Complication of nasal adhesion after nose surgery

Complication of nasal adhesion after nose surgery

Nasal adhesions after rhinoplasty

Nasal adhesions after surgery, which is called Sinica in medical terms (synechiae) It is also said to be a minor and common complication in rhinoplasty surgery. In fact, this complication is the opposite of the loosening of the nose after surgery

Since this problem may cause breathing problems for the patient, we decided to discuss in this article the reason for post-operative adhesion and its treatment..

Readable and informative content دکتر مجید راستی Of nose surgery :

What is the cause of adhesions after surgery?

Nasal adhesion As the name suggests, the sides of the nose stick to the middle blade.. This adhesion causes that the air flow is not well established and the person has breathing problems. This may happen for a number of reasons, including::

  1. Damage to the cells of the nasal mucosa due to the lack of attention of the surgeon
  2. Post-operative infection due to not taking prescribed medications
  3. Non-healing of intranasal wounds
  4. Creating extra meat inside the nose
  5. The strong insistence of the patient to shrink the nose as a result of removing too much cartilage by the plastic surgeon

Of nose surgery | Complication of nasal adhesion after nose surgery

What are the symptoms of adhesions after surgery?

  • Respiratory problems
  • Shortness of breath
  • گرفتگی بینی
  • Sometimes a disturbance in smell

What is the removal of adhesions after the operation?

قبل از هر کاری باید به یک جراح بینی مراجعه کرد تا از چسبندگی بینی مطمئن شد. Next, the doctor will take action to fix it based on the area where the adhesion has occurred. In mild cases, this is done under local anesthesia. But in more severe cases, re-surgery and cartilage grafting will be required by a reconstructive nose surgeon.

When should you see a nose surgeon?

Nasal adhesions after surgery in most cases are caused by the doctor's weakness in using surgical techniques. Although in most cases it improves with time, but in case of breathing problems and shortness of breath, you should see a nose surgeon as soon as possible..

What does nasal adhesion mean?
Removal or damage to the nasal mucosa and as a result the side of the nose sticks to its blade

What are the symptoms of nasal congestion?
The most common symptom is breathing disorder and stuffy nose

Is nasal congestion dangerous?
No, but it must be treated

Treatment of nasal congestion

The doctor, by ordering a CT scan, diagnoses the cause of this complication after the surgery and performs a reconstructive surgery to treat it.. In reconstructive nose surgery, in order to solve this problem, the surgeon places a silastic layer inside the nose, which prevents the two sides of the nose from coming together and cuts off the adhesion..

The silastic layer should remain in the nose for a week. During this interval, the nasal mucosa and its inner lining are repaired, and after the patient's breathing problems improve, the silastic layer is removed from the inside of his nose..

9 ways to get rid of bruises after nose surgery

9 ways to get rid of bruises after nose surgery

9 ways to treat bruises after nose surgery

Bruising after nose surgery | One of the main concerns of those who رینوپلاستی do کبودی Next is the nose job. Since these bruises and swellings make the face look ugly, we all want to minimize them or get rid of them as soon as possible.. So if you are looking for a quick fix کبودی If you are after nose surgery, be sure to read this article carefully until the end.

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Of nose surgery | 9 How to get rid of bruises after nose surgery .

How to get rid of bruises after nose surgery?

We said that a bruised nose is a natural and very common complication that most beauty seekers experience. But in the following, we present some solutions that are very effective in treating swelling and bruising after nose surgery. After the operation, specialist جراح بینی A leaflet with instructions such as the following for home care, which can be effective in reducing bruising after rhinoplasty. These items include:

Another way to treat bruises after nose surgery is to eat foods and drinks containing vitamins, especially vitamin K. Research has shown that consuming pineapple and celery juice are very useful for bruising after nose surgery. Also, iron-containing foods such as spinach can be effective in healing wounds and bruises by increasing blood supply..

  • Using ointments and creams after nose surgery

You can also follow Of nose surgery Use ointments and creams after rhinoplasty:

۱. Lazonil ointment to remove bruises after nose surgery
Use of lazonil ointment (ON LASON) On the skin, it causes the blood supply to the inflamed tissues to increase, which will remove the bruises and swelling of the face after nose surgery..

۲. Hirodoid cream to remove bruises after nose surgery
Hydroid topical cream and gel (Hirudoid) Due to their anticoagulant properties, in addition to reducing pain and inflammation, they can destroy blood clots under the skin and reduce bruises..

