additional cartilages; during the operation, all parts of the organ from the bridge of the nose to the nostrils are affected. Correction requires skill, many years of experience. During the procedure, incisions are made in the open nasal cavity. The doctor can simultaneously create a new shape of the nose, as well as restore full nasal breathing.

Despite the popularity and demand, the implementation requires high qualifications, the nearest location of the brain leaves no room for error. In addition to an unsatisfactory aesthetic result, the operation can lead to serious disturbances in the process of respiration and metabolism. The nose also performs the function of smell, speech, protection. Therefore, the choice of clinic and specialist is crucial.

Signs of a failed rhinoplasty

Patients go to the doctor to correct the shape, disproportion, curvature, to correct congenital malformations, as well as to restore breathing. Depending on the complexity of the work, the tasks of the operation, an open, closed or non-surgical method is used to correct minor defects. It is possible to evaluate the final result of surgical intervention only after six months. Some of the consequences are temporary, they pass on their own during the recovery period.

Signs of unsuccessful plastic surgery:

• ugly shape, curvature of the back;
• asymmetry, falling tip;
• persistent swelling that interferes with the breathing process;
• skin pigmentation;
• the formation of scars, scars, causing a feeling of nasal congestion;
• pain for a long time;
• unnatural appearance of the nose;
• violation of the proportions of the face;
• impaired sense of smell, complete or partial, lasting more than 3 months.

Rhinoplasty in world practice is considered an operation associated with the risks of side effects. Complications can also be provoked by implants that are installed for the reconstruction of the nasal framework.

Tissue rejection is accompanied by fibrosis, atrophy, and cyst formation. The greatest danger is infection, inflammation, can lead to anaphylactic shock, which poses risks to life.

The result can be assessed only after complete healing. The excellent effect immediately after the operation and after six months do not always coincide.

It is difficult to make predictions about the outcome of the correction due to the characteristics of tissue healing, including bones, cartilage, muscles, nerves, and mucous membranes. It is not always possible for a doctor to control the consequences, especially for areas that create a frame.

Attention! Complications can arise both during the operation and after, at the beginning of the recovery period, as well as at its completion. Patients deciding on rhinoplasty should be aware that more than one intervention will be required to correct an unsatisfactory result. There are also no guarantees for a 100% positive outcome of repeated manipulations.

Reasons for failed rhinoplasty

Rhinoplasty is characterized by high risks of developing unpredictable consequences, up to 30% of cases of unsatisfactory results. Of particular importance is the cooperation of the doctor and the patient, mutual responsibility for the outcome of the surgical intervention.

Causes:

1. The choice of a clinic should be based on unverified rave reviews, it is worth getting acquainted with real recommendations, a portfolio of work. Distrust should be caused by low prices, it is important to ask about the experience and qualifications of the surgeon specifically for rhinoplasty. You can trust centers and hospitals that have been practicing otolaryngology operations for at least 10 years.
2. A comprehensive examination is mandatory at the preparation stage. The doctor must collect a complete patient history, make a diagnosis, and only then prescribe an operation. You will need to consult a therapist and an anesthesiologist to select the optimal pain reliever. The patient must pass tests, undergo studies to exclude contraindications, possible consequences. An experienced surgeon thoroughly studies the patient's medical history in order to predict possible difficulties at the stage of correction or recovery.
3. The patient's motivation is also important, the desire to restore the functional properties of the nose or to achieve exclusively aesthetic results. A computer simulation is necessarily carried out, the doctor tells the plan for the operation, what effect can be achieved. The goal of the surgeon is to limit himself to minor changes to preserve the structure of the organ. The patient must be aware that the image on the monitor is not a photo of the future appearance, but an approximate result. The program is not able to take into account the features of bone tissue, skin, mobility of the tip of the nose and other indicators.
4. There are high risks of an unsatisfactory result if the patient violates the restrictions during the preparation or recovery period. It is necessary to inform the doctor about all diseases, complaints, allergic reactions. In some cases, the cause is the individual characteristics of the body, which lead to scarring of tissues.
5. The psychological readiness for the operation, the mood for a positive effect is also important. The patient must understand that it is impossible to create a completely new nose, excessive demands often end in disappointment.

Photos before and after

When to See a Doctor for Correction

Unsuccessful consequences of rhinoplasty are divided into functional and aesthetic complications. They apply for repeated rhinoplasty in case of violation of respiratory processes, pain, loss of sensitivity. Often accompanied by deformities and asymmetries, therefore, the aesthetic appearance of the nose will also be taken into account during the correction.

Revision rhinoplasty is scheduled:

• in case of damage to the skin and cartilaginous structure, resulting in the formation of adhesions, scars;
• when performing insufficient or excessive correction of the initial defect of the nose, accompanied by functional disorders.

Often there is an unreasonable dissatisfaction of the patient with the results of the operation. It is necessary to adapt to a new form, a changed appearance. The process of the final formation of the shape of the nose is quite long, it takes more than a year. If functional changes are still present, re-performing is possible no earlier than a year later, when the body is completely restored, and it is possible to objectively evaluate the results of the operation.

