After removing the hump, the bulge appears. Callus after rhinoplasty. Specific complications after rhinoplasty

Despite the popularity of rhinoplasty, its consequences can be very serious and may not appear immediately. Sometimes it takes several months, or even years, for a problem to form - and when a person has forgotten to even think about the operation, he suddenly develops breathing problems or his nose “moves” to one side. Moreover, these complications occur most often, and in about 15% of cases another operation is necessary to correct the nose.

Infections practically never happen, and psychological disorders and complications that appear immediately after surgery take second place. All of them require urgent intervention from a doctor of the appropriate profile.

Besides severe complications, we can highlight minor health problems that can be solved quickly and without harm to the patient. Approximately 30% of operations are accompanied by side effects.

Causes of complications

Causes of complications:

• Choosing the wrong one doctor Little experience in performing operations increases the possibility of surgeon error.
• Ignoring requirements attending physician. Non-compliance with the regimen, refusal to use medications, physical actions, capable of damaging the nose - all this leads the patient to the need to undergo surgery again.
• Individual intolerance drugs used during surgery.

Rhinoplasty is not only a quick operation and recovery over several months, it is a long preparatory period, during which you need to select the desired shape and coordinate it with the doctor. This step should not be skipped, as the result may not be what the patient expected.

If possible, you need to make an approximate model of the future nose - modern technologies they allow it.

Consequences

Doctors identify several main types of problems that a patient who has undergone rhinoplasty may encounter:

• Aesthetic. If there is no threat to the patient’s health and life, but, nevertheless, something went wrong, this relates to the aesthetic side of the issue. If the nose has become larger after rhinoplasty, or a hump remains after the operation, the problem is clearly an aesthetic one.
• Functional. Sometimes they are confused with aesthetic ones because they do not look very attractive. But there is also a difference: with functional problems, a person cannot breathe through his nose or experiences certain difficulties in identifying odors.
• Infectious. Redness varying degrees heaviness, swelling. They are not so common, but may be accompanied by high fever and serious condition patient.
• Psychological. Usually appear in combination with other problems, but there are cases when bad emotional condition the patient is not conditioned by anything. People are afraid of how they new appearance will be perceived by others.
• Specific. Connected with individual characteristics the patient's body and cannot always be predicted.

If we talk about serious consequences that can harm the patient’s health, the following situations should be highlighted:

• Damage cartilage or skin.
• Damage bones.
• Bleeding during or after rhinoplasty.

In the first case, after surgery there is a high probability of scars and adhesions, the elimination of which will require additional surgical intervention after the nose has healed. In the second: the nose may shift or bend to the side, correcting surgery usually required more often.

In the third, the problem is controlled with the help of medications and cotton swabs.

Early consequences

Unsuccessful nose job can lead to the following consequences noticeable within a few hours after the procedure.

Seam divergence

It appears if the incision was made poorly, or if the surgeon used low-quality material for suturing. Sometimes discrepancies occur spontaneously, regardless of the quality of the material.

The main thing is to say it in time unpleasant sensations to the attending physician so that he can adjust the course of treatment and refer for repeat surgery. If you put it off “for later,” there is a high probability of deformation of the nose or the appearance of unhealed scars.

Hematomas

Hematoma after rhinoplasty is absolutely normal. During nose correction, incisions are made, and in particularly complex operations, bones are crushed - damage cannot be avoided.

Crusts

Crusts in the nose after rhinoplasty are caused by blood entering the nasal cavity. This environment is favorable for the development of infection, so the doctor must be notified of difficulty breathing. He will prescribe treatment to clear your nose.

The crusts must not be torn off! They should peel off on their own.

Blue streaks or bruises

Blue streaks after rhinoplasty (especially after complex operations) are caused by hitting small quantity blood under the skin. If they do not grow and no more bruises appear, you need to wait until they go away on their own; if the skin is very delicate, the bruises can last more than a month.

Runny nose

A runny nose does not appear very often and goes away quite quickly. Under no circumstances should you blow your nose.

The doctor will show you how to carefully deal with the problem using napkins or cotton swabs. It is advisable to sneeze with your mouth open.