۳. Sicastim Arnica cream
Arnica cream (Cicastim Arnica Soothing Cream) It is also a cream for removing bruises after nose surgery with its restorative properties, which is effective in removing inflammation and bruises caused by nose surgery..

  • Anahil tablets to remove bruises after nose surgery

Anahil tablets (Anaheal) One of the most popular types of pills for removing bruises after nose surgery is prescribed by almost all surgeons after surgery.. This capsule contains bromelain, which is very beneficial in removing and reducing bruises and dead blood.

Of nose surgery | رینوپلاستی ثانویه

How long does bruising last after nose surgery?

In order to get more familiar with the process of bruising and its length, below is a breakdown from the first day to two weeks after the operation.. The important thing is that the results listed in these time frames are not the same for all patients, and the intensity of bruising and recovery time are different for each one..

After surgery

Note that bruising after the operation does not happen to everyone. But those who are prone to bruising will face its effects immediately the day after the operation. Usually, the severity of these bruises is more intense 2 to 4 days after the operation and is more under the eyes than other parts.. Its color gradually turns dark blue and sometimes purple.

3 to 5 days after nose surgery
After the first few days, the bruises should lessen and gradually lighten to green or yellow in color.. Of course, if the intensity of the bruise is high, this healing process and color change may happen later. But in most cases, the purple color fades after 5 days.

1 to 2 weeks after nose surgery
It is expected that one week to 10 days after the operation, the bruises will decrease and the color will be between pale brown and yellow.. In the following, after two weeks, the bruise is completely removed. In severe cases, there should be very few traces left after two weeks so that it can be covered with a layer of makeup.

When should we see a doctor?

Bruise later عمل بینی It is not a serious problem in itself and can be solved with patience and recovery. But if you feel pain in the eye area along with bruises, or if you experience nausea, dizziness, fever, severe weakness, and visual impairment, definitely see a doctor. Of nose surgery See.

Tilting of the tip of the nose after rhinoplasty

Tilting of the tip of the nose after rhinoplasty

The cause of the crooked tip of the nose after cosmetic surgery and its treatment

Tilting of the tip of the nose | One of the common reasons that causes a person to undergo cosmetic surgery is a crooked nose. In some of these categories of people, the crookedness is more noticeable at the tip of the nose and is considered the main cause of nasal deformity. But sometimes this may happen after surgery, and instead of improving the shape of the nose, you will face a crooked tip after cosmetic surgery..

What is the reason for the tip of the nose to be tilted after the operation and how can it be eliminated? This is the subject of this article, which I suggest you read until the end..

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Of nose surgery | Tilting of the tip of the nose after rhinoplasty

The main causes of tilting the tip of the nose after surgery

As in the article about nose tilting after surgery (Displacement of nasal cartilage) We said that there is a 5% chance that the nose will become crooked after each surgery. This asymmetry may be in the bony part or happen in the tip of the nose. In that article, we explained in detail the causes and ways of treating crooked nose, but in the following, we will discuss the causes of crooked nose only in its tip..

به طور کلی یک دکتر جراح بینی هنگامی می‌گوید نوک بینی کج (Crooked Nose Tip) If we draw a symmetrical line from the middle of the forehead to the chin, the tip of the nose deviates to one side. Or in other words, it is outside the center of this line.

Contrary to the crooked nose in the bone or the deviation of the nose, the tip of the crooked nose is clearly visible . and easily recognizable. This causes asymmetry . that the whole nose looks crooked and from where it gives an ugly shape to the face. It is a good reason for cosmetic surgery. However, in most cases, the tip of the nose is congenital or is caused by an accident. But unfortunately, it has been observed that it has also occurred after nose surgery.

Weak surgeon

Unlike the middle part, the tip of the nose is made up of only cartilage . And it cannot be repaired by breaking bones. As a result of removing its abnormalities and giving a proper shape to the tip of the nose, the rhinoplasty doctor plays the main role. In fact, if he cannot use the right techniques. and use the necessary delicacy, the tip of the nose is not in the center and is tilted.

The main causes of nose tip tilting after cosmetic surgery caused by the surgeon are::

  1. Removal of excess cartilage.
  2. Working too much on one side of the nose.
  3. Weakness or asymmetry of the blade and deviation of the cartilage to one side.


Usually if in the first weeks after the operation جراح بینی Visit yourself and ask the cause of the tip of the nose tilting after the operation, he will undoubtedly tell you that it is normal.. Because the nose has severe swelling for several months, which causes the original shape of the nose to remain hidden.

