Everything you need to know about rhinoplasty
The nose is the central point of the face, and its proportion and symmetry directly affect beauty. Sometimes this part of the face becomes misshapen or excessively large and fleshy due to accidents, trauma and even genetics. This size affects the beauty of the face and can cause a decrease in self-confidence. In this situation, the problem can be solved by nose surgery or rhinoplasty, and the nose can be made into the desired shape.
Nose job is one of the most difficult types of rhinoplasty; Because the main change is done on the tip of the nose, which is a sensitive part. In this part of the nose, there is fat, muscle and cartilage, which is difficult to change and correct due to its softness; On the other hand, the correction of the nasal structure and the thickness of the soft tissue in each patient should be determined according to the conditions; As a result, you should go to an experienced and skilled specialist for nose surgery.
Stay with us in the continuation of this article from Dr. Benyamin Rahmati’s website to get familiar with rhinoplasty, its techniques, preparations before and after care.
Who needs nose job?
First, we need to know what kind of meat nose is called. If the nose has the following characteristics, it is called a fleshy nose:
The presence of open pores in the tip
Thick and oily skin
weak cartilage
wide holes
wide base
Meat noses do not have all these characteristics at the same time; For this reason, they are divided into three categories. The first category is bulbous nose. This nose has thick and oily skin and its holes are wide. The second type of fleshy nose is associated with bone fractures. This type of nose has oily skin and weak cartilage. The third type is a regular wide nose. To correct the form of each of these models, surgeons use special correction techniques and methods.
What techniques are used for rhinoplasty?
The chosen technique to perform the nose job depends on the type of shape you choose and the changes that need to be made on the nose. Rhinoplasty is not only a cosmetic procedure; Because during the operation, in addition to focusing on beauty and ideal form, the surgeon must prevent damage to blood vessels and nerves, maintain the function of the nose, and solve problems such as polyps, nasal septum deviation, and airway problems (if any). slow
If only the tip of the nose and the anatomy of this part need changes, closed rhinoplasty is used, and if the nasal septum and higher parts also need changes, open rhinoplasty is used.
Closed rhinoplasty technique for fleshy nose
In closed rhinoplasty, incisions are made around the nose and inside. In this technique, the middle blade is not cut. The skin of the nose is not separated and the surgeon removes excess cartilage and fat using scissors and a razor. This method is usually used for natural fleshy nose job.
Open rhinoplasty technique for fleshy nose
In this technique, the septum of the nose is cut and the skin of the nose is lifted. The skin of the nose is held up with a special tool so that corrections such as bone size reduction and cartilage cutting can be performed. This technique is used for a fleshy nose that has other problems such as the size of the nasal septum, crookedness and deviation of the wall.
Does the nose return to its fleshy state after the operation?
This is the question that arises in the minds of all people who think about nose surgery. In the past, due to the lack of additional techniques in meaty nose surgery, there was a possibility of returning to the previous form; But in recent years, with the help of various tools and techniques, this possibility has been greatly reduced. One of the auxiliary techniques in the operation of this series of noses is defatting, which is only suitable for people whose nose skin is between 3 and 5 mm thick. In another technique, due to the weakness of the nasal bone and the possibility of the tip of the nose tilting downward, a piece of supporting cartilage is used to fix the nasal septum and prevent it from moving. This cartilage is separated from the nose or a part of the ear and is placed at the tip. In fact, it must be said that if your surgeon is skilled and experienced and chooses the right technique to correct the shape of your nose, the probability of the nose returning to its fleshy form is zero. .
What preparations are needed to perform nose job?
Using a CT scan, the anatomy of the nose is accurately evaluated. This evaluation will help your surgeon to suggest the right surgical techniques and nose shape.
In addition to the above preparations, in order to perform the surgery in the best way and reduce its side effects, the following are also recommended:
- If you smoke cigarettes or hookah, quit before the procedure. Smoking and hookah are prohibited after surgery, and dependence on them may bother you.
- Before undergoing rhinoplasty, tell your surgeon and anesthesiologist about all medications, supplements, and even herbal remedies you are taking. Taking some medicines, supplements and herbs may aggravate the bleeding and side effects of the procedure.
- If your surgeon deems it necessary to consult a psychiatrist; Be sure to seek advice.
How is nose job performed?
After choosing the technique, we have to go to the steps of surgery. Rhinoplasty usually takes two hours and you will need to rest overnight in the hospital. This surgery includes the following steps:
anesthesia
General or local anesthesia can be used for closed rhinoplasty. In both procedures, special drugs are injected to numb the nasal area and minimize bleeding. The injection of these drugs starts from the base of the nose and continues upwards. After the injection, the face is covered with a special gown.
Make an incision to start the surgery
At this stage, the surgeon makes special incisions around the nose to cause minimal damage to the nerves and vessels. In closed rhinoplasty, the skin on the nasal septum is usually not cut; But in the open type, it is completely separated for the skin of the nose.
Corrections of the shape of the nose
After making the incision, it is time to correct the shape of the nose. The main modification is changing the size of the tip of the nose. For this, the surgeon may remove part of the cartilage and fats of the nose to correct the symmetry and morphology of this part. With the advancement of science, rhinoplasty is performed using less invasive techniques. Cartilage shaping and graft placement methods have made the meat nose operation irreversible.
