How to get a free surgery to correct the bones of the nose and nasal septum
Hello! I haven't been able to breathe through my nose for several years. It was broken for a long time and could not be set. The picture shows bone displacement and deviated septum.
Table of contents:
- How to get a free surgery to correct the bones of the nose and nasal septum
- Rhinoplasty (nose job)
- ? FAQ
- Surgery to correct the nasal septum
- Causes of displacement of the nasal wall
- Who needs septoplasty
- Contraindications to surgery
- Types of septoplasty
- Submucosal resection
- Endoscopic septoplasty
- Septoplasty with laser
- Other types of septoplasty
- Preparation for the operation and its implementation
- Contraindications and complications
- Rehabilitation
- How to decide to have surgery
- Comments
- Features of septoplasty under an existing compulsory medical insurance or voluntary health insurance policy
- Septoplasty under compulsory medical insurance and voluntary medical insurance
- Is it possible to do it for free?
- What will you need for this?
- Where is the best place to have septum plastic surgery?
- All about straightening the nasal septum. Operation, indications, price
- Structure and anatomy
- Causes of a deviated nasal septum
- Indications for surgery to straighten the nasal septum
- Preparing patients before surgery: examinations and tests
- Contraindications
- How to straighten the nasal septum: septoplasty
- How the operation itself is performed
- Types and methods of septoplasty
- Laser nasal septum straightening
- What does endoscopic septal realignment mean?
- What operations can be combined with straightening the nasal septum?
- Postoperative period
- How to avoid complications after surgery
- Cost and reviews
- How to straighten the nasal septum at home
- Nasal septum removal
- Septoplasty - treatment of a deviated nasal septum: video
- Add a comment Cancel reply
- Free rhinoplasty
- How plastic surgery on the nose is performed - price and reviews of the procedure
- Who needs nose plastic surgery?
- Types of rhinoplasty and their features
- Nostril surgery
- Plastic surgery of the tip of the nose
- Columella plastic surgery
- Augmentation rhinoplasty
- Closed or open rhinoplasty: which is better?
- How is nose plastic surgery performed?
- Consultation with a plastic surgeon
- Contraindications for rhinoplasty
- On the day of surgery
- Rehabilitation after plastic surgery on the nose - photo
- Complications after rhinoplasty
- How much does nose plastic surgery cost?
- Watch the video: Rhinoplasty - BEFORE and AFTER
- Watch the video: Rhinoplasty - before and after, rehabilitation, my nose a month later
- Watch the video: Rhinoplasty Operation technique
- Reviews
Is it possible to straighten the nasal bones using honey for free? indications for him to breathe if this interferes with putting the nasal septum in place?
Good afternoon, Alexander!
Yes, there is such a possibility. A referral first for examination and then for surgery is issued by an ENT doctor at your clinic at your place of registration. You will need a compulsory health insurance policy. Quotas for correction of the nasal septum are usually given to the regional clinical hospital and several other institutions. The ENT doctor at the clinic knows all these addresses, so he will offer the most suitable option for you.
- Make an appointment with an ENT doctor at your clinic.
- Come to the appointment, bring with you your passport, valid compulsory medical insurance policy, SNILS.
- The doctor will order tests (possibly a test, CT scan or x-ray).
- The doctor will write you a referral to a hospital where such operations are performed.
- You go to the hospital and get on the waiting list for surgery. Since the operation is free, there may be a waiting list for it from 1 to 6 months.
Please note that it is the beginning of the year; in some regions, quotas for free treatment have not yet been reached. Then you will have to wait, the ENT doctor will tell you about this.
Rhinoplasty (nose job)
Many patients often have a desire to make their nose less noticeable. The most common reasons for dissatisfaction: the nose is too large, hump-shaped or even crooked. This may be the result of injury, a birth defect, or heredity.
Often you want to improve its shape: make it smaller, give it more expressiveness, make it upturned, or any other wishes for improvement.
Photos before and after rhinoplasty
Rhinoplasty can do a lot. Nose surgery allows you to reduce its size, correct the shape of the tip of the nose, correct the shape of the back or narrow the nostrils, and give aesthetic completeness to your face.
Rhinoplasty surgeries are quite popular because they can solve a variety of aesthetic problems of your nose.
The most important thing is to choose the right plastic surgeon. Only an experienced specialist will be able to correctly assess the current situation and help you make the right decision.
Photos before and 1 month after rhinoplasty
The optimal age for rhinoplasty is years. An important point is that by the time of the operation the facial bones must be fully formed. The technique of nose surgery is that often the plastic surgeon does not make external incisions, working through the nostrils.
To reduce the size of the nose, the alar cartilages that support the wings of the nose are removed, while the septal cartilage and bone tissue from the dorsum of the nose are only partially removed. If the nostrils are quite wide, nose surgery is performed with the removal of a small part of the wings. When correcting the shape of the nasal bridge, the protruding part of the nasal bones is removed.
If, during rhinoplasty, it is necessary to correct a sunken bridge of the nose, it is even possible to use silicone implants. Each case is individual, and the surgeon makes a decision based on both the wishes of the patient and the actual possibilities.
The result of rhinoplasty will not take long to appear and after a couple of weeks, looking in the mirror, you will be able to say: “Now everything is as it should be.”
On the website you can see photos before and after rhinoplasty , read reviews left by patients, and also ask any question you are interested in.
? FAQ
Alexander Viktorovich, out of embarrassment, I didn’t really thank you. Everyone on your team is a perfect choice, handsome men, somehow unusual) Thank you very much, I feel great, very happy, although I was very afraid, I even wanted to run away before the operation. I’ll take the summer off and come to you again, I’m no longer afraid, you made me happy! Thank you and your entire team!
03/06/2018 Breast lift and reduction
Video review of the patient 2 weeks after surgery. Photo and review of the patient 1.5 months after surgery.
