In practice, the technique of constructive rhinoplasty is often used specifically to make the shape of the nose easier to predict and make it as aesthetically pleasing as possible! Structural rhinoplasty of the nose is performed only openly and guarantees a gorgeous result that will accompany you for the rest of your life!
The nature of facial perception is largely determined by the neatness of the appearance of the nose.
Thus, the optimal length of the back of the nose is the distance that is approximately 1.68 above the very tip. The best proportionality in the size of the nostrils should be no more and no less than 2/3 of a triangle, which can be seen in the proportions.
What is nose tip rhinoplasty?
The operation of rhinoplasty of the tip of the nose is a very difficult and quite popular type of plastic surgery, which is aimed at transforming the shape of the nose and its angle of inclination.
As a rule, it involves raising the tip of the nose or narrowing it, as well as additional correction of the wings of the nose and nostrils.
This procedure is in demand among those who have already had experience in rhinoplasty (unsuccessful), or after serious injuries. She is excellent at achieving facial aesthetics to improve the client's appearance.
Alternative methods
In special cases, when tip correction is extremely necessary, but the patient does not dare to undergo complex surgical intervention, or there are contraindications to its implementation, non-surgical correction may be an alternative solution.
This technique allows you to correct the defect with the help of fillers, which will serve as fillers in the formed or pathological space. This will give the nose the correct outline and shape.
Substances are injected under the skin and can have different structures, which affects the duration of their effectiveness. As a rule, the main active ingredients of fillers are:
- hyaluronic acid;
- collagen;
- synthetic materials.
In particular, non-surgical rhinoplasty involves the use of special threads, which can also change the shape of the tip of the nose.
It is worth noting that you should not expect pronounced results when using this material. The threads can slightly smooth out the shape of the tip and eliminate tubercles and pits.
In the video, watch the process of rhinoplasty of the tip of the nose.
Indications for rhinoplasty of the nose
With the help of correction, the following aesthetic problems can be eliminated:
- Reducing the volume of the “potato nose”.
- Creating a thin and graceful nose tip.
- Elimination of bifurcated cartilage.
- Correction of the consequences of injuries.
- Raising an extremely drooping tip of the nose.
- Drooping of a strongly upturned nose.
Preparation for the patient
Since the operation must be very precise in its execution, it is important to take the choice of a clinic and surgeon extremely seriously. Experienced specialists will be able to prepare their patient at the highest level for the upcoming rhinoplasty surgery.
This includes not only physical preparation, but also moral one. Before deciding whether to undergo rhinoplasty, the surgeon should make sure that the operation will really bring benefits, and the patient will be able to easily go through the rehabilitation period.
There is a rumor that sometimes men and women even need consultations from experienced psychologists to prepare their perception of themselves after surgery.
There are also situations when it is, frankly speaking, dangerous to carry out an operation, and it can result in not the most pleasant consequences. This most often applies to revision rhinoplasty. In such cases, a conscientious specialist will insist on abandoning the venture and avoiding additional risks.
In order to understand all this more deeply, we recommend watching an interview with Vladislav Grigoryants, who will talk about all the nuances in consultation with different types of patients.
Also, in addition to psychological preparation, physical preparation should not be neglected. First, you should examine your body to find out if there are any absolute contraindications to the operation.
Are there factors that may make rhinoplasty impossible?
Contraindications for nasal tip rhinoplasty:
- Diseases associated with the immune system.
- Systemic diseases.
- Inflammatory processes.
- Diabetes mellitus of various degrees.
- Oncological diseases.
- Chronic heart and kidney diseases.
- Lactation.
- Pregnancy.
If no diseases from the list of contraindications were found during the examination, the surgeon uses a computer program to create a three-dimensional model that will demonstrate what the final result of the operation will look like. This will help achieve complete mutual understanding between the patient and the doctor.
It is important one week before surgery:
- Quit alcohol and smoking.
- Stop using medications that contain aspirin or other dirt-thinning ingredients for a while.
The day before surgery:
- Eat only light foods.
On the morning before surgery:
- Don't eat breakfast or drink drinks.
Preparation
The patient must follow a number of preparatory rules and undergo the following tests:
- clinical blood test;
- prothrombin index analysis;
- blood for HIV infection and hepatitis C and B;
- blood biochemistry;
- electrocardiography;
- fluorography;
- tumor marker test;
- radiograph;
- non-destructive layer-by-layer computer examination of the paranasal sinuses.
In addition, the patient must follow the doctor’s recommendations:
- stop drinking alcohol and smoking 7 days before surgery;
- during the preparatory period, do not take antithrombotic drugs and substances that prevent the formation of blood clots in the bloodstream, that is, thin the blood;
- 3-5 hours before rhinoplasty you should not drink or eat;
- A few days before the procedure, refrain from walking during active sun hours.
