اگر چه بسیاری از افراد رینوپلاستی ( Rhinoplasty )

را به عنوان جراحی بینی ترمیمی می شناسند، اما از این روش برای درمان بسیاری از مشکلات تنفسی نیز استفاده می شود. Problems that may be caused by trauma or congenital.

Respiratory problems disrupt daily activities such as exercise and sleep; Therefore, it is very important to pay attention to such problems and treat them.

People who choose rhinoplasty in order to correct their appearance defects and improve the shape of their nose, must be physically healthy and have a real insight into this operation.

Specialist doctors take into account the structure and appearance of the face as well as the type of skin of the patient's nose, they correct the nose. The principle of rhinoplasty depends on the science and art of the surgeon.

By combining these two, very effective and lasting results are obtained. In the following, we will review rhinoplasty and answer all the questions you may have.

Patient experience of Dr. Javad Rahmati's rhinoplasty operation

What is rhinoplasty surgery?

As we mentioned earlier, rhinoplasty is one of the types of plastic surgery that changes the shape and size of the nose depending on the patient's needs.

Some people also choose this surgery in order to solve breathing problems and improve nasal function. Specialists in plastic and reconstructive surgery perform this surgery.

Who needs rhinoplasty surgery?

• People may undergo rhinoplasty surgery for the following reasons:
• Fixing congenital defects using rhinoplasty
• Improving the shape of the nose and the overall appearance of the person's face
• removal of blockage of the nasal passages that may be caused by damage to the nasal bone (nasal septum deviation)
• Nose fracture repair
• Improving and restoring the respiratory function of people who may have problems after cancer treatment, burns or traumatic injuries

Rhinoplasty changes the shape and appearance of the nose. This surgical method can:

• Repair a nose that is turned up or down
• Correct large, uneven or upward nose holes
• Change the shape of the tip of the nose
• Fix the depressions or bumps on its surface
• make the nose bigger or smaller in order to create an overall balance between the parts of the face
• correct the blocked nose and improve the respiratory tract

Types of rhinoplasty surgery

There are three types of rhinoplasty surgery in the world;

cosmetic rhinoplasty:

Which corrects the facial defects of the person's nose and improves the overall appearance by maintaining the balance between the parts of the face.

Functional rhinoplasty:

As the name suggests, it is related to the health and function of a person's nose. This type of surgery, by improving the shape and function of the nose, resolves respiratory injuries caused by various diseases. It also corrects people's congenital defects and deviation of the nasal septum.

Injection rhinoplasty (non-surgical):

In this type of rhinoplasty, using injectable fillers and Botox, the nasal cavity is filled in a non-permanent and temporary manner. It is also possible to correct the drooping tip of the nose or small protrusions with this method.

Rhinoplasty surgery procedures

Rhinoplasty is performed according to the patient's needs and the type of treatment, in three ways: open, closed and alarplasty.

open rhinoplasty

In open rhinoplasty, the specialist surgeon has full access to all parts of the nose with the incisions he makes.

Therefore, it has more freedom of action and can easily make the necessary changes on the patient's nose. This type of operation has more fans among doctors and clients and is very common.

In open surgery, the doctor is able to operate on all kinds of fleshy, crooked and deviated noses. If you also have such problems, your doctor will probably also use this method for surgery.

closed rhinoplasty

This method is a suitable option for people who want minor changes in the appearance of their nose. Because in this method, the surgeon performs the operation only through the nostrils.

Of course, sometimes a small incision may be made in the lower part of the nose. This type of surgery is very suitable for people who cannot tolerate the appearance of stitches even for a short period of time.

After the closed surgery, you will experience the least amount of swelling and pain compared to the open type.

Alarplasty

Alaroplasty is one of the new rhinoplasty methods. In this method, the surgeon makes changes in the nasal cavity to make it more delicate.

Also, by shortening or lengthening the cartilages of the tip of the nose, the base of the alar can be shortened or lengthened.

Which people are suitable for rhinoplasty?

• People who are 18 years old are fully grown and physically healthy.
• People who don't smoke.
• They understand the limitations of rhinoplasty and have realistic expectations from this operation (rhinoplasty is a method to improve the appearance of the nose and cannot result in a perfect and flawless appearance).
• People who choose rhinoplasty for their personal reasons; Not for the words and opinions of others.

How to prepare for rhinoplasty surgery?

First you need to meet the specialist surgeon you have chosen. This consultation session is an opportunity to discuss your questions and needs with the specialist doctor. Then talk about the result you want to achieve so that the doctor knows your expectations.

The surgeon will then review your medical history. You need to inform your doctor if you have any illness or medication. If you have hemophilia (a disorder that causes excessive bleeding), the surgeon will probably avoid any surgery.

The surgeon will then perform a physical examination. In this way, he will carefully examine the skin inside and outside of your nose to learn more about the type of necessary changes. He may also prescribe you blood tests or other medical tests.

You can bring photos of your favorite nose type so that the surgeon knows your taste.

In the counseling session:

The surgeon will also check if any other surgery is needed during the rhinoplasty. For example, some people also perform chin augmentation during rhinoplasty.