Source: http://www.dr-grudko.ru/rinoplastika/
Surgery to correct the nasal septum
Surgery to correct the nasal septum (septoplasty) is considered the least traumatic type of surgery. It allows you to correct bone and cartilage tissue through the nostrils, without scars or scars on the face. The procedure quickly and effectively improves the patient’s quality of life, relieves numerous problems and restores natural breathing through the nose.
Septoplasty does not change the shape of the nose and is not a cosmetic surgery, but if necessary, it can be combined with rhinoplasty.
Causes of displacement of the nasal wall
The nasal septum is a vertical osteochondral plate that divides the nasal cavity into halves. Its defect causes a displacement of the wall relative to its axis horizontally or vertically. In this case, the deformation can be either one-sided, two-sided or S-shaped.
The reasons for the curvature of the nasal wall can be very different. They are usually divided into the following groups:
- Physiological deformations. They occur as a result of facial presentation of the fetus, forceps delivery, or uneven development of the facial bones during adolescence. A hereditary factor can cause the defect.
- Traumatic displacement. It is observed more often in men and adolescent boys. Occurs as a result of a blow or fall.
- Compensatory reason. The presence of ENT diseases in a chronic form often leads to curvature of the nasal wall.
Whatever the factors and reasons this pathology is caused, its complete correction today is only possible with the help of surgery.
Who needs septoplasty
Indications for surgical intervention may include persistent difficulty breathing, chronic runny nose, nosebleeds, deterioration of hearing and vision. A deviated nasal septum is the cause of frequent and severe ENT pathologies, often becoming chronic.
Snoring in obese people can lead to stroke
The most suitable age for surgery to correct the nasal septum is 14 years and older. In children, septoplasty is performed only as a last resort, when the benefits outweigh the risk of abnormal formation of the nasal bones in the future.
Contraindications to surgery
Like any operation, septoplasty has its advantages and disadvantages. Despite the ease of execution and low invasiveness, the procedure has a number of contraindications:
- hemophilia;
- diabetes;
- pathologies of the cardiovascular system;
- severe infectious diseases;
- cancer alert.
Manipulation is rarely carried out in the elderly and senile age and in the presence of mental illness.
Types of septoplasty
Surgery on the nasal septum in modern medicine is performed in several ways. For complex deformities that require removal of part of the lateral wall or its reconstruction, endoscopic septoplasty is indicated. For minor septal defects, you can get by with an alternative method - laser septoplasty.
The procedure does not require a long hospital stay and is performed under anesthesia. Minimal tissue damage guarantees fast and trouble-free healing.
Submucosal resection
The oldest method of correcting defects in the nasal wall. Classic surgery to straighten the nasal septum involves resection of small areas of the lateral wall that interfere with its normal functioning. In this case, the epithelium is carefully peeled off, which allows you to maintain its integrity and reduce bleeding. The procedure is performed under general anesthesia.
Submucosal resection is the most ancient and traumatic method of correcting the nasal septum.
Surgery for a deviated nasal septum at the site of injury requires elimination of the deformed areas with subsequent formation of the lateral wall anew. With appropriate preparation for the removal of defects and the right attitude, the operation is painless and with minimal damage.
Endoscopic septoplasty
This term means correction of the median wall of the nose using video equipment, which allows for precise and least traumatic manipulations.
Typically, this operation to straighten the septum lasts 20–40 minutes. Its duration depends on the degree of curvature of the plate, the presence of spines and ridges. Pain relief can be either general or local. Before the intervention, the patient is given premedication, which reduces the level of anxiety and prepares the patient for further manipulations.
Endoscopic septoplasty is a modern and low-traumatic method of correcting the nasal wall
In medical practice, the method of isolated correction of ridges and spines is sometimes used. However, this type of resection has not taken root, since it is technically complex and more often requires combined corrections.
Septoplasty with laser
Surgery to correct the nasal septum using a laser is usually performed under local anesthesia. Using a special instrument, the surgeon warms up the cartilage tissue and gives it the correct shape. If the lateral wall is pathologically overgrown, the specialist evaporates the excess tissue with a laser, leveling the septum. Then it is fixed in the desired position with silicone splints.
The operation takes 25–30 minutes and is performed on an outpatient basis. Its effectiveness and low invasiveness allows you to avoid bleeding and infection. However, laser septoplasty has a number of contraindications and is not always effective in difficult cases.
Laser septoplasty is the most modern type of surgery
Other types of septoplasty
In addition to the most common methods of straightening a curved septum discussed above, there are other ways to eliminate defects in the lateral wall:
- Septorhinoplasty. A combined intervention that includes laser correction and plastic surgery of the appearance of the nose.
- Ultrasonic cristotomy. It is performed with an ultrasonic knife and gives an almost bloodless result.
- Replantation. It is a reconstruction of the septum using cartilage transplantation.
If it is necessary to correct the external shape of the nose, you can always combine rhinoplasty with any type of septoplasty.
Preparation for the operation and its implementation
Before surgery to straighten the nasal septum, the patient is prescribed a series of examinations, including a general blood test, MRI of the nasal plane, rhinoscopy, skull radiography, and computed tomography. You can take all tests and undergo examination at the clinic at your place of residence.
Next, the patient is admitted to the hospital, preferably one day before the operation. These hours are spent preparing for the intervention. When meeting with an anesthesiologist, you should choose the type of anesthesia (local or general anesthesia) and talk about the tolerability of various medications. If general anesthesia is prescribed, you should not eat or drink in the morning on the day of surgery.
During the procedure, septal defects are eliminated, including displacement of fragments of the lateral wall, its bending or separation. The removal of growths, spines and ridges, and the straightening of the cartilage tissue relative to the central axis. Then absorbable sutures are placed on the intervention area.
After surgery, the nose is fixed with a bandage
After the operation to straighten the septum is completed, silicone splints are inserted into the nasal cavity or the nasal passages are tamponed with turundas. With laser intervention, tamponing and suturing are not required. A plaster or gauze bandage is applied externally.
Contraindications and complications
Even though it is minimally invasive and traumatic, septoplasty, like any surgical intervention, carries its share of risks. The consequences of surgery are most often associated with the possibility of bleeding or infection of the wound.