Numbness

Any Plastic surgery may lead to loss of sensation. During rhinoplasty, the tip of the nose or some part of it may become numb - it all depends on the area of ​​the procedure and the professionalism of the surgeon.

Sensitivity often returns; you have to wait a few days. If numbness occurs several months after surgery or does not go away even after discharge, you should consult a doctor again.

Humpback

A hump after rhinoplasty may appear due to callus, swelling or doctor error. In any case, the algorithm of action is simple: if the swelling has subsided, but the hump remains, you need to wait until the doctor authorizes the operation again.

Difficulty breathing

To restore nasal function, you need to ask the surgeon to prescribe certain medications or, if the swelling does not go away, to conduct additional examination and surgery.

Infection

If the disinfection of the room, instruments or operating area has not been sufficient, infection may enter the sutures. To exclude this possibility, it is recommended to be under the supervision of a doctor for at least the first few days. This will be useful: at the first sign of infection, such as fever, the doctor will prescribe antibiotics.

Necrosis

If the surgeon made a mistake during the operation or something unexpected happened, causing blood to stop flowing to part of the nose, tissue necrosis may develop. This leads to the need to remove the affected part of the nose. Such cases are very rare in practice.

Temperature

If the temperature stays in the range of 36 to 38 degrees for the first few days, then everything is fine, but if it increases or lasts for several weeks, you should think about returning to the hospital and checking the stitches for infection.

Pain

Pain after rhinoplasty will appear almost immediately after surgery. This is fine. It is usually tolerable, but if you have low pain threshold, you can agree with your doctor about prescribing appropriate medications. Self-administration of medications is not recommended, especially if you are taking other medications due to other complications.

Consequences that are visible to the naked eye

Aesthetic complications:

1. Curvature back of the nose.
2. Asymmetry. To understand, you need to divide the nose into two parts and see if the parts are the same. You may end up with different nostrils.
3. Coracoid Deformation of the nose is when the nose is very full above the tip, and the tip itself is disproportionate to the rest of the part and is often curved down.
4. Lowered/ excessively upturned tip of the nose.
5. Shortened tip nose
6. Saddle deformation. The bridge of the nose sags approximately in the middle. With pronounced deformation, the angle of subsidence is significant, visible to the naked eye, and the tip of the nose protrudes noticeably. The skin at the site of deformation becomes mobile and folds without effort.

Late consequences

Not all effects appear immediately; some may take several months or a year to appear.

Changing the shape of the nose

Over the course of a year of complete rehabilitation, the shape of the nose may change slightly - this is included in the risks of rhinoplasty. Almost half of all reoperation cases are due to beak deformity.

A nasal tip that is too upturned or drooped can also be a reason for repeat surgery. The following table shows the main mistakes that can be made and their consequences:

Error	Example	Result
Technical error (not too serious)	Incorrect placement of the graft	Asymmetry after rhinoplasty or irregularities visible to the naked eye
Deformations left unattended	Deformations different levels seriousness	Deformation
Doctor's recommendations ignored	Deformation of the tip of the nose	Beak-shaped deformity or drooping nasal tip
Hypercorrection	Bridge of the nose	Too short nose, saddle deformity

Callus

Its appearance is due to improper fusion of tissues inside the nose. There is always such a risk, and if the doctor notices a callus during an examination, measures must be taken before it grows and begins to cause pain to the patient. As the callus grows, a hump may appear.

Bumps near the eyes

Specific reaction of the periosteum to damage due to surgery. It can only be corrected by contacting a surgeon. It appears no earlier than after a few months.

Nasal congestion

After rhinoplasty, patients often complain that their nose is stuffy. This is a common symptom. It goes away on its own after 3-5 days.

But experts note that this unpleasant sign can bother you for several months. This does not apply to deviations. The patient only needs medical supervision.

Swelling after tip plastic surgery

Swelling after rhinoplasty of the tip of the nose occurs as a result of soft tissue injury. Highlight:

1. Primary. Occurs during surgery.
2. Secondary. Swelling is less pronounced. Observed after rhinoplasty.
3. Residual. Outwardly almost invisible.

The swelling disappears completely after a year, as soon as blood circulation in the tissues of the nose is restored. The duration of the rehabilitation period depends on the extent of surgical intervention, the age of the patient, physiological characteristics body.

