Nose before and after surgery. Unsuccessful rhinoplasty is the mistake of the surgeon or the patient. Preparation for surgery and necessary tests

Moreover, the leading position was assigned to nose correction due to the southern regions. It used to be that rhinoplasty was most often done by men, but in recent years the number of women who have applied has increased markedly, and the score has evened out. To appreciate why they go for this operation, we suggest looking at the stars who corrected the shape of the nose. We propose to vote who helped, and who decided on plastic surgery in vain.

Marilyn Monroe

Many people start their careers in Hollywood with rhinoplasty. The famous blonde was sure that she did not have a nose, but a potato disaster - she blamed him for her first acting failures. And at the first opportunity, she resorted to rhinoplasty, which, in the end, allowed her to get a neater nose tip.

Jennifer Aniston

The actress had her first nose job even before filming Friends. She was sure that with the nose that she got from nature, a successful career could not be built - she would be offered exclusively the role of ugly girls. The results obtained after the first plastic surgery did not satisfy the actress, and a few years later she underwent a second rhinoplasty, which completely suited her.

Megan Fox

At the surgeon, the star made not only a new nose. But perhaps it's the rhinoplasty that Meghan should be grateful for becoming one of Hollywood's sexiest beauties.

Victoria Beckham

Rhinoplasty helped the former peppercorn get rid of a deviated nasal septum and an upturned tip. Now the designer's nose looks so neat and harmonious that it's hard to believe that it used to be otherwise.

Michael Jackson

After the first rhinoplasty, the results of which were quite satisfactory, the king of pop broke his nose and had trouble breathing. The singer had to resort to a second operation, then another, and another. The problem of nasal breathing was not solved, and the number of interventions grew exponentially: the nose became thinner and thinner. In the end, Michael Jackson had to wear a respirator, and his nose began to look intimidating.

Michael's sister seems to have taken over her brother's passion for plastic surgery and also repeatedly resorted to rhinoplasty. Thanks to the interventions, her nose has acquired not quite natural forms, but perhaps she is quite happy with this.

Courtney Love

The actress had rhinoplasty back in the 80s to get rid of the "schnobel" and get the opportunity to act in films. The surgeon managed to cope with the size - the nose really became smaller, but another obvious problem appeared: curvature. Later, Courtney Love repeatedly tried to correct the nose obtained after the first rhinoplasty, but all attempts were in vain.

Patrick Dempsey

The actor, by his own admission, resorted to the operation according to indications - after a hockey injury. However, rhinoplasty did not cope with the curvature of the bridge of the nose, although the surgeon managed to form a more accurate tip of the nose. We can only hope that the actor no longer has problems with nasal breathing.

Tori Spelling

The actress, whom viewers remember from the popular TV series Beverly Hills 90210, has gone through a huge number of plastic surgeries in her life. Not all of them can be considered successful: including rhinoplasty, after which the actress's nose became asymmetrical and aesthetically unattractive.

Lara Flynn Boyle

The star of the TV series Twin Peaks cannot boast of a successful rhinoplasty either. It is still not clear why the actress, with her nose shape, needed surgery. But the fact remains: the intervention of beauty did not add to her. And somehow it did not work out with a stellar career. Perhaps the failure of the surgeon influenced the creative path.

beyoncé

Experts are still arguing about the singer's rhinoplasty: in some photographs, the singer's nose looks too small and does not correlate in size with other facial features. Therefore, her operation can be recognized as successful only in those photographs where the changes in the shape and size of the nose look harmonious.

Katy Topuria

Among Russian stars, Katie Topuria can boast of rhinoplasty according to indications. In addition to problems with nasal breathing, the girls also solved one more problem - they radically corrected the shape of the nose. As a result of the intervention, Katie Topuria received a small nose, which suits the singer very well.

Alexander Revva

He resorted to rhinoplasty due to a deviated nasal septum and this sex symbol of the Russian stage. The operation helped the artist to acquire a more beautiful and neat nose, which was immediately noticed by his fans.

Natalia Podolskaya

The wife of Vladimir Presnyakov was not always happy with the shape of her nose. Two rhinoplasties helped to correct the situation, the results of which Natalya is quite satisfied with.

Victoria Lopyreva

Got a graceful nose as a result of rhinoplasty and a socialite. The girl decided on the operation already being the owner of the title "Miss Russia".

If we still haven’t convinced you that external data does not depend on the shape of the nose, then take a look at the before and after photos of Blake Lively, Jennifer Lopez, Gwyneth Paltrow, Angelina Jolie, Christina Aguilera and Scarlett Johansson. All these actresses have gone through rhinoplasty in order to become even more attractive.

For the preparation of the material we thank our expert:

Alexander Vdovin, plastic surgeon at GLV Clinic, specialist in maxillofacial surgery

Rhinoplasty of the nose is a surgical correction of congenital or acquired deformities, changing the shape and size of the nose. Nose correction is considered one of the most complex and popular plastic surgeries.

In this article, we will analyze the methods of nose correction, scientifically speaking - rhinoplasty methods; we will discuss all the pros and cons and issue our strict verdict.

Well, the nose is one of the most important facial features. And due to its importance, it either decorates the appearance, or mercilessly spoils it.

Since ancient times, people, and mostly it is you and me - girls, have been trying to look neat and beautiful. Therefore, since ancient times, mankind has tried to explore all aspects of aesthetic surgery. And only since the 19th century. in the field of plastic surgery, the method of rhinoplasty is finally recognized. We have to give credit for this to the surgeon Johann Friedrich Dieffenbach, who taught plastic surgeons how to use the basic makings of rhinoplasty.