In some cases, septoplasty can lead to changes in the shape of the nose or damage to the nerve endings of the mucous membrane. However, most often the intervention takes place without any complications.
Rehabilitation
The postoperative period is not very difficult. Usually it proceeds smoothly and almost painlessly. In the first 24 hours, the patient has tampons (silicone or gauze) in the nose, which help stop the bleeding and maintain the correct position of the nasal wall.
To relieve pain, the patient is prescribed analgesics. In addition to them, the following can be specified:
- hemostatic agents;
- antipyretic;
- antimicrobial drugs.
After removing the tampons, the doctor recommends rinsing the cavities with moisturizing solutions and lubricating them with peach oil to prevent the formation of crusts. You should not blow out the contents of your nose to avoid bleeding.
After endoscopic nasal surgery, patients are discharged from the hospital after 1–3 days. Full recovery of breathing usually occurs within a few weeks. All this time, the patient should be observed by an ENT doctor and carefully follow his recommendations.
The recovery process after endoscopic septoplasty takes several days
If we talk about laser correction, then the recovery process is much easier here. After it, as a rule, there is no need to take medications or stay in the hospital.
If the patient suffers from allergic rhinitis, exacerbations may occur during the rehabilitation process, which will require additional treatment.
Sick leave after endoscopy is closed for the 10th day. By this time, swelling and external bruises, if any, disappear. With proper care of the nasal cavity, the recovery period ends quickly and does not cause any problems for the patient.
How to decide to have surgery
Of course, the most difficult thing is to overcome your fear and agree to the operation. Even patients who have suffered from nasal congestion and other complications of a deviated septum for years procrastinate until the last minute. And they can be understood. After all, any intervention in the body means pain and fear. In order to still take the decisive step, you should read reviews of people who have undergone surgery for a deviated nasal septum.
I suffered with a stuffy nose for a long time, almost all 28 years of my life. I couldn't think of anything. And low immunity, and the damp Leningrad climate, and... Yes, I thought about everything until I went to the ENT doctor. He finally said that a crooked nasal septum was to blame. He scheduled an operation. I was terribly afraid. I don't remember the process itself. Six months have passed, and what do I want to say? Yes, it’s scary, yes, it’s unpleasant, but it’s worth it. My nose breathes perfectly, I can smell all the smells, my head no longer hurts all the time. I'm happy.
I will share my observations, I hope it will help someone. I am 30 years old, young woman. After several years of suffering, I decided to have surgery. My nose stopped breathing completely, a nasty runny nose appeared, not severe, but I couldn’t go anywhere without a handkerchief. I had septoplasty on the nasal septum. Now the nose is breathing and everything is fine. And why did you suffer for so many years? Everything turned out to be not at all as scary as they told me and I imagined. Therefore, do not be afraid and make up your mind. It definitely won't be worse than it is.
For as long as I can remember, since childhood, my nose has always been covered in snot and blooms with herpes. And on the right she’s not breathing at all. I went to the ENT specialist and found out that I had a deviated septum. She agreed to the operation without hesitation. I decided to do it under local anesthesia and greatly regretted it. It was painful. Very. True, it all ended quickly, but I cried there... People walk around like cucumbers after the operation, and I am alone with a swollen face and bitten lips. Now, however, my nose is breathing, my runny nose and herpes have gone away, which I am incredibly happy about. But it’s better to do it under anesthesia. Otherwise everything is fine, it healed quickly.
As you can see, opinions are mostly positive. After the operation, your well-being changes dramatically, and new sensations appear. People get rid of rhinitis, their sense of smell returns, and their headaches go away. Therefore, do not delay with septoplasty and do not be afraid. A good attitude and strict adherence to the doctor’s recommendations will help make the intervention painless and recovery quick.
Comments
My daughter is 30 years old, she has been suffering from sinusitis for 12 years, now doctors tell us that at the moment there is no sinusitis, but a deviated nasal septum (she fell on the edge of a table as a child, broke her nose, there was bleeding and a scar remained). The doctor said that an operation should be done, although many people say that the operation is of little benefit. Help me understand this situation.
Will such an operation help to restore hearing? The doctor told me that I need to do the septum first. Then your hearing will improve.
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ATTENTION! All information on the site is for informational purposes only and does not claim to be absolutely accurate from a medical point of view. Treatment must be carried out by a qualified doctor. By self-medicating you can harm yourself!
Source: http://superlor.ru/lechenie/operaciya-ispravleniyu-nosovoy-peregorodki
Features of septoplasty under an existing compulsory medical insurance or voluntary health insurance policy
Being the most effective method of correcting the nasal septum, septoplasty (both endoscopic and laser) ensures the alignment of the septum in the nose, formed by cartilage and bony tissue, and also allows you to normalize nasal breathing, while recovery often occurs quite quickly and with virtually no complications. Local anesthesia is usually used.
Today, plastic surgery uses several varieties of this intervention, all of them are highly effective and make it easier to breathe through the nose, straightening the nasal septum. Carrying out septoplasty under the compulsory medical insurance policy allows you to normalize your health without spending additional money.
Septoplasty under compulsory medical insurance and voluntary medical insurance
The compulsory medical insurance policy allows you to carry out the necessary surgical intervention at any time. And septoplasty, being a method of eliminating irregularities in the nasal septum, refers to situations in which insufficient breathing through the nose is eliminated.
Is it possible to do it for free?
The procedure for straightening the nasal septum is performed both in the absence of a compulsory medical insurance policy and in the presence of one. If you have such a compulsory medical insurance policy in hand, you can get help without investing money. Before such an operation, the surgeon prescribes certain tests that allow you to obtain the most complete picture of the patient’s health.
In order for this type of surgical intervention to be performed free of charge, you must present your existing insurance policy. A prerequisite for servicing under it is the timeliness of its execution, the absence of late payment of fees and debts.
What will you need for this?
