The operation tore off part of the wing of the nose. Rhinoplasty surgery: nose reduction, unpleasant aspects of the procedure and recovery. The main indications are

The most popular plastic surgeries are those aimed at changing the shape, reducing the size, and correcting nasal defects resulting from injuries or diseases. They are united under the general name rhinoplasty. According to statistics, these are some of the safest plastic surgeries.

Patients resort to this operation for many reasons, which are divided into physiological (difficulty breathing) and aesthetic (improvement appearance).

Nose reduction surgery is performed for the following indications:

Contraindications

Nose reduction surgery should be carried out after an examination to identify contraindications that may complicate the operation or affect the final result of rhinoplasty.

Nose reduction surgery has the following contraindications:

Surgeries to change the shape or size of the nose are performed using two methods: closed or open. Which one will be chosen depends on the type of operation and the tasks assigned.

Public method

Plastic surgery to change the shape or reduce the size of the nose is most often performed using the open method. The essence of this method is to make an incision at the edge of the wing cartilage and an incision along the columella. When the surgeon has made the incisions, the skin is retracted to the bridge of the nose, thereby opening access to the bone cartilage tissue For further implementation actions for change.

The main advantages of open rhinoplasty:

Because this is an external surgery, the surgeon has the ability to visually monitor the work being done, making it easier to make changes or adjustments along the way.
The tissues do not turn out or stretch during the intervention; this makes it possible to put the tissues in their places without distortion and apply sutures without undesirable changes in shape.
Even with severe defects in the anatomical structure of the nose, grafts can be installed complex shape.
Achieving ideal nasal symmetry after intervention.

Open rhinoplasty also has disadvantages:

Longer rehabilitation period due to high tissue trauma.
Cutting the collumellar arteries leads to disruption of the nutritional processes of the nasal skin during the surgical period.

Private method

Closed rhinoplasty is also widespread because it makes it possible to achieve the desired result without visible marks. surgical intervention.

home distinguishing feature This method causes minimal tissue damage, the incisions are made inside the nose, the columella is not damaged.

The main advantages of the closed method:

Disadvantages of closed rhinoplasty:

The surgeon must be highly qualified and have extensive experience, since the operation is performed almost blindly.
Operations performed by closed method, do not provide an opportunity to solve all problems of an aesthetic and physiological nature.
It is difficult to achieve symmetry, especially if the skin is thick.

The technique and type of operation are determined by an experienced surgeon, as a result of which the desired result is achieved.

Types of plastics

The type of plastic surgery on the nose required is determined by the objectives and goals of the surgical intervention.

Removing the hump

Rhinoplasty to remove a hump is performed using two methods: surgical and non-surgical.

Non-surgical rhinoplasty

This is a type of plastic surgery to contour the nose using injections. Biodegradable preparations are used as injectable fillers: they are based on collagen and hyaluronic acid. Silicone is also used in this type of rhinoplasty, which is a non-biodegradable drug.

IN Lately Autologous fillers are increasingly used. In this case, the nose is corrected by injecting the patient's fat cells. This type of plastic surgery is called lipofilling.

Surgical rhinoplasty

The surgical method is implemented through rhinoplasty. The intervention is carried out under general anesthesia. The surgeon makes incisions inside the nasal openings, peeling away the tissue to get to the hump itself.

If necessary, bone tissue is cut down and cartilage is removed. After removing excess tissue, the surgeon fixes the tissue in its new position. To consolidate the result and to prevent side effects, on For 10 days, a plaster cast is fixed on the nose, and tampons are inserted into the nostrils.

Wing reduction

Surgery to reduce the wings of the nose but it is carried out quickly. The surgeon completes the entire work in 20-25 minutes. The operation can be performed under general or local anesthesia. The specialist is guided by the volume of work, age, and health of the patient, and also takes into account the wishes of the client himself.

Reduction of the wings of the nose is carried out as follows: lateral wedge-shaped incisions are made at the base, excess tissue is removed, and then the edges are sewn together. If it was decided not only to reduce the nostrils, but also the wings of the nose, then the incisions are made in the form of an oval or sickle. At the end of the procedure, a plaster splint is applied to the tip of the nose, and tampons are inserted into the nostrils.

