Physiotherapy after rhinoplasty. Rehabilitation period and its stages. Plaster after rhinoplasty

In the first 2-3 days after rhinoplasty, the most pronounced discomfort is observed. There is swelling and bruising on the face, the nose is breathing poorly, and the overall heaviness of the face is felt. Headaches are possible.

In a day During rhinoplasty, the surgeon inserts silicone splints or cotton wool into the nasal passages. A splint or plaster is applied to the external nose. Please note: it is strictly forbidden to remove the plaster cast and remove the turundas yourself - this is fraught with serious complications! The catheter, which is installed in the vein for delivery, can cause some inconvenience general anesthesia and postoperative drug infusion. It is removed when the patient is discharged and goes home. I recommend that you avoid wearing clothes that need to be pulled over your head, especially knee socks, T-shirts and jumpers with a narrow neck.

Removing turundas and removing plaster.

After 3 - 5 days The splints are removed from the nostrils. Contrary to common misconceptions, this procedure is absolutely painless. Thanks to the removal of splints, it becomes easier for the patient to breathe through the nose. True, free nasal breathing will still be partially blocked until the primary edema subsides. During this period, patients begin to experience itching and irritation of the skin under the cast or splint. This is absolutely normal phenomenon, and you just have to endure it. Do not move or remove the immobilizing bandage without permission under any circumstances! This can lead to nasal deformities and spoil the result of rhinoplasty. If the surgeon discovers traces of such actions, he has every right to decline responsibility for the outcome of rhinoplasty.

After 7 - 10 days the surgeon removes the plaster cast. What you see in the mirror after this should not scare you - your nose will be 1.5-2 times larger than planned for rhinoplasty. This is swelling that has not yet gone down. He can “walk” on his nose for up to six months. The final result of rhinoplasty is assessed after 1 year, when both external and internal swelling are neutralized. On days 7-10, the cast may fall off on its own, and this is not a big deal if you didn’t “help” it. But in this case, I advise you to contact a surgeon ahead of time.

After removing the tampons, stitches may remain in the nostrils, columella and nasal folds. Do not pull them with tweezers or remove them. This is fraught with divergence of the seams and unsightly scars. Try to avoid active facial expressions, especially laughter.

Household activities after rhinoplasty.

Mental preparation for surgery is no less important than physical preparation. First of all, you must internally agree to a number of restrictions that await you during the rehabilitation period.

Restrictions on sports and other activities after rhinoplasty

I forbid my patients to tilt their heads forward when there are splints in the nose. Heavy loads are an absolute taboo. Forget about it for now gym, jogging, etc. - allowed only hiking at a moderate pace. Organize your peace. Avoid heavy lifting, including pets and children.

You can return to the gym after 2-3 months. But even during this period, it is undesirable to perform exercises that provoke a rush of blood to the head. When cleaning a house or apartment, limit downward movements of your head (as when washing floors with a rag).

Professional sports activities are excluded for the next six months.

Boxing after rhinoplasty

Boxing, hand-to-hand combat and other martial arts are an eternal limitation after surgery. The fact is that the nose becomes more vulnerable and susceptible to injury. You don't want to resort to rhinoplasty again and again, do you?

Post-traumatic rhinoplasty is extremely complex, and regeneration after it is worse.

Swimming in a pool, lake, river or sea after rhinoplasty

Swimming in pools and natural reservoirs is prohibited for 2-3 months. This is associated with an increased risk of infection. Besides, colds you don’t need them now, and when swimming, their likelihood increases even in hot weather.

After this period, you can safely return to swimming.

Sleep after rhinoplasty

In the first week after rhinoplasty, it is advisable to sleep on a hard, high pillow or half-sitting - for the second option, there are special beds that are raised at the head of the bed. It is recommended to use mattresses and pillows with an orthopedic effect. Try to control yourself in your sleep, do not roll over on your side or lie face down in the pillow.

Sleeping on your back is a must for 3 weeks. Then you can carefully roll over onto your side. Your favorite position on the stomach is allowed to be taken only after 6-10 months, when healing is complete.

Washing your face after rhinoplasty

Washing is a real problem in the first 24 hours after rhinoplasty, because you can’t get the plaster wet and tilt your head down. At this time, try not to perform a traditional hygiene procedure at all - use soft cleansing tonics or micellar water.

The usual method of washing will become available after the cast is removed. But even now we must proceed with extreme caution. Do not rub your face with a towel - just gently blot it to remove excess moisture. Do not use cleansers that cause allergies.