In order for a septoplasty procedure to be carried out in a medical institution according to the presented compulsory medical insurance policy, the doctor prescribes a series of tests that will reveal the presence of an inflammatory process in the body and determine the possibility of surgical intervention. Before starting the operation, the following documents will be required when completing the paperwork:
- patient passport;
- insurance;
- compulsory health insurance policy.
Based on the tests performed, a picture of the patient’s health is compiled, and with the help of them the possibility of performing an operation is determined. The tests prescribed by the doctor before the intervention include:
In this case, septoplasty and vasotomy are often combined.
Where is the best place to have septum plastic surgery?
The choice of a medical institution in which the type of surgical intervention in question will be carried out must be made deliberately, because the patency of the nasal passages, the evenness of the nasal septum and the quality of breathing through the nose largely determine both the patient’s well-being and the presence of parallel ongoing lesions in his body.
Before choosing a particular institution that performs a surgical procedure such as septoplasty, you need to pay attention to the following indicators of its performance:
- reputation of the establishment;
- the period of its work on the market;
- reviews from those who have already performed septoplasty there.
It is the combination of these three indicators that allows us to get a picture of the degree of professionalism of the specialists working in the institution, the effectiveness of the interventions performed and the possibility of carrying out correction of the nasal septum under an existing compulsory medical insurance or voluntary medical insurance policy. To carry out this manipulation, you should not turn to specialists who offer such correction at home at a very low price: the quality of their work is usually lower, the degree of disinfection of instruments and the use of modern equipment and materials, including medications, is often low.
A guarantee of obtaining a pronounced positive result and ensuring the evenness of the nasal septum, which allows for high-quality nasal breathing, is in those medical institutions that have been working in the field of plastic surgery for a long time, have many positive reviews from clients and provide the opportunity to perform septoplasty under a compulsory medical insurance or voluntary medical insurance policy .
All about straightening the nasal septum. Operation, indications, price
Straightening the nasal septum (in medical terminology the name “septoplasty”) is a surgical intervention on a curved vertical plate that divides the nasal cavity into two halves and consists of bone, cartilage and membranous parts.
This is one of the most common operations in the practice of the operating ENT doctor. It is performed according to strict medical indications in patients with nasal breathing problems.
Structure and anatomy
This structure consists of cartilaginous and bone sections. The cartilaginous part forms the anterior zone of the septum, due to which it is more elastic and has relative mobility, especially in the vestibule area. The middle and posterior sections are formed by bone tissue.
The final formation and ossification of the septum occurs over several years, after which it continues to grow only at the expense of the bone zones. These two sections grow differently, so ridges and spines often appear at the junction of cartilage and bone.
Causes of a deviated nasal septum
According to statistics, people with a perfectly straight septum are almost never found. In the majority of the population, it has varying degrees of thickening, spines and bends.
This deformity is diagnosed already in adolescence, when the child is rapidly growing. What can cause this problem:
- Uneven growth of different parts of the septum is the most common cause.
- Traumatic injury that causes deformity.
- Compensatory curvature in the presence of chronic hypertrophic rhinitis, tumor or foreign body in the nasal cavity.
- Congenital curvature associated with trauma during passage through the birth canal or abnormal development of the skull bones in the prenatal period.
The second most common cause is a nose injury, and most people don't even remember how they got it. Such bruises and injuries are regularly found in children; they do not show any symptoms other than slight swelling, and then heal on their own, causing the appearance of deformities and bone spikes.
Patients often do not understand that if almost all people have a deviated septum, then is it worth paying attention to it and how dangerous such a condition can be.
Although such deformation is common, problems can only arise when it interferes with normal physiological nasal breathing. What can this condition lead to:
Indications for surgery to straighten the nasal septum
Correction of a deformed bone plate in the nose is carried out only in cases where it interferes with a person’s normal life and causes the development of associated complications:
- Constant congestion not associated with a cold or allergies.
- The presence of complications from the middle ear (chronic purulent otitis media).
- Chronic inflammation of the paranasal sinuses, when the curvature prevents the normal outflow of contents from the sinuses.
Is it worth having surgery if there is currently a pronounced displacement, but there are no complaints yet?
In some patients with severe displacement, the second half of the nose breathes well, and they adapt to this condition without complaining of difficulty breathing.
With age, the compensatory capabilities of tissues decrease and complaints may appear, but the doctor will no longer take responsibility for performing the operation due to age and the presence of contraindications.
If there is a serious displacement, then it is better to perform septoplasty at a young age, without waiting for problems to appear.
Preparing patients before surgery: examinations and tests
Like any surgical intervention, correction of a deviated septum requires serious preoperative preparation:
- X-ray of the paranasal sinuses or CT (computed tomography). In order to clarify the condition of the paranasal sinuses and the structural features of the nasal cavity.
- General clinical blood and urine tests, blood sugar tests.
- Blood chemistry.
- Coagulogram (blood clotting indicators).
- Blood test for group and rhesus.
- Fluorography and examination by a therapist.
- Tests for syphilis, HIV and hepatitis.
If the patient has concomitant diseases, then a specialized specialist should give his recommendations on the possibility of surgical intervention.
The exact list of studies and tests will depend on the clinic to which the patient applied.
Contraindications
- Diseases and disorders of the blood coagulation system.
- Severe decompensated diseases of internal organs.
- Mental illnesses and deviations.
A relative contraindication is the patient's age. Thus, this displacement is not operated on until the age of 18, but in special cases it can be performed on a child starting from the age of seven.
People also try not to do septoplasty after years, but if there are serious indications and the patient’s health allows it, then the doctor may take a risk. Septoplasty is not performed during pregnancy either.
How to straighten the nasal septum: septoplasty
The operation is performed in the otolaryngology department. The night before the intervention, the patient should not eat, but is allowed to drink some water.
Septoplasty can be performed under local anesthesia (anesthesia) or general. Both types of anesthesia have their advantages and disadvantages, so this issue must be resolved together with the attending doctor, who knows the specifics of the problem and the presence of concomitant diseases.
If the patient has chosen local anesthesia, then an hour before the operation he is given sedatives.