Methods for correcting unsuccessful rhinoplasty

The patient can evaluate the results of rhinoplasty only after six months. Before this period, tissues go through a recovery stage that requires strict adherence to medical recommendations.

With an objectively unsuccessful operation, the correction can be performed after a year. The method is chosen depending on the objectives of the procedure, as well as the individual characteristics of the patient.

Correction methods:

1. Repeated rhinoplasty is prescribed to correct severe consequences, in case of violation of the technique by the surgeon, tissue infection. The operation is more complex than primary rhinoplasty, requires the use of general anesthesia, and is characterized by a long rehabilitation period. It can be carried out both in closed and open way. The possibilities of the doctor are limited if there is a deficiency of skin, cartilage, bone tissue.
2. Correction is carried out under local anesthesia, takes about half an hour. During the procedure, the doctor perfects the shape of the nose, eliminates areas with scars. Recovery is faster and less painful.
3. Contour correction is a non-surgical correction with fillers. The procedure allows you to remove the hump, give the necessary angle, achieve symmetry, tighten the tip of the nose, and get rid of minor defects. It has a purely aesthetic, short-term effect, depending on the composition of the preparation, it lasts from several months to 2 years.

How to Prevent Failed Rhinoplasty

One of the main factors determining the effect of rhinoplasty is the experience and skill of the surgeon. A qualified doctor not only eliminates aesthetic defects, restores the functions of an organ, but can also calculate all the risks and complications in each specific case.

When choosing a surgeon, it is important to consider not only the general practice, but also the number of rhinoplasties performed. Study reviews, results of other patients. You should not trust a doctor who unconditionally agrees with the patient at the stage of discussing the wishes. An experienced surgeon will offer a minimal aesthetic correction that does not require a violation of the functional structure. To fulfill the wishes of the patient, the doctor can make an oriented form with the help of a computer program, display an image on the monitor.

Computer modeling will help to get a clear idea of ​​the wishes of the patient. In turn, the surgeon points out the consequences that may arise due to a significant change in the shape and size of the nose. Psychological complexes, the desire for cardinal changes in the patient can lead to unsatisfactory results of the operation.

Important advice. You need to pay attention to the cost. Rhinoplasty is a complex operation, the average price in the capital is not lower than 150,000 rubles. If the clinic offers promotional prices an order of magnitude lower, such announcements should alert. Savings can lead to revision rhinoplasty, complicated by the rehabilitation process.

The correct behavior of the patient is one of the main conditions for the success of the operation. Violation of the rules can negate the work of the best surgeon. For the patient, a number of recommendations are assigned at the stage of preparation and recovery that are mandatory:

• give up smoking and alcohol for a few weeks to carry out. Bad habits negatively affect the processes of tissue healing;
• drug therapy is completed a month before rhinoplasty. You can not take drugs that affect blood clotting to avoid the risk of bleeding;
• during the recovery period, you need to refrain from any physical exertion, playing sports, visiting the sauna, solarium, observe a sparing regimen so as not to provoke jumps in blood pressure;
• you need to sleep on your back on a high pillow to avoid injuries, deformation of the nose, and also accelerate the subsidence of puffiness;
• for about 2 weeks it is necessary to wear a plaster cast that acts as a frame at the healing stage;
• for a month it is forbidden to eat too hot, cold dishes, drinks, as well as causing chewing difficulties;
• blowing your nose is not recommended for about 2 months; for hygiene procedures of the nose, the doctor prescribes special sprays; peach or vaseline oil is also used for cleansing;
• before complete healing, it is not recommended to wear glasses, they can lead to deformation of unhealed tissues;
• you can not plan a pregnancy within a year after the operation.

When agreeing to rhinoplasty, it is important to choose a qualified surgeon, a proven clinic with an impeccable reputation. The responsibility of the patient, the provision of truthful information about the state of health, the delivery of tests, and the implementation of medical recommendations are also important. But even if all conditions are met, there are risks of unpredictable consequences.

Useful videos

Failed rhinoplasty is my horror story.

Carrying out rhinoplasty.

At all times, great attention was paid to the external appearance of a person. A very important role in appearance is played by the correct shape and optimal size of the nose. Since this part of the face is the most protruding part of it, it has a special aesthetic function. The nose makes each face unique, gives it originality and emphasizes attractiveness.

But nature is not favorable in this regard to everyone, so before people had to just put up with what she endowed them with. Today, aesthetic medicine comes to their aid, in particular, its rather young direction - rhinoplasty. Thanks to this procedure, the proportions of the nose are optimized, and its appearance improves.

She is able to work miracles, turning the initially nondescript organ of smell into a real work of art of plastic surgery. Especially if professionals from the Moscow clinic of plastic surgery of Dr. Shikhirman take up the matter. You can verify this by looking at the website for photos of patients before and after rhinoplasty.

Rhinoplasty at Dr. Shihirman

The dream of an ideal nose shape is inherent in many women and men. But not everyone decides to correct existing problems through plastic correction. The section ": before and after" presents photographs of patients at Dr. Shikhirman's clinic, allowing you to visually assess the effectiveness of this procedure and dispel doubts that exist on this matter.