So, what is rhinoplasty anyway? Rhinoplasty is an operation that allows you to correct or completely modify the shape of the nose or completely restore it. Also, rhinoplasty operations are performed due to injuries. Oddly enough, initially rhinoplasty was conceived as a purely aesthetic operation, that is, it was aimed at eliminating visible defects in the name of beauty. Even this surgical intervention may not be complete - on the tip of the nose. The nature of such an operation is not particularly complicated, although the tip of the nose is the smallest operated part on the nose. The nature of such an operation is important aesthetically.

Rhinoplasty before and after - photo

Such operations are allowed to be carried out from the age of eighteen. But, it is worth taking into account the fact that the nose is finally formed only by the age of twenty. Therefore, the operation is recommended to be performed at the age of twenty to forty years. It is up to forty, this is important (!), since after forty the tissues recover worse, and the operation is already more complex.

Before and after rhinoplasty.

Not long before the operation itself, you can not drink alcohol and smoke. Surgeons advise more rest in the fresh air, exercise, eat right. In a word, put your body in order.

Photos before and after the procedure.

Girls, most importantly, before you go to the surgeon with complaints about your own appearance, visit a psychologist. Yes, it was a psychologist, it didn’t seem to you. Some of us are so critical of our own appearance that it is easy to turn any virtues into disgusting flaws.

If before the operation you had a completely beautiful nose, then lying under the surgeon's knife, you run the risk of disfiguring your face, which will entail any more plastic surgery, for example: a brow lift or lip augmentation. Therefore, you should not cut an already lovely nose, just waste your time. And after the psychologist, if there is still a drawback, welcome to the surgeon's office.

Indications for surgery

To be clear, the indications for rhinoplasty are:

Deviated septum of the nose - which often interferes with normal breathing. Therefore, such an operation will no longer be purely aesthetic in nature.
Wide nostrils.

a) long nose b) hooked nose

Contraindications for surgery

Age up to eighteen and after forty years.
Liver, kidney and cardiovascular diseases.
Diabetes mellitus and bleeding disorders.
Oncological, viral and mental diseases.

If suddenly, by an absurd accident, you injured your nose, then within ten days you should contact a surgeon and this incident can be corrected without surgery. Since, during this period it is easiest to correct the acquired defect. If you find it difficult to breathe due to an injury, then surgical intervention is simply necessary.

Types of rhinoplasty

Rhinoplasty is divided into several types:

Septoplasty - is performed exclusively with the curvature of the nasal septum.
Rhinoplasty with the use of absorbable drugs - these drugs are hormonal and can provoke the resorption of "unnecessary" tissues, thereby aligning the nose.
Rhinoplasty with fillers are fillers for local injections. This drug only corrects the shape of the nose, almost without changing it.
"Closed rhinoplasty" - one or more internal incisions are made.
Open rhinoplasty is performed as a result of repeated surgical intervention on the nose. The incisions are made on the outside of the nose. Scars after such an operation last for about 1 - 2 months.
Non-surgical rhinoplasty - can correct only the slightest imperfections.

And in the end, it is worth noting that the duration of the operation varies from half an hour to two hours, depending on the complexity of the nose correction.

I think that I will not bring anything new if I say that the postoperative period is far from easy. In the early days, you may feel some soreness in your nose. Also, you will have to breathe through your mouth for a while. These inconveniences are due to special tampons that will be in your nasal passages. Among other things, the period after rhinoplasty may be accompanied by bleeding from the nose for about 2-3 days, but this is not terrible; and severe puffiness around the eyes and the nose itself can scare you a little when looking in the mirror. But in fact, you should not be afraid of your face, since soon all the consequences of the operation will begin to disappear. But how soon it will depend on the characteristics of your body, the professionalism of the surgeon who performed the operation and how you will follow the recommendations of this very doctor.

In the first 3 weeks after rhinoplasty, you should be careful. Stop exercising and get more rest.

You will have to drink antibiotics for some time to avoid inflammation, but it is worth noting that you can get an infection not only after and during the operation, but also during the examination, so be careful.

The doctor will make you a special bandage on your nose, which you will wear for about 10 days, and then it is removed. The nose will acquire its approximate shape in 2 weeks, but (!), it will fully acquire its shape only after six months or a year. And after a week, with the permission of the doctor, you can start using cosmetics in order to hide puffiness on the face. True, you will have to give up glasses for a month to avoid nosebleeds.

Sometimes patients are dissatisfied with the result, and decide on a second operation. Well, please, but only not earlier than six to seven months after the first operation. Restoration of the nose after repeated rhinoplasty is much faster than after the first procedure.

Cost of rhinoplasty

The cost of this procedure starts from fifty thousand rubles. It all depends on the age of the patient, the prestige of the clinic, the name of the doctor, the complexity of the operation and the city. This will also include a consultation with a doctor and a stay in a hospital.

The doctor will need to determine all the risks of the operation, and show you how your new nose will look like. Plus, the cost of anesthesia, which can be both general and local, and the cost for all necessary tests.

Rhinoplasty in Moscow

We can immediately say that plastic surgery in the capital of our Motherland is much more expensive than in other cities of Russia. But, and the best doctors, of course, operate there. Of course, Moscow clinics have everything: good equipment, qualified doctors and all the necessary medicines.

Do not forget that rhinoplasty is very successful and popular, as there have always been more than enough people who want to correct a visible flaw on the face. Therefore, you should not be surprised, and you need to be prepared for the fact that the final price for the operation and additional costs will fly far beyond the framework you imagine.

It would be dishonest to advertise and glorify individual clinics in Moscow. I think that you yourself will choose which of the many suits you best. The main thing is not to make a mistake in your calculations and carefully study all the information you need about the clinic before making the final choice.

