Plastic nose
surgery (Rhinoplasty)
The plastic nose surgery means
the changing the shape of the nose by an operative
way. Not fit into the face harmony, too big, hooked,
wide, oblique or any parts of a disproportionate
nose could be corrected with plastic nose surgery.
In majority of the cases the problem is hereditary,
however it appears only after the age of 16- 18;
seldom is an earlier injury or consequence of
a nasal bone break. The operation usually is done
over the age of 18, however there is no upper
age limit.
Consultation preceding the
operation:
Very important is the thorough
preceding consultation. The surgeon should clearly
know the patient’s demand, conceptions, while
the patient should know what kind of alterations
can be reached on oneself’s nose. Unfortunately,
not all nose form can be attained; the possibilities
are narrowed down by the original anatomy.
In collective designing, the computer modelling
is an assistance. Digital pictures taken of the
patients nose, are than with the help of the computer
prepared, to attainable nose forms, so that the
patient together with the surgeon can choose the
most ideal one.
The essence of nose operations:
The essence of the operations
is to change the nose, its bony, cartilage frame.
Two types of plastic nose surgery:
Complete nose surgery: By chiselling
and crushing of the nose bone, a smaller, narrower
nose back can be formed. It is possible to decrease
the nose cartilage, altering its arc position
to each other, and if required shortening the
soft parts of the nose wings .
Partial plastic nose
surgery: this is not usual, from above
only one or the other is done.
The nose surgery is usually made with an inner
cut through the opening of the nose (closed technique);
hence the operation leaves no scars on the nose
skin. If the nose wings reduction is necessary
too, this can be solved by placing the hardly
visible scars into the nose wing channel.
More often the open technique
is applied, which helps to carry out a more precise
intervention. With the open technique, the skin
between the two nostrils, the so-called columella
a 3-4 mm incision is completed, that will disappear
later without any trace.
Should the patient have respiration problems through
the nose as well, together with plastic nose surgery,
the nasal septum operation can also be done with
similarly good results. The combined operation
has the advantage that the patient doesn’t have
to go through two operations and two recovery
periods.
How does the operation going
on?
Normally, the operation is executed in general
anaesthesia. The necessary preceding laboratory
(blood, urine, ECG) examinations can be performed
in our clinic. The operation takes about 1-3 hours.
Following the operation a tampon is placed into
the nostrils for one day , while a cast is placed
on the back of the nose. The patients spend the
first night in the clinic, but next morning after
taking the tampons out, they can go home. Generally
there is no pain; however breathing is causing
unpleasantness, since the patient can only take
air through the mouth for the first night after
the operation.
Post operational information:
Wearing the cast is normally necessary for one
week. During this time, resting is suggested.
The developed bruises on the eyelids are absorbed
within two weeks. Icing 4 - 6 times daily for
20 - 25 minutes can shorten this. In the first
week, resting should be in half sitting position,
nose blowing, bending, lifting heavy objects,
consuming hot or spicy meals or alcohol are forbidden.
To improve the nose breathing, nose drops or nose
creams can be used. After one week you have to
come for a check-up and also for the cast removal.
The removing of the stitches is normally not necessary,
since the stitches are absorbing themselves. Important:
following the removal of the cast a significant
improvement is experienced compared to before
the operation, however to reach the nose’s final
shape further 2-3 months are required. Sunbathing
and solarium are forbidden for one and a half
months after the operation, the nose should be
saved from every harm. Wearing eyeglasses is upon
the individual responsibility. The next control
takes place in 1,5 - 2 months.
What kind of complications
could arise from the plastic nose surgery?
- Bleeding or inflammation: can occur in 1-2%,
can be overcomed by tighter tampons or the use
of antibiotics.
- Serum mucus through nostrils lasting for
weeks, is very rare
- Nose back or nose peak sensibility decreases
by touching is seldom, recovers itself in a
few months.
- The narrowing of one or both nostrils (only
frequent in per thousand)
- Necroses of cartilage are regular in per
thousand, could deform the nose and newer operations
might be needed.
- Following the operation of one or two months,
disadvantageous alterations are seldom on the
nose (e.g. small shaft obliqueness or beneath
the skin touchable little bump, perhaps change
of the nose peak position). This is the own
reaction of the organism not a complication.
Later a small correction operation might be
needed.
|