The effectiveness of rhinoplasty in the photo before and after the procedure is obvious. By creating new lines of the olfactory organ, it transforms the entire appearance, eliminates defects that cause psychological and physical discomfort.

Modern aesthetic surgery offers a variety of options for this popular operation. The results of most of them are available in the photos of the patients of Dr. Shikhirman's clinic, published with the permission of grateful clients.

The achieved effect of each rhinoplasty in the before and after photos is evidence of the high professionalism of doctors who can be trusted without a doubt in solving such important issues. The section presents images of patients who have undergone various types of operations:

• closed and open rhinoplasty,
• septoplasty,
• rejuvenating nose correction.

Some operations are purely aesthetic. Their result is an external change in the size and shape of the olfactory organ. It can be, for example, rejuvenating rhinoplasty. But septoplasty is also aimed at solving functional problems associated with congenital or acquired deformation of the internal nasal septum. Such a defect is usually caused by:

• difficulty breathing,
• constant runny nose,
• chronic nasal congestion.

Due to the peculiarities of the surgical intervention, the doctor must have experience and knowledge not only in plastic surgery, but also in otorhinolaryngology.

At the clinic Dr. Shihirman, a significant percentage of operations are repeated surgical interventions. This is another important proof of the high competence of our surgeons, who undertake to correct the mistakes of less experienced colleagues. The gallery "Rhinoplasty: before and after photos" presents the results of such operations.

Creating a healthy and aesthetically pleasing nose in harmony with your appearance is a priority task for our specialists. This is best confirmed by photographs of patients before and after rhinoplasty performed at Dr. Shikhirman's clinic.

Rhinoplasty of the nose is the most popular plastic surgery in the world. Surgical or injection intervention allows you to correct the imperfections of the most outstanding (in every sense) part of the face, make the features thin and harmonious, give a woman or man self-confidence and beauty.

Rhinoplasty has many nuances, including, it is considered one of the most difficult types of surgical intervention. Let's look at the nuances of the operation.

What is rhinoplasty?

Features of the operation

You should know that operative rhinoplasty involves making incisions with a scalpel to model the shape in the open nasal cavity by moving or partially removing cartilage.

The doctor must be responsible for carrying out all stages of the operation.

According to the American Society of Plastic Surgeons, rhinoplasty is the 3rd most popular cosmetic surgery.

Plastic Surgeon Smita Ramanadham

- the organ responsible for breathing, which indirectly affects the correct oxygen saturation of the blood and, accordingly, the metabolic processes throughout the body.

Modern methods of correction often combine not only the aesthetic correction of the shape, but also the restoration of proper nasal breathing.

You should contact trusted professionals.

There are cases when women turned to, where unfortunate specialists not only did not solve the problems of patients and even worsened the shape of the nose instead of correcting it, but also damaged part of the tissues, provoked extensive swelling of the face by their actions.

Do not forget that there is a vital organ nearby - the brain.

A high-quality operation is possible only in specialized clinics - you should carefully study the reviews on the Internet and seek advice from the most reliable specialists.

Cost of rhinoplasty

The cost of services in and about the same. It is not covered by insurance for free. Average price for each type of rhinoplasty:

• (without surgery) - from 500 rubles. for one procedure;
• Reconstruction of the form - from 32 thousand rubles;
• Form reduction - from 9 thousand rubles;
• Post-traumatic recovery - from 300 thousand rubles;
• Patchwork rhinoplasty according to Converse - from 92 thousand rubles.

Remember that fillers will not make your nose smaller. The doctor will be able to change the proportions, which can visually improve the situation.

Types of rhinoplasty

Modern plastic surgery offers several options for correcting the shape of the nose.

Based on the wishes of the client, the physiological characteristics of the nasal cavity and cartilage, medical indicators, an assessment of the amount of work, one can choose one or another method of performing the operation.

View	general information	The essence of the operation
Closed rhinoplasty	As a minimally invasive technique for correcting the shape of the nose, closed surgery is the most effective. Recommended for correcting small defects in shape, such as the saddle tip of the nose. Main advantages: low probability of edema, low trauma, minimal risk of complications.	The surgeon makes small incisions inside the nasal cavity, then sutures them. The outer skin is not affected.
Open rhinoplasty	A complex and requiring a lot of experience and skill from the surgeon method of correction. Required for severe bone deformities after mechanical impact, lateral or upper curvature, if necessary, the use of grafts. The method is also used for osteotomy.	Incisions are made in the crease between the nostrils, thanks to which the skin is separated from the cartilage. Next, the surgeon performs the necessary manipulations.
Non-surgical (injection) rhinoplasty	The most modern and safest way to improve your appearance is with contour rhinoplasty. It is recommended to carry out procedures once every 1-2 years.	The cosmetologist uses injections of fillers - gel or liquid preparations based on hyaluronate. The substance fills the necessary cavities and corrects imperfections in the shape of the back, tip, nostrils or any irregularities.

After closed rhinoplasty, scars are not visible at all, but after this type of intervention, there is more swelling compared to the open technique.

