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The Best Rhinoplasty

The Best Rhinoplasty

The Best Rhinoplasty

Your goal in performing "nose surgery" is to achieve a beautiful face that is different from the previous face.

 

Your goal in performing "nose surgery" is to achieve a beautiful face that is different from the previous face. No one likes not to get what they want after having rhinoplasty and incurring post-operative costs and care.

 

Criteria for good and successful rhinoplasty

People who go for rhinoplasty go under the razor with the thought of becoming more beautiful and a clear change in their face, and if the result is the opposite, they will not be in a good mood. Rhinoplasty in Iran is associated with a growing number of statistics and this has made Iranian cosmetic surgeons among the best in the world to prove this point. , Also prove their abilities in rhinoplasty of foreign people.

On the other hand, the nose is one of the most important organs of the body, whose function plays a vital role for humans, and the slightest disorder for this organ can cause problems, so to achieve beauty, we should not ignore health. Ensure your health to a specialist doctor and then achieve beauty.

 

Everything about rhinoplasty

Sometimes, in addition to physical problems, there is an internal disorder such as polyps, deviation of the nasal septum, and enlargement of the nasal tentacles, and in addition to solving the problem, one can also think of beauty, but again, referring to an otolaryngologist is confirmed. So far, we have come to believe that to achieve a good result in rhinoplasty, we must refer to a specialist plastic surgeon. In the following, we will discuss the do's and don'ts that must be observed before and after nose plastic surgery.

 

Types of open and closed nose plastic surgery:

You should know that rhinoplasty is performed in both open and closed rhinoplasty. The open method is a method in which we make a thin incision between the nostrils, in which case the skin is easily lifted from the nose, but in the closed method, incisions are made from inside the nose. However, in both methods, the skin separates from the nasal skeleton because it is necessary to access the nasal skeleton. Each of the open and closed nose surgeries has advantages that we mention.

 

Advantages of open nose surgery:

In open surgery, the doctor is better able to make the necessary changes, while in closed surgery this is not easily possible. In open surgery, the ability to operate on difficult noses makes it easier to place cartilage and bone grafts or prostheses.

 

Open and closed rhinoplasty

The advantage of the closed nasal procedure

Does not have skin incisions in the columella area.

The operation time is shorter.

Postoperative swelling is less.

 

For which noses are closed nose surgery recommended and for which is open surgery:

In principle, the closed method is preferred if the nasal defects are mild and limited to bony/cartilaginous protrusions and the head of the nose requires limited action, but in reconstructive surgeries, which are mostly performed a second time, traumatic deformities due to trauma. , Nasal defects and asymmetries, congenital nasal defects (nose/labia) open method is preferred. In fleshy nose surgery, the open method will be more appropriate because it often needs to be strengthened and rebuilt to form the existing weak cartilage.

جراحی پلاستیک بینی

Types of rhinoplasty:

What is effective in a rhinoplasty?

The quality of the nasal skin is one of the main factors determining the final result of nasal surgery. Following the tips after rhinoplasty is not ineffective in achieving the desired result, but the main factor of plastic surgery (rhinoplasty) is the skill and experience of the surgeon.

جراحی بینی

Important knowledge for good rhinoplasty

Is rhinoplasty (anesthesia) better with local anesthesia or general anesthesia? 

Of course, the doctor's opinion is the first word in examining the person's condition, but in general, if all the necessary standards are met, complete anesthesia is better than local anesthesia.

Important points before rhinoplasty:

Your physical condition must be ready for this cosmetic procedure, so provide and maintain these conditions by observing the following points:

  • Smoking and hookah are prohibited from two weeks before surgery

  • Aspirin and similar medications, such as ibuprofen, should not be taken for at least two weeks before surgery because they increase the tendency to bleed.

  • If you have a cold, postpone the nose job.

  • Take herbal or chemical medicine in consultation with your doctor.

  • As with most surgeries, do not eat for 8 hours before surgery.

