Rhinoplasty is rightfully considered one of the most traumatic operations. Fortunately, progress does not stand still, and today it is possible to perform nose correction as safely and carefully as possible, using a special piezo device. The use of this device reduces complications after rhinoplasty to a minimum and allows the most complex operations to be performed without risk to the patient. Let's take a closer look at how the device works and what it is capable of.
Characteristics of the piezo device
Often, rhinoplasty of the nose involves correction of the shape of the organ, in particular its bone structures.
You won’t believe it, but a few decades ago, chisels and hammers were mainly used to correct the shape of the nose. Now it sounds like medieval torture.
In modern medicine, the latest ultrasound equipment has replaced it. The first to use such technologies was the Italian doctor Robioni. A detailed description can be found in his scientific work “Piezosurgery - a new method of osteotomy in rhinoplasty.” Permission to use such equipment in plastic surgery was issued later in 2007 by one of the most stringent regulatory authorities in pharmaceuticals and medicine, the FDA. This management is quite picky about all innovative developments, which emphasizes the importance of the device in medicine. This device consists of:
- control unit;
- navigation systems;
- ultrasonic handpiece, with additional attachments
Removable attachments make it possible to perform a large volume of work with absolute precision, thereby reducing the risk of damage to soft tissues to zero. The plastic surgeon no longer needs to exert any effort during the operation. During correction, the bone structure is cut very easily and extremely safely.
Types of rhinoplasty
One of them is chosen by the doctor after a visual examination of the patient, he will also decide which technique to use for nose correction, and there are two of them: open and closed. In the first case, all actions are performed inside the nostrils, but in the second, the doctor cuts the middle part of the nasal part - the columella, which leaves a small scar, but it is more accurate, since the specialist can control the progress of the operation. With a closed technique, everything depends on the accuracy of the instrument and the experience of the doctor, but after it there is a short rehabilitation period.
As for the types of rhinoplasty, there are several of them; a description of each of them is given to assess the complexity of the procedure and possible consequences.
Piezo
When choosing it, it is assumed that a modern piezo apparatus is used, which is capable of quickly and accurately sharpening and cutting off the bones inside the nose. The operation uses ultrasound with cooling. The frequency of the device is such that it affects only dense tissues without damaging their soft counterparts and vessels, which eliminates bleeding.
Rhinoplasty using a piezo apparatus is shown in this video:
Secondary and primary
After primary rhinoplasty, it is not always possible to achieve the desired results or it may be accompanied by serious complications, in such cases it is impossible to do without a secondary operation. Secondary intervention in the same place will be very difficult.
The outcome may be affected by the psychological state of the patient, as well as the experience of the doctor, but even if both participants are ready for the corrective procedure, it cannot be carried out earlier than six months. But later the person will be able to begin to feel new and breathe freely.
Non-surgical methods
They will not be able to act as a full-fledged alternative to traditional methods of improving the shape of the nose, but with their help they can correct defects. Only 7% of all those who apply for rhinoplasty can change their appearance using the following types of operations.
With the help of fillers
It is used to correct small flaws, such as reducing the tip of the nose, sharp corners, or to restore the symmetry of the nose. The use of fillers is the injection of special preparations that will help make the tip of the nose more rounded and reduce a small hump. After this type of rhinoplasty, recovery is much faster than with other similar procedures.
The achieved results of such an operation are preserved for a long time. Fillers dissolve within a year and a half, during which time fibrous tissue forms in their place.
Using hormonal drugs
The introduction of such agents provokes tissue resorption in the right places where there are irregularities or bulges. The procedure is very popular for eliminating a hump on the nose.
Before the procedure, the surgeon determines which drug to use, where to inject it and how much is needed. The absorbable drug must reach all the right points. The result of the procedure will be visible only after 3 weeks.
Advantages of a piezo device
Most surgeons consider this device a real breakthrough in modern medicine. Let's list the main advantages:
- There is no risk of accidental organ fractures;
- Bleeding during surgery is minimal;
- Makes it possible to work only with cartilage and bone structures, without involving capillaries and tissues;
- Reduced likelihood of severe hematomas and swelling;
- Short rehabilitation period;
- Less chance of scarring;
- Reducing the risk of possible asymmetry due to jewelry precision during correction.
How is Asian nose correction performed?