Plastic surgeon Ronald Schuster

Indications and contraindications

Women strive to improve their appearance, and if the shape of the nose seems imperfect to them, then they can resort to plastic surgery or filler injections.

Indications can be divided into two types - medical and aesthetic. Medical factors include the following.

INDICATIONS

• , which makes it difficult to breathe and provokes swelling of the respiratory tract when exposed to temperature;
• Post-traumatic deformation of the shape, curvature or displacement of the cartilage;
• Birth defects that make breathing difficult.

Aesthetic indications are very conditional and are not direct indications for surgery, except for obvious cases of disproportion.

INDICATIONS

• Wide nostrils or back;
• Large tip of the nose ("potato");
• The presence of a pronounced hump;
• The absence of a pronounced bridge of the nose;
• Hooked nose, with the tip turned down;
• Snub nose.

Operating types of rhinoplasty have many contraindications.

CONTRAINDICATIONS

1. acute infections;
2. malignant tumors;
3. herpes;
4. low blood clotting;
5. acute rhinitis;
6. heart diseases;
7. pyelonephritis;
8. mental disorders.

Also, you can not make adjustments to the shape of the nose during pregnancy and lactation, as well as during menstruation.

Analyze your attitude towards appearance and decide whether surgery is really required or whether you are ready to accept yourself with natural beauty.

Preparation for rhinoplasty

The operation is preceded by a preparatory period:

1. The plastic surgeon must consult the patient and prepare him for surgery, discussing his wishes, studying his state of health, explaining the nuances of creating a “new” nose.
2. Before plastic surgery, you should undergo a series of standard examinations, which include a complete blood count and biochemistry, an ECG, and a consultation with a therapist.
3. If the patient has no contraindications, then he is sent to a day hospital.
4. 10-15 days before admission to the hospital, the client of the clinic needs to give up alcohol, smoking, heavy food, maintain a diet and sleep.
5. A few hours before the start, the use of food and water is excluded - a violation of this rule can lead to negative consequences of surgical intervention.
6. If you plan to completely correct the shape or correct serious defects, you must definitely visit an anesthesiologist's consultation before rhinoplasty - a complex operation will be performed under general anesthesia and requires an examination for intolerance to anesthesia components. Defects corrected under local anesthesia.

There are cases when anesthesia leads to side effects. This is vomiting, nausea, sore throat.

Anesthesiologist Monica Soni

To prevent plastic from seeming so frightening, doctors recommend watching thematic videos on the Internet, reading more materials about rhinoplasty and tune in to a positive result.

How is the operation going? (stages)

Operative types of rhinoplasty consist of several stages:

1. The anesthesiologist injects the patient with local anesthesia for minor surgical intervention or puts general anesthesia for more complex cases of cartilage deformity. Additional anesthesia may be performed to turn off the receptors.
2. In the region of the columella, between the nostrils, a thin incision is made with a scalpel and the operation itself begins - open or closed. In the first case, the surgeon releases the cartilage from the skin, in the second case, he performs the necessary manipulations without temporary removal of the skin.
3. With the help of surgical instruments, the doctor corrects the defects discussed with the patient. If necessary, implants are inserted into the cartilaginous area or, on the contrary, part of the tissue is removed. The average range of the operation time is 50-120 minutes.
4. At the end of the procedure, sutures are applied and the nose is closed with a fixing bandage. Non-surgical options for rhinoplasty for the correction of small areas of the nose require only local anesthesia or are performed without it, so the correction consists of three stages - preparatory, injection and restorative. If necessary, the injection is repeated.

Protect yourself for a couple of weeks from sports activities where you can injure your nose.

Plastic surgeon Arnold Almonte

The most progressive way to correct appearance defects is laser - this tool replaces a scalpel, reduces blood loss and promotes rapid healing of tissues. Find out more about the nuances of the procedure at a consultation with your plastic surgeon.

Question answer

A person's condition will noticeably improve after 2-3 weeks. But the edema itself may still be present a little, it will take 2 times more time for it to disappear. The final result of surgery can be seen after a long period (usually it will take from six months to a year).

It will take about a week, and the person feels much better, but it is recommended to go to work a little later (at least after 10 days).

No, this cannot be done. Moreover, you need to stop drinking alcohol a couple of weeks before the rhinoplasty itself.

Rhinoplasty is one of the fastest plastic surgeries, taking from 1 to 3 hours, but the rehabilitation period lasts from two weeks to a month.

1. After surgery, due to damage to the capillaries, hematomas and edema remain. To prevent the seams from coming apart, and the nose itself to come into the desired shape, the patient must wear a fixing bandage for 10 days.
2. Tampons are inserted into the nostrils to stop bleeding.
3. You can not eat spicy or hot food for a month, play sports and swimming, strain your facial muscles.

The recovery itself is not very painful. The main problem is to survive breathing difficulties. But swelling and bruising can be observed for about 2 weeks for sure.

Plastic surgeon Andrew Miller

To learn how the stitches are removed, watch the video:

The nose is the geometric center of the face and its most prominent part. That is why any cosmetic defect of this organ immediately catches the eye. Often this becomes the cause of long-term complexes and social problems.