Reducing the height of the bridge of the nose

In the case of a high bridge of the nose, an operation is performed during which a part of the bone (nasion) is removed through incisions in the soft tissues of the nose using special instruments. As a result, the bridge of the nose becomes lower.

Length cutting

Length reduction surgery can be performed using open or closed methods. It all depends on the amount of work.
The surgeon cuts soft fabrics to open access to bone and cartilage tissue. Part of the cartilage and bone is removed; if necessary, the bone is only partially sawed off.

Narrowing of the back

Narrowing of the nasal bridge is performed during a controlled fracture of the nasal bones (osteotomy). The surgeon moves the bones closer together, thereby reducing the width of the nasal bridge.

Tip reduction

In a closed operation, the surgeon makes incisions inside the nose and removes part of the supporting cartilage. To achieve a narrow nasal tip, your doctor will apply sutures as needed to raise or tilt the cartilage.

Operation open method opens up more opportunities and simplifies work, but the rehabilitation period is significantly longer.

Preparing for surgery

Before the nose reduction surgery (two weeks), you need to undergo a standard medical examination.

For full check health conditions you need to undergo tests:

blood (general and biochemical);
blood for prothrombin;
urine;
blood to check Rh factor and blood group;
for acute viral diseases(HIV and hepatitis C).

You also need to do:

In addition to undergoing standard tests, additional examinations should be carried out, if necessary, in order to maximally check your health status and identify all contraindications. The doctor is required to conduct tests for allergic reactions and study medical history.

Immediately before rhinoplasty, you should consult with a surgeon, discuss all the nuances of the future nose job, and clearly and as deeply as possible describe the desired result.

stop taking anticoagulant medications two weeks before surgery ( medications blood thinners) to avoid bleeding;
eat only light and quickly digestible foods (salads, fruits and dairy products) - the day before plastic surgery;
stop eating and drinking 6 hours before surgery;
stop drinking alcohol and tobacco products a week before rhinoplasty.

On the eve of the operation, it is necessary to meet with the anesthesiologist to determine the method of anesthesia, check the patient for allergic reactions to anesthesia, and ensure that there are no contraindications. The examination and check must be thorough, since rhinoplasty is performed under general anesthesia.

Progress of the procedure

Based on the wishes of the patient, the degree of reduction of the nose (entirely or individual parts) and the nature of the incisions, the surgeon determines the technique of the operation. Immediately before plastic surgery, he marks out future incisions and discusses with the patient all the nuances of the operation and desired result.

Stages of rhinoplasty:

Anesthesia.
Incision. Depending on the objectives and the surgical technique, incisions are made inside the nose (closed) or outside (open). In the latter case, the surgeon cuts the columella (the strip of tissue that separates the nostrils). Through the incisions made, the soft tissues of the nose are removed, allowing access to the cartilaginous and bone tissue.
Nose reduction. The surgeon removes part of the cartilage and bone tissue. If necessary, removes part of the bridge of the nose to reduce it.
Hump of the nose. A part of the bone tissue (the hump itself) is removed with a special rasp.
Correction of nostril width. The surgeon makes incisions and removes excess parts of soft tissue, and also distributes the wings of the nose closer to the midline.
Correction of nasal septum. If necessary, the specialist straightens the nasal septum, which will ensure normal physiological functioning of the nose.
Closing the incisions. Once all the steps to reduce and correct the size of the nose are completed, the tissue and skin are placed in place and stitches are performed.
Fixation. Special splints are applied and tubes are inserted to support the nose during the healing period. A special sticker made of plaster or pyroxylin (collodin) is applied to the nose; it will retain the shape of the nose.

Rehabilitation

The rehabilitation period after surgery to correct and reduce the size of the nose is divided into four stages. The first stage lasts the first week after rhinoplasty. This is the most difficult stage, since there is pain in the first days, you need to constantly take antibiotics to avoid infection.

Bandages, plaster casts and tampons in the nostrils prevent breathing through the nose. There is no opportunity to go to work or do housework. It is inconvenient to maintain personal hygiene. There are pronounced bruises, bruises and tissue swelling on the face.