Rhinoplasty is the reshaping of the nose through surgery or non-surgery. There are many reasons for such an operation. These are birth defects that greatly disfigure the beauty of the face and the disproportionate size of the nose, and medical indications, expressed in the curvature of the inner part of the bone tissue and causing difficulty in breathing.

Rhinoplasty of the nose - what is it? The effect of the procedure

Nose reconstruction surgery has been performed for thousands of years. Ancient manuscripts testify to the successful experience of such procedures long before our era. Medicine has come a long way since ancient doctors, and modern rhinoplasty is more of a cosmetic procedure than a medical necessity.

Rhinoplasty of the nose - what is it. Non-surgical rhinoplasty, how much it costs can be found in our article

In the distant past, such a procedure was resorted to due to the absence of the nose or its severe deformation. Now rhinoplasty is performed mainly to correct the shape of the nose and change its size.

There are several methods of rhinoplasty, depending on the amount of surgery required, but, for the most part, these operations are safe and do not have serious health consequences.

Rhinoplasty before and after photo

Non-surgical (laser) rhinoplasty of the nose: essence, indications for use

One of the most modern methods of plastic surgery is laser rhinoplasty. The essence of the method is quite simple: instead of a scalpel, a narrowly focused high-energy beam is used. Due to the high temperature in the center of the beam, moisture is evaporated from the cells and the blood vessels are instantly soldered without blood loss.

Read the site's popular article:

In addition, under the influence of temperature, the structure of the nasal cartilage softens and becomes more plastic, which simplifies further modeling of the nose.

The advantages of this method are obvious:

The cut is thinner and more precise, no postoperative sutures and inflammation;
The operation is painless, and this is due to the low-traumatic effect of the laser beam, and local injection is sufficient for anesthesia;
The operation is virtually bloodless;
Regeneration time of damaged cells is significantly reduced due to the stimulating effect of the laser beam.

The use of lasers to perform such operations is justified in most cases, because the laser not only coagulates part of the living tissue, removing excess, but also disinfects the area. Therefore, with laser rhinoplasty, the possibility of inflammatory processes is minimized.

Indications for the use of laser rhinoplasty are divided into two types:

cosmetic;
functional.

Cosmetic indications are associated with a change in the appearance of the nose and its size. As a rule, such operations are intended to improve the aesthetic appearance.

Functional indications for laser rhinoplasty come from the need to improve nasal breathing. The causes of difficulty in breathing can be different, but most often, these are the consequences of an injury or a congenital defect in the nasal septum.

Operational rhinoplasty

Traditional methods in plastic surgery remain in demand and do not lose their relevance. World medicine has accumulated vast experience in the use of surgical methods of rhinoplasty, which have their own advantages.

There are several types of surgical rhinoplasty:

Attention! Revision rhinoplasty is allowed no earlier than 1 year after the primary operation.

When performing revision rhinoplasty, there is often a need to use implants. Usually, cartilage extracted from another organ of the patient is used as such. For example, from the auricle.

Sometimes part of the cartilage is removed from the nasal septum, especially when septoplasty is performed along with revision rhinoplasty. Cartilages from the nasal septum are the most suitable material, as they have sufficient elasticity to form the desired shape of the nose.

Septoplasty - features and results

Another one A good reason to have nose surgery is a deviated septum. Such a deformation leads to an asymmetric development of the sinuses and significantly complicates breathing. There are many reasons for curvature.

The main ones are:

birth defects or anomalies;
bruises, mechanical damage, nose fractures;
asymmetric growth of cartilage, which is a feature of the body;
excessively accelerated growth of nasal conchas.

Any of these causes leads to a deviated septum and poor breathing. Sometimes there are external visible manifestations, and the aesthetics of the face worsens. All this serves as the basis for the appointment of septoplasty.

Correction of the partition occurs in several stages:

Preparation for the procedure. At this stage, the doctor conducts an examination and chooses the optimal method of influencing the organ and the type of anesthesia.
Surgery. The surgeon makes a tissue incision and performs the displacement of the cartilage plates. The excess part of the nasal septum is also removed.
Recovery period. During the postoperative period, dressing measures and antiseptic treatment of wounds are carried out.

Septoplasty is a simple operation. Often it is performed under local anesthesia, and the postoperative period is only a few weeks.

Properly performed septoplasty gives a lasting effect for life, so the operation should be treated with special attention.

Rhinoplasty of the nose, price in Moscow, St. Petersburg, Kyiv, Minsk

Prices for rhinoplasty are highly dependent on the degree of intervention required and the amount of work.

In Moscow prices for a small correction start from 10-15 thousand rubles. and end with 600-700 thousand rubles. for complete rhinoplasty.

Prices for rhinoplasty in St. Petersburg vary from 15 to 350 thousand rubles, depending on the size of the surgical intervention.

In Kyiv the cost of the operation ranges from 20 to 120 thousand rubles, depending on the complexity.

In Minsk the cost of rhinoplasty is approximately 90 thousand rubles.

When is free rhinoplasty possible?

Rhinoplasty is an expensive medical procedure. This is due to the complexity of the operation and the required qualifications of the surgeon. But there is an opportunity to get this medical service for free, if you have an insurance policy.

Most often, such operations are performed free of charge in case of breathing difficulties in patients or in case of injury to the nose.

In most cases, correct breathing can be restored even in a free clinic, but the best way to restore the aesthetic appearance is in a specialized institution with an experienced plastic surgeon. Otherwise, revision rhinoplasty will cost much more.

How is rhinoplasty done

Training

Preparation for rhinoplasty is an important part of the entire procedure. Proper preparation will avoid dangerous surprises. At the very first stage, it is necessary to get a detailed consultation with a doctor, to inquire about all stages of the operation. Next, you should pass the tests that the doctor will prescribe, and after that you will already receive admission to the operation.