Smell

Loss of smell is also a common symptom after rhinoplasty. It goes away on its own immediately after the swelling decreases.

Nasal breathing and sense of smell are usually restored after 1-2 months.

But most dangerous sign is the appearance of a putrid odor in the nose. This indicates that it has begun postoperative complications and the patient requires the help of a doctor.

The cause of the formation of purulent masses is infection of the wound surface, penetration of bacteria onto the injured mucosa.

The putrid odor may also be noticeable to others. To prevent the occurrence of such a symptom, you should follow the recommendations of a specialist during the rehabilitation period.

After which the help of a doctor is required

Bruising usually goes away very quickly, but some complications should be dealt with by a specialist high level, preferably an experienced surgeon. His help should consist not only of placing cotton swabs and prescribing tablets, but also repeat consultation and, if necessary, surgical intervention.

List of main complications after which reoperation inevitable:

• Abscess.
• Atrophy cartilage.
• Dysfunction breathing.
• Intracranial complications after rhinoplasty.
• Perforation partitions.

How to reduce the likelihood of complications

In order not to get a deformed nose after rhinoplasty, you need to carefully think through everything down to the smallest detail. You need to choose the best clinic and doctor.

An unsightly scar after rhinoplasty may appear due to non-compliance with the doctor’s basic recommendations during recovery period. To prevent this from happening, it is necessary to write down all the surgeon’s instructions and not deviate from them.

One of the complications of rhinoplasty surgery is the appearance of hypertrophied callus. But not everything is so simple.

In fact, with the appearance of such a callus, the body reacts to tissue damage due to its enormous compensatory capabilities.

The growth of excess bone fibers at the site of surgery is the body’s reaction to injury.

Callus- this is the result of regenerative processes, its occurrence occurs due to natural recovery bone tissue after its destruction.

There is no need to confuse an ordinary callus, for example, on a finger, and a bone callus - these are completely different formations.

The callus consists of connective tissue, appearing at the site of bone fusion. That is, such a callus, in fact, always forms, and this is a normal process.

It is important to prevent the appearance of an overgrown callus.

Such a callus is not dangerous for the body, but it also needs to be treated to prevent even more serious complications and the appearance of pain.

An important point: an overgrown callus can significantly deform the appearance, which completely neutralizes the result of the operation.

Stages of formation:

1. Initially (within about 7 days) after rhinoplasty, a provisional callus is formed.
2. Bone or cartilage tissue is then formed from the resulting osteoid tissue.
3. The formation of callus occurs within a period of up to 6 months.

The formation time depends on the following factors:

1. qualified and timely medical care;
2. the size of the damaged bone;
3. patient's age;
4. general condition of the patient’s body: features of metabolic processes,
5. state nervous system and endocrine glands.

Callus can be of the following types:

1. periosteal;
2. intermediary;
3. endosteal;
4. paraosseous.

Briefly about each of them:

• Periosteal - appears on the outer part of the bone. It has a good blood supply and, accordingly, is characterized by rapid regeneration.

It is expected by surgeons and causes a slight compaction to form along the fracture line. This is the so-called “good” callus, which must appear, otherwise the bones will not heal.

It functions as a kind of living glue that holds bone fragments together and allows new bone to grow.

The intermediary callus holds bone fragments together, filling the space between them with cells and vessels,

• Endosteal– formed from cells bone marrow and endosteum, appears next to the medullary valve.
• Paraosseous- this is a kind of “bridge” for debris bone tissue, this is a soft fabric that easily breaks even under not so significant loads.

This type of callus is unfavorable, and surgeons during rhinoplasty try by all means to prevent its formation.

The type of callus depends on the location of the fracture and the individual properties of the body, the ability to regenerate tissue.

Video: Surgical technique

Causes

The occurrence of callus is based on the special properties of bone tissue, which differs from other organs and systems in the unique course of the healing and restoration process.

The process is as follows:

1. formation of connective tissue around the damaged area;
2. formation of bone tissue in the form of thin fibers;
3. calcification of fibers occurs, as a result of which bone tissue becomes stronger, soft fabrics are replaced by bone ones. Then, at the site of fusion of the bone tissue, a growth is formed, the size of which depends on the depth of the injury to which the bone and adjacent tissues have been subjected, as well as the patient’s body’s ability to regenerate tissue - this is an individual property.