The next stage lasts two weeks after the first stage of rehabilitation. At the beginning of this stage, the doctor removes the bandages and plaster, removes tampons, and removes some stitches. The nose is washed with a special solution to remove blood clots and mucus from the cavity.

This makes breathing much easier. The swelling of the tissues is significantly reduced, the bruises practically disappear, but the nose remains swollen and deformed. During the first two stages, it is advisable to sleep only on your back to avoid damaging your nose. It is prohibited to lift heavy objects, bend over, eat hot food, or be in places with elevated temperature.

The third stage lasts up to three months after surgery. The swelling of the nose becomes almost invisible, but it is not yet fully formed. Slightly swollen wings and the tip of the nose are observed.

The fourth stage lasts from three months after rhinoplasty to one year. The period of complete rehabilitation depends on the characteristics of the patient’s body and the amount of work done to reduce the nose. In about a year, the nose will be fully formed and the result of the operation will be visible.

Possible complications

The result of the operation is influenced by many factors, ranging from the professionalism of the surgeon to the activities of the patient during the rehabilitation period.

All sorts of complications may occur after nasal surgery:

May be damaged due to the fault of the surgeon nose bone, cartilage tissue or skin. If an error was made during the operation, repeated surgery will be required to repair the damage.
Seams coming apart. This depends not only on the professionalism of the doctor, but also on the patient’s body, as well as on caring for oneself during the rehabilitation period.
Numbness. In the first days after surgery, there is numbness and loss of sensitivity in the nose, as the surgeon made incisions that damaged the nerve endings. This is a temporary phenomenon.
Hematomas and tissue swelling. This is a natural phenomenon, since soft tissues were damaged during plastic surgery. If the operation took a long time and many changes were made, swelling may make breathing difficult. An experienced surgeon will prescribe medications that will make the rehabilitation period easier.
Getting infected. This happens extremely rarely. May be a consequence of insufficient disinfection of instruments and the patient’s skin before rhinoplasty. Timely identified infection is successfully neutralized with antibiotics.
Tissue necrosis. As a result of surgical intervention, they are damaged blood vessels, and blood stops flowing to the skin, bone or cartilage. This causes tissue death. In this case it is done reoperation under local anesthesia to remove excess skin, bone or cartilage tissue. A prolonged healing period can also lead to necrosis.

To avoid or reduce the likelihood postoperative complications, you should adhere to several rules:

do not smoke or drink alcohol before and after surgery;
do not take drugs that reduce blood clotting;
do not succumb to stress, monitor your health, avoid pressure changes;
protect your nose from damage;
eat healthy and balanced food.

During nose reduction surgery, you can change the length and width of the nose and remove the hump. Despite the fact that this operation is one of the safest, complications are possible after rhinoplasty.

Video about rhinoplasty

Photos of rhinoplasty before and after:

If the size and size of the nostrils are disproportionate by nature or have acquired a not very aesthetic appearance as a result of facial injuries, the optimal solution is correction of the nostrils - a popular type of rhinoplasty, which involves correcting the shape of the wings of the nose.

People of some nationalities have flat or widened wings of the nose. Sometimes expansion of the nostril area is observed in the case of improper scarring of the mucous membranes: rhinoplasty will also come to the rescue - this is the safest and most aesthetic solution to cosmetic problems of this kind.

Rhinoplasty of the nostrils includes reducing the external size of the nostrils and correcting their incision. Thanks to surgical removal Certain areas of skin and cartilage can effectively correct the shape of the wings of the nose.

The choice of type of operation should be entrusted to an experienced plastic surgeon, who will professionally assess the size and shape of the nostrils and select the optimal technique.

During the operation, surgeons make every effort to ensure that the scar is positioned vertically: this increases the aesthetic appearance of the nose. In more complex cases, the doctor makes a careful incision at the base of the nostril. If partial excision of the base of the nasal wings is indicated, the surgeon observes the symmetry of the nose and the characteristics of the patient’s tissues.