Corrections of the shape of the nose
In onion nose surgery, the size of the nostrils is reduced to correct its shape. If the nasal septum and its bone also need to be corrected (broken nasal blade or choice of fantasy nose and semi-fantasy nose), the surgeon must reduce it or change its shape. Nasal septum correction is done using file, osteotome or ultrasonic device. The surgeon chooses one of these methods according to the patient’s condition.
If the nose problem is cartilage enlargement, the surgeon must remove the excess amount using scissors or a scalpel. Removing excess cartilage is a very sensitive step; Because removing excess amount can cause deformity of the nose.
Correcting internal nasal valve disorder, reducing or increasing the length of the tip of the nose, correcting the rotation of the tip of the nose, changes in the angles of the nasal dome, and narrowing the width of the nose with interdomal suture are some of the other things that may be done during rhinoplasty.
In some situations, the nasal septum needs to be strengthened to produce better results. There are different techniques to strengthen the nasal septum. The use of artificial implants and homologous tissue or cartilage are the most common techniques. Deviation of the middle cartilage of the nose is one of the problems that is usually associated with a fleshy nose. To correct this problem, the surgeon must cut this cartilage and correct its shape.
Suturing and dressing
After making all the necessary corrections, it is time to sew. After making all the necessary corrections, it is time to sew. To maintain the shape of the nose, splints are placed on both sides and fixed with medical plaster. These casts and splints are removed by the surgeon about seven days after the operation
What are the side effects of nose job?
Each surgery, in turn, has different side effects. Pain, dizziness, burning nose, swelling and bruises under the eyes are some of the most important side effects of this operation. Nasal stickiness, airway blockage and not achieving the desired results are other side effects of the nose job. Choosing a specialist surgeon and following the post-operative care program can largely prevent these complications. The following problems may rarely occur for people who have undergone rhinoplasty:
infection
To prevent this complication, it is recommended to start taking antibiotics before and after the operation. Despite the new drugs, the probability of infection is very low.
Septal hematoma
It is a sensitive mass that develops after surgery in the nasal septum area. This complication is rare. For treatment, the mass should be removed and antibiotics should be taken
Postoperative bleeding
Bleeding is one of the common side effects after rhinoplasty. This bleeding is usually mild and controlled with medication
Damage to tear ducts
This problem is usually caused by post-operative swelling, which subsides after a few weeks.
How to take care of operated nose?
Care after nose job has a great effect on getting the desired results. In rhinoplasty surgery, the surgeon may prescribe corticosteroid injections into the nose for better results, which you must do according to the doctor’s instructions.
Surgeons usually advise patients to:
- Do not lift heavy objects
- Avoid strong sunlight
- Abstain from exercise for eight weeks
- Having a healthy diet
- Timely use of prescribed medications
- Driving ban for up to two weeks
- Prohibition of travel by plane and train
- Refraining from washing the face until there is a splint on the nose
- Not wearing makeup
- Using a cold compress three times a day to reduce swelling
Those who cannot do nose job
People with body dysmorphic disorder
There is a type of psychiatric disorder in which a person is very unhappy with their appearance and they think that they have a major disorder. This makes her very depressed and thinks about suicide. Cosmetic operations do not help these people, and even the results of the operation may cause them more dissatisfaction.
Obstructive sleep apnea
Obstructive sleep apnea does not mean a complete prohibition to perform nose surgery; But the existence of this problem increases the possibility of side effects of the operation and maintenance in the intensive care unit after the operation. If you have sleep apnea, talk to your surgeon about side effects and post-operative issues.
Cocaine use
The use of inhaled cocaine causes severe vasoconstriction and inflammation of the nasal mucosa. People who use cocaine are more prone to drooping of the tip of the nose and inflammation of the mucous membrane of the nasal septum after the operation; So, it is better to refrain from doing the operation than to quit completely.
Coagulation disorders
Coagulation disorders can increase the side effects of the procedure. If you have blood clotting problems, hemophilia, or excessive bleeding or bruising, you should discuss this with your doctor.
Keloid patients
Keloid is a rare disease in which the body's immune system overreacts to wounds and injuries. In these patients, the possibility of scarring and excess flesh is very high; For this reason, they should avoid nose surgery
Points to consider when choosing a surgeon
Choosing a skilled and expert surgeon has a great impact on getting the desired result from the fleshy nose rhinoplasty operation. Choosing the right operation technique and corrective methods will result in a nose with the desired shape. If your chosen specialist does not have enough ability, not only you will not be satisfied with the result of the operation; Rather, you may suffer from various side effects. Dr. Benyamin Rahmati, an otolaryngologist and surgeon, with the help of an experienced team in the field of cosmetic surgery, especially nose surgery, and having enough experience and knowledge, can perform a fleshy nose to your desired shape. Dr. Rahmati has a long history in the field of nose and face cosmetic surgery and has published authoritative articles in this field in American, British and Swiss medical journals.
Rhinoplasty is one of the most difficult and complicated types of nose surgery. The focus of this surgery is on the tip of the nose. Changing the form and correcting this part requires experience and skill due to the presence of soft tissue in it; For this reason, you should visit a specialist nose surgeon for rhinoplasty.