How the operation itself is performed
Classic septoplasty goes like this:
- The doctor numbs the nasal cavity with an anesthetic solution (lidocaine and others).
- Using a syringe, injects an anesthetic solution into the mucous membrane.
- An incision is made on the most curved side and begins to slowly peel off the mucosa and perichondrium, continuing to numb the pain as necessary.
- Isolates nasal cartilage and removes it. Then it reaches the bony part of the septum.
- Use a chisel or hammer to knock down the ridge or spike that caused the curvature.
- The incision is sutured and gauze swabs are placed in the nostrils, which fix the septum in the middle position and help stop bleeding.
The intervention itself lasts on average about an hour, depending on the type of anesthesia and the characteristics of the patient’s septum.
Types and methods of septoplasty
Each septum is unique, so various modifications of the classic operation are used.
In addition, the development of modern technologies has made it possible to correct deformity using a laser and using an endoscope.
There are many types of classical septoplasty: redressing, gentle and circumferential resection, and others. All these types of surgical interventions differ in the amount of cartilage left behind.
Laser nasal septum straightening
There are two ways:
Septochondrocorrection with laser. Conducted in a clinic setting. The laser heats the cartilaginous part of the septum, the cartilage becomes soft and plastic. It is given the desired shape and secured with tampons.
This is a bloodless, low-traumatic intervention that can only help with curvatures in the cartilaginous part. For many patients it is not suitable, since problems arise specifically with the bony part of the septum.
What does endoscopic septal realignment mean?
Carrying out the operation under an endoscope (special video equipment) allows you to examine in detail and carefully examine the curvature in the deep parts of the nose.
It is rarely used in conventional septoplasty. It is more often used when combining several types of surgical interventions, for example, if it is necessary to perform septoplasty and sinusotomy.
What operations can be combined with straightening the nasal septum?
Elimination of deformity does not affect the external nose, so if the patient is concerned about a hump or other problems, then septoplasty can be combined with:
- plastic surgery of the external nose;
- removal of polyps and foreign bodies;
- lower conchotomy (removal of overgrown turbinates in hypertrophic rhinitis);
- sinusotomy. Surgery to eliminate chronic processes in the paranasal sinuses.
Postoperative period
What to expect after the surgery is over and tampons are placed in your nose:
When can you remove a tampon? On average, after 2-3 days, in patients with a tendency to bleed, they can last up to a week. Only a doctor removes them to avoid possible complications.
Does it hurt to remove tampons? This procedure is unpleasant, because if the tampons are gauze, they dry to the mucous membrane and cause pain when they begin to be removed. You can avoid this by first soaking them on both sides with hydrogen peroxide.
Further recovery after surgery will go faster. After removing the tampons, the patient is prescribed to drip saline or oil (an oil solution of vitamin A, E, etc.) into the nose so that the healing of the mucous membrane proceeds faster.
Over the course of a month, bloody crusts may be discharged from the nose, but the swelling will subside within a month, and full nasal breathing will be restored.
How long will it take for the nose to heal after correction? It depends on the characteristics of the patient’s tissues, but on average, rehabilitation is a month. The final result is assessed 3-4 months after the intervention.
How to avoid complications after surgery
What complications may arise after septoplasty:
- bleeding;
- formation of adhesions;
- infection and inflammation of the postoperative wound;
- hematoma (accumulation of blood in a closed cavity);
- scarring;
- perforation (perforation) of the septum.
Each of these complications requires different measures:
- In case of bleeding, hemostatic agents are administered.
- When there are adhesions, they are cut with a scalpel.
- For infection, antibiotics are prescribed.
- The hematoma is punctured and a pressure bandage is applied.
Complications cannot be guaranteed to be avoided, and their likelihood can be reduced only by following all the doctor’s instructions regarding the regimen and care of the postoperative cavity.
Cost and reviews
How to find out how much it costs to level a partition. If the patient has indications, this operation is performed free of charge in public clinics.
In private structures, the price depends on the level of the institution, the qualifications of its staff, length of stay, type of anesthesia and complexity of the intervention. The cost starts from 35 thousand rubles and above.
Reviews from patients on different forums are extremely contradictory. Some people are happy with a regular public hospital, others recommend only private ones, while others suffered complications and urge people not to repeat his mistakes. The decision must be made by the patient himself and in consultation with a doctor whom he trusts.
Alena, 25 years old: After the alignment operation, breathing returned only for a month. I went to the doctor, it turned out there were adhesions, I had to cut them. After that I breathe well.
Sergey, 34 years old: I did both the external nose and straightening at once, because there were problems after the injury. The first week after the operation is of course difficult, but now I am happy with the result.
How to straighten the nasal septum at home
If the patient cannot breathe through the nose and the reason for this is a crooked septum, then no amount of exercise will correct this. You can independently strengthen the muscular frame of the nose by performing gymnastics, but it will not affect the deformity in any way.
A set of exercises for the nose is aimed at correcting the external shape and helping to keep it elastic and beautiful (Maggio gymnastics).
Nasal septum removal
There is no such operation. Sometimes patients use this name to refer to the removal of cartilage in the nose, which is performed with classic septoplasty.
The cost of a classic operation without the use of a laser and endoscope starts from 30 thousand rubles in private clinics. In government institutions it is carried out free of charge if indicated.
Septoplasty - treatment of a deviated nasal septum: video
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Specialty: Otorhinolaryngologist Work experience: 12 years
Specialty: Otorhinolaryngologist Work experience: 8 years
Source: http://nasmorkam.net/vypryamlenie-nosovoj-peregorodki-operaciya/
Free rhinoplasty
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It often happens that the inherited shape of the nose is not to the liking of its owner. People may not like what their ancestors were proud of because of the constant feeling that the proportions of the nose do not match the proportions of the rest of the face. Rhinoplasty makes it possible to correct such a defect and achieve a modern standard of beauty. Rhinoplasty may also be required for injuries and to eliminate breathing problems. The reasons why patients come to a plastic surgeon make it clear that rhinoplasty is both scientific and artistic in nature. But many patients put off their dream surgery because of the cost. Many people dream that clinics offer free rhinoplasty or significant discounts.