Attention! Two weeks before the operation, it is necessary to stop taking drugs that reduce blood clotting.

The day before the operation, you need to stop eating heavy food, and 6 hours before the operation, refuse food and water altogether. In addition, a week before the operation, tobacco and alcohol should be completely abandoned.

Operation. Soreness of the operation

During the operation, the patient does not experience much discomfort, although even the simplest rhinoplasty lasts at least an hour. Most of the time, the operation is painless. If it is performed under general anesthesia, then the patient will not feel anything at all. Simple rhinoplasty is performed under local anesthesia and is not much more painful than tooth extraction.

The most unpleasant moment is the dressing procedures in the postoperative period. Sometimes changing tampons and dressings is very painful, although modern dressings reduce discomfort to a minimum.

How long does recovery after rhinoplasty take?

The recovery period directly depends on the complexity of the operation. The first days after the procedure are the most critical. These days, dressing procedures and anti-inflammatory therapy are carried out.

Often the patient's temperature rises and tissue edema begins, but these unpleasant consequences quickly stop, and after a few days further rehabilitation continues outside the clinic.

During the recovery period, it is important to follow the recommendations of the doctor. Any physical activity, hard work, as well as visits to saunas or massage parlors are prohibited.

Within a month after the operation, you need to protect the nose from any physical contact. The altered cartilage tissue does not take root very quickly, so any careless contact can cancel out all the efforts of surgeons.

Complications after rhinoplasty

The main complications after rhinoplasty are conventionally divided into two broad categories:

functional;
Aesthetic.

Functional complications are expressed in violation of nasal breathing, swelling, hematomas and abscesses. Most often, these problems are solved without a second operation. Rarely, corrective surgery is required to correct the nasal septum.

Aesthetic complications can occur not only immediately after surgery, but also during the rehabilitation period. Such complications are not uncommon and are expressed in unplanned disproportions of the nose or displacement of implants.

Secondary rhinoplasty will be required to correct and eliminate complications.

Causes of swelling of the tip of the nose after rhinoplasty

Swelling of the tip of the nose occurs in the vast majority of patients after rhinoplasty. This is due to impaired blood circulation in damaged tissues. The degree of swelling depends on the size of the surgical intervention.

Most often, the edema subsides after 10-15 days, when blood circulation in the restored tissues normalizes. To reduce swelling of the tip of the nose, a fixing splint is applied and a number of therapeutic procedures are carried out. A month after the operation, residual edema is no longer noticeable to others.

How Diprospan helps after rhinoplasty

Sometimes, to reduce swelling and speed up the recovery period after rhinoplasty, the drug Dispropan is used. This is a suspension that is injected into the problem area of the tip of the nose.

Dispropan has an anti-inflammatory and countercurrent effect, but in addition, it has a depressant effect on the immune system in the injection zone, thereby reducing the risk of rejection and improving tissue survival.

Unsuccessful rhinoplasty, its causes

Most often, unsuccessful rhinoplasty is the result of an incorrect choice of technique and type of operation.

The optimal age for the operation is between 18 and 40 years. Carrying out rhinoplasty at an earlier age often threatens to fail due to increased growth and formation of nasal tissues, and a later age threatens to worsen survival.

Important to remember! Incorrect preparation for surgery and non-compliance with recommendations in the preoperative period threatens with possible complications, including a threat to health.

Sometimes the choice of non-surgical rhinoplasty does not give the desired effect, and after a year the patient's appearance returns to its original state.

Excessive skin tension at the time of surgery often leads to suture separation and the formation of wounds at the tip of the nose. This is the most common reason for unsuccessful rhinoplasty due to the wrong choice of intervention technique.

Failed rhinoplasty before and after photos

What is callus after rhinoplasty

Callus is a reaction of bone tissue to excessive trauma. In places of greatest impact, during fusion, the connective tissue begins increased cell division and forms seals.

This is a normal reaction of the body, but excessive growth of corns can significantly worsen the appearance of the patient, so you need to control the fusion process and be under the constant supervision of doctors.

Rhinoplasty with fillers - advantages and disadvantages

Injection rhinoplasty is a new direction of non-surgical nose correction. Fillers are preparations based on hyaluronic acid. These drugs increase firmness in the skin and can be used for non-critical changes in plastic surgery.

The main advantages of rhinoplasty using fillers are a significant reduction in the cost of the procedure and the complete reversibility of the consequences of the operation.

But such an operation has several disadvantages:

Short-term effect of rhinoplasty (within six months);
The impossibility of using the method if serious correction is needed.

Prices for rhinoplasty in the province

Prices for rhinoplasty in the provincial cities of the Russian Federation are very different from the prices in the capital. Most of the cost of the operation is paid by the surgeon. The cost of staying in a hospital also differs, depending on the conditions and level of service.

For example, the cost of rhinoplasty:

in Novosibirsk is up to 150 thousand rubles;
in Perm and Krasnoyarsk up to 180 thousand rubles;
in Kirov up to 220 thousand rubles;
in Krasnodar up to 200 thousand rubles;
in Ufa and Kazan up to 350 thousand rubles;
in Orenburg and Kemerovo up to 250 thousand rubles.

When choosing a location for an operation, one should not focus only on its cost. The qualification of the surgeon and the experience of similar procedures is important. The face is not the place to skimp on.

Pros and cons of rhinoplasty

With a successful outcome of the operation, after rhinoplasty, the patient receives a completely new face and experiences aesthetic satisfaction from his new appearance. In addition, many acquire the ability to breathe correctly and fully, get rid of congenital deficiencies.