Fortunately, the modern possibilities of plastic surgery allow us to solve almost any aesthetic problem and eliminate the most serious defects in appearance. Correction of the irregular shape of the nose is carried out by rhinoplasty (“rhino” in Greek means “nose”).

Rhinoplasty at Art Plastic Clinic

• Correction of the shape of the nostrils.
  The wings of a person's nose may be too wide or narrow. In addition, due to genetic and racial characteristics, their bases are located too high or, conversely, low. Correction in this case is usually associated with the excision of soft tissues, the removal of their excess and the application of internal sutures. More complex defects, such as nostril retraction, sometimes require the formation of a natural support by grafting tissue from other organs.
• Correction of the back of the nose.
  Here the task of rhinoplasty is to give the back the correct aesthetic shape. The most common operations are the elimination of the hump and the alignment of the central axis of the nose. The procedure is quite responsible, as it affects not only cartilage, but also bone tissue.
• Correction of columella.
  A relatively simple operation to eliminate cosmetic defects in the lower visible part of the bridge between the nostrils. It is carried out by excision or engraftment of cartilage tissues. Access is through an incision inside the nostrils, so the columella plasty does not leave visible scarring.
• Comprehensive form correction.
  An example is the “potato-nose” correction. Here, the operation affects not only the lateral surfaces, but also the tip, and sometimes the back of the nose. T.A. Aleksanyan is known as one of the best specialists in the field of rhinoplasty, who has the greatest experience in such surgical interventions. On the presented photos of the operations performed by him, you can evaluate how rhinoplasty radically changes the nose. The differences are simply amazing!

Everyone can correct the shape of the nose, get a more harmonious face and an ideal profile. Find out how to do it - sign up for a free consultation at our clinic!

Rhinoplasty is one of the directions in plastic surgery, which has already become a separate part of it, which is designed to deal with acquired or congenital nose defects. Thanks to a procedure such as rhinoplasty, it is possible to correct various problems associated with nasal breathing, correct possible consequences after injuries, or correct the appearance of the nose based on purely aesthetic indications.
A large number of people who experience some discomfort regarding the shape of their nose turn to the rhinoplasty procedure as a last resort to make a difference.
With all this, it should be understood that the procedure itself is quite expensive and very complicated. It requires a high level of professionalism from the doctor who will perform the operation. Not to mention the fact that expensive professional equipment is needed, which is sometimes simply not available to public clinics, so it is best to immediately consider private medical institutions that have all the necessary licenses.

At the moment, there are only two options for surgical intervention in order for the nose to take on a different appearance after rhinoplasty: closed and open.

As for the latter, this method requires an incision of the skin and the lower part of the nasal septum, no more than 5 mm in depth. Next, the operation takes place in order to achieve the desired result. This method of rhinoplasty is often used when the most complete overview is needed for a complex operation. In this case, it is very easy to perform cartilage removal and repositioning, as well as soft tissue detachment.

In turn, the closed method of rhinoplasty provides the possibility of surgical intervention directly through the nostril incisions, which are completely invisible with complete healing.

Types of rhinoplasty

As for the types of rhinoplasty, but at the moment there are a fairly large number of different procedures that can easily solve a specific specific problem.

Rhinoplasty of the nostrils. This procedure solves the problem of large nostrils. At the end of this procedure, the patient may be left with a few subtle scars, at the very base of the nose, which, in principle, will basically not be noticed in 99% of cases. This procedure is carried out, both on the basis of aesthetic indications, in the same way as a second operation, in order to reduce swelling after the previous operation, which was carried out on the nose.

Rhinoplasty. It is considered the most difficult type of rhinoplasty, which can change the entire appearance as a whole as much as possible. But at the same time, it is worthwhile to soberly assess the situation when choosing a surgeon and a medical institution where this will all take place, since everything should be at the highest level, and the experience of the surgeon is as possible as possible. In this case, most often there is a correction of the upturned or hooked tip of the nose, but it is not uncommon for the axis to return to its original place after displacement.

Correction of columella. First of all, it is necessary to decipher the concept of columella - this is directly a jumper between the nostrils, which is located below between them. It may be too narrow, wide or uneven. The operation to correct it is quite simple, and requires only a small (partial) excision and further engraftment of the cartilage in the required place.

Rhinoplasty: photo of columella

Nose reshaping. In this case, alignment of the axis, or smoothing of the nasal hump, can occur. In the case of such an operation, not only cartilaginous tissues are affected, but also partly bone.

Contour plastic. A typical non-surgical rhinoplasty, in which, with the help of injections with hyaluronic acid, small external defects can be corrected.

It is the alignment of a deviated nasal septum. This is done when there is a problem such as snoring and in order to make breathing easier.

Conchotomy (maybe laser). In this case, with possible problems with full nasal breathing, they can completely or partially remove the hypertrophied mucous membrane, which is a problem.

Electrocoagulation. If there is a slight hypertrophy of the nasal mucosa, then it is affected by safe and imperceptible impulses of electric current.