Although six months after the surgery, these swellings subside to a large extent in the bridge of the nose, but the tip of the nose is still swollen.. Because, as we said before, the tip of the nose is cartilaginous, and its swelling disappears later than the bone.. Therefore, one should wait at least a year to make a conclusion about whether it is tilted or not.

Of nose surgery | What is clip nose or staple nose?

Congenital asymmetry

Observed in some people, the crooked tip of the nose does not disappear completely . And he cannot fix it 100%. These people include the following groups: 6 groups in which the crooked nose does not disappear 100% after the operation:

  • People with congenital crooked nose.
  • Patients with cleft palate and lip.
  • Those who have severe nasal deviation.
  • People whose nostrils are asymmetrical.
  • Patients whose two sides of the face are not similar.
  • People who need to rotate the tip of the nose. (Like those who have a droopy nose tip.)

Lack of necessary care after the operation

If you read the other content of the site that is about nose surgery. You realize that one of the main causes of post-operative abnormalities is not paying attention to care tips.. Because the nose is a sensitive organ where almost all human tissues are located. As a result, by manipulating it, each of these tissues will show a reaction . which needs to be taken care of until complete recovery.

Also, since this organ is in the center of the face, it is more possible to be injured and injured than other parts. In addition, we should not forget that the main job of the nose is breathing . This causes reactions such as sneezing, coughing and even eating to cause pressure on it. Therefore, following the care points after the operation has a great effect on improving the appearance of the nose.

The basic shape of the nose

Another reason for the crooked tip of the nose after surgery is related to the original structure and shape of the nose. It has been observed in those who have a fleshy nose or the skin of the tip of the nose is very thick, the possibility of crooked nose is more in them..

Of nose surgery | Successful nose surgery.
What should we do to prevent the crooked tip of the nose after surgery?

The best way to prevent the tip of the nose from tilting after cosmetic surgery is precision and obsession in choosing a specialist Expert nose surgeon and experienced. Because it has been abundantly seen that they were caused by a careless surgeon or an unspecialized doctor . that the beautician will have many problems after the operation. So research as much as you can . up to one Good nasal surgeon Find your nose job.

After the operation, be sure to follow the care tips that the doctor wants. Note that nose job does not hurt, contrary to popular belief . And after the first few days and the cast is removed, you're back to your normal routine. But post-operative care and visits to the doctor continue for several months . And in fact, the difficulty is in this matter.

When should you see a doctor?

Bending of the tip of the nose after cosmetic surgery is one of those side effects . which causes frustration, depression and severe protest of the patient. Because it is related to the beauty and appearance of the nose . And such abnormalities can cause the surgeon and his final work to be questioned.

But our advice is to be patient before doing anything . And know that most of these defects and problems are temporary after the operation. With the passage of time and reduction of swellings, the nose takes on a better shape and its initial defects are removed. So it is better to trust your doctor and wait.

Reasons for displacement of nasal cartilage after surgery

Reasons for displacement of nasal cartilage after surgery

Causes of displacement of nasal cartilage after surgery and its treatment method

One of the common problems that beauticians may face is the displacement of the cartilage of the nose after surgery. This issue is one of the main reasons for the patient's concern about the result of the operation, to the extent that sometimes he is concerned about the doctor جراح بینی They also become pessimists. Therefore, in order to solve these concerns, in this article, we have first explained the causes of nasal cartilage protrusion after surgery. . Then we have explained the most important way to treat it, which is nasal massage

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Of nose surgery |Displacement of nasal cartilage after surgery .

What is the cause of displacement of nasal cartilage after surgery?

According to most doctors, رینوپلاستی It is one of the most challenging beauty procedures in the world. Because in that nose surgery doctor is dealing with an organ consisting of all kinds of tissues along with bone. It is difficult to be able to act in such a way that despite the manipulation of these tissues, the final shape and structure of the nose is natural and beautiful. . And it requires the skill and mastery of the surgeon.

One of the most important tissues, its modification and modification has the main and essential role in beautifying the nose, it is the nasal cartilage.. Any displacement and wrong removal of the cartilages causes . that there are some types of unevenness on the nose after the operation, which is sometimes more difficult and complicated to repair and correct than the initial operation. It is better to understand this better . First, get to know the anatomy of the nose and the location of the cartilages.