Based on the above, among the reasons for the appearance of callus after nose surgery are the following:

1. the body’s ability to intensively restore bone tissue;
2. skill of a plastic surgeon: experienced professionals have
3. developments, the use of which in the overwhelming majority prevents the hypergrowth of bone fibers.

An important point: callus after rhinoplasty can develop only when the bone tissue is damaged during the operation, that is, the bone skeleton is corrected.

Most often this happens after removing a hump on the bridge of the nose and completely changing the shape of the nose.

Photo: Before and after surgery

How to remove callus after rhinoplasty

Hypertrophied growth of callus can lead to:

1. humps on the nose, nasal deformities;
2. edema

There are several methods to get rid of callus:

1. surgery (although it is prescribed relatively rarely);
2. physiotherapy;
3. treatment with medications.

Removal of callus is indicated as a last resort if other methods are not effective.

Surgical intervention is also indicated in the following cases:

1. high temperature bodies;
2. hyperemia, edema.

Drugs

To prevent the appearance of hypertrophied callus, drugs are used that contain glucocorticoid hormones, which remove swelling and promote rapid tissue healing:

1. drug "Diprospan" administered by injection, subcutaneously, improves the ability to scar, reduces inflammation, swelling;
2. drug "Kenalog" administered intramuscularly, has a pronounced anti-inflammatory effect;
3. homeopathic medicine complex action "Traumeel S", applied externally (ointment) and internally (drops, tablets).

Physiotherapeutic procedures

As a result of physiotherapy (although this is a long-term treatment), it is possible to activate the regeneration and gradual resorption of the callus:

1. electrophoresis is used using hydrocortisone and lidase;
2. ultrasound exposure using steroid ointment, phonophoresis;
3. magnetic therapy, UHF;
4. thermotherapy (heat therapy).

Prevention

The main measures to prevent the appearance of callus after rhinoplasty are:

1. strict adherence to the doctor’s recommendations during rehabilitation;
2. urgently contact your doctor if you experience initial signs and symptoms of callus appearance;
3. the optimal choice of clinic and experienced professional for rhinoplasty. The operation is quite common and has a relatively low cost, so it is important to navigate among all the offers in order to choose best option, without being tempted by a lower price than usual.

To prevent the occurrence of callus, as well as excessive swelling and other complications, you must follow simple rules:

1. the doctor recommends observing the first 2-3 days bed rest– do not ignore this requirement, because it will have a positive impact on your well-being and, ultimately, on the result of the operation;
2. during the postoperative period, it is better to stay at home for at least two weeks and avoid strong physical exertion;
3. do not blow your nose for the first two weeks (use special sticks to clean your nose);
4. Not less than a month do not visit the beach, sauna, solarium, avoid excessive overheating, exposure to the sun for a long time;
5. don't study strength exercises, do not bear heavy weights for 2 months;
6. during rehabilitation period no need to wear glasses (they put pressure on the bridge of the nose);
7. exclude both too cold and hot food and drinks, take food warm.

And one more thing - don’t be afraid of bruises after surgery.

It has been noticed that the concentration of a small amount of blood in the osteostomy area results in the formation of a “positive” callus that holds the bones together for 7 to 10 days, and therefore is used plaster cast there will be no need.

Hypertrophied callus does not appear very often after rhinoplasty. At the first sign of it, you need to consult a doctor, and then there is a high chance of removing the callus without surgery.

After all, repeated surgery also does not always guarantee that the problem of callus will not arise again.

Aesthetic complications: surgeon mistakes

Despite the development of technology, the improvement of surgical techniques and the emergence of new proprietary techniques, surgical interventions continue to be performed by people who are not immune to mistakes. Pitfalls await plastic surgeons at every stage of appearance modeling, from the stage of planning correction and drawing up tactics for surgical intervention to the rehabilitation period.

Of course, the most “dangerous” stage in terms of the final result is the operation itself. During rhinoplasty, the surgeon’s actions are aimed at modeling miniature anatomical structures. Nasal cartilage and bones are tiny in size. At the same time, they are closely integrated into the overall structure of the nasal skeleton, and they have to work in conditions of extremely limited space surgical field.