Diet and nutrition

Rehabilitation does not involve following a specific diet, although I advise my patients to eat light and healthy food. However, I do not prohibit any food. The only thing you should limit yourself to is pickles and smoked foods, which retain fluid in the tissues.

During the first 2-3 weeks, you should refrain from eating too cold or hot foods and drinks - for example, ice cream and coffee.

Watch your stool and avoid constipation - unnecessary stress will not do you any good.

Conclusion: eat warm, healthy food, preferably easily digestible. Minimize the amount of salt in your diet whenever possible.

Nasal rinsing after rhinoplasty

Nasal rinsing is allowed after the cast is removed, but only in consultation with the doctor and subject to correct technique performing the procedure.

Make a slight side tilt over the sink
Using a special pipette, pour in medicinal solution into the nostril opposite to your tilt
Blow your nose without pressing on your nose - only by lightly blowing air, always with your mouth open
Drop emollient oil into each nostril (peach oil is best) or lubricate the mucous membranes with ointment

Returning to work after rhinoplasty

Return to work is allowed after 2-3 weeks, after removal of the plaster and stitches. During the same period, severe bruises and swelling are neutralized. But remember that physical activity is still prohibited, so the rule applies to people with purely business activity.

Washing hair after rhinoplasty

You should wash your hair by tilting it back, as in hairdressers and beauty salons. You can contact the masters or ask for help from household members.

If you have a splint on your face, make every effort not to get it wet.

Thermal changes have a bad effect on regenerative processes, so you should not take hot baths.

Alcoholic drinks after rhinoplasty

Avoid alcoholic drinks for the entire time recovery stage. Before surgery, also limit your alcohol consumption - this will help protect you from bleeding and the side effects of medications that do not combine well with ethyl alcohol.

A month after the operation, it is permissible to drink wine in limited quantities.

Champagne, low-alcohol drinks, energy drinks, beer - all this is prohibited for the next 5-6 months.

Steaming and warming procedures after rhinoplasty

Any temperature fluctuations have a negative impact on rehabilitation. Avoid visiting baths and saunas, tanning (natural and artificial), and contrast showers.

Avoid prolonged exposure to straight lines sun rays and use high SPF sunscreens.

Failure to comply with this rule can lead to hyperpigmentation.

After osteotomy, you cannot wear corrective or Sunglasses to avoid deformations bone tissue.

Wearing glasses after rhinoplasty

It is better not to wear glasses for 1.5 months. This is due to unwanted pressure on the bridge of the nose - the tissues in it have not yet been completely reorganized. Additionally, wearing glasses can cause pain. A possible result of ignoring this rule is a curvature of the back.

At poor eyesight Take care in advance about selecting and purchasing contact lenses.

Flu and colds after rhinoplasty: how to treat?

Colds and flu are best avoided completely. But if the illness begins, do not blow your nose under any circumstances. Use sanitary sticks, tampons, napkins and other devices.

You can blow your nose 1.5 months after rhinoplasty. This should be done carefully.

It is important to sneeze with your mouth open to relieve excess pressure from your inner nose.

Cosmetic procedures after rhinoplasty

resort to mechanical cleaning prohibited for 2-3 months. I advise you to use soft and gentle products. It is important to moisturize dry skin, and cleanse oily skin with a fine scrub. Superficial and medium peels are available no earlier than after 2 months.

For optimization appearance For a new nose, the doctor may prescribe a massage. You cannot do it yourself!

Any manipulations aimed at accelerating healing are agreed with the surgeon.

Rhinoplasty is one of the most difficult operations in aesthetic medicine.

According to official statistics, complications after it occur in 7-13% of patients. They can be associated with both the negligence of the surgeon and the neglect of rehabilitation standards on the part of the patient.

In this material, I covered in detail the stages of rehabilitation and gave basic recommendations for protecting patients from side effects.

Recovery “after” depends on what is done “during” the operation.

Important There is no difference between closed and open rhinoplasty in terms of recovery!

When performing an operation using a closed technique, the skin of the nose is also peeled off from the soft tissues, and the same capillaries and vessels are also cut. If we are talking about rehabilitation, then here you go illustrative examples patients immediately after plaster removal.

As you can see, there is no difference between recovery after open and closed rhinoplasty.

Bruises and hematomas during surgery - what will the anesthesiologist say?

