Rhinoplasty

The rhinoplasty is the operation directed to change the form of the nose, to adapt your size and contour to the face harmony. Sometimes, one is due to accompany by an operation to recover the nasal function, improving the breathing. He is one of the more delicate procedures of Aesthetic Surgery in which the plastic surgeon must demonstrate to his gentleness and ability, being due to adapt the nose operated to the characteristics of the patient to secure the beauty of the face.

The rhinoplasty is indicated for those people who present evident an aesthetic alteration of the nose or in that there is a respiratory dysfunction. He is not advisable to take part before the adolescent patient has finished the development, since for the reasons that before we explained is necessary to wait for at the end of the normal bony growth and the psychic maturity.

What is the rhinoplasty?

The nose along with the eyes composes the zone of the face to which the glance goes when two people speak, is reason why it is the personality of the individual it are expressed with greater intensity in that small space. The nose is changing of aspect throughout the life, being difficult to find an ugly nose in the childhood and is from the sexual development when the nose begins to modify sometimes causing to problems in the self-esteem and the self-confidence of the person.

It is the operation of directed to change the form of the nose, to adapt his size and contour to the face harmony. Sometimes one is due to accompany by an operation to recover the nasal function improving the breathing.

She is one of the more delicate procedures of Aesthetic Surgery in which the plastic surgeon must demonstrate to his gentleness and ability, being due to adapt the nose operated to the characteristics of the patient to secure the beauty of the face.

Who needs it?

Those people who present evident an aesthetic alteration of the accompanied nose or respiratory dysfunction. It is important to emphasize that the aesthetic rhinoplasty is very different from the interventions for the correction of the function (hypertrophy of cornetes, deviations of the nasal partition, polyps etc) and therefore not always the surgeon dominates well both techniques.

He is not advisable to take part before the adolescent patient has finished the development, since for the reasons that before we explained is necessary to wait for at the end of the normal bony growth and the psychic maturity.

Although sometimes after a traumatism or by functional alterations a rhinoplasty can be considered before this moment.

What risks are assumed?

The complications in rhinoplasty are infrequent and is exceptional the cases of infection or important ep­tasis (bleeding). Sometimes there are difficulty respiratory or irregularities produced by a deficient healing.

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Anesthesia

It is possible to be realised with local anesthesia but sedation applied by a anestesi³logo.

Also general anesthesia is used if an intervention is anticipated but it releases of the common thing, or is solicitd by the patient.

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Duration of the intervention

It varies of 45 minutes to 2 hours following the complexity of the intervention. Sometimes when it is necessary to contribute costal cartilage in great defects, the rhinoplasty can extend even more. The hospitable internment is not necessary.

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Recovery

The obstruction retires to the 24 hours having to be retired in 48 and 72 hours in the cases in which septumplastia is combined with one. Immobilization we realised it with a small plastic rule, avoiding the use of plaster bandage, which considerably improves the aspect of the patient after the intervention, and which we retired to the week. Finally one immobilises one week but the nose with paper sticking plaster. Passed 14 days of the intervention the patient it presents an almost normal aspect, practically disappeared the hematomas of the cheeks.

He is useful to control the inflammation to use compressed cold and to avoid to blow one's nose the nose during 48 hours, as well as to sleep with a little high head. The patient must avoid the support of glasses in the nasal back during the first month.

The closed techniques exist two great groups of rhinoplasty and the opened ones and talk about to the form to realise the incisions in the nose. In first boardings are used that do not leave visible scars placing them inside the nasal orifices; they are used for deformations not very important and its recovery is but fast.

The closed techniques are necessary to correct important deformations, sometimes caused by a previous intervention. The field of vision that contributes these is far better, but in return it leaves a small scar in columela nasal.

Frequently the rhinoplasty is combined with interventions to correct defects in the partition and cornetes nasal to improve the respiratory function.

How long I need to recover?

The recovery time variable depends on the type and the magnitude of the surgery, in addition he will not be equal to be put under one simultaneously or several interventions, but in all the cases we recommended 48 hours of rest, period in which the pain can be more intense, coverall in surgery such as liposuctions, abdominoplasty or implants of prothesis of breasts behind the greater pectoral muscle.

It is important to know that moratones remains of 10 to 15 days reason why during a these person submissive a face intervention it will not have a nice aspect socially.

The oedema or inflammation usually lasts 10 days, although the result of a liposuction evident until will not be passed a month. Generally we could say that the recovery of a patient in the majority of the interventions is of one week, as of which it will recover its social working life and.

Be will painful the intervention?

The anesthetic advances that at the moment we arrange cause that we can assure that during the development of the intervention the patient will not suffer pain, nevertheless in post-operative the patient will suffer annoyances or pain following the type of realised intervention.

The face operations such as rhinoplasty or lifting, usually are not painful representing only slight annoyances, nevertheless liposuction if it is of great volumes, abdominoplasties or you implant of prothesis of breasts behind the greater pectoral muscle has post-operative with major disconfort.

During the first 48 or 72 hours in which our equipment provides analgesic to every 4 hours improving remarkably the symptoms. If the programmed operation we know beforehand that she will be painful, we will maintain committing the patient to be able to administer the analgesia by endovenosa route and if it were necessary derivatives of morphine, obtaining to alleviate the group of symptoms.

How much it lasts the oedema and moratones?

Moratones is accustomed to last between ten and fourteen days. The oedema will be variable and be increasing in the first 48 hours of the intervention to begin to fall from that moment, having practically disappeared to the two weeks in the majority of the interventions.

How much it is necessary to hope to see the result of a rhinoplasty?

In main lines the plastic surgeons we differentiated two types of rhinoplasties open and the closed ones.

The complex cases sometimes force to use the open rhinoplasty that facilitates the vision of the problem, but takes prepared a post-operative oedema more length (around a year).

The cases solved with the closed techniques can show their definitive result the six months.

What is keloids?

All the inest©ticos scars of bad evolution with result vulgarly are included under the denomination of keloids; but this is not absolutely correct.

The keloids are a disturbed growth of the scar with an almost tumorlike being able to develop a red scar to him, bulky behavior, last and of great size from an insignificant scar as a scratch.

The rest of hard red scars of slow evolution and is hypertrophic scars, that have a better prognosis and treatment.

I can be put under several interventions simultaneously?

The operations of aesthetic surgery usually do not have a commitment of important life, since otherwise the risk by the possible obtained benefit would not be justified. To add operations increases the aggression to the organism.

If the sum of the same does not represent to put in danger the homeostatic balance is possible, and I often recommend it; nevertheless rejection everything what it turns a procedure of limited risk in which increases the possibilities of complications during or after the surgery.

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