But in fact, very often large plastic surgery clinics hold all sorts of promotions, the purpose of which is to provide a discount on a particular operation.
Considering that rhinoplasty is a complex cosmetic surgery, you need to find an experienced surgeon. To begin with, it would be good to get recommendations from friends and good acquaintances. Perhaps one of them has consulted a rhinoplasty specialist and can recommend his doctor to you. If asking your friends does not lead to results, you can look for reviews on the Internet. Use the search or post a question on local forums. Of course, it will be difficult to find a free rhinoplasty promotion from a renowned surgeon. Usually, rhinoplasty is performed completely free of charge or at a discount by beginner specialists, whose goal is to develop a portfolio for themselves and find their niche in this field of surgery.
But, when going for free rhinoplasty or plastic surgery using coupons, you still need to carefully choose a plastic surgeon and remember that the future result of the operation directly depends on his professionalism.
Free rhinoplasty should not only be financially beneficial, but also completely safe and worth the risk.
Inexperienced, irresponsible doctors are nothing new these days. Anyone can lose their health by turning to pseudo-specialists for help. Especially if the goal is to save money and a specialist is selected based on the criteria of being cheap or free. You need to carefully consider such offers, remembering the simple truth that free cheese only comes in a mousetrap.
Source: http://rhinoplastika.ru/articles/plastika-nosa/2217-besplatnaya-rinoplastika.html
How plastic surgery on the nose is performed - price and reviews of the procedure
A rare showbiz beauty on the path to success and fame can do without correcting facial imperfections. And most often this disadvantage is an insufficiently graceful nose. It is no coincidence that rhinoplasty, as plastic surgery on the nose is called, is the second most popular operation after breast augmentation. It is believed that a neat nose, inherited from nature, is not as common as we would like, moreover, this part of the face tends to grow throughout life, becoming more and more “outstanding” over the years.
Today, everyone has the opportunity to improve their appearance: numerous specialized clinics offer nose correction services at affordable prices; all that remains is, after weighing all the pros and cons, to decide and start looking for a surgeon with golden hands.
Who needs nose plastic surgery?
Plastic surgery can solve two main issues:
- Achieve the aesthetic result desired by the patient. As a rule, it consists of a general reduction in the length and width of the nose, changing its shape, and correcting congenital and acquired defects. The most common nose “problems” include: a hump, a wide or uneven dorsum, voluminous wings, an unattractive shape of the nostrils, a “thick”, upturned or drooping tip, and asymmetry. During rhinoplasty, the surgeon changes the volume and shape of the nose by correcting its bone and cartilage structures, soft tissues, and, if necessary, implantation.
- Eliminate nasal breathing problems that have arisen due to a deviated nasal septum (from birth or as a result of injury). This operation is called septoplasty and is performed to straighten the septum, eliminate obstruction of the nasal passages and restore respiratory function. Most often, septoplasty is combined with rhinoplasty, simultaneously solving aesthetic problems along with medical ones. Septorhinoplasty is one of the most complex types of surgery on the nose and requires the highest qualifications from the doctor.
Thus, the indications for plastic surgery on the nose are:
- desire to change the size and shape of the nose;
- congenital defects of nasal structures;
- injuries leading to internal and external deformations.
Types of rhinoplasty and their features
Surgeries to correct the shape of the nose may differ in the scope of the intervention. Reducing rhinoplasty is considered a classic of plastic surgery: narrowing the nose, smoothing the hump, reducing the wings and tip.
The osteochondral frame of the nose is exposed by peeling off the soft tissues, the bridge of the nose is corrected by removing excess bone and cartilage tissue, then work is done on the plasticity of the nostrils and tip.
Reducing septorhinoplasty is done in several stages: first, the deformation of the nasal septum is corrected, the turbinates are corrected to reduce breathing resistance in the nasal passages, then surgical manipulations are aimed at achieving a cosmetic effect.
Nostril surgery
Indications for correction of the wings of the nose and nostrils are too long nostril passages, a wide base of the nose. Excision of excess tissue in the nostril area occurs under local or general anesthesia and lasts about two hours. Part of the wing of the nose is removed from the outside or directly next to the nasal passages, depending on the shape of the nostrils.
If the nasal wings need to be restored, rather than reduced, after traumatic cartilage damage, transplantation measures are carried out with material taken from the ears or nasal septum.
Plastic surgery of the tip of the nose
Separate tip plastic surgery is performed if the patient is satisfied with the nasal bridge. When computer modeling the future result, it is always clear whether minimal intervention will be enough or if only the tip is changed, the harmony of the nose as a whole is lost, and something else needs to be adjusted.
The advantage of such an operation is that it is less traumatic, a short recovery period (when correcting the tip of the bridge of the nose, the bones of the bridge of the nose are not injured, so hematomas on the face are excluded), and the ability to avoid general anesthesia.
However, tip plastic surgery cannot be considered an easy operation. This part of the nose has individual characteristics for each patient: its own anatomical structure, the shape and strength of the cartilage, the slope of the arches, and so on. Taking into account the influence of all these factors on the final result, choosing the right technique and determining the volume of intervention is a task for an experienced professional. Otherwise, the tip may turn out to be a “foreign” element on the nose and on the entire face in general.
Columella plastic surgery
Too large or too small a septum between the nostrils is a defect that negatively affects the shape of the nose. To achieve the “ideal” nose, the columella should be of medium size and located below the level of the wings. Elimination of the deficiency is carried out through a half-hour operation, during which excess tissue is removed or the missing area is “supplied” with additional cartilage. Columellaplasty is often combined with correction of the nasal tip.
Augmentation rhinoplasty
A rarer type of rhinoplasty is augmentation. It consists of “building up” the bridge of the nose using a frame made from the patient’s own tissues – bones (postulnar, cranial, costal) and cartilage (nasal or ear).
This operation is necessary for a patient with a low nasal bridge with the so-called saddle shape. Reconstructive plastic surgery of boxer noses is done in the same way.