Many patients are afraid of bruising, swelling of the nose and around the eyes. Primary edema develops during surgical manipulations during surgery. If it is significant, it prevents the doctor from working efficiently and thoroughly with cartilage and soft tissues. Added to this is bleeding. The manifestation of these processes depends on the anesthesiologist, and not on the surgeon! During the operation and immediately before it, the anesthesiologist administers adrenaline-based drugs that cause transient vascular spasm.

A “dry surgical field” is an ideal option for a surgeon to consistently and correctly achieve the goals and objectives planned before rhinoplasty. And this is the merit of an intelligent anesthesiologist, working with whom is real luck.

Now remember how many times you heard about this from surgeons during consultations or read about it on the websites of different clinics? Good surgeons take pride in their team. The bad ones save on it.

The role of the plastic surgeon

During facial surgeries I use special medications, stopping the development of edema. This step contributes to faster postoperative neutralization of congestion.

Important! The best way protect yourself from complications - the choice is not even of the surgeon, but of his team - an experienced and competent anesthesiologist, rehabilitation specialists and junior medical personnel!

The duration and complexity of rehabilitation greatly depends on the algorithm of the doctor’s actions during the intervention.

Immediately after surgery

The nose itself at the end of the operation looks like this:

It looks creepy, but this blue-violet color disappears within 2-3 days, the patient does not see it - everything is hidden by a fixing bandage!

Any work of a plastic surgeon entails the formation of hematomas (the common name is bruises). Surgeons using outdated rafter techniques leave extensive blue-violet marks on patients' faces, localized not only on the nose, but also around the eyes. I perform rhinoplasty using modern and advanced technologies, so my patients are not afraid of their reflection in the mirror after surgery - There are no bruises around the eyes immediately after surgery! The exception is those cases when a person has increased fragility of blood vessels. In this situation, I recommend taking medications in advance that increase their elasticity and strength.

By the time the plaster cast is removed from the “new” nose, the cyanosis has already disappeared and the nose itself acquires its natural color. But hematomas under the eyes may last a little longer. Therefore, I advise you to undergo a series of special procedures to speed up the rehabilitation period (more on this below).

First 3 days

For the first three days, you will be able to breathe mainly through your mouth, because there will be special splints in the nasal passages, which, although they allow you to breathe, make this process difficult. They stop bleeding and maintain shape. Under no circumstances should you remove them yourself!

The first 7-10 days and subsequent period

During the first 10 days, a special splint is placed on the nose gypsum bandage or a metal pad that restrains swelling and fixes the new shape.

After removing the bandage, the swelling intensifies. The main temporary problem will be difficulty breathing. There is no cause for concern: the swelling will go down and breathing will be restored. Swelling in deeper tissues takes quite a long time to subside, so a stabilized result can be assessed no earlier than after a year.

After plastic surgery, keep in constant contact with me and my assistants: 1-2 consultations in the first week, once after removing the plaster and scheduled examinations throughout the year.

Global (residual) edema

Swelling after rhinoplasty is a sore subject. It is known that they disappear from 4 to 12 months, depending on the individual characteristics of the body. The final result of the operation can be assessed only after the complete disappearance of congestion. Visually, they appear exclusively on the nose itself - it seems to you that the nose is a little swollen, sometimes it seems that the tip of the nose protrudes strongly and is itself larger than necessary.

The nose will take its final shape 8-12 months after the date of surgery. There is no need to knead it, massage it or soak it; swelling is natural physiological processes, which we cannot speed up, unlike the convergence of bruises.

Once again about the scar with the open technique

The topic of scars after open and closed rhinoplasty still causes heated debate in the professional and consumer environment.

Some surgeons have developed a special “fashion” - to promote closed rhinoplasty under the auspices of the absence of any traces of intervention. There is no point in arguing with the last factor - closed rhinoplasty really does not leave the slightest scar on the outer nose. But is this price too high for the fact that your nose will hardly change?

Please note that with closed rhinoplasty, the surgeon receives extremely limited opportunities for correction, so it won’t be possible to change your nose radically. For example, if we are talking about a hump, it will decrease by a maximum of 1.5-2 mm. It is not at all customary to operate on the tip of the nose with a closed approach - the work is too scrupulous, delicate and “jewelry” to be performed virtually blindly. To these shortcomings there is one more important nuance– the number of surgeons who actually know how to work in a closed technique can be counted on one hand.

