(RU)
Home  •  Services  •  Nose reconstruction (rhinoseptoplasty)
Plastics of nose

Nose reconstruction (rhinoseptoplasty)

Rhinoseptoplasty is an operative intervention which purpose is to change the shape of the external nose with the simultaneous restoration of the septum of the nose in the normal anatomical position.

The nose is a functional element occupying a central position on the person’s face, performing the vital function of breathing, and also plays an important aesthetic role.

Nose damages entail not only the deformation of the external nose, but also the displacement of the anatomical structures of the inner nose. As a consequence of these disorders, nasal breathing becomes difficult, and sometimes it becomes completely impossible through one or two nostrils.

Inadequate ventilation of the nasal passages causes chronic colds, rhinitis, snoring, and various diseases of the hearing.

With the purpose of simultaneous restoration of external and internal structures of the nose, the surgical operation called rhinoseptoplasty (reconstruction of the nose) is performed.

DURATION OF OPERATION:  60-120 minutes
REHABILITATION PERIOD AFTER RHINOSEPTOPLASTY:  2-3 weeks

INDICATIONS TO RHINOSEPTOPLASTY

  • Disrupting the proportion of the face nose (large, long, wide nose).
  • Aquiline nose.
  • Lateral curvature of the nose.
  • Wrong nose tip shape.
  • Saddle-shaped nose.
  • Unaesthetic shape of the wings of the nose and nostrils.
  • Snub nose.
  • Difficult nasal breathing, snoring.
  • Various acquired deformities of the nose.
  • Difficult nasal breathing due to congenital curvature of the nasal septum.
  • Acquired nasal curvature due to trauma.
  • Pathological formations in the nose that cause curvature of the septum.
  • Diseases of the osteochondral system.

OPEN RHINOSEPTOPLASTY

When carrying out an open rhinoseptoplasty, the incisions are performed on the column of the nose and continue in its cavity. The skin is separated from the cartilage and bones of the nose, all stages of the operation are carried out under external supervision. After the operation, sutures are applied to all incisions, which are removed after a week. Internal sutures are made of self-absorbable material and do not require further removal. Special tampons are placed in the cavity, and a plaster bandage is applied to the back of the nose.

Advantages of the method: plastic surgery is performed under external supervision, due to which it is possible to perform complex reconstructions of the nose.

Disadvantage of method: external incisions (scars become invisible over time).

CLOSED RHINOSEPTOPLASTY

When carrying out closed rhinoseptoplasty, incisions are performed in the nasal cavity. All stages of rhinoplasty are performed without external observation. After the operation, a plaster bandage is applied on the back of the nose, special tampons are placed in the nasal passages, through which uncontrolled nasal breathing is carried out.

Advantages of the method: minimal injuries, absence of external scars.

Disadvantage of method: due to difficult view of the nasal cavity, there is no possibility of complex reconstruction of the external nose.

PRELIMINARY CONSULTING

At the meeting, we will discuss your medical history, especially as regards previous injuries (damages), allergic reactions and previous plastic surgeries, if any.

We will consider in detail all the problems that you are experiencing, which, you think, are undesirable and must be corrected.

After examining nose, we will discuss in detail your wishes and on how much, in our opinion, the operation will meet them.

Also you will be informed about all the details of the upcoming nose reconstruction, its duration, rehabilitation period and possible complications.