The importance of a balanced weight should not be overlooked, patients who are about to undergo elective surgery and are pre-scheduled should definitely not have a weight problem. This means that people with malnutrition, both primary and secondary, must reach their normal weight before surgery, and on the other hand, obese or very obese people, i.e. people with a body mass index above 40 to 45 and so-called "beyond" "Fat" is said to be inoperable because of the high risk of anesthesia. These people need to lose weight to prepare for surgery later. This will reduce the risk of action.

جراحی بینی

 

Rhinoplasty before and after surgery photos 

Important points and care after rhinoplasty:

During the first days after the operation, any blow to the nose should be avoided. For example, when sleeping, you should sleep in a supine position.

It is necessary to use a special ice pack on the eyes that is given to the person after the nose surgery up to 24 hours after the surgery to reduce the swelling.

Nose discharge with pressure up to 2 to 3 weeks after surgery should never be done.

During the few weeks after the operation, the inside of the nose can be rinsed several times a day with saline solution to improve breathing.

In the first weeks after surgery, it is necessary to avoid sun exposure.

As far as possible, it is best not to wear glasses, especially heavy sunglasses, for a few weeks after surgery.

Avoid strenuous exercise for two to three weeks after surgery.

It is forbidden to eat foods that cause skin allergies and itching. It is also not recommended to eat foods that require prolonged chewing until the first week after rhinoplasty.

It is okay to wash your face or take a bath as long as the dressing does not get wet on your nose.

What to eat and what not to eat after rhinoplasty?

If we want to accurately categorize this part of postoperative rhinoplasty care, we must first describe the diet on the day of surgery.

 

جراحی بینی

Natural rhinoplasty for fleshy and bony noses

Nose Surgery Day Diet:

Hard foods are forbidden and eating soups, cooked potatoes, and boiled vegetables are not prohibited.

Eating slow-digesting foods is not recommended.

Avoid spicy foods.

Drink fluids but without a straw.

Avoid acidic fruits such as oranges and orange juice on the day of surgery.

Mango, pineapple juice, and pureed pineapple juice are suitable for the first days after rhinoplasty.

Useful foods for the first week after rhinoplasty:

From the second day onwards, the condition gradually improves and the person can eat more easily, but remember that overeating and undereating will both be equally harmful during this period. The first week after rhinoplasty, you are recovering and you should not use this opportunity to lose weight, so follow a nutritious diet more often and with less volume.

The issue of vitamins C and D and the mineral zinc or zinc are very important because vitamin C and zinc are so important in the rapid healing of wounds that it is best to supplement them with dietary sources of vitamin A. Do not forget that zinc is found in cereals and kinds of meat, vitamin A in meat and dairy products, and vitamin C in a variety of fresh fruits and vegetables, especially citrus fruits, and their consumption helps speed up the recovery process.

Rhinoplasty and pregnancy:

According to the plastic surgeon, nose surgery is allowed two months after delivery and one month after cosmetic surgery, you can get pregnant, but it is better to be longer so that the complications caused by physical weakness do not occur.

Advice from a plastic surgeon for those who intend to have rhinoplasty: 

A faculty member of Tehran University of Medical Sciences: Rhinoplasty is known as the most difficult cosmetic surgery in the body. Numerous factors contribute to the excessive complexity of this surgery, which has made the success of these surgeries a dream for the patient and the surgeon.

The nose, both as an organ located in the center of the face and plays a key role in the fit of facial components and as an important organ in the health of the body that forms the first part of the airway, with its two important roles in beauty and sensitivity health. Causes double effects in rhinoplasty. Therefore, a combination of maximum knowledge, art, and experience of the surgeon along with the necessary knowledge of patients is effective in increasing the probability of success of these surgeries.