If the patient had the opportunity to attend a nasal surgery operation, he would understand how many difficulties from a technical point of view this surgical intervention is fraught with. There is no doubt that understanding the full degree of responsibility that lies with the doctor, in combination with the degree of complexity of the tasks being solved, would force a person to look differently at the problem of choosing a surgeon who can be trusted with appearance, health and beauty.

The slightest mistake during resection of nasal cartilage or osteotomy leads to irreversible consequences.

Excised tissue cannot be returned to its original place. The situation can only be corrected through a transplant. cartilage tissue patient, but that’s another story that has to do with revision (repeated) rhinoplasty.

An unjustified increase in the volume of tissue removed during cartilage resection or osteotomy can lead to many aesthetic complications. When removing a hump, such an error creates a deficiency of tissue in the area of ​​the bridge of the nose. This changes the direction and strength of the tissue tension vector, causing the tip to rise upward. An upturned nasal tip is one of the possible complications of nasal surgery operations, the purpose of which is to correct the hump.

Another consequence of this error may be the formation of a depression or pit on the back of the nose in place of the removed tissue. Such a defect is usually called saddle-shaped deformation. Another one possible problem- asymmetrical tissue removal on the left and right halves. It is easy to understand that as a result of this mistake by the plastic surgeon, curvature or asymmetry develops.

So, even minimal trimming during tissue removal can lead to the formation of the following defects after rhinoplasty:

• Saddle-shaped deformity of the nasal dorsum.
• Upturned tip of the nose.
• Asymmetry of the nose.

Note that overcorrection can result from an error both during surgery and during the planning stage. If you lack experience plastic surgeon can perform operations exactly as intended, but an initially incorrect assessment of the required amount of correction will lead to disastrous consequences.

When planning to change something in your appearance, you should pay attention not only desired result, but also possible difficulties of the recovery period, as well as ways to avoid them.

Callus after rhinoplasty- these are growths from the external and inside nasal skeleton caused by damage during surgery. They appear if an osteotomy has been performed, and in some cases require additional treatment, up to repeated surgery. Why do such formations arise and what is their function? Can they pass on their own? Are there reliable methods of prevention? The site studies the information and shares its findings:

How and why is callus formed?

It is normal for our nose to heal after damage, incl. surgical, occurs in several stages:

• Initially, a fibrocartilaginous skeleton grows on the injured area, the main task of which is to hold the broken bones in the most motionless position. This is a callus, and it appears both on the outside of the damaged area (periosteal) and on the inside (endosteal).
• The formation will increase in size until it ensures reliable fixation of bone fragments: the less mobile they are initially, the faster growth will stop. Externally, it may look like irregularities and bumps on the bridge of the nose, a sudden hump, asymmetry of the sinuses, etc. - depending on the exact area where the surgical injury occurred. In uncomplicated cases this stage takes 2-4 weeks.
• The next step is the formation of the so-called. intermediary callus - it occurs between adjacent parts damaged bones and gradually grows them together, grows with vessels, thereby ensuring complete healing. This process is not visible from the outside; its progress can only be judged by X-ray data.
• After 6-8 weeks, the fusion ends, after which the periosteal and endosteal growths that have fulfilled their functions are significantly reduced, and in many cases, they resolve almost completely. There are no noticeable deformities of the nose, if any were present during the healing period.

Thus, the appearance of callus after rhinoplasty is absolutely normal and contributes to the proper healing of damaged areas. With good fixation of the fragments, the entire process takes no more than 2 months, leaves no visible traces and ends with the formation of full-fledged nasal structures resistant to external mechanical stress and fractures.

Problems arise if the periosteal growths grow too actively in size and become denser. This may happen for one of the following reasons:

• The cartilage and bones with which the work was carried out are poorly fixed and are in constant movement - for example, due to an incorrectly applied bandage.
• The patient’s violation of the surgeon’s recommendations in the early postoperative period: any external influences on the nose, attempts to scratch it under a cast, severe sneezing, active physical exercise and so on. lead to displacement of bone fragments that have just begun to fuse and enlargement of the callus.
• Traumatic surgical technique. The more damaged the skeletal part of the nose was and the less gentle methods of its reconstruction were used, the higher the chances of complicated healing.
• Individual characteristics of the body. Some people have a tendency towards increased growth of cartilage and fibrous tissue genetically determined - similar to the tendency to form keloid scars.