Augmentation rhinoplasty. Aimed at correcting defects with a slight elevation of the bridge of the nose.

Grafting. This type involves cartilage transplantation in order to compose the desired shape of the nose. Cartilage tissue is taken from the same patient, often from the nasal septum itself, the ears, or even the ribs.

Laser rhinoplasty. It is performed using a laser, which makes the procedure less traumatic.

Reconstructive rhinoplasty. It is carried out after previous operations, as an addition or correction of work.

Revision rhinoplasty: before and after photos

Non-surgical rhinoplasty. The principle of operation is the introduction of special fillers, which are introduced with minimal trauma and thus allow you to adjust the shape of the nose.

What is the perfect nose?

In fact, each nose is unique and perfect in its own way, but despite this, many people may not think so and do not stop trying to create the ideal nose for themselves. In this case, scientists went further and were still able to find out - what does an ideal nose look like?

The ideal nose should be slightly turned up, so that its angle of rotation should be 106 degrees. This is achieved through exclusively conditional lines "nose-forehead" and "nose-tip-middle of the lower lip".

It is worth noting that such a nose was chosen only after statistical surveys were conducted of more than 4,000 people who were shown various photographs of girls that have completely different nose shapes.

Scientists also noticed that if girls have a nasal turn of less than 90 degrees, then it becomes like a man's.

As for Hollywood celebrities, among the happy owners of a perfect nose, it is worth noting Kate Beckinsale, Kate Middleton, Scarlett Johansson and Jessica Bill. At the same time, Kim Kardashian's nose remains the most popular nose shape among all surgeons.

Indications for the procedure

• Problems with nasal breathing.
• Refined tip.
• Large nostrils.
• Saddle shape.
• Gorbinka.
• Long nose.
• Deformity due to physical trauma.

Rhinoplasty: contraindications

Like any other operation, rhinoplasty has contraindications, among which the following should be noted:

• The first thing worth noting is the fact of the final formation of the facial bone and, accordingly, the nose, upon reaching the age of 18. It follows from this that rhinoplasty of the nose cannot be performed on people who have not reached this age. Despite this, if there is a threat to life or health, exceptions can be made.
• A similar situation is with patients who have exceeded 40 years. Surgeons try to avoid surgery due to the fact that in this case the risk of complications and slow tissue healing increases.
• Pathologies of the cardiovascular nature, arterial hypertension and ischemic disease.
• Diabetes.
• Oncology.
• Pathological processes of the kidneys and liver.
• Poor blood clotting.
• Any inflammatory processes in the place where surgery is planned.

Preparation for rhinoplasty and tests

Rhinoplasty and reviews of this procedure confirm that the operation involves quite a serious preparation, because this is a surgical intervention in the body, which means there is a rather high risk of complications. In order to reduce such risks to zero, it is necessary that the preparation for rhinoplasty takes place according to all standards.
Two weeks before the operation, first of all, the patient must stop taking medications that contain aspirin. This is due to the fact that it thins the blood. It is also necessary to stop taking any drugs that can affect the destabilization of blood pressure in any direction.

Immediately at least 2-3 days before the operation, it is necessary to completely refuse to take vitamins of group E. Also during this period, it is necessary to limit yourself as much as possible from sunbathing and direct sunlight. Talking about alcohol and smoking does not make sense at all, since this is unacceptable not only before the operation, but also in general. When only 6-12 hours remain before the operation, it is better to refrain from eating, applying cosmetics and creams. Also, rhinoplasty will not be done during menstruation.

About all this, not only the surgeon, but also the anesthesiologist will talk with the patient in more detail. The entire list of necessary procedures and analyzes will be provided to the patient during the consultation, but the following are mandatory:

• Blood tests: coagulation, biochemical and general, Rh factor and group.
• Analysis of urine.
• Fluorography.
• Tests for hepatitis, syphilis and HIV.

Next, you will need to sign a large number of papers, among which you sign your consent to the operation, so that the surgeon and assistants have the opportunity to proceed with the correction. Remember that the best rhinoplasty is one that not only has extensive experience in performing such operations, but also has all the necessary permissions. By the way, if the operation is performed for a patient who has not yet turned 18, then the application is made out to his parents, who will have to sign it.

The operation should be carried out in a hospital, but on the basis of a specialized medical institution.

In order for the nose after rhinoplasty to be exactly the way you imagined it, it is necessary to seriously prepare before surgery. Before that, it is certainly necessary to devote a lot of time to the selection of a high-quality, specialized and professional medical institution that not only specializes in plastic surgery, but also in particular in rhinoplasty.

Immediately before the procedure, it is necessary to undergo a full course of medical examinations and consultations with a number of different specialists, among which should be: a surgeon, an internist, an anesthesiologist and an ENT. The surgeon must perform a preoperative examination and assess the appearance and condition of the face based on the anamnesis. Nome modeling will also be done, which will be subsequently executed. Also at this stage, the cost of the operation will be announced on an individual basis.

The last procedure that must be completed before the operation is a visit to a psychologist. This is necessary in order for the psychologist to be able to make sure that the desire to change the shape of the nose is not a momentary whim, but a firm and balanced decision.