But rhinoplasty has its drawbacks, and this should not be forgotten:

the possibility of infection;
the possibility of loss of sensitivity of the nose;
the possibility of complications and deterioration of breathing;
the possibility of a significant deterioration in appearance in case of an unsuccessful operation.

Before deciding on such a crucial step as rhinoplasty surgery, you need to carefully weigh everything and evaluate the possibility of negative consequences. Sometimes the expected effect is not worth the possible risk.

Rules of life with a new nose

Any body after surgical exposure needs to be restored. In the first days after the operation, you need to monitor the sutures and bandages, prevent them from being dislodged or damaged. For several weeks, you need to protect your nose from any influences, you need to sleep lying on your back on a hill. It is necessary to select clothes that exclude putting on over the head.

In the first two months it is forbidden to wear glasses, as this can lead to displacement of cartilage tissues. In the first months, it is desirable to protect the body from excessive stress. It is not recommended to bend over or engage in work associated with a strong tilt of the head.

In the period of 2-3 months after the operation, it is forbidden to visit the solarium or the beach for sunbathing. Exposure to ultraviolet light can cause discoloration of postoperative scars and make them bright and visible.

Rhinoplasty of stars - photo

Rhinoplasty - video

The success of the operation depends not only on the skill of the surgeon, but also on the preparation of the patient. Therefore, in order to exclude negative consequences, it is necessary to treat preoperative measures with special attention and ensure strict adherence to the doctor's recommendations.

Rhinoplasty of the nose - what is it. Non-surgical rhinoplasty, how much does it cost, see this video:

Rhinoplasty of the nose - what is it. Non-surgical rhinoplasty, how much does it cost you to learn from this video:

At all times, great attention was paid to the external appearance of a person. A very important role in appearance is played by the correct shape and optimal size of the nose. Since this part of the face is the most protruding part of it, it has a special aesthetic function. The nose makes each face unique, gives it originality and emphasizes attractiveness.

But nature is not favorable in this regard to everyone, so before people had to just put up with what she endowed them with. Today, aesthetic medicine comes to their aid, in particular, its rather young direction - rhinoplasty. Thanks to this procedure, the proportions of the nose are optimized, and its appearance improves.

She is able to work miracles, turning the initially nondescript organ of smell into a real work of art of plastic surgery. Especially if professionals from the Moscow clinic of plastic surgery of Dr. Shikhirman take up the matter. You can verify this by looking at the website for photos of patients before and after rhinoplasty.

Rhinoplasty at Dr. Shihirman

The dream of an ideal nose shape is inherent in many women and men. But not everyone decides to correct existing problems through plastic correction. The section “: before and after” presents photographs of patients at the clinic of Dr. Shikhirman, which allow you to visually evaluate the effectiveness of this procedure and dispel doubts that exist on this matter.

The effectiveness of rhinoplasty in the photo before and after the procedure is obvious. By creating new lines of the olfactory organ, it transforms the entire appearance, eliminates defects that cause psychological and physical discomfort.

Modern aesthetic surgery offers a variety of options for this popular operation. The results of most of them are available in the photos of the patients of Dr. Shikhirman's clinic, published with the permission of grateful clients.

The achieved effect of each rhinoplasty in the before and after photos is evidence of the high professionalism of doctors who can be trusted without a doubt in solving such important issues. The section presents images of patients who have undergone various types of operations:

closed and open rhinoplasty,
septoplasty,
rejuvenating nose correction.

Some operations are purely aesthetic. Their result is an external change in the size and shape of the olfactory organ. It can be, for example, rejuvenating rhinoplasty. But septoplasty is also aimed at solving functional problems associated with congenital or acquired deformation of the internal nasal septum. Such a defect is usually caused by:

difficulty breathing,
constant runny nose,
chronic nasal congestion.

Due to the peculiarities of the surgical intervention, the doctor must have experience and knowledge not only in plastic surgery, but also in otorhinolaryngology.

At the clinic Dr. Shihirman, a significant percentage of operations are repeated surgical interventions. This is another important proof of the high competence of our surgeons, who undertake to correct the mistakes of less experienced colleagues. The gallery "Rhinoplasty: before and after photos" presents the results of such operations.

Creating a healthy and aesthetically pleasing nose in harmony with your appearance is a priority task for our specialists. This is best confirmed by photographs of patients before and after rhinoplasty performed at Dr. Shikhirman's clinic.

Rhinoplasty is one of the directions in plastic surgery, which has already become a separate part of it, which is designed to deal with acquired or congenital nose defects. Thanks to a procedure such as rhinoplasty, it is possible to correct various problems associated with nasal breathing, correct possible consequences after injuries, or correct the appearance of the nose based on purely aesthetic indications.
A large number of people who experience some discomfort regarding the shape of their nose turn to the rhinoplasty procedure as a last resort to make a difference.
With all this, it should be understood that the procedure itself is quite expensive and very complicated. It requires a high level of professionalism from the doctor who will perform the operation. Not to mention the fact that expensive professional equipment is needed, which is sometimes simply not available to public clinics, so it is best to immediately consider private medical institutions that have all the necessary licenses.

At the moment, there are only two options for surgical intervention in order for the nose to take on a different appearance after rhinoplasty: closed and open.

As for the latter, this method requires an incision of the skin and the lower part of the nasal septum, no more than 5 mm in depth. Next, the operation takes place in order to achieve the desired result. This method of rhinoplasty is often used when the most complete overview is needed for a complex operation. In this case, it is very easy to perform cartilage removal and repositioning, as well as soft tissue detachment.

In turn, the closed method of rhinoplasty provides the possibility of surgical intervention directly through the nostril incisions, which are completely invisible during complete healing.

