An ugly nose is one of the main reasons why people stress over their imperfect appearance. Perhaps no other part of the face has created so many psychological problems.

Nose problems can be either congenital or acquired as a result of various injuries. It is worth considering that the problems are not limited to aesthetics — an ugly nose often contributes to respiratory impairment.

Rhinoplasty (or nose plastic surgery) is a type of surgical intervention aimed at changing the size and shape of a nose.

Quite often, rhinoplasty is supplemented with an operation of nasal septum correction (septoplasty).

Indications for rhinoplasty

The range of indications for nasal plastic surgery, which can be a reason for a visit to a plastic surgeon, is very wide. It can include both aesthetic and functional factors, which, as a rule, are expressed in the problem of nasal breathing.

If it is planned to carry out aesthetic and functional rhinoplasty, the plastic surgeon must have deep theoretical and practical skills in ENT surgery, otherwise it is fraught with serious complications provoked by the incompetence of the surgeon in solving functional problems:

  • nose length
  • large protruding nostrils
  • hump
  • thickened or pointed nose tip
  • wide nose bridge
  • saddle nose
  • various nose deformities
  • congenital deformities of the bone and cartilage nasal skeleton
  • respiratory malfunction and absence of nasal breathing

Contraindications to rhinoplasty

The reason for the refusal to perform rhinoplasty can be any chronic disease detected during the preoperative examination: diabetes, liver, kidney, gastrointestinal, female genital, cardiovascular system, blood clotting disorders, oncology, active tuberculosis, acute infectious diseases, mental disorders and more.

The contraindications listed above are absolute, in addition to them there are relative contraindications that can be eliminated by prescribing adequate treatment. These include: pustular diseases of the skin of a nose and face, herpetic eruptions, inflammation of the oral mucosa, paranasal sinuses, forehead, atrophic rhinitis, etc.

Preparation for rhinoplasty

Preparation for nose surgery involves a thorough examination of the patient’s health for contraindications that may become an obstacle to surgery. A patient is given a list of tests that he/she will have to take by the agreed date. If the results of the examination did not reveal any medical contraindications, then the plastic surgeon conducts an educational conversation with the patient, during which he/she will give recommendations on how to prepare for the upcoming nose surgery.

Among the restrictions that are usually imposed on the patient during this period are smoking cessation and taking drugs that affect blood coagulability.

Rehabilitation after rhinoplasty

The recovery period after rhinoplasty is painless. Of course, it imposes certain restrictions on the patient, but in general it does not deprive him or her of the opportunity to engage in usual activities, with the exception of active physical activity and thermal procedures, be it a bathhouse, sauna or solarium. Within 1-3 days, some discomfort may be felt, which goes away with the removal of tampons that impede nasal breathing.

The most pronounced postoperative edema subsides in the first 7-10 days, however, residual edema, which is not noticeable to others, subsides over a longer period — as a rule, from 2 to 6 months. It will be possible to assess the results of rhinoplasty no earlier than in six months, since during all this time the shape of the nose can change. The duration of the postoperative period directly depends on the volume of surgery and the individual characteristics of the body.