Healing in such conditions takes much longer - up to six months or more; the periosteal formation often grows excessively large and massive, and does not decrease even after complete fusion of all bone structures, leading to visible changes in the shape and contours of the nose.

Is it possible to remove it and how to do it?

As a rule, patients begin to panic 1-2 months after surgery, when, firstly, the callus reaches its maximum size, and secondly, the main swelling goes away and you can begin to examine your new nose in all details. But if during routine examinations the surgeon does not see any “crime” (for example, excessive growth of bone tissue), then there is nothing to worry about. Any formations that form during the recovery period after a nose job may go away on their own—doctors recommend waiting 6 to 12 months before doing anything else.

However, sometimes already in the first weeks of rehabilitation it becomes obvious that the growth is growing too rapidly - an experienced doctor can easily diagnose this situation during a face-to-face appointment. In this case, it is better not to delay treatment in order to avoid further surgery. The first step is usually to prescribe one of the following drugs:

• Diprospan. It is used in the form of subcutaneous injections. The effectiveness of the product is associated with its ability to reduce the severity of inflammatory reactions, thereby preventing the formation of large periosteal growth.
• Kenalog. It is administered intramuscularly. Belongs to the group of corticosteroids. The main active component is triamcenolone acetonide, like Diprospan, it has an anti-inflammatory effect and softens connective tissue.
• Traumeel S. Homeopathic remedy, for this reason in surgical practice used extremely rarely. It is used both externally as an ointment and internally (tablets, drops). The effectiveness has not been scientifically proven, but has been confirmed by clinical observations.

In addition, physiotherapy may be prescribed: ultrasound exposure to the problem area using steroid ointment, etc. – such procedures also reduce the severity of inflammation and the size of the developing callus.

A follow-up examination is carried out ~1 year after surgery. By this time, any growths on the outside of the nose should have resolved. If defects remain, further treatment tactics are selected based on their size and impact on the aesthetic result of the operation:

• Small irregularities caused by the presence of periosteal formation can be corrected with the help of fillers (for more details, see the article “”). Injections provide a temporary result and the procedure must be repeated every 6-8 months - as a rule, this option is used as a temporary one, while awaiting surgery or if there are contraindications to it.
• The main way to remove old callus is repeated surgery, which involves mechanical removal of the growth. It is carried out under general anesthesia, but is otherwise considered much easier and safer than primary rhinoplasty. The osteochondral skeleton of the nose is practically not injured, therefore the risk of relapse is reduced to zero.

Hypertrophy of fibrocartilaginous tissue after rhinoplasty can be prevented. Much depends on the surgeon - during the operation he must make neat, low-traumatic incisions, and then correctly align and fix bone fragments, ensuring them complete immobility. Therefore, the choice of a specialist and his qualifications should be taken very seriously.

Also, the patient must strictly follow the rules of the postoperative period. There are few of them, but they are all important:

• in the first three days, keep to bed rest;
• Under no circumstances should you remove or loosen it yourself, climb under it with your hands or foreign objects to scratch, etc.;
• for 7-14 days after surgery, minimize physical and emotional activity: do not go to the gym, take time off from work;
• in the first two weeks, clean your nose exclusively with cotton swabs or turundas - blowing your nose is strictly prohibited;
• do not expose your face to frequent and prolonged exposure to high temperature: bathhouse, beach, sauna, bathroom are prohibited for you for a month;
• protect the postoperative wound area from hypothermia;
• if you wear glasses, replace them contact lenses at least for 2-3 weeks.

When a person really wants to change his appearance better side, then resorts to all sorts of methods. This includes rhinoplasty. But the problem is that after any surgical intervention it is possible. In rare cases it develops callus after rhinoplasty.

What is callus?