After open rhinoplasty, in which I and the vast majority of my colleagues in Russia and the West work, a suture remains across the columella. By the time the plaster is removed it looks like this:

After posting this photo on Instagram, I received a lot of questions along the lines of “Where is the tripe?” from subscribers. The secret is that it is really difficult to notice a scar after an open rhinoplasty performed by a professional surgeon with the naked eye. And if within 10-14 days it is still visible in the form of a thin pinkish stripe, then after a month it completely merges with the surrounding skin in shade, structure and relief.

I have not met a single person who has dealt with a columella scar using laser resurfacing. Just because after 3-6 months, my patients themselves find it difficult to show where it was located.

Of course, there are exceptions here too. Surgeons who have poorly mastered the university or institute program make incisions and sutures carelessly, and therefore the wounds scar accordingly. They undertake to perform surgery on those who suffer from keloidosis. I think it is beneficial for them to promote exclusively closed rhinoplasty.

In pursuit of beauty, many are ready to go under the knife of a plastic surgeon. Rhinoplasty is the most common operation in this area. But not many are ready for the consequences, much less think about rehabilitation. Rhinoplasty as a procedure is quite simple if performed by a qualified specialist. But that's only part general process aimed at changing appearance. Consolidation of the “achieved success” depends largely on the patient. Improper recovery time leads to complications. It is worth noting that after the procedure, the rehabilitation period is easier, due to physiological characteristics.

According to statistics, nose correction is no longer a complex operations. The mechanisms of the procedure have been worked out to the smallest detail, positive results great amount. But at the same time the risk of postoperative complications in some cases it still remains. Among them:

Death. This factor occupies the smallest niche, since the risk of dying during or after surgery is negligible. This usually happens due to anaphylactic shock(approximately 0.01% of the total number of cases with complications, and death from anaphylaxis occurs in only 10% of cases of the above number).
Vascular network. This is rather a visual defect that does not pose any particular danger to the patient.
Change in the shape of the nose in a negative direction - an excessively upturned tip, saddle-shaped, beak-shaped.
Changes in sutures - their divergence, the formation of rough adhesions and scars.
Increased skin pigmentation.
Allergic reaction.
Wound infection.
Impaired breathing and sense of smell.
Perforation.
Osteotomy.
Tissue necrosis.
Hematomas and swelling.
Atrophy of nasal cartilage.
Toxic shock.

RHINOPLASTY WITHOUT SURGERY

Plastic surgeon, Pavlov E.A.:

Hello, my name is Pavlov Evgeniy Anatolyevich, and I am the presenter plastic surgeon famous Moscow clinic.

My medical experience is more than 15 years. Every year I perform hundreds of operations, for which people are willing to pay HUGE money. Unfortunately, many people do not even suspect that in 90% of cases surgery is not required! Modern medicine has long allowed us to correct most appearance flaws without the help of plastic surgery.

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Some of the above complications may be caused by incorrect technique execution of the procedure, some complications are caused by the characteristics of the body, its reaction to external intervention. But many of the above factors can occur when the rehabilitation after rhinoplasty.

How to avoid disastrous consequences?

Let us immediately stipulate that no doctor will give you a 100% guarantee of the absence of complications. The same hematomas and swelling will appear after the procedure in almost 100% of cases. But they go away completely in a few weeks, while it lasts rehabilitation after rhinoplasty of the nose.

After surgery, you may feel some discomfort, ranging from weakness to fever and nausea. All these symptoms can be dealt with. If you are very concerned about one or another aspect, we recommend that you contact your doctor immediately. He will help you solve the problem that has arisen during the rehabilitation period after rhinoplasty.

But to minimize Negative consequences after nose correction, you should go through another series diagnostic procedures. It will be necessary to undergo a series of tests, be examined by a dentist, have a fluorography and an ECG. A conversation with an anesthesiologist will also be mandatory. If you have any type of allergy, you should inform your doctor. A physician's approval will also be required to obtain approval for surgery. All this is important not only when performing rhinoplasty. Recovery time largely depends on your health.

Note that many complications during and after surgery arise due to the fact that patients are silent or do not consider it important to inform the doctor about their allergic reactions, as well as about the medications they are taking. For example, a week before the implementation surgical intervention you need to stop taking coagulants and even aspirin. They reduce blood clotting, which leads to disastrous results. Therefore, during your consultation with the surgeon, you must list all the medications and dietary supplements you are taking.

Another way to quickly get yourself in order even before surgery is diet. Here we do not mean fasting. It is necessary to avoid spicy, fatty, salty and fried foods. Moreover, all this is done a week before the X date. It is mandatory to give up bad habits and energy drinks. But the most important thing after rhinoplasty is the recovery stages, during which the doctor prescribes concrete actions and can, if necessary, adjust the result of the operation in a hospital setting.