Success in rhinoplasty should be defined in such a way that if after rhinoplasty has a positive effect on facial beauty, the health of the nasal airway is also maintained. Therefore, to be more aware of the cases that lead to the success of rhinoplasty surgery, I will explain the necessary points in these surgeries, the observance of which brought a combination of beauty and healthy nasal function for the patient.

The main criteria for a successful rhinoplasty

Rhinoplasty means creating a face that looks more beautiful with a new nose without anyone noticing the nose surgery. A beautiful nose means a natural nose that has created a better fit in different parts of the face.

جراحی بینی

Success of rhinoplasty

1-In a beautiful face, in the first encounter, the gaze is turned to the eyes, and if the nose is so characteristic after the operation that it attracts the first glance, this nose has not made the face more beautiful. With this simple understanding of the basic criteria for the success of rhinoplasty, we find that many noses that appear to be operated on and abnormal noses, not only have not added to the beauty of people, but also by showing the surgical scar on the face, they have distorted the principles of beauty.

2- One of the important factors in postoperative success is an accurate diagnosis. This issue is important both in terms of diagnosing the cause of the nose is not beautiful in the face based on accurate facial analysis and in terms of accurate and precise diagnosis of respiratory problems before surgery, so that the patient who volunteers for rhinoplasty would be sure of having a natural beauty after surgery. 

For all patients who are going to have any surgery on their nose, I will do three important diagnostic tests: 1) Diagnostic endoscopy of the nose shows the internal anatomy of the nose in the best way. 2) rhinomanometry, which allows accurate assessment of the nasal airway, and 3) acoustic rhinometry, which shows any obstruction or narrowing of the nasal passage.

At the beginning of the surgery, before starting the cosmetic procedures and changing the appearance of the nose, the nasal surgeon should devote all his efforts to removing the deviation of the nasal septum and opening the airway, and after ensuring the normal way of breathing, to the second part of the surgery. Which includes modifying the appearance of the nose and creating fit in different parts of the nose and face. If the inner lining of the nose is not repaired, the patient will experience nasal breathing problems after the operation.

3- Rhinoplasty, in addition to creating fit in the nose itself, should establish a more pleasant connection between the nose and other parts of the face. In this case, too, patients are 100% confident in the principles and methods I use, leaving the detailed plan of operation based on the principles of facial plastic surgery and the patient's aesthetic and respiratory problems entirely to the experience, art and knowledge of the surgeon, because Rhinoplasty is not a matter of taste.

The nose is not like a dress model that everyone chooses according to personal taste. The best nose for each person is just one nose, which is based on the texture and materials of the nose, the fit of the facial components and the maintenance of breathing. According to the principles of beauty, only the nose creates the maximum beauty for the face that has the maximum fit with the face, not the small maximum, for example, if a nose is too short and the ratio is not correct. It turns out that the lower part of the face is stretched and raised or the upper lip is too long. In some operations, which only pay attention to shrinking the nose, not only the beauty of the person is not increased, but also the fit of the face is completely lost. In fact, it means beauty, in proportion and harmony between the components.

The nose is not like a dress model that everyone chooses according to personal taste. The best nose for each person is just one nose, which is based on the texture and materials of the nose, the fit of the facial components and the maintenance of breathing. According to the principles of beauty, only the nose creates the maximum beauty for the face that has the maximum fit with the face, not the small maximum, for example, if a nose is too short and its ratio is not correct, it looks like this. The lower part of the face is stretched and raised or the upper lip is very high. In some operations, which only pay attention to shrinking the nose, not only the beauty of the person is not increased, but also the fit of the face is completely lost. In fact, it means beauty, in proportion and harmony between the components.

عمل بینی

From A to Z in rhinoplasty

4- Nowadays, in modern methods, which are known as nasal strengthening methods, if a part of the nose has extra tissue, we remove that extra tissue and transplant it in the part of the nose where there is a lack of tissue. In these methods, we deform the tissue, not remove it.

