Rhinoplasty

Nose augmentation is Rhinoplasty (Rhinoplasty) is a surgery to change the shape of the nose. The purpose may be to correct the appearance of the new nose. There are many ways to adjust the shape of the nose, such as general nose surgery. with synthetic material is rhinoplasty with silicone. with both successful silicone sticks or cartilage behind the ear Blepharoplasty and general nose reduction This can be done by surgery from a medical professional. or rhinoplasty to solve problems related to breathing Occurring from accidents or congenital defects, in addition, nowadays, nose surgery is also a cosmetic surgery to boost self-confidence.

Who is rhinoplasty suitable for?

There are different types of rhinoplasty surgery. It is mainly done to modify the shape of the nose as desired.

  • People who want to get rid of the excessive bow on the bridge of the nose
  • People who want to adjust the bridge of the nose to be straighter or more prominent
  • People who want to change the shape of the nose tip
  • People who want to enlarge or reduce the size of the nostrils
  • Correction of nasal abnormalities caused by accidents
  • open airway
  • People who want to augment or reduce the size of the nose

How many types of rhinoplasty are there?

tear drop nose for teardrop nose If viewed directly from the front, it may not be noticeable. But if viewed from the side, it is clearly seen that it is a nose whose tip is shaped like dripping water. It is a shape that looks natural to the face. Made out and gives a feeling of sweet, sharp, beautiful, just the right way. make it look outstanding, don't tell anyone For this reason, it is the style that most people want to do the most. But for anyone who wants to get this nose shape, it has to be someone who has a rather long nose bridge. There is enough meat on the tip of the nose. Otherwise, if there is too little tissue in the nose tip, the nose will be restrained and there is a risk of the tip being protruded. nose tip Silicone of the tip of the nose will start from the nose bridge down to the tip It is a shape that is suitable for people who do not have a bridge. or only the nose does not shoot or asymmetrical bridge The nose tip shape will make the nose bridge look sharp and beautiful. The protruding nose tip will make the nose tip look slimmer and sharper.

Alarplasty

Should the alarplasty be cut from the inside or outside?

  • A high nose, even though the name seems high But this nose shape gives a distinctive, beautiful, natural feeling. Suitable for those who have not much nose tip texture There may or may not be a bridge. A low end that isn't too high will look very natural. It's not wrong to call it a standard cut because anyone can do it, especially those who want a very natural look. It also enhances physiognomy with other styles.
  • Blepharoplasty Rhinoplasty surgery may not be just about adding new things. but can also be trimmed off for a more fitted look. Blepharoplasty is another very useful technique. For people who have too much flesh, the nasal wings are flared, the bridge can be augmented and the nasal wings can be cut at the same time. Or someone who already has a beautiful bridge can cut only the alar nose to make the bridge look beautiful and fit the picture. Plus it doesn't hurt much.
  • Nose bone decoration Thai people want to have a prominent bridge like westerners. But did you know that some foreigners also have nose problems? Not all foreigners with a high nose bridge are beautiful. Because some people may have a problem with the bridge of the nose distorted, distorted, unevenly convex, not in shape, which Thai people also encounter some of these problems. Nose bone reconstruction is therefore used to solve the problem of people who have a high nose but not a beautiful shape. This is not a silicone implant. But the doctor will sharpen the excess nose to be smooth.
  • Rhinoplasty with rib cartilage is another technique for augmenting the nose that looks natural and beautiful as well. using rib cartilage which is an organ in itself as a material instead of silicone The advantage is high security. No allergies because it is a tissue from the body, so it fits into the body very well. But the disadvantage is that it is expensive because it has to be operated 2 times, namely on the ribs and nose, it hurts 2 times, and the volume is not as loud as silicone. And it also requires a lot of expertise, knowledge and experience of doctors.

type of silicone

  • Prefabricated silicone
  • Self-sharpening silicone

    • Location of the wound

    • hidden wound in the nostrils Most of the wounds are not visible from the outside. The surgeon will use dissolvable sutures. which will fall off by itself in 3 weeks
    • Incision outside the nose For the case of correcting the tip of the nose by using the ear bone to correct the nose Can do both the wound outside and in the nostrils

    Close Technique

    Closed rhinoplasty (Close Technique) We will use an open incision within the nose. and inserting silicone, which is a closed nose augmentation method Will open a very small incision, only 3 mm. Don't worry about scars.

    Who is Close Rhinoplasty suitable for?

    I must say that the closed rhinoplasty method Suitable for people who don't have much nose structure problems. which structural problems such as crooked nasal bone This problem cannot be solved with closed rhinoplasty.