If you look at it superficially, rhinoplasty of the Asian nose is not much different from a regular correction: it takes place under general anesthesia, the duration of the operation is two and a half to three hours (the time varies depending on the task facing the doctor), the rehabilitation period takes from ten to fourteen days. Patients often ask to combine Asian nose rhinoplasty with Singapore blepharoplasty, which changes the Asian shape of the eyes and makes it more European. This is possible, but not earlier than six months after rhinoplasty - two plastic surgeries cannot be performed at the same time.
Correction of the Asian nose involves reconstruction of the nose; therefore, the operation is always performed in an open manner. The doctor changes the position of the arches of the tip of the nose and lateral crura, lengthens the nasal septum, strengthens the medial crura, narrows and raises the bridge of the nose.
Stages of rhinoplasty:
- First, the patient is prepared for surgery with the help of special medications that should enhance the effect of the anesthetic.
- An anesthesiologist-resuscitator administers general anesthesia.
- The skin in the affected area is treated with antiseptics.
- The folds of the nostrils and columella are cut, the skin is peeled away from the cartilage and soft tissue.
- The medial legs are strengthened, and the lateral legs are moved to a new location.
- The bridge of the nose narrows and rises.
- The tip of the nose is fixed higher.
- The nasal septum lengthens.
- The wounds are stitched up by a doctor.
- Splints are installed in the nasal passages.
- A plaster cast is applied to the operated nose.
The result of the operation is a beautiful European nose, which looks aristocratic and neat on the face.
Piezosurgery technique
Most often, this procedure is performed under general anesthesia. The doctor makes a small incision near the base of the nasal septum, peeling away the skin. At the same time, he has access to bone structures. Depending on the purpose of the operation, the angle of the nose is changed, its shape is modeled, or excess parts of cartilage and bone tissue are cut off. During rhinoplasty, the surgeon controls its progress using a three-dimensional image on the screen, where a picture of the operation is displayed. Traumatization of blood vessels is impossible, due to which bleeding does not occur, which can significantly complicate the operation. This procedure often lasts more than two hours.
The recovery period is also short. After a couple of weeks, swelling and hematomas disappear almost completely. Scars with such correction are insignificant and disappear completely over time.
Is it possible to lift the bridge of the Asian nose without surgery?
Some patients are very afraid of surgical intervention and begin to look for ways to lift the bridge of the nose without surgery. Cosmetology clinics offer a service such as non-surgical rhinoplasty. The essence of the procedure is that the back is raised by introducing special fillers, which visually lift the back of the nose. It is worth understanding that non-surgical correction is not possible in all cases and it may not always give a positive result. In addition, this procedure gives only a temporary effect and after a few weeks, it will have to be repeated. Each case is individual and requires a special approach. But non-surgical rhinoplasty will not give results for a long time.
The future of the device in medicine
Most luminaries of plastic surgery agree that the piezo device has become a real breakthrough in medicine. This technology makes it possible to correct even minor asymmetry and create ideal facial proportions. However, we would like to remind you that this device is designed to work with hard structures of the nose, and, for example, during rhinoplasty of the tip of the nose, you will still have to use a scalpel. Ideally, the best result can be achieved with the right combination of classical surgery and ultrasound. Pesosurgery has relatively recently appeared in medicine, and the number of specialists who practice the device is insignificant. If you want to get the maximum effect from the operation, you should take the time to find a doctor and a clinic with the necessary equipment. Remember that there are only a few good specialists, and you only have one nose!
What is difficult about correcting “Asian” noses?
Since the skin of the Asian nose is thicker, there is a high risk of scarring. For this reason, it is very important to follow a number of rules during surgery. In particular, we are talking about relocating the skin to the lateral sections through the use of special dressings and making incisions inside the dermis in order to naturally reduce the skin. Among other things, due to postoperative swelling, which lasts quite a long time, the doctor prescribes physiotherapeutic procedures - they help speed up recovery.
Three-dimensional modeling, which is carried out during a preliminary consultation in order to plan the result of the correction, also deserves attention. Wanting to persuade the patient to undergo surgery, some doctors embellish the result of the 3D projection. As a result, a person's expectations do not coincide with reality. It should always be remembered that the goal of rhinoplasty is to narrow the dorsum and raise the tip of the nose and reduce the nasolabial angle. The effect of a “doll” nose is unattainable.
There is only one way to protect yourself from such problems - by contacting a highly qualified plastic surgeon who values his reputation.