Types of nasal cartilage

The structure of the human nose is designed in such a way . The upper part of the nose is bone and the lower part is cartilage . And at the end, several layers of skin cover it. In most nose surgeries, the main goal is to correct the cartilages and in some cases to change the nasal septum bone. These cartilages are::

  1. Nasal septal cartilage
  2. Lateral cartilage
  3. Smaller alar cartilage
  4. Greater alar cartilage

Why do nasal cartilages move after surgery?

The surgeon tries to perform rhinoplasty . By using surgical techniques through changing, strengthening, moving and reducing these cartilages, in addition to improving breathing, it gives beauty to the shape of the nose.. The important point is that to prevent displacement of the nasal cartilage after the operation, they must remain in place. But sometimes this does not happen due to one of the following reasons . And in the term, the cartilage of the nose is moved.

Of nose surgery | Tilted nose surgery

Reasons for displacement of nasal cartilage after rhinoplasty

medical error

The most important reason for this should be the weakness and mistake of the nose surgeon. Because today there are many new methods and methods of nose surgery in the world . If the surgeon is professional and skilled, the possibility of such mistakes and complications is almost impossible.

In some cases, it has been observed that the doctor has removed or changed a lot of nasal cartilage because of the patient's insistence on a certain model or wrong technique or lack of knowledge.. This causes the structure of the nose to weaken and the cartilages to become unstable . and the result of cartilage displacement.

Unprincipled massage of the nose

Massage therapy is one of the ways to reduce swelling after surgery . If it is not done correctly, it can cause displacement of the nasal cartilage after the operation. Therefore, it is recommended to avoid arbitrarily massaging the nose . And be sure to ask your doctor about the correct way to do this.

Failure to observe post-operative care tips

We can safely say that most of the problems and complications after the operation, if not related to the surgeon . It is due to not doing or negligence in following the recommended care after surgery. Because for a few months after the operation, the structure of the nose is very fragile and weak. As a result, the slightest carelessness or impact can cause a change in shape or problems.

Therefore, it is necessary until the nose regains its initial strength and resistance . He was careful that no accident happened to it. wearing glasses, pressing, impact, accident or any other damage are among the cases . which can cause displacement of the cartilage or change the shape of the nose after the operation.

It should not be forgotten here that the swelling of the cartilages may be confused with their displacement. But it is not. During surgery, accidental reactions occur due to cartilage cutting and manipulation . which is normal and these swellings are caused . It seems that the cartilage is not in place or the nose is crooked. But after the swelling subsides and the main shape of the nose is determined, there will be no more of these problems.

Symptoms of displacement of nasal cartilage after surgery

Now, how do you know that the cartilage of the nose is displaced? There are different ways to detect the displacement of nasal cartilage after surgery. The most important of these ways are::

  • Pain when touching the nose
  • Changing the shape of the nose in one area (Indentation, protrusion)
  • Excessive swelling in one part of the nose
  • Breathing disorder
  • Increased secretion of mucus from the nose, especially in case of inhaling allergenic irritants
  • Sometimes nosebleeds
  • Bruising around the eyes and nose

Of nose surgery | Tilted nose surgery

Treatment of displacement of nasal cartilage after surgery

In order to avoid this abnormality, like other irregularities and complications after rhinoplasty, you should wait until the swellings are asleep and the recovery period is over.. After this period, the reconstructive nose surgeon will determine whether cartilage displacement has occurred or not.

Because sometimes it has been observed that the patient feels and imagines stiffness and lumpiness by touching the nose . which is displacement of cartilage. But this is not the case and stiffness, especially at the tip of the nose, is normal for a long time after the operation . And only a specialist can find out if it is a problem or not.

But if the nose surgeon comes to this conclusion . that the cartilages have problems or are not in place . Unfortunately, there is no way except reconstructive surgery. Because in this case, the structure of the nose has a problem . And in order to put the cartilage in its place and fix the defects that have occurred, open surgery should be performed.

Nose massage and cartilage displacement after nose surgery

Usually two to three weeks after the operation, when the external sutures are pulled and the nasal cast is removed . The doctor starts massaging the nose. This can be very useful if done correctly . But if it is not done correctly, it will cause displacement of the nasal cartilage.

Benefits of nasal massage

The biggest benefit of nasal massage is in improving the appearance of the nose and the result of the operation. Because after removing the cast, bones tend to move a lot . This may also affect the cartilages of the nose. Therefore, this can be prevented with massage. Also, nasal massage is one of the best ways to reduce swelling after surgery.