Rhinoplasty: anesthesia

The anesthesia that is used during the rhinoplasty procedure is determined solely by the individual characteristics of the operation, the complexity of the procedure and the preferences of the surgeon. At the moment, there are only 3 types of anesthesia: rhinoplasty under local anesthesia, general and local anesthesia with sedation.

During local anesthesia, the nose and the entire area adjacent to it become completely numb. At this time, the patient sees and hears everything, and sometimes even feels some pressure.

The use of local anesthesia with sedation is the most comfortable type of anesthesia, but at the same time it is quite risky.

The most convenient type of anesthesia in which the operation is performed is general anesthesia. This is due to the fact that the patient is completely immobilized, does not experience any sensations and does not have any unpleasant memories about this. Under such anesthesia, almost any type of rhinoplasty is performed, especially the most complex operations.

As for safety for the patient, local anesthesia is certainly the safest, but if its use is not relevant in a particular case, it is naturally necessary to use a general one. During general anesthesia, as well as during sedation, there is a small risk that the patient breathes on his own, and the airways during rhinoplasty will not be protected by anything, so blood can enter them.

The operation itself lasts no more than 3 hours on average. If necessary, after healing, additional surgery can be performed.

Successful rhinoplasty: before and after photos

Just want to note that swelling after rhinoplasty is quite normal. This is due to the fact that the outflow of lymph is disturbed, and the edema itself continues to grow for another 3 consecutive days, and then declines over the next 3 weeks.

As for the swelling of soft tissues, in this case, the duration of this effect can be achieved up to six months, and sometimes up to a year.

Immediately after the operation, the patient must necessarily be transferred to the recovery room, where the (orthopedic) bed should be waiting for him. The first few days, it is best to observe a very strict bed rest, and it is necessary to lie only on the back of the head, this is very important.
Approximately 3 days after the operation, the patient will breathe exclusively through the mouth, due to the fact that the nasal passage will be closed with a tampon. During this period, the patient's lips will actively dry, so the use of hygienic lipstick is recommended.

The first dressing will take place immediately the next day after the operation, after which, in the absence of contraindications, the patient will be transferred to the outpatient clinic, but it is still better to stay in the hospital for at least another couple of days. At this time, courses will be taken that are designed to restore blood and relieve swelling, so that recovery will be even faster.

The nasal tampons will also be removed within 3 days, depending on the type of rhinoplasty.
Attention! Tampons will be removed absolutely painlessly only if, before that, they are impregnated with a special composition created on the basis of an ointment.

After the patient is discharged, it is necessary to adhere to all the recommendations of the attending physician and adhere to a special regimen in order for the healing process to proceed according to plan:

• From your diet, you must completely eliminate solid foods, and remove all physical activity. Be sure to exclude visits to the sauna, solarium, baths and hot baths. If possible, it is best to limit sex.
• Do not eat too salty and spicy foods, and do not take liquid at least 3 hours before bedtime.
• Self-medication is strictly prohibited. The use of any medicines, the use of procedures and preparations is allowed only after agreement with the doctor.
• No smoking.
• The splint for fixation will be removed by the doctor on about 10 days, for each patient individually.
• In the event that the patient decides to wash his hair, then this can be done only after this issue has been agreed with the attending physician.
• The sutures will dissolve on their own, so it is not necessary to remove them on the eve of the nose.
• Throughout the year after the operation was completed, you must be very careful about your skin in the area that was operated on, take care of creams and protect it from direct sunlight.
• A year after the operation, mandatory supervision by the attending physician is necessary.

Rhinoplasty: consequences

In fact, whoever did rhinoplasty knows perfectly well that, as always, there are certain consequences after rhinoplasty, because this is a very complicated operation. In order to facilitate the passage of the rehabilitation period, special gentle techniques are used, but even so, the consequences after rhinoplasty can be quite diverse, both at the early postoperative stage and in the future.

The fact that the healing process is not progressing as well as we would like, there may be various inflammatory processes, nosebleeds, hematomas, changes in the color and thickness of the skin in the nose area. In the most severe cases, adhesions may occur, which will subsequently directly affect the sense of smell.
At the same time, it should be understood that the final result can be seen only after a certain period of time has passed, because an additional operation may be required due to the appearance of callus or scars. You can evaluate the result of the work at least 12 months after rhinoplasty.

Nutrition after surgery

It should be understood that rhinoplasty surgeons will not wish anything bad, so the patient is obliged to unconditionally follow all the doctor's recommendations. The specialist is obliged to provide comprehensive information on how to behave immediately after the operation. This includes not only proper care of the operation area, but also diet. Moreover, any plastic surgery implies a mandatory diet.

In the case of rhinoplasty, on average, the diet should last at least 2 months. It is this period that is necessary for the tissues to recover.

By itself, the principle of such a diet is quite simple, it is necessary to exclude sugar, salt, carbohydrates from your diet to the maximum and monitor the amount of food chemicals and proteins consumed.

It is necessary to take food in small portions about 5-6 times a day. Thanks to this, the body will be able to work as productively as possible, better assimilating all the nutrients without being overloaded. It is best to cook food in a steam or water bath. You can add oil, but in a small amount and only after the food has already been cooked.