Anesthesia
Rhinoplasty of the nose is performed under both general and local anesthesia. Everything directly depends on how complex the degree of the operation is.
General anesthesia is possible through multicomponent endotracheal anesthesia or through the administration of intravenous injective fluid with potent sedatives.
FAQ
Before surgery, ask your doctor about any questions you may have.
Any surgical intervention is always a risk, so before rhinoplasty of the tip of the nose, patients have questions. The most common of them are:
- Are there scars and stitches after rhinoplasty? — If the doctor is experienced and qualified, there are no stitches left.
- Is the operation very painful? — rhinoplasty of the tip of the nose is done under general or local anesthesia, so the patient does not feel pain.
- When to have surgery: after or before pregnancy? — The procedure can be performed at any time, but after childbirth you should refrain from rhinoplasty for some time, because breastfeeding is considered a contraindication.
Rhinoplasty of the tip of the nose
The steps in rhinoplasty surgery may vary slightly in each case. The process, as a rule, is carefully thought out, not forgetting to take into account the following factors :
- The purpose of this procedure.
- Initial data (length and width of the nose).
- The degree of cartilage strength.
- Skin thickness.
In some cases, rhinoplasty can be combined with septoplasty, as well as hump removal and nostril straightening/reduction.
There are two simple access methods.
Open access
In this case, the incision is made in the columella area, in the shape of the letter “M”. For the best view, incisions are also made on the nostrils.
Next, the mucous membrane and skin are very carefully separated from the cartilage and all the necessary manipulations are performed.
The advantages of the method are that the doctor can clearly see what exactly he is doing, and it will be easier for him to achieve maximum accuracy. Bruising and swelling after surgery on the tip of the nose are moderate.
The downside is that after the operation there will be a scar that will go away, but not immediately.
Closed access
In this type of operation, an incision is made on the inside of the nostrils. All manipulations are carried out through them.
The advantage is that there are no visible scars.
The downside is that the surgeon has an extremely limited view, and therefore very little ability in terms of correction.
Long drooping tip of the nose - correction
The elongated tip of the nose is most often an innate gift of nature. This shape of the nose is inherited, and the defect is created only from an aesthetic point of view. It is caused by elongation of the cartilage tissue of the nose. Rhinoplasty in this case involves reducing the length, and often also narrowing the tip of the nose.
A long and drooping nose visually ages and makes the face less graceful and attractive. A drooping tip can be corrected with rhinoplasty in much the same way as a long nose. It allows you not only to reduce its length, but also to raise the tip. It is also possible to carry out the procedure from the junction of the tip of the nose and the bridge of the nose. A correction is made in the area of the nasal septum, eliminating the gap between it and the tip of the nose. This also allows the tip of the nose to be raised to an acceptable angle.
If the nose is very drooping, an incision is made in the nose through which part of the muscle tissue is excised. The patient’s own cartilage tissue is placed in the area of the bridge of the nose, which guarantees a minimum of negative effects during restoration and makes it possible to make the nose a little longer, while raising the tip.
Wide nose rhinoplasty
A wide and round nose can appear very massive and make the face look rougher than it actually is.
If we talk about the complexity of the operation, but rhinoplasty to create a narrow nose is the most common of all simple operations. The doctor only needs to bring the domes of the large nasal cartilages closer together. As a result, after rhinoplasty, the patient’s nose becomes more defined and pointed.
When the tip of the nose is very wide, the surgeon begins to use cartilage tissue that was taken from the patient to install grafts between the domes of the lateral cartilages. This operation is more complicated and is suitable only for people with a small nose height.
In order to narrow the round tip of the nose, it is often necessary to trim a certain area of the central cartilage with suturing. Very often this procedure is combined with reducing the width of the backrest. It is done using the open method.
Types of intervention
At first glance, the correction may seem like a simple operation, however, even minor corrections require a lot of experience and professionalism from the surgeon. The scope of manipulation always depends on the problem that the patient wants to eliminate.
Round and wide shape
A nose with a rounded and wide shape visually appears weighty, which gives the face rougher features.
The operation to eliminate this defect is considered one of the simplest surgical interventions. The surgeon closes the distance between the domes of the large nasal cartilages. As a result, contours become clearer and smoother.
To narrow the round tip, the specialist excises a small section of the central cartilage and then sutures it. The operation is performed openly and often in combination with correction of a wide back.
long length
The procedure lasts one and a half hours and is performed under local or general anesthesia.