Complication of nasal passage narrowing

Complication of nasal passage narrowing

Nasal stenosis (Nasal valve stenosis)

Nasal valve stenosis, or nasal passage stenosis, occurs when the nasal valve, which is the narrowest part of the airway, becomes weak and capsizes into the airway during breathing.. This may affect one or both sides of the nose, causing nasal passage obstruction and difficulty breathing.

This article is about nasal congestion (Nasal valve stenosis) It examines the symptoms, causes, complications and what to do with nasal congestion. Stay with us.

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Where does the nasal passage go?

Your nasal passages, also called sinuses, are the hollow spaces in your skull around your nose, cheeks, and forehead.. These cavities act as a filtration system to your lower airways (For example, the throat) It leads and acts as a passage for the discharge of mucus.

The area just inside the nostril that leads into the nasal cavity. The nasal vestibule is supported by nasal cartilage and lined with tissue that contains small, well-organized hairs.. These hairs help filter dust, sand, and other particles to prevent them from entering the lungs.

How is nasal valve stenosis?

There are two types of nasal valve stenosis: Domestic and foreign.

  • Stenosis of the internal nasal valve

The internal nasal valve is the better known of the two and is often called the nasal valve. This part of the nasal valve is responsible for the largest part of the nasal resistance and between the skin and the respiratory epithelium (A lining of the respiratory tract that functions to moisten and protect the respiratory tract) contract.

  • Stenosis of the external nasal valve

External nasal valve by columella (A piece of skin and cartilage that divides your nostrils), the floor of the nose and the edge of the nose are made.

The type of nasal valve stenosis you are diagnosed with depends on which part of the nasal valve is most narrowed. Nasal valve collapse can occur on one or both sides of the nose and affect its function. If it's only on one side, you can probably continue to breathe through your nose to some extent. If it occurs on both sides, your nasal airway is more likely to be completely blocked.

Causes of nasal valve stenosis

  1. Nasal valve stenosis may result from previous nasal surgery that removed part of the supporting tissue of the nose, which may lead to nasal valve collapse and stenosis..
  2. It may be the result of deviated septum in the nose.
  3. Genetic problems
  4. old age
  5. Injury and trauma caused by an accident or conflict and...

Of nose surgery | Rhinoplasty surgery

Narrowing of the nasal passages, how to operate the nose?

There are different surgical techniques. Your rhinoplasty doctor can help you determine which procedure is best for you. This largely depends on the nose surgeon's preferred procedure, your particular situation, and your nasal anatomy.

A common procedure is to perform a cartilage graft. In this method, a piece of cartilage is removed from another area and the collapsed cartilage is removed to the septum (The bone and cartilage that divides the nasal cavity into two halves) they connect. Because nasal valve stenosis can negatively affect your health, it is not considered cosmetic surgery and is therefore covered by most insurances..

  • nasal dilator

Nasal valve stenosis is usually treated with surgery. However, those who want to avoid surgery can sometimes relieve their symptoms with a nasal dilator.. This is a device that manually opens the nasal valve. Some of them are used externally and act to widen the nose in the area of ​​the nasal valve. Others are made of silicone and used inside the nose. Both types are usually used only during the night. However, the effectiveness of this treatment has not been adequately studied.

  • بخیه

Valves can be repaired with sutures from the valve area to the bone just below the eye. When the suture is closed, it opens the valve.

  • Permanent stitches

Placing a permanent suture on the bridge of the nose that is attached to the cartilages of the nasal valve. This procedure is performed through an external incision at the bottom of the nostrils.

The procedure is performed under general anesthesia and patients can usually go home after a few hours. Patients may experience mild pressure and pain after the procedure, but are usually able to return to work within a few days.. Nasal stenosis repair surgery may involve the risk that the appearance of the patient's nose may change slightly after the procedure .

Of nose surgery | meaty nose job

Recovery time after surgery

Full recovery from surgery usually takes up to a week. Here are some dos and don'ts to help you recover.

Follow up with your rhinoplasty surgeon several times after surgery to ensure high-quality post-operative care and to confirm your recovery.. Follow your nose surgeon's instructions for aftercare at home after surgery. These may include flushing the sinuses and sleeping in an elevated position.
Call your doctor if you feel you are bleeding excessively.
Do not blow your nose and do not participate in contact sports.
Do not take aspirin or ibuprofen for pain, as they may prevent blood clotting and make you bleed more.. Your otolaryngologist will prescribe pain relievers that are safe to use.

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