Types of rhinoplasty

As for the types of rhinoplasty, but at the moment there are a fairly large number of different procedures that can easily solve a specific specific problem.

Rhinoplasty of the nostrils. This procedure solves the problem of large nostrils. At the end of this procedure, the patient may be left with a few subtle scars, at the very base of the nose, which, in principle, will basically not be noticed in 99% of cases. This procedure is carried out, both on the basis of aesthetic indications, in the same way as a second operation, in order to reduce swelling after the previous operation, which was carried out on the nose.

Rhinoplasty. It is considered the most difficult type of rhinoplasty, which can change the entire appearance as a whole as much as possible. But at the same time, it is worthwhile to soberly assess the situation when choosing a surgeon and a medical institution where this will all take place, since everything should be at the highest level, and the experience of the surgeon is as possible as possible. In this case, most often there is a correction of the upturned or hooked tip of the nose, but it is not uncommon for the axis to return to its original place after displacement.

Correction of columella. First of all, it is necessary to decipher the concept of columella - this is directly a jumper between the nostrils, which is located below between them. It may be too narrow, wide or uneven. The operation to correct it is quite simple, and requires only a small (partial) excision and further engraftment of the cartilage in the required place.

Rhinoplasty: photo of columella

Nose reshaping. In this case, alignment of the axis, or smoothing of the nasal hump, can occur. In the case of such an operation, not only cartilaginous tissues are affected, but also partly bone.

Contour plastic. A typical non-surgical rhinoplasty, in which, with the help of injections with hyaluronic acid, small external defects can be corrected.

It is the alignment of a deviated nasal septum. This is done when there is a problem such as snoring and in order to make breathing easier.

Conchotomy (maybe laser). In this case, with possible problems with full nasal breathing, they can completely or partially remove the hypertrophied mucous membrane, which is a problem.

Electrocoagulation. If there is a slight hypertrophy of the nasal mucosa, then it is affected by safe and imperceptible impulses of electric current.

Augmentation rhinoplasty. Aimed at correcting defects with a slight elevation of the bridge of the nose.

Grafting. This type involves cartilage transplantation in order to compose the desired shape of the nose. Cartilage tissue is taken from the same patient, often from the nasal septum itself, the ears, or even the ribs.

Laser rhinoplasty. It is performed using a laser, which makes the procedure less traumatic.

Reconstructive rhinoplasty. It is carried out after previous operations, as an addition or correction of work.

Revision rhinoplasty: before and after photos

Non-surgical rhinoplasty. The principle of operation is the introduction of special fillers, which are introduced with minimal trauma and thus allow you to adjust the shape of the nose.

What is the perfect nose?

In fact, each nose is unique and perfect in its own way, but despite this, many people may not think so and do not give up trying to create the ideal nose for themselves in their opinion. In this case, scientists went further and were still able to find out - what does an ideal nose look like?

The ideal nose should be slightly turned up, so that its angle of rotation should be 106 degrees. This is achieved through exclusively conditional lines "nose-forehead" and "nose-tip-middle of the lower lip".

It is worth noting that such a nose was chosen solely after statistical surveys were conducted of more than 4,000 people who were shown various photographs of girls that have completely different nose shapes.

Scientists also noticed that if girls have a nasal turn of less than 90 degrees, then it becomes like a man's.

As for Hollywood celebrities, among the happy owners of a perfect nose, it is worth noting Kate Beckinsale, Kate Middleton, Scarlett Johansson and Jessica Bill. At the same time, Kim Kardashian's nose remains the most popular nose shape among all surgeons.

Indications for the procedure

Problems with nasal breathing.
Refined tip.
Large nostrils.
Saddle shape.
Gorbinka.
A long nose.
Deformity due to physical trauma.

Rhinoplasty: contraindications

Like any other operation, rhinoplasty has contraindications, among which the following should be noted:

The first thing worth noting is the fact of the final formation of the facial bone and, accordingly, the nose, upon reaching the age of 18. It follows from this that rhinoplasty of the nose cannot be performed on people who have not reached this age. Despite this, if there is a threat to life or health, exceptions can be made.
A similar situation is with patients who have exceeded 40 years. Surgeons try to avoid surgery due to the fact that in this case the risk of complications and slow tissue healing increases.
Pathologies of the cardiovascular nature, arterial hypertension and ischemic disease.
Diabetes.
Oncology.
Pathological processes of the kidneys and liver.
Poor blood clotting.
Any inflammatory processes in the place where surgery is planned.

Preparation for rhinoplasty and tests

Rhinoplasty and reviews of this procedure confirm that the operation involves quite a serious preparation, because this is a surgical intervention in the body, which means there is a rather high risk of complications. In order to reduce such risks to zero, it is necessary that the preparation for rhinoplasty takes place according to all standards.
Two weeks before the operation, first of all, the patient must stop taking medications that contain aspirin. This is due to the fact that it thins the blood. It is also necessary to stop taking any drugs that can affect the destabilization of blood pressure in any direction.

Immediately at least 2-3 days before the operation, it is necessary to completely refuse to take vitamins of group E. Also during this period, it is necessary to limit yourself as much as possible from sunbathing and direct sunlight. Talking about alcohol and smoking does not make sense at all, since this is unacceptable not only before the operation, but also in general. When only 6-12 hours remain before the operation, it is better to refrain from eating, applying cosmetics and creams. Also, rhinoplasty will not be done during menstruation.

About all this, not only the surgeon, but also the anesthesiologist will talk with the patient in more detail. The entire list of necessary procedures and analyzes will be provided to the patient during the consultation, but the following are mandatory:

Blood tests: coagulation, biochemical and general, Rh factor and group.
Analysis of urine.
Fluorography.
Tests for hepatitis, syphilis and HIV.