The human body, after any external intervention, compensates and creates a margin of safety. In the case of rhinoplasty, a callus develops in the place where the bone fibers were damaged. Excessive tissue growth occurs, which is why the nose after surgery may appear even larger than before. Approximately 12% of people are susceptible to this total number who have undergone rhinoplasty. Approximately 30% of them go under the knife again to eliminate any deficiencies that have arisen, including overgrown tissue.

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Bone callus should not be confused with classic callus, since it is not a coarsened derivative of soft tissue. A callus is a growth of bone tissue that has developed as a result of improper healing of the injury site. This process, despite its deviation from the norm, is natural and allows the bones to heal after any injury or damage.

In fact, this phenomenon is quite rare, but such a problem can affect literally anyone. And the fact is that even a doctor cannot predict how each specific organism will react to surgery. Therefore, it is the doctor’s fault side effect No.

This complication does not belong to the category of those diseases that are life-threatening. But to prevent the development of callus after rhinoplasty, it is necessary to take a number of preventive measures. If it has already begun to develop, then a timely visit to a surgeon and subsequent adoption of measures can, if not eliminate it, then prevent excessive growth. This will also avoid pain in the area and serious consequences for good health.

Causes

The nose, in its anatomical content, is represented by three types of tissues:

• Soft;
• Cartilaginous;
• Bone.

During rhinoplasty, a portion of any of these tissues is removed. Since any operation associated with nose correction damages its internal structures, the body begins to react in a standard way - it turns on its protective mechanisms. Bone tissue has its own characteristics of structural regeneration. Consists of this process of three stages:

1. Connective tissue forms around the damaged tissue.
2. The finest fibers of bone tissue begin to form.
3. Next, the formed fibers are replaced and subjected to strengthening. This happens due to calcifications.

It is because of this last process that callus growth occurs at the surgical site after rhinoplasty. Usually it is small. The most common formation of this defect is observed after grinding or removal of bone tissue.

Our readers write

Topic: Fixed my nose

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

To: Site Administration

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The size of the growth depends on how severe the injury was to the bone, as well as how much cartilage and soft tissue were damaged during the operation. The speed and intensity of the increase directly depends on how a particular organism will react to such an intervention, as well as how quickly and actively the regeneration process will take place.

There is an opinion that callus after rhinoplasty also occurs in cases where a doctor with insufficient experience performed the operation. That is, its increase is associated precisely with medical practice and their secrets, developments in this area. But in fact, if your body is prone to intensive regeneration of bone tissue, then no experience will insure you against possible complication, which is represented by two types of cells: endostome and bone-forming cells in the periosteum.

This type of bone tissue takes about a year to form. Therefore, at the very first prerequisites, you should contact your surgeon, who knows how to reduce the intensity of the process and direct it in the right direction. The callus after rhinoplasty in the photo will help you understand what this defect looks like. In most cases, this is the appearance of a hump. Note that if the bone tissue was not touched during the operation, then the complication does not appear.

How to remove callus after rhinoplasty?

When bone tissue grows on the nose, it appears to be of several types at once. Manifestations of this defect include:

• The appearance of a hump;
• Subsequent deformation of the noma, and the change can be clearly visible from the front;
• Swelling.

Naturally, such manifestations of beauty do not add to the beauty and dissatisfaction with the results of the operation appears. These phenomena worsen the aesthetics of facial features. If the defect is severe, repeat rhinoplasty will have to be performed to remove bone tissue at the site of the growth.

The appearance of the first symptoms makes patients very nervous and consult a doctor. There is also a fear of revision rhinoplasty. Please note that this is done very rarely. First the patient must try preventive measures, helping to cope with the problem for the majority of people operated on in this area.

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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.

Oh, how many consultations I attended - all the doctors quoted exorbitant prices and talked about long rehabilitation, but for me this is in no way suitable because weddings happen all the time, especially during the season. One day I had an appointment with Dr. E. A. Pavlov. He told me that in my case it was quite possible to do without surgery, it was enough to wear a special corrector every day. Here is an article in which he describes this method in detail. I obediently wore the concealer every day for several months and was amazed at the results, judge for yourself. In the end, I’m very glad that I was able to get by with “little blood”

If you have the same problems with finances or don’t want to go under the knife, then I recommend reading this article

By the way, the doctor can recommend some measures even before the operation. Therefore, carefully observe his wishes and instructions. But the main measures, of course, fall precisely on. During this time, you must visit the surgeon at least five times so that he monitors the regeneration process and can promptly notice certain changes in the process of tissue healing.