In these methods, the nasal skeleton is regenerated and weak tissues are strengthened. Therefore, in the long run, the nose suffers less. In the old methods, rhinoplasty relied more on removing and removing nasal tissue, and the nose almost always shrank. The drawbacks of these methods show themselves in the following years, and for this reason, it took several decades for their side effects to be gradually eliminated as they became better known. In these methods, in the long run, the tissues would sag because the skeletal support of the nose was reduced and the nose became wrinkled and drooping in old age, and most patients also had respiratory problems.

5 - In fleshy noses, the use of methods to strengthen the nasal skeleton is necessary to increase the support of soft tissues of the nose. Surgery of this type of nose using new methods is associated with favorable results. In the new methods, instead of removing the fleshy tissue of the nose, the skeleton of the tip of the nose is tried to be strengthened by adding connective tissues to create the desired shape of the tip of the nose.

6- One of the most common cases of patients is related to nasal hump. In modern methods of rhinoplasty, instead of reducing and shrinking the tissues behind the nose, the nasal hump has been corrected by strengthening and increasing the support of the nasal base in the tip of the nose. After facial analysis, it has been proven in many Iranian girls and boys that in many people the cause of nasal hump is not the long back of the nose, but the weakness of the protrusion of the tip of the nose in addition to the deep root of the nose, which is very common in Iranians and Middle Eastern countries. 

In this case, the lower part should come forward, that is, we should strengthen the nasal skeleton to make the face much more beautiful. In the old methods, the nose hump was removed without strengthening the tip of the nose, and in many cases the face becomes even uglier because the angle between the nose and the face was very small.

7- In new methods, it is tried that the back of the nose is natural. Today, most applicants for rhinoplasty want natural changes in the nose. Terms such as puppet nose or slide nose have been used by people for many years to describe some of the operated noses. These noses are adapted from some of the patterns of the 1960s, while in today's highly cultured society they are considered artificial and ugly noses. Aesthetically, curved nose is not beautiful at all. You will not find any book on plastic surgery that draws a curved or slippery nose as a beautiful nose, a back of the nose should have a very smooth or very natural curvature.

8- In modern methods of rhinoplasty, unlike the old methods, the connections of nasal cartilage in different areas are not cut at all, and to reduce the width of the tip of the nose, special methods are used to change the position of the tip of the nose naturally without removing the cartilage. Therefore, the tip of the nose is normal and its natural width is such that it seems that no surgery has been performed on the tip of the nose. If the tip of the nose is too narrow, in addition to giving the nose an ugly and artificial appearance, the airway becomes narrow with severe depressions that form around it.

9- To eliminate the sagging of the natural nose, strengthening methods are used to maintain the natural appearance of the nose in addition to long-term durability. In modern surgical procedures, this is done by adding multiple cartilaginous columnar connections at the base of the nose.

جراحی بینی

Important points in nasal surgery

In this case, the younger appearance of the nose is in harmony with its naturalness. However, in the old methods, raising the tip of the nose requires excessive removal of nasal tissues, and in many cases, this phenomenon is associated with adverse respiratory consequences, so that in these patients, the nasal fins, on the tail when stacked on top of each other. They fall and prevent comfortable breathing during sleep.

10- In modern methods of rhinoplasty, the nostrils are not touched in any way. Because in most cases, the involvement of the nostrils is completely clear and it is clear that the person has undergone surgery because the crease next to the nasal flap disappears and the reconstruction of this crease and natural depression is almost impossible. The second point is respiratory problems that occur due to the reduction of the diameter of the airway, and many of these people struggle with severe respiratory problems after many years.

Pre- and post-operative images of different people

جراحی بینی

Young girl nose surgery

 


 

عمل بینی

Rhinoplasty and pre- and postoperative images

 


 

 

عمل بینی

Rhinoplasty - before and after surgery

 


 

جراحی بینی



 

Translated by: Bita Sayadi

LinkedIn: https://www.linkedin.com/in/bita-sayadi-197289114/

15
11/11/2021



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