RHINOPLASTY IN KAZAKHSTAN

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NASAL CONTOURING (RHINOPLASTY)

— sculptural nasal contouring «perfect profile»

«Beautiful woman is a trade, everything else is amateurishness» – the poet said. But who can define the criterion of beauty, since it is subjective and indefinite concept?! And nevertheless, the outer beauty of the face is based on harmony of lines that is their optimum proportion. Often, the shape and the size of a nose do not fit this ideal “structure”.

At present, rhinoplasty is in the first five on popularity among women. The essence is improvement of the shape and the size of a nose, correction of congenital or posttraumatic defects, settlement of the problems, connected with respiratory function of a nose. The result is elimination of disharmony and creation of aesthetic balance face features, improvement of physiological functions of a nose.

Rhinoplasty belongs to the range of complex very elaborate operations; because the synthesis of techniques is supposed, therefore impeccable implementation of all manipulations is within the power of skilled top-notch surgeons. It is not enough to know well a technical aspect of all types of rhinoplasty; the most difficult is to find the correct aesthetic solution for the patient and to embody it in living tissues.

rinoplastika

MAIN CAUSES OF ADDRESSING

  • Long and big nose
  • Short and wide nose
  • Too much turned-up nose
  • Aquiline nose (“eagle”).
  • Big “Greek” nose.
  • Wide basis of a dorsum of a nose.
  • Wide and “sagging” nose.
  • Big nose tip, thickened and “overhanging” an upper lip.
  • Saddle nose
  • Big nostrils, etc.
  • There was a nose injury with fracture of a nasal septum. It is bent/fallen behind.
  • Dorsum of a nose is displaced/bent.
  • Nasal breathing function is impaired.

Rhinoplasty in Astana and Almaty: clinic of plastic surgery Darus

AT WHAT AGE THE OPERATION SHOULD BE PERFORMED?

The majority of people are not happy with the nose. It is much more difficult to bring itself to nose reshaping, than to any other operation, because transformation will be manifestative. The new nose can essentially change your face – this attracts and frightens you in one time. Rhinoplasty should be performed, when aesthetic disbalance of face features depresses you and prevent from live in harmony with itself. Urgent operation-reposition (in case of a trauma) can be performed even at an early age.

Nose traumas lead to exterior deformations and to impairment of the nasal breathing function, therefore restoration of the bony-cartilaginous nose skeleton is desirable to be performed within first 10 days after a trauma. Later operation will be more difficult. Sometimes, early reposition is impossible because of a condition of the adjacent soft tissues, therefore, the optimum time for reposition is 3 days after a trauma. Complex posttraumatic nasal reconstruction sometimes requires repeated performing of operation.

The second stage of rhinoplasty can be performed in half a year, when all scars will be formed completely. Aesthetic rhinoplasty is recommended to be performed at the age over 19. Age of 18-25 years is optimum from the point of view of a condition of tissues and psychological readiness of the patient to change the outward appearance. Usually, it is asked-for by the 20-40 years old patients. The special approach is required in the age of 45-50 years, as the age-specific growth of the cartilaginous tissue begins; skin elasticity becomes worse, skin, cartilages and bones regenerative ability decreases, therefore, the rehabilitation period can be long.

FOR INFORMATION

Pass for normal, when the nose is located in the mid face, and forehead, lips and chin – in the upper and lower thirds. The line, running on the dorsum of nose downwards the bridge of a nose, makes an aesthetic profile angle of 30-36 degrees.

At evaluation of the nose shape, the great value has the nasolabial angle. At women, it is considered optimum in the range of 95-110 degrees. This is average statistical data, but concept of the norm sometimes does not match the conception of people about beauty. Surgeon professional advice is of great importance for final selection of the shape of a “new” nose.

Rhinoplasty in Astana and Almaty: clinic of plastic surgery Darus

IN OUR CLINIC DARUS

All types of rhinoplasty are performed: nose shortening, correction of height and width, dorsum and wing of a nose (falling behind and deformations), elimination of an aquiline nose, nose tip plastic, correction of the nasal septum deviation, elimination of deformations of soft tissues, correction of posttraumatic defects, etc. There are special methodologies of correction of age-specific changes in nasal area.

Modern medical and plastic surgery technologies in Kazakhstan are represented in the medical centre Darus, in which the professional plastic surgeons of Kazakhstan work.