Closed or open rhinoplasty: which is better?
In plastic surgery of the nose, there are two surgical approaches: open and closed. Open surgery is done through the columella. Incisions on the bridge between the nostrils provide the doctor with maximum visibility and control over the accuracy of the correction. In case of a significant amount of work on the osteochondral frame of the nose, this method is used. The disadvantage of open rhinoplasty is the long postoperative period and the presence of visible traces of surgical intervention (thin scar).
In most cases, surgeons use a closed plastic method. The incision is made from the inside, resulting in no scars or scars on the outside of the nose. The disadvantage of closed surgery is that the surgeon has to act almost blindly. But the recovery period after such a correction is minimal, as are the negative consequences in the form of scar deformities and circulatory disorders in the tip of the nose.
Which technique will be used - open or closed - is decided in each case individually. Surgeons themselves prefer the second option, but sometimes there is simply no alternative to open rhinoplasty.
How is nose plastic surgery performed?
Rhinoplasty is considered a complex and lengthy operation, as it requires precision, especially if bone and cartilage tissue is being corrected. Despite the fact that such an operation can be performed under local anesthesia, many surgeons refuse this method of pain relief, preferring to put the patient under general anesthesia with intubation (artificial ventilation). After all, the process itself involves manipulation of the external respiratory organs, so it is undesirable for the patient to breathe on his own.
The operation itself can last from half an hour to two hours or more. It depends on the complexity, volume of the intervention and the technique of its implementation. In any case, being under anesthesia for such a long time is a serious burden on the body. Therefore, the patient must take the preparatory stage of rhinoplasty responsibly.
Consultation with a plastic surgeon
Preparing for surgery always begins with a visit to the plastic surgeon's office. At the initial consultation, the doctor conducts a survey of the patient about his state of health, the presence of acute and chronic diseases.
To discuss the desired result of rhinoplasty, the doctor makes a computer simulation, which gives an idea of what the patient will look like at the end of the rehabilitation period.
A meeting with an anesthesiologist is required - based on information about the individual characteristics of the patient’s body, diseases, allergic reactions, he selects the type of anesthesia and gives recommendations for preoperative examination.
It is important that during the appointment the patient develops mutual understanding with the surgeon, as well as confidence in his competence. Diplomas, certificates, an extensive portfolio of work results and reviews from grateful clients will not be out of place.
Contraindications for rhinoplasty
Before the operation, it is necessary to undergo an examination, which includes a series of tests, blood pressure measurement, an ECG with a cardiologist’s report, and an examination by an ENT doctor. In some cases, consultation with a psychologist is indicated. According to the observations of plastic surgeons, the number of patients whose desire to correct the shape of their nose is not caused by obvious aesthetic defects, but by psychological problems, is growing. If left unattended, such problems can develop into a disorder called body dysmorphic disorder, which is characterized by an excessive passion for “altering” one’s appearance without good reason.
Health problems identified during the examination may serve as a reason for refusing surgery, namely:
- cardiovascular diseases, including hypertension;
- diabetes;
- insufficiency of renal and hepatic functions;
- malignant neoplasms;
- blood diseases;
- acute inflammatory processes;
- infections dangerous to others (hepatitis, HIV).
In addition, rhinoplasty is not performed on young people under 18 years of age whose facial bones have not yet fully formed. Patients who have crossed the 40-year mark are also not recommended to undergo rhinoplasty due to decreased skin elasticity and slower regenerative processes in the body, which increases the risk of complications and increases the rehabilitation period.
On the day of surgery
On the eve of the operation, it is recommended to trim the hair in the nose and rinse the mucous membrane well. On the day of rhinoplasty, you should not eat or drink.
Nasal marking and anesthesia are usually done in the preoperative ward to reduce the patient's stress level, and the patient enters the operating room in a state of drug-induced sleep.
To reduce blood loss, the anesthesiologist can inject adrenaline into the nose, but this is not necessary, since bleeding during rhinoplasty is already minimal.
A patient wakes up after surgery with a plaster cast on his nose and gauze pads in his nostrils. During the day, it is advisable to stay in a hospital under the supervision of doctors.
Rehabilitation after plastic surgery on the nose - photo
In the first days after surgery, the patient must wear a plaster cast. It helps the nose maintain the desired shape and prevents the development of extensive swelling and bruises. It is recommended to apply cold compresses to the eye area for 2-3 days. Bruises under the eyes cannot be avoided if the intervention was performed on the bridge of the nose. They should go away in about 2 weeks.
The biggest inconvenience in the postoperative period is caused by tampons in the nostrils and swelling of the nose. They make breathing difficult, and a week after rhinoplasty they are joined by crusts that form at the site of the internal seams, further worsening the situation. The swelling goes away gradually, and this process takes quite a long time - up to 12 months. This is how much you can evaluate the final result. Previously, this does not make sense, since swelling can decrease unevenly and even asymmetrically, causing deformation of the nose.
You should also follow these recommendations:
- avoid bending forward;
- do not sleep on your stomach;
- refuse solid, too hot and cold foods;
- no smoking;
- moisturize the nasal mucosa with special solutions;
- Gently clean your nostrils with hydrogen peroxide;
- as prescribed by a doctor, take prophylactic doses of antibiotics and antifungals;
- do not wet your nose.
You will have to give up active social life for at least half a month, since during this time you cannot use cosmetics, play sports, go to the sauna, or lift weights. Wearing glasses and sunbathing is prohibited for a month.
Fever and weakness are possible for the first 3–4 days; it is better to spend this time in bed.
Complications after rhinoplasty
It is not so often that you hear complaints from former patients of plastic surgeons about the negative consequences that rhinoplasty entailed on their health. The same cannot be said about their satisfaction with the result. We can say that the client’s dissatisfaction with his new nose is the main “complication” of rhinoplasty. Approximately 4-5 patients out of 100, after 6 - 12 months, are preparing for a second operation: to reshape the nose or bring it “to mind”, where the first surgeon did not bring the “object” to perfection. Some large-scale “alterations” simply cannot be done in one operation; then they are carried out in several stages, which takes at least a year.