Secondary correction is prescribed, as mentioned above, by approximately 30% of the total number of people with complications of this type. First, the doctor must review the picture in detail and study the features of the process. During the operation, steps are taken special measures doctor, taking into account the characteristics of the human body. This helps prevent secondary growth of bone tissue.

What do we have to do?

At the first signs of callus after rhinoplasty, certain measures are mandatory. First of all you must:

• Visit a doctor. In general, even under normal circumstances, visits are required in the first, second, third, sixth and twelfth months after surgery. In case of force majeure, an additional visit can be made. If a deviation is detected, the doctor will prescribe treatment.
• If the doctor has prescribed treatment, then you must follow it strictly and strictly according to schedule. Otherwise, the therapy may simply not give the desired result and there is no point in blaming the doctor’s abilities in such cases.
• People under 18 years of age are susceptible to tissue hypergrowth. Therefore, they are not recommended to undergo surgery. This is explained by the fact that the body continues to develop, and with it the tissues. With this type of intervention, by removing one defect, there is a risk of getting much larger problems. The patient's readiness for surgery is determined only by the plastic surgeon. An experienced person will refuse if the conditions for the operation do not meet. In such cases, we do not recommend looking for someone else who will allow it.

Diagnosis and treatment

Before wondering how to remove callus after rhinoplasty, it must first be confirmed. This is done using an x-ray, which shows the presence or absence of a defect. Based on this, the doctor must build a therapy tactic. In the image, the defect manifests itself as a special membrane located at the site of tissue damage.

Now let's talk about what to do to eliminate the defect. The rehabilitation process is quite long. The main goal of therapy is to prevent further tissue growth. There are a number of techniques and procedures that help cope with this defect. Moreover, they should be undertaken immediately after the operation has been performed. First of all, this is taking medications that should reduce inflammation of the intervention area, as well as enhance their nutrition. Patients who develop callus may be prescribed:

• Treatment with medications;
• Operation;
• Physiotherapeutic procedures.

Let's take a closer look at these types of interventions. The rarest way to fix the problem is surgery. It is prescribed only in extreme cases. And here drug treatment and physiotherapy can be used in combination, which will be discussed further.

Operation

This radical method. It is prescribed only after other methods have already been tried and have not yielded results. In this case, the doctor must prepare for the operation and think through ways to remove bone tissue so that new growth does not occur. The operation is also prescribed if:

1. Periodically there is an increase in temperature;
2. There is increased swelling;
3. Redness occurs.

All these symptoms should be associated exclusively with callus and other complications after correction. But it is worth noting that removing callus does not guarantee you will completely prevent the situation from recurring. Only after a year will you be able to determine whether the repeat operation was successful for you. To avoid recurrence of the situation, follow your doctor's recommendations.

Drugs

Drug treatment involves the use of a number of drugs that are designed to reduce swelling and help nourish tissue. These are mainly glucocorticosteroid hormones. But they can also prescribe strengthening agents, painkillers, and so on. Most commonly prescribed medications:

1. Diprospan - injections that are administered subcutaneously. They will reduce swelling and inflammation and promote scarring.
2. Kenalog.
3. Traumeel S - to relieve swelling and as an anti-inflammatory agent. It is widely used in therapy against callus formation after rhinoplasty. This is a homeopathic medicine in the form of tablets or drops.

The doctor may also prescribe antibiotics immediately after surgery, which will protect against infection, which can also cause excessive tissue growth.

Physiotherapeutic procedures

With the help of physiotherapy, treatment is very long. But it is considered one of the most effective. In this case, the patient must be under the supervision of a doctor. In the process of physiotherapy, the patient not only improves the resorption of callus, but also accelerates the process of tissue regeneration in general. The procedures include:

• Electrophoresis with appropriate drugs;
• Magnetotherapy;
• Phonophoresis with the appropriate drug;
• Thermotherapy.

These procedures are prescribed only in the absence of contraindications. If a person has an increase in temperature, then most of them cannot be performed. Therefore, consult your doctor to avoid harm to your health.

Bone callus in the photo