    Advantages of Close Rhinoplasty

    • has a natural nose shape not too prominent
    • The wound is very small, less swelling and bruising, able to make up or use daily life as usual without recuperation
    • The price is not as high as open rhinoplasty.
    • It takes less time to make, about 30-40 minutes.

    Open surgery

    familiar with the name “Open rhinoplasty” which is augmentation of the nose by adjusting the internal structure To solve the problem exactly in the part that the Close rhinoplasty cannot do, such as nailing the base of the nose Elongation of the nasal septum in people with short noses or crooked nose, etc.

    Open rhinoplasty is suitable for whom?

    Open rhinoplasty is suitable for those who want to directly solve the nasal structure problem. which is a nose augmentation by adjusting the internal structure that close rhinoplasty cannot be done, such as nailing the base of the nose Elongation of the nasal septum in people with short noses or crooked nose, etc.

    Advantages of open rhinoplasty

    • Helps solve structural problems on the spot The type that closed rhinoplasty cannot do Suitable for people who want a prominent nose shape or Suitable for cases that have undergone rhinoplasty many times until damaging the original structure Open rhinoplasty therefore meets more needs.

          Imaging in surgical planning The patient's nose will need to be photographed from different angles. If the surgery is done, how will it work? The surgeon will use the photos to compare both before and after surgery. as well as for reference during surgery and in the long term

          Expectations of those undergoing surgery The doctor and the patient need to discuss the need for expectation from plastic surgery The doctor will recommend which type of nose surgery can or cannot be done. and the result will be The patient must have the confidence to talk about their appearance. and should be open to the surgeon's needs Sometimes, the doctor may recommend additional surgeries on other parts of the face to make the face look more balanced.

          If the date for the surgery can be set The surgery recipient should make an appointment to recommend family members or close people to come after the surgery in the case of surgery that can be returned home immediately. And there should be someone to stay with after surgery for at least 1-2 nights to take care of because after surgery The effects of anesthetics can cause forgetfulness. or react more slowly than usual causing an impact on daily life

          Also, avoid taking painkillers such as aspirin or ibuprofen for at least 2 weeks prior to surgery, as these drugs can cause more bleeding than they should during surgery.

          If medication is needed, it should only be recommended by the surgeon who performed the operation. and should abstain or quit smoking Because the toxins in cigarettes slow down the healing process of surgery. and may make the patient more prone to infection

    Preparation before rhinoplasty surgery

    • If the date for the surgery can be set The surgery recipient should make an appointment to recommend family members or close people to come after the surgery in the case of surgery that can be returned home immediately. And there should be someone to stay with after surgery for at least 1-2 nights to take care of because after surgery The effects of anesthetics can cause forgetfulness. or react more slowly than usual causing an impact on daily life
    • Also, avoid taking painkillers such as aspirin or ibuprofen for at least 2 weeks prior to surgery, as these drugs can cause more bleeding than they should during surgery.
    • If medication is needed, it should only be recommended by the surgeon who performed the operation. and should abstain or quit smoking Because the toxins in cigarettes slow down the healing process of surgery. and may make the patient more prone to infection

    Rhinoplasty surgery procedure

          Rhinoplasty surgery has different surgical techniques. It depends on the physical characteristics and goals of the client. The rhinoplasty surgery may be done from inside the nose. Or make a small incision outside the base of the nose between the nostrils. and may perform cartilage grafting under the skin before surgery Bone decoration will depend on the material used. The shape of the patient's nose and the amount of material to be added

          If it's a little extra The surgeon may take cartilage from the inside of the nose. Or take the cartilage from the ear as a supplementary material. But if wanting to add more A bone graft cartilage may be required from the rib area. Or cartilage from other parts of the body or in some cases may use synthetic materials used for surgery such as silicone etc.

          Topical in conjunction with a sedative or anesthetic. The choice of such drugs will depend on the complexity of the surgery. and skill of the surgeon Therefore, it is best to consult with your doctor in advance the type of anesthetic used. In order for the doctor to determine which type of anesthesia is most suitable for the patient undergoing surgery

          Local anesthetics in combination with sedatives This type of anesthetic is often used in outpatient surgery. Limited surgical space The doctor will inject painkillers and painkillers and anesthetics into the nasal tissue. and giving a sedative through a vein This will put the patient in a half asleep state.

          Anesthesia Anesthesia is given either through inhalation or through a small saline line attached to the palm. The anesthesia affects the body and causes unconsciousness. This method also requires intubation during surgery.