Most often, the appearance of the nose suffers from the fact that it is too short, upturned, with a “concave” bridge of the nose. The other extreme is a drooping tip, which gives the nose a beak-like appearance. Asymmetry and curvature may be observed.
Another common problem: the new nose does not harmonize with the rest of the facial features. Appearance can change beyond recognition, and not always for the better, erasing the individuality and “zest” of its wearer.
More serious medical consequences cannot be ruled out:
- damage to the nasal septum;
- inflammatory process;
- suture suppuration, abscess;
- allergic reaction, toxic shock;
- various consequences of prolonged exposure to anesthesia;
- respiratory dysfunction;
- callus;
- atrophic rhinitis.
Most of these complications are a path to the operating table to a more competent and professional surgeon. Repeated rhinoplasty is not recommended earlier than a year after the first.
How much does nose plastic surgery cost?
An elegant, well-made miniature nose undoubtedly decorates the face, making it more attractive, pretty, and “thoroughbred”. For many potential clients of a plastic doctor, this is exactly what they need “to be happy,” to feel more confident, more beautiful, and sexier. For which they are ready to make any sacrifice. Fortunately, the financial sacrifice in this case is not that great.
The cost of the operation is the work of medical staff, instruments and materials, anesthesia, and medications. The more “global” the problem, the more you will have to pay to eliminate it. Rhinoplasty, which affects only soft tissues, will cost the least: correction of the nostrils, for example, will cost a fraction. The tip of the nose will “stand up” 3-4 times more expensive, since it is complex in execution and requires filigree work from the doctor. Manipulations with bone structures are, by definition, more difficult, so you can’t count on less than a hundred thousand. Complete rhinoplasty is a matter of order and more.
When calculating the cost, it is worth paying attention to what services are included in the “basic package” of the operation. The price may include an all-inclusive package with a suite and post-operative care. Other options are also possible, when a separate check is issued for each “sneeze”: for a consultation (from 2000), for creating a computer model (2000 - 2500), for anesthesia (from 10,000), for a hospital stay (3500 and more per day) .
To attract customers, even well-known clinics periodically hold promotions and advertise special offers, thanks to which you can save a lot without fear for your health and results. If you're lucky, you can even get a free operation by winning a competition organized by plastic clinics on specialized websites and thematic forums.
“Aesthetic tourism” is also developing well. In the regions, the cost of many services is still much lower than in the capital’s clinics. For example, St. Petersburg surgeons ask for 20-30% less for their work than their Moscow colleagues.
In any case, when choosing a clinic and, most importantly, a doctor, you should remember that the level of professionalism of the staff is primary, and the material component is secondary. The cost of a mistake here is high: a disfigured face, health and mental problems, a new operation, which is not always able to correct the situation. Unsuccessful rhinoplasty (and this is every eighth operated nose) is most often the result of a careless choice of the surgeon. You cannot trust your face to a doctor without collecting information about him, without studying customer reviews and without seeing the results of his work.
Watch the video: Rhinoplasty - BEFORE and AFTER
Watch the video: Rhinoplasty - before and after, rehabilitation, my nose a month later
Watch the video: Rhinoplasty Operation technique
Reviews
For those who are faced with the need to decide whether to have a nose job or not, here are some reviews from former patients of plastic surgeons.
I never liked my own nose, so as soon as the opportunity arose, I immediately went for rhinoplasty. My nose is normal, but obviously too big for my face. I’m thin, but he’s too thick, and the tip is kind of forked.
I chose the doctor based on a recommendation; all my friends have surgery with him. I won’t say how much it costs – it’s expensive. Everything went as well as possible. Among the inconveniences are swollen eyes, plaster cast, difficulty eating and breathing. But this is only about 10 days. But then all my life I’m a beauty. For a couple of months my nose was not very good (due to swelling). But I don’t care, I don’t work, I spent this time at home. Now my nose finally fits my face. Small, thin, I can’t stop admiring it. No need to doubt, go and do it.
I’ll tell you a scary story about how I was left “without a nose,” or rather, without a nose. My nosyara was truly outstanding: long, thin, with an Akhmatovian hump, and also with a potato-shaped end. In general, she was not a beauty. And after the operation, in general, he’s a freak. If I shave my head, I'll look like Voldemort. They made my nose so small that it almost disappeared from my face!
Michael Jackson had a gigantic nose compared to mine! Who is guilty? You are the one to blame! I went to the clinic using a coupon with a big discount. I don’t know where my eyes and ears were, and most importantly, my brain! But I was only thinking about how beautiful I would soon become with a new nose. I cried so many tears when I saw this “beauty”. I found a doctor who said that cartilage implantation could be done, but I don’t have that much money. So I don’t know whether to save up or drown myself.”
It’s been 4 years since I went to see an ENT specialist. The septum was curved, which is not surprising - a sports childhood, two fractures and a deformity with a hump. The doctor suggested an operation: to correct the septum, and at the same time straighten the nose. Moreover, in a well-known clinic and free of charge (according to quota). How could one not agree! I got tested and away we go. The operation itself went great: only an hour, excellent anesthesia. On the first day the flight was normal.
But on the second, I thought I was going to die. Everything hurt, even my teeth. You can’t open your eyes, each one is probably the size of an egg. There is a plaster plaque on the nose. On the fourth day, they pulled the turundas out of the nose; how they were stuffed there was completely incomprehensible; there was a feeling that they were being taken out along with the brains. For almost a month I walked around with a cast and a plaster all over my face. Constantly rinsing the nose and instilling drops. The most important thing is that I developed sinusitis, and now with every hypothermia it’s right there.
Listen to my opinion: go for rhinoseptoplasty only as a last resort if it’s difficult to breathe, you snore like a tractor, or people shy away from your snob. Everything else is not a reason to abuse your body. Love yourself as you are! My perfect nose, as you can see, did not bring me much joy.
Source: http://moivolosy.com/plasticheskaya-operaciya-na-nos/