Our readers write

Topic: Fixed my nose

From: Ekaterina S. (ekary*** [email protected])

To: Site Administration

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Stages of rehabilitation after rhinoplasty

The effectiveness of each operation is a purely individual factor. It depends on the complexity of the operation, the experience of the surgeon, the technique of execution, the characteristics of the patient’s body, and so on. In each specific case, the doctor gives individual recommendations based on the rhinoplasty performed. The rehabilitation period also takes different periods of time for each person. Someone will see the end result in six months and forget about it. side effects surgery, while others will have to wait a year and a half for the body to calm down after surgery. But any time allotted for recovery can be divided into several stages. How is rehabilitation after rhinoplasty?

First stage

So, rhinoplasty was done. How is rehabilitation going in the first week? If we talk about sensations, the first seven days will be quite unpleasant. Soreness will be clearly felt, facial expressions will cause severe discomfort and pain. Reviews about rehabilitation after rhinoplasty indicate that at first you will have to adapt to the restrained pace of life, and even more so to emotions.

The first time you will have to wear a bandage or plaster after surgery. Naturally, in the usual Everyday life they will irritate, and obviously will not add beauty. In addition, at first these “decorations” can cause some discomfort after rhinoplasty. Recovery will seem very slow.

The pain will be severe only for the first couple of days, but it can be dulled with painkillers. But the feeling of discomfort, as well as swelling, will continue to be felt for some time. If you have undergone an osteotomy, you are guaranteed to receive, in addition to bruises and swelling, bruising and redness of the whites of the eyes. They are caused by burst blood vessels. This defect disappears over time, leaving no trace.

The rehabilitation period after rhinoplasty lasts much longer. At this time, the patient must adhere to the recommendations, which we will talk about a little later. We do not recommend performing any manipulations with the operated olfactory organ on your own, unless the doctor has approved this or that care.

Second phase

In the second stage, you will have a more pleasant appearance compared to the first days. This stage begins around day 10 and lasts about three weeks. On the tenth day, the doctor removes the plaster. There are a lot of photos online of rehabilitation after rhinoplasty during this particular period.

Stories from our readers

Fixed my nose shape at home! It's been half a year since I forgot what a hump of the nose is. Although it is generally accepted in society that appearance is not the most important thing for a man, I really didn’t like my nose. In addition, I also work in a field where appearance matters, I work as a wedding host.

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In addition to the plaster, the bandage and splints are also removed. The sutures are removed if they are not self-absorbing (they are also called organic). The doctor rinses the nose to remove clots of mucus and blood. After this, the shape of the newly acquired facial decoration is checked. Let us immediately stipulate that after removing the plaster and bandage, the nose will seem ugly. Don't rush to panic! The shape is completely restored over time. At this stage, you can already go to work or lead your daily life, if there are no complications.

Recovery after rhinoplasty will last quite a long time. The same bruises and swelling will take a long time to subside. At this stage they will only shrink slightly. The swelling goes away in about a month to a month and a half from the time of surgery. But the period may fluctuate in one direction or another, since everything depends on the characteristics of the body, the operation performed, and its method.

Third stage

The third stage begins from the 5th week to the 12th. During this period, restoration of the nose, its shape and integrity is accelerated. Rhinoplasty has a very significant impact on the recovery period. For example, open method performing the operation will have larger side effects. But already at this stage they will almost completely disappear:

Hematomas;
Edema;
Stitches and wounds;
The shape of the nose is restored.

Now you can gradually take a closer look at the mirror, but the process is still far from complete. Moreover, the final shape of the nose will appear only a year and a half after rhinoplasty. Recovery after surgery continues, and the tip and wings of the nose will still be for a long time recover and take its final form. Therefore, during this stage the nose can also change its shape.

Note that the main mistake of many patients is the desire to correct the shape of the nose with their own hands. Such rude interference is unacceptable. Otherwise, there is no point in blaming the doctor, since the result is spoiled by the person himself. Remember that the nose is not a stool that you can fix yourself at home. Restoration of the nose after rhinoplasty will last at least six months, and therefore there is no need to panic in advance, since the shape may still change.

Fourth stage

This stage is final. Just by looking at it you can talk about how quickly the recovery process is going after rhinoplasty. It lasts up to a year, but already at this time you can calmly look in the mirror, as the bruises and swelling have disappeared, and your face has acquired a new look.