PREPARATION FOR OPERATION

  • When preparing for rhinoseptoplasty, medical examination is mandatory to determine possible contraindications to the operation. And preoperative photographs are also taken. Before the operation, we will thoroughly analyze these images, and we will use them together with the data obtained after the examination to compile an individual operation plan.
  • Also before this operation it is necessary to perform a CT scan (computer tomogram) of the bones of the nose and paranasal sinuses in order to identify the level and scale of the existing problem.
  • 3D modeling of the shape of the external nose is performed. As a result, the patient can see the changes in the shape and volume of the external nose even before the surgery with a 99.9% effectiveness.
  • 14 days before the surgery, you should stop taking aspirin and aspirin-containing medications because they affect normal blood clotting. If you are in doubt about any preparation, carefully read the instructions on the label or consult our clinic. Tell us about all the drugs that you will take before surgery.
  • Also, two weeks before the surgery, it is necessary to give up cigarettes or minimize their number, since nicotine leads to the reduction of blood vessels and can worsen blood circulation in tissues during and after the surgery.
  • 7 days before the operation, it is necessary to exclude from the diet spicy and fatty dishes, as well as to stop drinking alcohol.
  • Do not eat or drink 8 hours before the surgery. For safe anesthesia, your stomach should be completely empty before surgery.
  • Before the operation, perform a thorough sanitation of the nose. If necessary, our nurse will help you to perform sanitation.
  • On the day of the surgery, wear comfortable, loose clothes that will not need to be removed through the head.

POST-OPERATIONAL PERIOD

  • After discharge from the clinic, you will receive recommendations on the use of painkillers and antibiotics. Strictly follow their instructions.
  • The first 2-3 days the patients should sleep with a slightly raised head. Elevated head position minimizes postoperative edema and discomfort.
  • You will come to bandaging and to a surgeon examination with the frequency that will be prescribed by your attending physician, taking into account the specific course of the postoperative period.
  • On the 6-7th day, silicone splints (tubules) from the nose are removed.
  • Within 2 weeks you should give up cigarettes, nicotine worsens blood circulation in tissues and as a result increases the rehabilitation period.
  • Do not exercise for 2 weeks after the operation, which requires a lot of physical activity. In order to minimize the chance of the postoperative complication, avoid such actions as low slopes or lifting of weights, and also the position when the head is below the body level.
  • After the plastic of nasal septum, it is not recommended to fly for 2 weeks on airplanes, and 4 weeks – to go in for sports, to visit sauna or swimming pool.
  • You should not wear glasses for at least three weeks after the surgery. The slightest exhalation or pressure of the rim is transmitted to the nasal areas and can lead to the displacement of the nasal bones.
  • Edema and irritation pass away after 6-8 weeks.
  • Be sure to let us know if after the discharge from hospital discomfort or bleeding increases, also if you shiver and have the temperature above 38 degrees Celsius.
  • During the rehabilitation period, food rich in vitamins and microelements should be included into the diet.

RISKS AND POSSIBLE COMPLICATIONS AFTER RHINOSEPTOPLASTY

  • The patient’s postoperative condition is very rarely accompanied by excessive bleeding. If this situation occurs, we will resort to additional nose bandages, examination and observation.
  • Infection is one of the possible complications after any operation, but it rarely occurs after surgery on the nose. If there is severe infection of the specific area, an additional operation may be needed to properly drain it.
  • Unintentional sudden exhalation through the nose or careless handling can lead to the shift in the nasal structure and loss of the desired shape and symmetry of the nose. If such deviations are detected in time, they are successfully eliminated without additional surgery.
  • Since the nasal septum serves as a support for the nasal tripod, we should balance the correction of the unnatural position and the preservation of the supporting function. Therefore, sometimes the correction may be incomplete, and the operated defects will not be eliminated.
  • Rarely due to incomplete healing, perforations or “holes” are formed in the nasal septum. These complications are very rare and can be easily eliminated during the reoperation.
  • There are no frequent cases when a small organ on the septum, responsible for the odor, associated with sexual attraction, is damaged in consequence of rhinoseptoplasty.

All of the above-mentioned complications after rhinoseptoplasty are exceptions that arise periodically despite the leading standards in surgical practice. We have outlined them for the purpose of informing you properly and in no way intimidating.

Reviews

(RU) Марк (Риносептопластика)

(RU) 12.12.2012

Sorry, this entry is only available in Russian.

(RU) Ника (Риносептопластика)

(RU) 18.04.2010

Sorry, this entry is only available in Russian.

(RU) Рита (Риносептопластика)

(RU) 24.06.2017

Sorry, this entry is only available in Russian.

(RU) Яна (Риносептопластика)

(RU) 01.07.2014

Sorry, this entry is only available in Russian.

Do you want to schedule
The first consultation