CONTRA-INDICATIONS

Blood clotting disorder, acute inflammatory processes in paranasal sinus, severe diseases of viscera, infectious diseases, serious cardiovascular diseases and oncological diseases, uncontrollable high arterial pressure, diabetes, full loss of elasticity of a skin, tendency to excessive scarring (keloid cicatrix), thyroid gland diseases, accompanied by its hyperfunction.

OPERATION

Duration – from 40 minutes to 3 hours (depending on complexity and volume of surgical manipulations). Operation can be multistage. The algorithm of rhinoplasty is dictated by the features of a nose and extension of reshaping. It is senseless to describe all types of rhinoplasty – each of it is unique, as it is a combination of huge number of well-known methodologies and “author’s” techniques, which are used by surgeons.

We would like to say some words about the operations. The surgeon modifies the internal cartilaginous or osseocartilaginous nasal structure or its separate parts for optimisation of the shape and the size of a nose. Rhinoplasty is “closed” (incisions and manipulations are made in the mucous membrane of the nasal cavity) and “opened” (the incisions are made on the skin part of the nasal septum, in its narrowest point). In both cases, the scars are invisible. The type of access is defined by surgeons, depending on the problem to be solved. Simple operations – correction of soft tissues. More complicated – removal of aquiline nose, shift and modelling of osseocartilaginous tissue. By impact on bones and cartilages, it is possible to lift, shorten, reduce, point, eliminate sagging of the nose tip, to reduce nostrils width.

At correction of the nose dorsum fallen behind, the transplants of ear or costal cartilage of the patient or implants are introduced. Correction of the shape of the nose dorsum is one of the major aspects of rhinoplasty. Sometimes, cartilage removal is prohibitive for nasal septum straightening; therefore there are the methodologies where its excision is not required. The wide nose is reshaped, when the surgeon performs approximation of bones. Change of width of the nose tip means modification of the cartilages (removal of excess). Modern methodologies of rhinoplasty allow to perform shortening of a long nose. Various characteristics of bone and cartilaginous tissues require a wide enough range of surgical instrument. At full plastic of a nose, the surgeon works with the entire structural part of an external nose (bone, cartilaginous, soft tissues).

Partial rhinoplasty means manipulations on structural parts of a nose on the outside, with no effect on bone tissue. If it is necessary to restore the normal breathing function, the rhinoplasty is combined with endonasal (intranasal) functional operation. The endoscopic techniques, keeping anatomic elements of the nose cavity and paranasal sinus, are used in our clinic. Last operational stage is cosmetic stitching and plaster splint application.

Rhinoplasty in Astana and Almaty: clinic of plastic surgery Darus

ANAESTHESIA

General, combined.

Postoperative period

Hospital – 1-3 day (depending on operation volume). Pain sensations are manifested moderately. Special inconvenience for you – necessity to breathe a mouth for a while. The tampons, keeping the new shape of a nose (they are deleted in 2-3 days after operation), are introduced into nasal passages, the external plaster splint (discarded in 6-9 days). It is not recommended to take hot bath, to visit sauna and solaria, to go in for sports after operation.

It is necessary to abstain from alcohol because of a risk of a long-term oedema. Bruises disappear within one week. Do not worry, if oedema occurs after bandage removal – it will disappear in 10-15 days. The surgeon will give detailed recommendations to you prior to discharge from a hospital. You can return to work in 1,5-2 weeks. The nearest results are visible in 2-3 weeks. It is considered that the nose takes on the final form within 6 months – 1 year after operation. The good result of rhinoplasty remains for life long.

COMPLICATIONS AND RISKS

Subcutaneous oedemas (disappear in 1-2 weeks without treatment). Inflammatory changes of soft tissues (in the immunity compromised patients). Formation of keloid cicatrixs (appear at individual tendency of skin to their formation). In most cases, serious complications are caused by mistakes of unqualified surgeons — be attentive at selection of the surgeon and the clinic!

Professional plastic surgeons in Astana and Almaty, the modern equipment, laser technologies, plastic surgery in Astana and Almaty – all of this is an integral part of the medical centre Darus.

Rhinoplasty in Astana and Almaty: clinic of plastic surgery Darus

Pre-appointment
Additional information

OPERATING COSMETIC SURGEONS

Korabelnikov Sergey VladimirovichDemin Konstantin NikolayevichKuimov Aleksey MikhaylovichSutaykin Aleksey Yuryevich
Yurshevich Eduard NikolayevichAdamyan Ruben TatevosovichLipskiy Konstantin Borisovich

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