It is necessary to exclude from your diet: lamb, fatty dishes, goose, fried, pork, spicy, biscuits, smoked, confectionery, pasta and broths.

What can you eat in the postoperative period?

Only lean meats such as beef, turkey and chicken can be eaten. Also, fish will not harm the rehabilitation period, but only low-fat, you can eat fermented milk products. As for vegetables such as tomatoes, zucchini, radishes and cucumbers, they can be consumed in almost unlimited quantities. You can eat chicken eggs.

As for cereals, then only oatmeal, barley and buckwheat porridge, and only if no more than 200 grams per day.
Since confectionery and sugar are strictly forbidden to be consumed, in order to satisfy your need for sweets, you can try figs, raisins or dried apricots. Among flour products, only croutons and rye bread. As for liquids, it can be consumed in almost unlimited quantities (at least 2 liters), tea and compote are best. The use of soda is strictly prohibited.

In fact, at first glance it may seem that it is extremely difficult to adhere to such a diet and at first it may be so, but as soon as you settle down a little in a promiscuous meal, after a week the body will be able to rebuild itself and not experience any problems about it. . In the end, you won't even want to go back to your past lifestyle.

Rhinoplasty: recovery

Recovery after rhinoplasty includes 4 stages, which need to be discussed in more detail.

The first stage of recovery after rhinoplasty of the nose

As for the first stage, its duration remains at the level of 1 week. At this time, the patient is maximally limited functionally. During this time, the patient will wear a bandage or even a cast. Often, it is this period that is more difficult, since you have to limit yourself in many ways, and even in moving along the street, although in this case a more psychological aspect works, because in fact, with a tire on your nose, not everyone dares to go shopping, and that more so when it comes to women.

All this, along with the discomfort of plaster and tampons, which significantly interfere with normal breathing, lips that are constantly dry and the actual inability to “properly” wash, and as a result, anyone who experiences this feeling will wait for the end of this stage the most.

By the way, due to the fact that the plaster will be applied to the operated area, most likely there will not be so much swelling in this area, but you can notice a uniform slight swelling of almost the entire area of ​​​​the face, but this is an insignificant effect that will disappear in the shortest possible time.

In the case of an osteotomy, slight bruising and bruising in the eye area may occur. Vessels directly in the eye itself can also burst.

The second stage of the recovery period

The second stage ends already within 3 weeks, after all external shells are removed in the form of plaster bandages and splints. The nose is flushed and the clots are subsequently removed if possible. Now the patient literally has the opportunity to get a breath of fresh, even in a sense "new" air. In the event that the patient had bruises, then by the end of this stage they should completely resolve.
Naturally, this stage is not the complete end of the postoperative period. The nose will still be in a state of swelling and may even look a little worse than before the operation.

The third stage of the recovery period

The penultimate stage lasts up to 3 months and this period is marked as recovery. At this time, the swelling either disappears completely, or is almost invisible.

But even this moment is not final, because the nose can still undergo some changes.
This period can be noted as the most difficult from the point of view of the psyche, because the patient already sees noticeable changes, but it is still necessary to wait a bit.

The fourth and final stage of recovery

The last stage can last up to one year. Small changes are still going on, and those things that previously seemed unacceptable can now become quite acceptable. But even if the final result at the end of this period does not satisfy the patient, then it is at this moment, and not before, that it is necessary to think about a second operation.

Thus, it becomes clear that the recovery period after the procedure is quite long and can take a year, and sometimes more, but only after that you can really evaluate the final result.

Prices for rhinoplasty in Moscow

In fact, it is impossible to unequivocally answer the question of how much rhinoplasty costs. Too much depends on the individual characteristics and complexity of the surgical intervention. We can say with confidence that the cost will include not only the operation itself, but also consultations of doctors and tests. The cost of consultations is often not very high compared to the operation and averages about 1,000 rubles. A separate item on the bill will be the anesthesia that was chosen for the intervention, the removal of sutures and even the possibility of staying in the clinic for the period of primary rehabilitation.

But even this is not a complete list, the full list will be discussed by the attending physician directly at the consultation, some auxiliary procedures may be needed.

In any case, before deciding to take this step solely for aesthetic reasons, it is worth weighing everything soberly several times and rethinking this issue, approaching the reasoning as seriously as possible. Like any other surgical intervention in the body, rhinoplasty is a very serious operation and one should not underestimate the possible consequences of choosing the wrong doctor who is not experienced enough or an unprofessional clinic that does not have the necessary staff or equipment.

If you nevertheless decided to carry out such an operation, then you must unquestioningly follow all the instructions of the doctor and no initiative, this is fraught with disastrous consequences. Of course, the operation also has a certain list of its positive aspects, including the achievement of psychological comfort or the need to normalize breathing. You can remove possible imperfections that have appeared as a result of physical damage. You can give the face harmony to the maximum, but in pursuit of the ideal, do not forget that each person is ideal and unique in his own way.

Rhinoplasty photo before and after alignment of the septum