Even during this time, the shape can change dramatically. If you notice a negative trend, be sure to contact your surgeon. The reasons may be different: the manifestation of roughness, unevenness, asymmetry. In such cases, it can be prescribed, but only a year after the last correction.

Contraindications during rehabilitation

So, finally, you should clarify the main prohibitions and rules for the full recovery period after rhinoplasty. These include:

Visit to the swimming pool. This condition is especially important at first. Moreover, even when taking a shower or bath, the bandage and cast must remain dry.
You will have to sleep lying on your back, with your head as high as possible. This factor is especially important in the first two stages.
For the first three months, wearing glasses is prohibited. If this is necessary for vision, then switch to lenses for now. Otherwise, deformation of the nose may occur.
Heavy lifting, intense physical labor or sports activities are strictly contraindicated.
Cold, hot shower or taking a bath are also contraindicated.
You should forget about saunas, steam baths, and swimming pools in the first three stages.
You cannot enjoy sunbathing and solariums for two months.

During rehabilitation, we recommend taking vitamins and medications that will support the immune system. After surgery, the patient is usually prescribed antibiotics. It is necessary to restore immunity, since infectious diseases can cause serious complications. To describe the consequences more clearly, even a slight sneeze often leads to deformation of the nose and rupture of surgical threads.

Sports become available only after a month, and then the maximum is light fitness or yoga. Cycling is also possible. Football, boxing, martial arts and so on are contraindicated for at least six months. Heavy sports like bodybuilding or powerlifting are also contraindicated for six months.

Separately about alcohol: it is not recommended to take it, as it increases swelling, worsens metabolism and the process of removing waste products from the body. Please also take into account the fact that this bad habit obviously doesn't fit with medicines that you will have to accept. And if we take into account the deterioration of coordination, the risk of falling with subsequent deformation of the nose increases. The maximum that is possible a month after the nose correction is non-carbonated drinks like wine or skate, and then in small quantities. Carbonated analogues like beer and champagne should be avoided for six months.

Medications after rhinoplasty

The rehabilitation period after rhinoplasty will not be complete without the use of special medical supplies. Medicines should be prescribed exclusively by the doctor who performed the operation. A prerequisite is individual selection of dosage for a specific case.

A prerequisite is the presence of anti-inflammatory drugs, antibiotics, and painkillers in the diet. Medicines to reduce inflammation are taken 2 times a day for the specified period. Painkillers are usually taken for 4-10 days. Sometimes, to reduce swelling, experts recommend injections. The most popular drug used after rhinoplasty is Diprospan. To reduce bruising and swelling, Traumeel S and Lyoton are used.

Providing massages and physiotherapy

To speed up the healing process of scars, as well as prevent the enlargement of bone tissue, experts prescribe a special type of massage and physiotherapy to patients as rehabilitation after rhinoplasty. It is recommended to conduct such sessions every day. If only a specialized specialist will help with physiotherapy, then massage manipulations can be done independently:

you need to lightly pinch the tip respiratory organ using both fingers, fix for half a minute;
then release, repeat the procedure, but place your fingers a little higher.

Massage is performed up to 10-15 times throughout the day.

Rhinoplasty is surgically correction of congenital or acquired deformation of the nose, carried out to improve it functional state and/or for aesthetic purposes. In most cases, these operations are quite traumatic, and the rehabilitation period after rhinoplasty is characterized by duration, possible side effects and serious complications.

They can cause not only emotional and aesthetic problems for the patient, but also serious violations of his health. This largely depends on the qualifications and experience of the surgeon, the individual characteristics of the patient’s body and the latter’s compliance with the doctor’s recommendations during the recovery period.

Some features of rhinoplasty

One of the features of these operations is a certain unpredictability of tissue changes during the recovery period. To some extent, this is due to the small volume of soft tissue in the nose area, which creates conditions for its deformation postoperative scars already during the recovery period. In addition, rehabilitation after the procedure is lengthy and has strict restrictions. They are quite debilitating for some patients, and the latter often do not have the patience to follow the surgeon's recommendations. According to statistics, about 30% of operated people require, in this regard, corrective or repeat plastic surgery.

To reduce the severity of side effects after surgery and prevent possible and frequent complications, it is necessary not only to correctly follow the doctor’s recommendations throughout the entire recovery period, but to do this consciously based on a general understanding of the progress surgical intervention, possible complications and stages of the rehabilitation period.