Next, you will need to sign a large number of papers, among which you sign your consent to the operation, so that the surgeon and assistants have the opportunity to proceed with the correction. Remember that the best rhinoplasty is one that not only has extensive experience in performing such operations, but also has all the necessary permissions. By the way, if the operation is performed for a patient who has not yet turned 18, then the application is made out to his parents, who will have to sign it.

The operation should be carried out in a hospital, but on the basis of a specialized medical institution.

In order for the nose after rhinoplasty to be exactly the way you imagined it, it is necessary to seriously prepare before surgery. Before that, it is certainly necessary to devote a lot of time to the selection of a high-quality, specialized and professional medical institution that not only specializes in plastic surgery, but also in particular in rhinoplasty.

Immediately before the procedure, it is necessary to undergo a full course of medical examinations and consultations with a number of different specialists, among which should be: a surgeon, an internist, an anesthesiologist and an ENT. The surgeon must perform a preoperative examination and assess the appearance and condition of the face based on the anamnesis. Nome modeling will also be done, which will be subsequently executed. Also at this stage, the cost of the operation will be announced on an individual basis.

The last procedure that must be completed before the operation is a visit to a psychologist. This is necessary in order for the psychologist to be able to make sure that the desire to change the shape of the nose is not a momentary whim, but a firm and balanced decision.

Rhinoplasty: anesthesia

The anesthesia that is used during the rhinoplasty procedure is determined solely by the individual characteristics of the operation, the complexity of the procedure and the preferences of the surgeon. At the moment, there are only 3 types of anesthesia: rhinoplasty under local anesthesia, general and local anesthesia with sedation.

During local anesthesia, the nose and the entire area adjacent to it become completely numb. At this time, the patient sees and hears everything, and sometimes even feels some pressure.

The use of local anesthesia with sedation is the most comfortable type of anesthesia, but at the same time it is quite risky.

The most convenient type of anesthesia in which the operation is performed is general anesthesia. This is due to the fact that the patient is completely immobilized, does not experience any sensations and does not have any unpleasant memories about this. Under such anesthesia, almost any type of rhinoplasty is performed, especially the most complex operations.

As for safety for the patient, local anesthesia is certainly the safest, but if its use is not relevant in a particular case, it is naturally necessary to use a general one. During general anesthesia, as well as during sedation, there is a small risk that the patient breathes on his own, and the airways during rhinoplasty will not be protected by anything, so blood can enter them.

The operation itself lasts no more than 3 hours on average. If necessary, after healing, additional surgery can be performed.

Successful rhinoplasty: before and after photos

Just want to note that swelling after rhinoplasty is quite normal. This is due to the fact that the outflow of lymph is disturbed, and the edema itself continues to grow for another 3 consecutive days, and then declines over the next 3 weeks.

As for the swelling of soft tissues, in this case, the duration of this effect can be achieved up to six months, and sometimes up to a year.

Immediately after the operation, the patient must necessarily be transferred to the recovery room, where an (orthopedic) bed should be waiting for him. The first few days, it is best to observe a very strict bed rest, and it is necessary to lie only on the back of the head, this is very important.
Approximately 3 days after the operation, the patient will breathe exclusively through the mouth, due to the fact that the nasal passage will be closed with a tampon. During this period, the patient's lips will actively dry, so the use of hygienic lipstick is recommended.

The first dressing will take place immediately the next day after the operation, after which, in the absence of contraindications, the patient will be transferred to the outpatient clinic, but it is still better to stay in the hospital for at least another couple of days. At this time, courses will be taken that are designed to restore blood and relieve swelling, so that recovery will be even faster.

The nasal tampons will also be removed within 3 days, depending on the type of rhinoplasty.
Attention! Tampons will be removed absolutely painlessly only if, before that, they are impregnated with a special composition created on the basis of an ointment.

After the patient is discharged, it is necessary to adhere to all the recommendations of the attending physician and adhere to a special regimen in order for the healing process to proceed according to plan:

From your diet, you must completely eliminate solid foods, and remove all physical activity. Be sure to exclude visits to the sauna, solarium, baths and hot baths. If possible, it is best to limit sex.
Do not eat too salty and spicy foods, and do not take liquid at least 3 hours before bedtime.
Self-medication is strictly prohibited. The use of any medicines, the use of procedures and preparations is allowed only after agreement with the doctor.
No smoking.
The splint for fixation will be removed by the doctor on about 10 days, for each patient individually.
In the event that the patient decides to wash his hair, then this can be done only after this issue has been agreed with the attending physician.
The sutures will dissolve on their own, so it is not necessary to remove them on the eve of the nose.
Throughout the year after the operation was completed, you must be very careful about your skin in the area that was operated on, take care of creams and protect it from direct sunlight.
A year after the operation, mandatory supervision by the attending physician is necessary.

Rhinoplasty: consequences

In fact, whoever did rhinoplasty knows perfectly well that, as always, there are certain consequences after rhinoplasty, because this is a very complicated operation. In order to facilitate the passage of the rehabilitation period, special sparing techniques are used, but even so, the consequences after rhinoplasty can be quite diverse, both at the early postoperative stage and in the future.

The fact that the healing process is not progressing as well as we would like, there may be various inflammatory processes, nosebleeds, hematomas, changes in the color and thickness of the skin in the nose area. In the most severe cases, adhesions may occur, which will subsequently directly affect the sense of smell.
At the same time, it should be understood that the final result can be seen only after a certain period of time has passed, because an additional operation may be required due to the appearance of callus or scars. You can evaluate the result of the work at least 12 months after rhinoplasty.