The specialist performs the following manipulations:
- resection of part of the plate;
- decrease in the height of the lower cartilages;
- lengthening of the elastic cord of the upper lip.
If the length of the frenulum is almost normal, the defect is eliminated by tissue transplantation, which will help correct the lower part of the nose.
Lowered
The drooping tip of the nose is raised in three ways:
- Part of the main osteochondral structure of the organ is excised.
The two truncated ends are then joined and tightly secured with absorbable suture material. A truncated section of cartilage tissue is formed taking into account the initial anatomical features and the effect to be achieved. Such manipulations allow you to slightly lift the tip up. - The second method involves transplanting the patient's cartilage tissue into the center of the septum.
- Using the third method, the surgeon makes an incision on the inner membrane and excises a section of the nasal muscle, followed by suturing it. The result is an elevated appearance.
Forked
Typically, the cartilage tissue at the tip bifurcates after unsuccessful plastic surgery. The severity of the defect increases if the patient has a thin structure of the dermis. In some cases, the defect is formed from birth.
The procedure for correcting a split tip is identical to wide tip rhinoplasty. The course of the operation is aimed at bringing the lateral cartilages closer together and forming a rounded tip. To do this, the surgeon transplants the patient's autologous tissue .
upturned
When the tip is upturned and directed upward, the nose is called snub. This flaw makes the organ visually shorter and completely opens the nostrils.
The tip looks massive and very much resembles a heel. As a rule, the problem arises due to heredity or due to failed plastic surgery.
To lower the organ, the specialist uses tissue transplantation. The graft is installed on the back area. As a result, the tip takes the correct shape.
Rhinoplasty of drooping nasal tip
Often people come to the clinic and seek help to raise the downward tip of the nose, which makes the face look extremely sinister. This aesthetic flaw is also known as a “hooked nose.”
Causes of the problem
There are several different options here:
Genetics and predisposition. It happens that flaws in appearance are inherited.
Changes in age. The older the body gets, the more the connections between the cartilages weaken, and under the force of weight, the tip moves down more and more over time.
Primary rhinoplasty (those cases where serious mistakes were made). A slight drooping of the tip of the nose is a useful consequence of the operation, which disappears within about a year, when the swelling of the deep tissues has healed completely.
We can talk about a delayed complication after rhinoplasty if:
- there was a mistake by the surgeon, who did more excision of the tissues of the nasal structure than should have been done.
- due to the characteristics of the body, the tissues did not heal as they should have during the rehabilitation period.
To eliminate a defect that arose after an unsuccessful rhinoplasty operation, a repeat procedure is needed. It can be done only a year or a year and a half after the initial procedure, since recovery will take 2-2.5 times longer.
The surgeon will have to work with scarred tissue, which means the procedure is more complicated and will cost more.
How to raise the tip of the nose
There are several methods that will help raise the tip of the nose:
Next, the truncated sides are brought together and tightly stitched with threads with an absorbable effect. The location of the truncation is determined based on what shape the tip of the nose was previously and on the basis of what goal should be achieved. Due to truncation, the tip is raised up.
Removal of a small part of the osteochondral base.- When performing an operation, the surgeon uses cartilage graft patient and installs it vdol kolumellae in the center, which makes it possible to slightly raise the tip.
- The surgeon creates an internal incision and removes part of the nasal muscles, and then sutures it . This will cause the tip of the nose to rise.
Cleft nose rhinoplasty
Cartilage bifurcation is most often observed in people who have had unsuccessful surgery. This disadvantage is especially pronounced in people with thin skin. It often happens that the problem is congenital.
The operation to remove a split nasal tip is similar to a narrowing. First, the lateral cartilages are brought together, then a graft made from the patient’s autologous tissue is used to impart roundness.
Upturned nose tip rhinoplasty
If the nose is turned up and directed upward, this directly indicates a snub nose.
This defect visually makes the nose shorter and places emphasis on the nostrils. Despite all its massiveness, the tip of the nose begins to resemble a heel. Reasons for this type of problem may include:
- Genetic predisposition.
- Previous trauma or unsuccessful primary rhinoplasty.
For six months after the operation, you may still have an upturned nose, but this is normal and can be caused by deep edema.
If the problem has not gone away in more than six months, then you can think about a complication that requires full treatment.
Transplants are needed to lower a snub nose. They are usually installed in the area of the bridge of the nose. This will help achieve the desired effect.
Rhinoplasty of the tip of the nose without surgery
One method that allows for correction is contoured rhinoplasty , which does not involve direct surgery.
The main effect will be from the effects of filler injections. The place where the substance needs to be injected, as well as its quantity, is determined based on the problem.