          However, after surgery The patient will be taken to the recovery room. In which the staff will keep an eye on the functioning of various systems in the body and wait for the patient to feel conscious. The surgery recipient may be able to go home the same day. or if there are other health problems, it is necessary to stay overnight to wait and see other symptoms

    Caring for yourself after rhinoplasty

    1. Cold compress 4-5 days after surgery. to stop the bleeding If the cold compress is not applied, it will cause bleeding and fibrosis. Resulting in distorted nose
    2. Take care of wounds in the nasal cavity with a cotton swab and wipe with saline solution. Do not use alcohol, betadine, or strong antiseptics.
    3. Avoid going to dusty places for about 1 week, prevent coughing or sneezing
    4. See a doctor for an appointment to remove the threads
    5. can lie on its side does not cause the silicone to move Because usually the doctor will tape it to prevent movement. But avoid sleeping on your stomach
    6. Avoid food that you are allergic to. and foods that cause swelling, redness, such as hot foods Spicy foods, salty foods, alcohol, tobacco, etc.

    Precautions for rhinoplasty surgery

    • Rhinoplasty surgery may seem normal that anyone can do it. There are many styles and prices. There are both Thai and international clinics to choose from. However, there are some precautions for rhinoplasty. Because if careless, do not inspect the clinic well first May need to fix or maintain a cost that is many times higher.
    • Before deciding to choose a nose surgery clinic, but should consult, inquire, ask for advice from many clinics. to consider choosing the best clinic Because each clinic may have different opinions and views. Then choose the most trusted clinic.
    • Don't choose too cheap. Because it is very risky that you will receive services that are not up to standard. Keep in mind that silicones have to stay in your body for 10 years, so choose wisely the first time.
    • Choose a shape to suit your face shape. Although nose augmentation is a beauty that can be created by yourself. But some people want to have nose augmentation but less meat. Therefore, there are natural conditions that are quite difficult to avoid. Therefore, you should choose a hairstyle that looks beautiful and natural at the same time. will make our nose look smooth It doesn't look too fake.
    • after surgery You should refrain from alcohol, fermented foods, outdoor activities, heavy activities that use a lot of energy. until the nose starts to fall into place to prevent distortion of the silicone
    • Avoid touching your nose. and places with a lot of dust and smoke pollution Including places where the weather changes quickly. because it will easily irritate the nose and nasal cavity
    • for those who have braces Braces should be completed before nose surgery. Because orthodontics also have a part that makes the nose look taller due to the teeth line being squeezed smaller and pushing the nose up. But there will be a slow change. If braces and rhinoplasty will make it difficult to estimate the pitch of the nose. And it might look disproportionate if the nose is too protruding.
    • The nose can have many shapes. There are different beauty The most beautiful nose augmentation is to choose the nose shape that best suits our face. with natural proportions not too much not too little Including requiring the skill and experience of the doctor as well Therefore, you should study the information until you are confident and choose a reliable and trustworthy clinic.
    • Within 1 month after surgery, do not cause bumps to the nose area, such as avoiding collisions. Avoid playing impact sports such as ball, basketball, etc. After 1 month, the nose will be in place and can live normally.
    • Do not pick, peel, scratch or rub the nose area. because it will cause infection

    Characteristics of a crooked nose

    • skewed cone
    • Bevel tip
    • All inclined bars

    Complications after rhinoplasty

          Crooked nose due to the implantation of silicone rods in a size that is too large or due to a defect in the tape during the first week Causing the silicone to float and have a higher chance of twisting left and right cause a lot of swelling The solution is a new surgery. The doctor will remove the old silicone stick and let the patient rest his nose for 2-3 months in order to augment the new silicone stick.

          Silicone perforation is caused by the reinforcement of the silicone rod that is too large or the silicone is not stable in the cavity. causing it to move back and forth and cause penetration The method of treatment is a new surgery by allowing the patient to rest for 2-3 months, which the doctor will treat since the silicone is almost penetrated. That is, when water blisters begin to occur. or the walls become thin and clear until the silicone rods are visible

    Symptoms (that may occur) after rhinoplasty day by day

          Immediately after rhinoplasty: the shape of the nose will be clearly visible. There will be a slight stiffness. because the effect of the anesthetic has not yet expired may cause us not to feel pain right away
          During the first 1-3 days : There may be swelling at the wound, feeling of tightness and bruising around the nose or under the eyes. It is advisable to continue taking the medication prescribed by your doctor. Or eating Centella asiatica herbs will help to recover from swelling and bruising faster.
          7 days after rhinoplasty: After a week, the swelling will begin to subside. Depending on the care and diet.
         14 days after rhinoplasty : Normally, after 14 days, the swelling will subside significantly. Including various bruises will disappear. It is important to see a doctor to cut the stitches.
          After 1 month of rhinoplasty: symptoms of swelling will be greatly reduced and the shape of the nose will be clearly visible. But some people may have some bruising and yellowness. but can put on makeup as normal
         After 3-6 months of augmentation, the nose shape will begin to be seen more clearly. The nose will begin to tighten the beautiful axis into place.

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