Briefly about methods of online access

Depending on the nature of operational access, all types of operations are combined into 2 groups:

Open

They involve making incisions not only in the nasal cavity, but also, most importantly, in the area of the outer folds of the nose, including across the vertical skin fold(columella) separating the nostrils. This allows you to shift soft fabrics upward in order to be able to perform manipulations on the nasal bones and cartilage. “Open” surgery is performed when there is a significant amount of surgical intervention or the need for re-correction.

Closed

When they are carried out, one or several incisions are made from the side of the nasal cavity, that is, without violating the integrity of the skin and the formation of postoperative scars. After this, soft tissues, including skin, are shifted upward for further manipulation. The possibilities of access to the cartilage and bones of the nose with this type of operation are quite sufficient to eliminate typical aesthetic defects. At the same time, rehabilitation after closed rhinoplasty is easier and with fewer complications. Therefore, in clinics plastic surgery The closed method is predominantly used.

Side effects and complications during the rehabilitation period

Period postoperative recovery is accompanied by unpleasant but natural side effects of surgical intervention and possible early and late complications that may be accompanied undesirable consequences aesthetic character.

Side effects are:

Hematomas and pinpoint hemorrhages directly in the nose, around it and in the periorbital zone, and sometimes subconjunctival hemorrhages of various sizes, which are associated with tissue detachment during the intervention and are inevitable, even with the most gentle technique plastic surgery, rupture of blood vessels.
Severe swelling of the tissues in the nose and under the eyes, which can spread to the cheeks and down to the chin area.
Increase in body temperature in the first 1-2 days after surgery.
Severe difficulty breathing through the nose, and sometimes complete impossibility, associated with swelling of the mucous membrane and hemorrhages under it.
Lack of smell.
Temporary partial or complete impairment of skin sensitivity in individual areas or all of the skin in the operated area.
Development of temporary asymmetry of the nose due to displacement of its soft tissues by uneven swelling.

All of the above phenomena, which create a feeling of discomfort, sometimes significant, and gradually disappear within 7-14 days, are natural and do not relate to complications. However, during the rehabilitation period, serious complications are possible. The main ones are:

The development of microbial infection and various additional complications caused by it.
The occurrence of necrosis of skin, cartilage or bone tissue, usually caused by excessive dissection, vascular damage, coagulation to stop bleeding, infection. All these factors can lead to disturbances in the blood supply to tissues and, accordingly, to their necrosis (death).
Divergence postoperative sutures, which contributes to the formation of a rough scar.
The formation of hypertrophic and not only worsens the aesthetic results of the operation, but also can lead to functional disorders (difficulty in nasal breathing and impaired sense of smell).
Nose deformity.

In terms of the frequency of complications during the rehabilitation period, the second place (after the surgeon’s fault) is occupied by reasons associated with non-compliance with the doctor’s recommendations.

Stages of recovery after rhinoplasty

Rehabilitation period begins with the introduction of gauze tampons into the nasal passages, which prevent nasal breathing (but they are soon removed) and plaster splints are applied. The duration of the recovery period, determined by the volume of the operation, the quality of its implementation and individual characteristics the patient’s body lasts from six months to 1 year, and in some cases more. Conventionally, it distinguishes four stages.

Stage I

Duration is 1-2 weeks. The main goal of the first stage is to ensure the immobility of the bone and cartilage structures and soft tissues of the nose. This is achieved through special fixatives or (more often) a plaster splint, as well as by introducing hemostatic tampons into the nasal passages, which also provide additional tissue fixation.

Why is plaster applied?

During the operation, correction of cartilage, bone, and soft tissues is carried out. A plaster cast, despite the fact that it causes discomfort, itchy skin and a general feeling of discomfort, allows you to:

to finally fix the required shape and anatomical proportionality of the nose;
prevent displacement of bone and cartilage plates;
protect the operation area from unwanted external mechanical influence;
when added to layers of plaster cast antiseptic drug it also serves as a means of suppressing the development of infection.

Stage II

The average duration is 1 week. It begins with the removal of the plaster cast. In addition, hemostatic swabs are removed from the nasal passages and washed (to remove blood clots and crusts) with an antiseptic or 0.9% sodium chloride solution. Also, almost all unresolved surgical sutures. By this time, improvement and stabilization occurs general condition, and after removing the tampons, breathing becomes easier.

On what day after rhinoplasty is the cast removed?

In cases where the fixing ability of the plaster cast has decreased, it has become deformed, accidentally or intentionally damaged by the patient, or gotten wet during water treatment. hygiene procedures it must be removed and replaced with a new one. The plaster splint is finally removed on days 7-14.