Preparing for nostril correction surgery

Planning a nostril rhinoplasty requires that the patient fully understands the seriousness and responsibility of the surgical procedure. Such operations are carried out exclusively in reliable clinics whose profile is plastic surgery.
Before the procedure of rhinoplasty of the nostrils, a full medical examination is required, and the patient undergoes consultation with specialists.
Before nose correction surgery, the patient also visits a therapist, ENT specialist and anesthesiologist: this allows you to choose the most suitable set of procedures and medications for the patient.
IN mandatory The surgeon conducts a preoperative assessment of the appearance of the nose, and photographs of the nostrils are taken in order to compare the result after the operation. Based on preoperative studies, the surgeon models the ideal size and shape of the nostrils. All of this is then reflected in the cost of rhinoplasty surgery.
Restrictions before the rhinoplasty procedure include: certain rules. For several weeks, the patient should limit himself to smoking and drinking alcoholic drinks. You should not take medications that cause changes in blood clotting. There is also a ban on certain types of products. Detailed advice should be obtained from the surgeon who is planning the operation.

The risks associated with nostril rhinoplasty should be assessed in advance. This is a possibility of infection, rupture of blood vessels, as well as adverse reactions for medications used during surgery. 98% of these types of procedures usually go without complications.

Risk factors and possible contraindications

As with any major surgery, to correct the nostrils There are a number of contraindications.

Rhinoplasty is not performed if the patient is diagnosed with oncological diseases, heart and liver diseases. Also, surgeons do not perform surgery on people suffering from diabetes mellitus And bronchial asthma, various drug allergies, infectious diseases and exacerbation chronic diseases. Among absolute contraindications- mental disorders.
The optimal age for rhinoplasty of the nostrils is considered to be the period from adulthood to 40-45 years. It is not advisable to perform the operation earlier; later it is fraught with complications due to age-related changes skin and metabolic disorders.
The indicator for performing the operation is the final formation of the patient’s face.
Surgery is performed under general or local anesthesia.
The procedure lasts no more than one and a half hours.

Features of surgery on the wings of the nose

Open plastic surgery is performed in cases of complex surgery and the need to make small incisions. The operation implies optimal contact with the operated areas: this method gives the most effective results.
Closed rhinoplasty is performed by making incisions and carefully removing excess tissue. Skin excision is also performed.

Features of the rehabilitation period

The postoperative recovery process includes the occurrence of facial edema, which is considered natural consequence operations. Swelling goes away easily after a few weeks.

The first days after correction of the nostrils, the patient breathes through the mouth, and cotton swabs are inserted into the nostrils to prevent bleeding. The surgeon may prescribe painkillers.

After a month, the patient is allowed to exercise and lead a normal lifestyle. Deadlines rehabilitation period are determined individually. Patients must undergo regular examinations with a surgeon and follow a special diet.

For nostril rhinoplasty to be successful and bring positive results, you should choose the right clinic and doctor. This will be the key to successfully investing funds and achieving perfect proportions nose

Photos Before and After rhinoplasty of the wings (nostrils) of the nose

Plastic kcorrection of the wings of the nose

Plastic kcorrection of the wings of the nose performed with the aim of changing the width, thickness and symmetry in case of their deformations and pronounced aesthetic defects. In order to reduce these parameters, excision of the tissues of the wings of the nose is performed using various techniques depending on the existing violations. Restoration of the nasal alae is achieved by mobilizing the tissues surrounding the defect, or by moving a skin or cartilage graft. Correction of the wings of the nose can be performed independently or as the final stage of rhinoplasty.

The wings of the nose are located symmetrically in the lower part of the lateral surfaces of the external nose and limit the paired nasal openings - the nostrils. The wings of the nose consist of a cartilaginous base (ala cartilage) and connective tissue formations, externally covered with skin.

Defects of the wings of the nose can be congenital and acquired, partial and complete. The causes of acquired deformities of the wings of the nose may be previous injuries and diseases, burns, consequences of tumor removal or unsuccessful

With the help of rhinoplasty of the wings of the nose, you can solve such common aesthetic problems as asymmetry of the nostrils, hypertrophied width, length and thickness of the tip. Plastic surgeons They consider this operation to be relatively easy, both from the point of view of the technique of its implementation and from the point of view of rehabilitation.

It can be performed in various surgical methods(depending on the nature and severity of the defect itself). Thanks to the operation, it is possible to create proportional harmony of facial features by correcting the wings of the nose.