Cosmetologists usually use several different types of fillers :
- biodegradable (non-absorbable),
- autologous (consisting of one’s own adipose tissue);
- biodegradable (resorbable over time).
The most popular type of injections are dermal fillers, which are based on hyaluronic acid. In order to avoid complications, you should entrust the selection of the right product to a responsible specialist. And don’t rely only on the duration of the effect. You also need to take into account what effect on health and the degree of correction this or that remedy will have.
The main advantages are that the recovery is fast, the result is instantaneous, and the effect does not last forever, so in case of failure you will only need to wait a little until the effect of the injection ends.
The downside is that such injections need to be repeated every six months, and there are certain restrictions. With the use of fillers, you can lift, narrow or straighten the tip of your nose. Leveling without surgery is also available.
Recovery after rhinoplasty
The rehabilitation period after surgery, including reduction of the tip of the nose, usually takes from one to three weeks. The first few hours should be spent in a hospital setting. Then a bandage is applied for two to three days. After it is removed, all that remains is to follow a number of rules:
- Do not wear sunglasses.
- Do not stay in direct sunlight for long periods of time.
- Do not abuse water procedures.
- Avoid stress.
- Avoid mechanical impacts on the nose.
The final result will be visible in a couple of months, in some cases – up to six months.
Rehabilitation after rhinoplasty of the tip of the nose
The recovery period is always divided into two main stages:
- Primary rehabilitation
Recovery time: from 1 to 3 weeks
If the operation was performed under general anesthesia, then you should definitely stay in the clinic for the first day after the procedure. In the next three days, turundas will be inserted into your nose, which will maintain the shape of your nose and control swelling. During this time, you will have to sleep on a high pillow only in a horizontal position. After ten days, the cast is removed, and the swelling and bruising after the operation gradually begin to subside.
There is almost no pain during recovery. Often, already on the third day, patients feel much better, especially after removal of splints or turundas.
The sutures are removed approximately 5-7 days, it all depends on regeneration. After rhinoplasty of the tip of the nose, there is a possibility of difficulty breathing and dry mouth (no more than 72 hours). In this case, it is better for patients to use sprays and softening ointments to reduce the degree of discomfort.
- Full recovery
Recovery time: several months
During this period of time, the swelling completely resolves. This rehabilitation period depends on:
- Skin type. Those with relatively thin skin will recover faster, while thick skin will, on the contrary, take longer to heal.
- Age. Tissue regeneration becomes slower in adulthood and old age.
- The extent of the operation performed and method. The more areas were affected, the more difficult the recovery.
- Compliance with doctor's orders and recommendations.
- Type of intervention. After a secondary rhinoplasty operation, the tissue heals twice as slowly.
During rehabilitation it is prohibited:
- Smoking and drinking alcohol.
- Wear sunglasses.
- Go to the sauna, bathhouse.
- Exercise.
- Visit the solarium.
- Sunbathe on the beach.
- Eating food that is too hot/cold.
- Lift weights.
- Injure the nasal area.
Rehabilitation
The recovery period after rhinoplasty is divided into two stages
Primary recovery
The duration of rehabilitation is 20–25 days. If the correction was carried out under general anesthesia, the patient must remain in the hospital for 24 hours.
For three days, cotton or gauze swabs are placed in the cavity to ensure immobility of the new forms and prevent swelling.
During sleep, the patient should sleep on his back and use a high pillow. After 8–10 days, the plaster cast is removed, and the hematomas and swelling gradually disappear.
There is no pain during rehabilitation. Many women report significant relief after removing tampons and splints.
The suture material is removed on days 5–8, depending on the stages of healing. The consequence of the operation is difficulty breathing and dry mouth.
To slightly reduce discomfort, doctors recommend using softening pastes and special solutions with a dispenser. In some cases, antibiotic therapy is prescribed.
Complete rehabilitation
Its duration is 6–8 months. Throughout the recovery time, significant swelling slowly resolves.
The duration of recovery depends on the following features:
- Skin type. With a thin structure of the dermis, healing is significantly accelerated.
- Age category of the patient. Tissue regeneration in adulthood is slow, which increases recovery time.
- Method of access and complexity of rhinoplasty. The large number of tissue injuries sustained during surgery complicates recovery.
- Number of plastic surgeries undergone. Repeated tissue correction doubles the healing time.
- Compliance with appointments and recommendations of a specialist.
During the entire rehabilitation period it is prohibited:
- abuse alcoholic drinks and smoking;
- go to solariums, baths, saunas;
- use glasses for vision and sun protection;
- load the body with physical activity (sports, work, etc.);
- sunbathing;
- take hot food and drink;
- knead, feel, press the nose.
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