Nutrition after surgery

It should be understood that rhinoplasty surgeons will not wish anything bad, so the patient is obliged to unconditionally follow all the doctor's recommendations. The specialist is obliged to provide comprehensive information on how to behave immediately after the operation. This includes not only proper care of the operation area, but also diet. Moreover, any plastic surgery implies a mandatory diet.

In the case of rhinoplasty, on average, the diet should last at least 2 months. It is this period that is necessary for the tissues to recover.

By itself, the principle of such a diet is quite simple, it is necessary to exclude sugar, salt, carbohydrates from your diet to the maximum and monitor the amount of food chemicals and proteins consumed.

It is necessary to take food in small portions about 5-6 times a day. Thanks to this, the body will be able to work as productively as possible, better assimilating all the nutrients without being overloaded. It is best to cook food in a steam or water bath. You can add oil, but in a small amount and only after the food has already been cooked.

It is necessary to exclude from your diet: lamb, fatty dishes, goose, fried, pork, spicy, biscuits, smoked, confectionery, pasta and broths.

What can you eat in the postoperative period?

Only lean meats such as beef, turkey and chicken can be eaten. Also, fish will not harm the rehabilitation period, but only low-fat, you can eat fermented milk products. As for vegetables such as tomatoes, zucchini, radishes and cucumbers, they can be consumed in almost unlimited quantities. You can eat chicken eggs.

As for cereals, then only oatmeal, barley and buckwheat porridge, and only if no more than 200 grams per day.
Since confectionery and sugar are strictly forbidden to be consumed, in order to satisfy your need for sweets, you can try figs, raisins or dried apricots. Among flour products, only croutons and rye bread. As for liquids, it can be consumed in almost unlimited quantities (at least 2 liters), tea and compote are best. The use of soda is strictly prohibited.

In fact, at first glance it may seem that it is extremely difficult to adhere to such a diet and at first it may be so, but as soon as you settle down a little in a promiscuous meal, in a week the body will be able to rebuild itself and not experience any problems about it. . In the end, you won't even want to go back to your past lifestyle.

Rhinoplasty: recovery

Recovery after rhinoplasty includes 4 stages, which need to be discussed in more detail.

The first stage of recovery after rhinoplasty of the nose

As for the first stage, its duration remains at the level of 1 week. At this time, the patient is maximally limited functionally. During this time, the patient will wear a bandage or even a cast. Often, it is this period that is more difficult, since you have to limit yourself in many ways, and even in moving along the street, although in this case a more psychological aspect works, because in fact, with a tire on your nose, not everyone dares to go shopping, and that more so when it comes to women.

All this, along with the discomfort of plaster and tampons, which significantly interfere with normal breathing, lips that are constantly dry and the actual inability to “properly” wash, and as a result, anyone who experiences this feeling will wait for the end of this stage the most.

By the way, due to the fact that the plaster will be applied to the operated area, most likely there will not be so much swelling in this area, but you can notice a uniform slight swelling of almost the entire area of the face, but this is an insignificant effect that will disappear in the shortest possible time.

In the case of an osteotomy, slight bruising and bruising in the eye area may occur. Vessels directly in the eye itself can also burst.

The second stage of the recovery period

The second stage ends already within 3 weeks, after all external shells are removed in the form of plaster bandages and splints. The nose is flushed and the clots are subsequently removed if possible. Now the patient literally has the opportunity to get a breath of fresh, even in a sense "new" air. In the event that the patient had bruises, then by the end of this stage they should completely resolve.
Naturally, this stage is not the complete end of the postoperative period. The nose will still be in a state of swelling and may even look a little worse than before the operation.

The third stage of the recovery period

The penultimate stage lasts up to 3 months and this period is marked as recovery. At this time, the swelling either disappears completely, or is almost invisible.

But even this moment is not final, because the nose can still undergo some changes.
This period can be noted as the most difficult from the point of view of the psyche, because the patient already sees noticeable changes, but it is still necessary to wait a little.

The fourth and final stage of recovery

The last stage can last up to one year. Small changes are still going on, and those things that previously seemed unacceptable can now become quite acceptable. But even if the final result at the end of this period does not satisfy the patient, then it is at this moment, but not before, that it is necessary to think about a second operation.

Thus, it becomes clear that the recovery period after the procedure is quite long and can take a year, and sometimes more, but only after that you can really evaluate the final result.

Prices for rhinoplasty in Moscow

In fact, it is impossible to unequivocally answer the question of how much rhinoplasty costs. Too much depends on the individual characteristics and complexity of the surgical intervention. We can say with confidence that the cost will include not only the operation itself, but also consultations of doctors and tests. The cost of consultations is often not very high compared to the operation and averages about 1,000 rubles. A separate item on the bill will be the anesthesia that was chosen for the intervention, the removal of sutures and even the possibility of staying in the clinic for the period of primary rehabilitation.

But even this is not a complete list, the full list will be discussed by the attending physician directly at the consultation, some auxiliary procedures may be needed.

In any case, before deciding to take this step solely for aesthetic reasons, it is worth weighing everything soberly several times and rethinking this issue, approaching the reasoning as seriously as possible. Like any other surgical intervention in the body, rhinoplasty is a very serious operation and one should not underestimate the possible consequences of choosing the wrong doctor who is not experienced enough or an unprofessional clinic that does not have the necessary staff or equipment.

If you nevertheless decided to carry out such an operation, then you must unquestioningly follow all the instructions of the doctor and no initiative, this is fraught with disastrous consequences. Of course, the operation also has a certain list of its positive aspects, including the achievement of psychological comfort or the need to normalize breathing. You can remove possible imperfections that have appeared as a result of physical damage. You can give the face harmony to the maximum, but in pursuit of the ideal, do not forget that each person is ideal and unique in his own way.

Rhinoplasty photo before and after alignment of the septum