Swelling at this stage still persists and may even increase. If the swelling increases after removing the plaster, this is quite acceptable and should not bother the patient. The fact is that a rigid plaster cast not only supports the structures of the nose, but also restrains swelling of the soft tissues, redirecting it to surrounding areas. After removing the obstacle, swelling also appears in the freed areas, but it is no longer dangerous, since it cannot lead to deformation of the fused bones, and quickly passes due to a decrease in the degree of the inflammatory process.

Can I remove the plaster myself?

Sometimes patients want to check the strength of its fixation, lift it or even temporarily remove it in order to get rid of discomfort or check whether the fusion of cartilaginous and bone plates has already occurred. Such experiments cannot be carried out, since the correction performed by the surgeon may be violated, as a result of which the entire aesthetic result of the operation may be reduced to “zero”.

Stage III

Lasts on average 2-2.5 months and is a period of cosmetic recovery. During this time, swelling and hematomas almost completely disappear, and the shape of the nose, except for its tip and nostrils, takes on an almost final appearance. This stage is also important psychologically, since the patience of many patients is already running out by this time. However, they can already roughly assess the results of plastic surgery.

Stage IV

Lasts up to 1 year, and sometimes a little longer. This is the period of final healing and appearance formation, during which various defects may disappear and, conversely, new defects may appear in the form of asymmetry of shape, irregularities, scars, and the formation of a visually detectable callus etc.

Rhinoplasty is performed to eliminate defects after a nose injury or for aesthetic purposes.

More often than not, girls are dissatisfied with the shape of their nose. But men also turn to doctors.

Patients are concerned about the recovery time after surgery. To provide fast healing and recovery, you need to follow a number of recommendations and requirements that the doctor will tell you about.

Rehabilitation after rhinoplasty

The recovery period after rhinoplasty is under the supervision of doctors and is divided into several stages:

At the first stage The nasal area is strictly fixed to avoid displacement and improper fusion of the bone.

The surgeon applies a tight bandage or plaster. Correct fixation helps in the future to obtain exactly the shape of the nose that the patient dreamed of.

In the first week, there will be noticeable swelling and bruising on the face around the nose, cheeks, eye area and even the chin. Don’t be alarmed, these are natural consequences during the recovery period.

At the second stage remove the bandage and treat with medications.

The swelling progresses to the stage of a bruise, which will slightly decrease or increase depending on the characteristics of the body.

One week after surgery The cosmetic healing stage begins.

Puffiness and swelling subsides. requires longer recovery - about 3 weeks. During the healing period, the patient begins to roughly imagine the result of the operation, but the nose will take its final shape only at the last stage.

How long does it take for a nose to heal?

Final healing of the nose after rhinoplasty occurs within a year. In just a year it will become clear which nose you will live with in the future.

Restoration of the nose after rhinoplasty is accompanied by swelling, slight deformation and asymmetry, and swelling of the eyelids.

During the rehabilitation period, the patient experiences difficulty breathing (due to cotton swabs in the nose), decreased sense of smell, bleeding and pain.

To remove pain syndrome medications are prescribed.

Photo

To understand what a face looks like during rehabilitation after a nose job, look at the photos from this collection.

What not to do?

For speedy regeneration and to speed up the removal of swelling after rhinoplasty, avoid certain things:

You should not sleep with your head lower than your body.. You will have to sleep on your back or half-sitting.
Avoid massaging your nose to speed up the removal of a bruise, if the surgeon prohibits this. Use ice to relieve swelling.
Avoid physical activity , try to move your head less in the first 2 days after the manipulations.
In the first days, do not wash your face. After 2 weeks, use regenerating cosmetics - cleansing milk, regenerating serum or gel. Don't wear makeup for a couple of weeks.
IN postoperative period do not drink alcohol for three weeks, do not use blood thinners such as aspirin.
During the rehabilitation period, you should not touch your face In order not to displace the tissues of the nose, do not wear glasses even with light frames.
Do not visit the bathhouse or sauna for a month, but preferably longer. Hot vapors and air cause nose bleed and complications. In addition, for the first six months you will have to forget about tanning on the beach and in the solarium.

Recovery after rhinoplasty with correction of the bony septum includes physiotherapy, electrophoresis and other measures prescribed by a specialist.

A significant increase in temperature indicates inflammatory process. In this case, you will need the help of a specialist. Normally, the temperature does not rise above 38 degrees. Taking antipyretic medications is agreed with your doctor.