If you think that you will feel confident after such changes, this operation is really worth signing up for. But to do this, you need to find out more information about the principles of planning future changes, the rules of preparation and recovery period, as well as surgical techniques, through which rhinoplasty is performed.

When is correction of the wings of the nose necessary?

The operation can be performed if there are such significant indications as:

asymmetry of the wings of the nose;
thickening of the skin in the area of the nostrils and cartilage of the wings;
the effect of recessed nostrils;
hypertrophied width of the wings of the nose;
elongated wings.

The patient will not be able to independently determine whether correction of the wings of the nose is necessary, so it is better to entrust this issue to a competent surgeon. Sometimes it may seem that the disharmony of facial features is associated with widened nostrils or thickened skin in the area of the wing cartilages, but in reality it turns out that the problem is a pronounced hump or other defects.

Therefore, before making a decision, it is better to first consult with a specialist. The surgeon will examine and evaluate the condition of the nasal tissues and help characterize anatomical features its structure and form.

Diagnostics will allow you to clarify the essence of the aesthetic problem and understand what exactly needs to be changed. If it turns out that the patient has some imperfections in the wings of the nose, he will be offered one of the methods of rhinoplasty.

What methods are used today?

Used in plastic surgery wide range techniques for eliminating typical defects of the wings of the nose:

Tissue transplantation to eliminate the effect of recessed nostrils. During the operation, a method is used to transplant the patient's own tissues, which are collected from the mucosal side. The advantage of the method is that the transplanted tissues are not rejected by the body, because they are native to it. Rehabilitation, according to statistics, in most cases is quick and without complications.
Excision of excess tissue to reduce the wings of the nose. Widened and thickened wings of the nose can be corrected by removing excess tissue that visually “weights” its tip. The operation is also not considered dangerous and has minor tissue trauma. After it, the nose looks more elegant and sophisticated.

A closed rhinoplasty technique to change the size or shape of the nostrils. The operation is performed through a closed surgical approach, that is, with inside nasal mucosa. The advantage of the technique is the ability to hide scars, that is, after surgical intervention they will not be visible.
Stitching of the wing cartilages in the columella area. Enlarged nasal wings are a very common problem that can be solved different ways. Sometimes surgeons use the method of suturing the cartilage of the wings of the nose. This allows you to create narrower nostrils.

Preparation for surgery and rehabilitation

Before surgery. At the preparation stage, the specialist applies innovative method computer modeling. This great way see the expected and approximate result of future rhinoplasty on a computer monitor. Moreover, if for some reason the patient does not like the result on the image, the specialist makes new adjustments and shows a second correction option. When the result suits the patient, the surgeon will be able to understand which technique to choose.

No less important point In preparation, there is an examination: the patient will need to make sure that he currently does not have any health problems that could interfere with the operation.

The surgeon will provide him with a list of examinations (ECG, test for hepatitis, HIV, blood test, test for syphilis, fluorography and others) that will need to be completed some time before the expected date of the operation. If no contraindications are found, the patient is allowed to undergo surgery.

Contraindications:

age under 18 years;
somatic diseases(decompensation, exacerbation);
mental disorders;
blood clotting disorder;
heart failure;
some infectious diseases;
presence of a tumor(benign or malignant) in the body.

After operation. You should know in advance that after rhinoplasty of the wings of the nose, a special protective splint made of plaster is applied to it. It allows you to protect the healing tissues of the nose from injury and damage. This is important because in this period they are still extremely fragile.

Nostril reduction surgically– one of the types of rhinoplasty. It is believed that such an operation is complex, requires a certain amount of experience from the doctor, and has a high risk of complications. Modern plastic surgery allows correction of the nostrils (nose wings) with minimal risks.

Read in this article

Who needs surgery

Rhinoplasty, aimed at correcting the shape and size of the wings of the nose, is performed at the request of the patient. Naturally, the doctor will conduct a preliminary examination and determine whether there are contraindications to surgical intervention. But nostril reduction is carried out not only at the request of the person, but also for certain medical indications:

overly wide or long wings of the nose;
disproportionate shape and size of the nostrils;
too thick skin in the area of the nose in question;
retraction of the wings as a result of their injury;
too much wide nostrils;
inharmonious size of the nostrils with the nose.

