Rhinoplasty
Description of the procedure and treatment:
The most popular nose deformations are: excessive osteochondral hump, the widening, duality or protruding of the nose tip. Sometimes the nasal septum deviation resulting in breathing impairment is present as well. In particularly extensive nose deformities the achievement of positive result in single operation is not possible. The nose correction surgery is performed under local or general anaesthetic, depending on the surgery's extension. He excessive bones and cartilages are removed from the cut inside of the nose and the elements of nose skeleton are modelled. The cuts of skin and mucosa are closed with absorbable sutures that don't require removal. The nasal passage is filled with tampons and the nose is put in modelling stiff plastic or metal dressing. The tampons are removed within 48 hours since the operation and the external dressing is kept for 7-10 days. The oedema and livedos of eyelids and cheeks after the operation are frequent; also the nose after removal of the protective dressing may be swelled. Due to the oedema of mucosa the breathing may be at first difficult. The sensitivity of nose and upper lip may be decreased. The possible complications include: excessive bleedings, infections, and excoriations of skin in the compression of the stiff dressing. The bone tissue superstructure and the origin of excessive bulge can exist in the place of bone's section.. The implanted bones and cartilages can get dislocated. Although these complications don't exist too often, however they can demand the repeated operation. On the first day after the surgical procedure the patient should stay in bed with his head elevated higher. The application of cold compresses decreases haematomas and oedemas. Too active removal of the exudates from the nose shouldn't be made during the next few days. The skin can be covered with make-up just after taking off the dressing. For next three months you should avoid injuries, overheating and cooling. As the nose after the operation is especially sensitive for injuries, so you should be very careful during sport activities and wearing glasses isn't advised before expiration of a few weeks. The intensive massage of the nose, starting since the third week after the operation is essential because it gives possibility of faster suppression of oedema and softening the callosities (internal scars ) which are often being created. The final form of the nose is achieved not earlier than after a half of year.
Absence:
The return to work is usually possible after 2 weeks.
