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How is nasal filing done after surgery?
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How is nasal filing done after surgery?

3 weeks ago
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Dr. Javad Rahmati

Dr. Javad Rahmati

تهران

Plastic and cosmetic surgery specialist

سوهان بینی بعد از جراحی

سوهان بینی بعد از جراحی چگونه انجام می‌شود؟

نقاشان و طراحان پرتره تلاش می‌کنند که تمام عناصر بصری یک نقاشی به‌طور منسجم در کنار هم قرار بگیرند. Plastic surgeons can skillfully do the same with facial features. One of the most important parts of the face that should be paid attention to is the nose. The shape and anatomical position of the nose determine the harmony and overall beauty of the face. Correcting the shape of the nose has a great impact on the beauty and self-confidence of people. Reducing the hump of the nose is one of the most important points in surgery, the skill of performing it greatly affects the final shape of the nose. According to the morphological characteristics, removal of hump of the nose is usually done using an osteom or file. Stay with us in the following article to learn more about how to do nose file after nose surgery.

What is the nose file technique?

Nose scraping or rasping is used for people whose nasal hump has not been completely removed after surgery. Also, people who are interested in removing the hump of their nose can use this method. In this method, with the help of a file or scraper, which is similar to a nail file and made of stainless steel, the remaining hump on the nose is removed.

Is a nose file used for all types of noses?

In short, no. The nose file method is not suitable for noses that have a lot of hump and upturned noses, and nose surgery must be done to remove the extra bone. The file method can only be used for small nose humps.

What are the types of nose file?

There are different shapes of nose pliers that are chosen according to the type of nose. The three types of files used in nose files after surgery are:

With large dentine: This file is used to straighten medium humps.

Needle-shaped: This file is used for large humps.

Smooth surface: This file is used for final smoothing.

How is the nose piercing performed?

The hump of the nose is the most important factor that makes people apply for a nose file. A hump is usually genetic and is more common in certain ethnic groups. In fact, nasal hump can be cartilage, bone or a combination. During nose surgery, extra tissue is removed in different ways depending on its gender. This procedure is performed under anesthesia. According to the surgeon's diagnosis, open or closed surgery may be performed for the nose file; However, rhinoplasty is usually not required for noses that have a slight hump. In the open method, a columellar incision is made, but in the closed method, the nose file operation is performed through an intercartilage incision, and there is no need for any sutures or external incisions. The open and closed method is performed according to the doctor's advice.

A nasal hump is a bump on the bridge of the nose.

As you can see in the picture, the hump is located on top of the nose and is not visible from the front view, but it is clearly visible in the profile of the face.

Steps to perform nose file

MarkingMarking: The first step for nose filing after surgery is to mark the parts that need filing in an open or closed way. If the operation is performed under local anesthesia, an anesthetic ampoule is injected at the marked points. According to the diagnosis, if the surgeon chooses an open procedure, a columellar incision is made. But in the closed method, the file is drawn through a gap in the cartilage of the desired part.

Choosing the right file: What is important in both cases is that you should use the right file according to the amount of nasal hump.

Identifying and marking the raised area is an important step in filing.
Identifying and marking the protruding area is an important step in filing.

Creating a gap in the cartilage: If the technique selected by the doctor is the closed method, the specified area of the nasal cartilage is split so that the nasal file enters the nasal tissue and the part of the nose bridge.

The expert surgeon uses the appropriate file according to the size of the nasal hump and morphological features.
The expert surgeon uses the appropriate file according to the size of the nasal hump and morphological characteristics.

Reaming: At this stage, the specialist doctor performs the hump and protrusion of the nose in a way that does not create a gap in the radix.

Does breathing change after nose filing?

Nose filing is done after surgery, especially in noses that have medium and high humps, this operation prevents the front of the nose from widening. When we make the nose small and narrow, it is possible to reduce the air flow in it. Cosmetic surgeons and otolaryngologists can perform a turbinoplasty procedure that increases nasal airflow and prevents nasal congestion.

How long is the recovery period for nose file surgery?

The recovery period of the nose file operation depends on whether it is open or closed. If the nose file is done through a closed method, the recovery time will be shorter. And within a week, the swelling and bruising of the nose will go away, but it is better to avoid doing sports and heavy activities for a while.

Does hump nose grow back after filing and removal?

The nose file fixes the hump of the nose after surgery and it cannot grow again. After removing the hump of the nose, there will be redness at the site of the swollen nasal bridge, which may make you feel that your nose is enlarged. But after going through the recovery period, the nose shows its original shape.

Does it hurt to shave your nose?

Nose shaving or filing, like other nose surgeries, is done under anesthesia or local anesthesia; Therefore, you will not feel pain during the operation. After the operation, with the recovery period and taking the necessary care, the post-operative pains will decrease, which is very small.

How are the shaved bones removed after filing?

When the nose filing operation is finished, all the parts that were filed are washed with a sterile saline solution to remove any excess bone or cartilage. Although the size of these nymphs is not such that it has a negative effect on the healing process and the appearance of the nose.

Summary

A nose file is a way to fix a hump. Later nose filing is mostly done after surgery to correct operated noses. But if people don't have many nose humps and their noses don't have any other defects, they can use this method for their nose defects. In this method, depending on the discretion of the doctor, open or closed surgery is performed. And according to the type and size of the hump of the nose, a suitable file is used. This technique has a short recovery period and the swelling and bruising of the nose will disappear after a week. You can visit Dr. Javad Rahmati's website for advice and other beauty services. If this article was useful for you, share your opinion with us.

About Dr. Rahmati

Subspecialist in plastic, cosmetic and reconstructive surgery
Associate professor and university faculty
Tehran Medical Sciences
Member of the Iranian Plastic Surgeons Association

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