Disturbances in the appearance of the wings of the nose can be congenital or acquired. In the first case we are talking about intrauterine disorders anatomical structure skull, in the second about the consequences of unsuccessful surgical intervention, injuries and curvature of the nasal septum.

How is surgery performed?

There are 2 main methods of performing surgery to correct the shape and size of the nostrils:

Tissue removal skin. It can be used in all cases, regardless of the cause of nostril problems. The surgeon makes neat incisions at the base of the wings of the nose, removes the “loose” part of the skin and applies sutures.
Contraction of the nasal openings. Used only when necessary to correct too wide nostrils. The doctor makes an internal incision through which the thread is pulled. Then it is tightened to the desired size and fixed.

Technique of the operation

Most often, rhinoplasty is performed by removing skin tissue. The operation algorithm is as follows:

The doctor makes incisions at the base of the nostrils - this is done one at a time. The final result depends on the depth of the incision - for example, if the surgeon touches the base with a scalpel, the wings of the nose will become narrow.
The surgeon removes excess flaps of skin. Here you need to work extremely carefully - excision of too large a fragment of skin can lead to an inharmonious change in appearance. It is impossible to correct such an error.
The edges of the incision are connected and closed with a cosmetic suture.

If you need to solve the problem of the retraction of the wings of the nose, you will need to restore their support. This type of surgery is performed using the patient’s cartilage tissue, which is obtained from the nasal septum or auricle.

Before the operation, each patient needs to undergo an examination - correction of the shape and size of the wings of the nose is carried out under general anesthesia or local anesthesia(the choice depends on the amount of work to be done). To undergo plastic surgery, the patient must have the results of the following studies:

general blood and urine tests, biochemistry - results are valid for 2 weeks;
HIV and ECG tests – data is valid for a maximum of one month;
blood for hepatitis and syphilis - considered reliable within 2 months;
fluorography - only a conclusion from a radiologist is required, which has no statute of limitations.

General analysis to select wing size

If 6 months before the planned rhinoplasty to reduce the nostrils, plastic surgery on the mammary glands was performed, then the surgeon will need the results of their ultrasound examination.

The recovery period lasts no more than 5 days, during which time the appearance becomes acceptable for going to work. For outpatient treatment the patient is discharged from the clinic a few hours after the operation - the doctor will make sure that he is feeling normal.

If the rhinoplasty was performed under general anesthesia, you will have to stay in the clinic for 1 - 2 days. In case of artificial formation of supports for the nostrils, you will need to wear a special one for a week. plaster cast, which supports the implanted cartilages.

For a month after the operation, you should not visit saunas and steam baths, play sports or expose your face to direct sunlight.

Possible complications

Nostril reduction– a full-fledged surgical intervention, which is accompanied by tissue incision and damage to the integrity of blood vessels. In the early recovery period Swelling, bleeding, and extensive hematomas may occur. These conditions disappear over time, often without the need for specific therapy. It is much more difficult to cope with the asymmetry of the wings of the nose and problems in nasal breathing.

A distinctive characteristic of complications after surgery to reduce the nostrils is that they can appear a month or even a year after the manipulation.

Watch the video about nostril reduction:

This can only be avoided by contacting a qualified specialist, in a clinic with an impeccable reputation, and by following all recommendations for managing the rehabilitation period.

Result before and after

Correction of the shape and size of the nostrils ensures the creation of a harmonious appearance with correct proportions. The face acquires softer lines, even its expression changes. The final result will be visible only 6 months after the surgical intervention - swelling will disappear, hematomas will disappear, cartilage and soft tissue will completely fuse, and scars will resolve.

Before and after nostril reduction surgery

Cost of nostril reduction

Rhinoplasty, aimed at correcting the shape and size of the wings of the nose, is quite expensive. Depending on the complexity of the work ahead, the price of the operation can be 21,000 rubles (about 4,000 UAH) and higher.

Nostril reduction is not the most popular Plastic surgery. But it can solve many human problems - from difficulty breathing to psycho-emotional disorders and low self-esteem.