During the consultation session, photos of your nose will be taken from different angles. These photos are used to evaluate the final result of the surgery and also during the surgery.

It is necessary to avoid the use of pain relievers containing ibuprofen or aspirin two weeks before and two weeks after the operation. Because these drugs slow down the blood coagulation process and increase severe bleeding.

People who are smokers will find it difficult to undergo nose surgery. Because nicotine causes the blood vessels to constrict, and thus less oxygen and blood reach the target area. Quitting smoking before rhinoplasty helps the patient's recovery.

How is rhinoplasty performed?

Depending on the type of operation, the surgeon will use local anesthesia or general anesthesia. If you receive local anesthesia, only your nose will be numb and you will be awake during the treatment. You may receive this medicine by injection and continuously during the operation. This type of local anesthesia is used in injection rhinoplasty.

With general anesthesia, you will receive the anesthetic by inhalation or by intravenous injection. With this type of anesthesia, you will be completely unconscious during the procedure. This type of anesthesia is used for cosmetic and therapeutic rhinoplasty.

During the operation, the specialist surgeon must first make an incision, depending on the type of operation. This incision may be made inside the nostrils (closed rhinoplasty) or on the nose (open rhinoplasty). Then he raises the skin covering the nasal bone.

Repairs bones and cartilage using special tools. This operation may create a new and beautiful appearance by adding cartilage, reshaping or reducing the shape of the nasal bone, or correcting a deviated blade. Then the skin on the surface of the nose is fixed in place with small dissolvable stitches.

What should we expect after rhinoplasty?

After the surgery, the specialist will prescribe painkillers so that you don't feel pain and discomfort. After rhinoplasty, the doctor will place a small plastic splint on it to reduce swelling and maintain the new shape of your nose.

The time required to use the splint is 5 to 10 days.

They also put cotton gauze inside the nose, which you can remove 24 to 48 hours later. They may have bruises and swelling around the nose and under the eyes for a few weeks. Also, up to a year, slight swelling of the face, especially in the morning after sleep, is completely normal.

Side effects after rhinoplasty

After performing nose surgery, you may experience the following:

• Your nose is blocked. So that you have to breathe through your mouth for a week or more.
• Stiff and numb nose
• Feeling pain, swelling and bruising around the eyes and cheeks that may last up to three weeks.
• In the first few days, you may experience slight nosebleeds.

What are the possible risks or complications of rhinoplasty?

In all surgeries, there is a possibility of errors and complications, and rhinoplasty is not free from this and may bring risks or complications. Some of these complications include:

- Presence of a hole in the nasal septum (ruptured nasal septum)

- Surgical site infection

- Bleeding nose

- poor healing of the wound and remaining scar

- Changing the color of the skin of the nose

– inappropriate appearance

In general, all surgeries may carry the following risks:

- Bleeding more than usual and uncontrollable

- blood clots in the veins

- Surgical site infection

- Allergic reaction to anesthetic

The specialist surgeon must explain all these cases and how to treat each one to the patient before performing the surgery.

How to recover faster after surgery?

When can you return to your normal activities and life?

Depending on the type of nose surgery, your doctor may ask you to avoid the following activities for a while:

- running and intense and heavy physical activities

– swimming

– finning

– Excessive chewing

- Chewing hard foods

- Laughing, smiling and other facial expressions that require a lot of facial movement

- Pulling clothing over the face while wearing it

- Using prescription glasses or sunglasses

- Strong brushing

- Bathing with hot water and soaking the splint

– Touching the splint until the doctor removes it

- Being in smoky and dusty places

When will the results of rhinoplasty appear?

One week after rhinoplasty surgery and after the specialist doctor removes the splint from your nose, you will notice changes in the appearance of your nose.

It may take up to a year for your nasal swelling to go away and for your nose to completely reach its final new shape. For this reason, avoid premature judgment because the swelling of the face and nose during this period is normal.

Most patients who undergo functional rhinoplasty surgery to correct their nasal deviation or other breathing problems recover within six weeks.

About 15% of these patients may need secondary surgery to make minor changes.

When should we contact our doctor?

You may have problems after rhinoplasty. If any of the following occurs, contact your surgeon immediately and discuss your problem with him.

- Difficulty in breathing.

- Having nausea or vomiting.

- Symptoms of infection such as fever or seeing yellow secretions.

- Severe pain with abnormal swelling.

- Continuous and uncontrollable nosebleeds.

Finally, we suggest that if you decide to change the appearance of your nose, visit Dr. Javad Rahmati, cosmetic surgery specialist. After the consultation session, make the final decision about whether you are a suitable candidate for rhinoplasty surgery or not.

Rhinoplasty can significantly improve the appearance of your nose and face. But you should have realistic expectations of the results of this surgery.

If your nose is broken or you suffer from breathing problems, functional rhinoplasty can be the best option for you. It usually takes six months to a year to achieve the final and real results of the surgery.

Rhinoplasty surgery is a big and serious decision. Therefore, go to a face-to-face consultation with an expert and share your concerns with him. After getting information about the possible consequences and risks, make a decision.