Is closed or open nose surgery better?
Closed or open rhinoplasty | Nose surgery is performed in two ways. Open and closed surgery are two different approaches in nose surgery. In the closed surgery method, the incisions are hidden inside the nose. In the surgical method of opening the outer incision on the columella (The fleshy part between the nostrils) created and the nostrils are separated.
In cases where easier access and increased vision are needed, open rhinoplasty is recommended. In this method, the surgeon has access to the structure of the nose, especially the tip of the nose. closed nose surgery It is done for minor corrections and small changes in the shape of the nose. This method is less invasive and the healing process is faster. Since the incisions are made inside the nose, there will be no visible scars.
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What happens during rhinoplasty?
Before rhinoplasty, the anesthesiologist uses a mixture of anesthetic gas and intravenous medicine. Intraoperatively, using pulse oximetry (A device for measuring the amount of oxygen saturation in the blood) and ECG or electrocardiogram (To check heart rhythm) The vital conditions of the patient are continuously monitored. The surgical team is ready for any emergency.
در زمان جراحی زیبایی بینی در اتاق عمل پس از بیهوشی، جراح بینی برشهایی ایجاد میکند. Rhinoplasty can be open or closed. Through these incisions, the skin that covers the bones and cartilages is raised. In this case, the doctor easily changes the structure of the nose. If the nose is too big, the surgeon may use a cartilage graft.
After the nose surgery, when the necessary incisions are made and the structure of the nose reaches the shape of the surgeon's opinion, the skin and tissue of the nose are corrected and sutured again.. After the surgery, the nose should be bandaged for a few days. Then, with the instructions of the doctor and the necessary examinations, the bandages are opened and only the glue is placed on the nose. After the surgery, the patient will be monitored by a nurse in the recovery room. This usually takes a few hours.
What are the risks and complications of rhinoplasty?
Some complications of nose surgery are::
- Nasal obstruction due to not being straight or deviated nasal septum, regrowth or swelling of cartilages or intranasal structures
- Sinus infections, or recurring sinus problems
- The need for re-surgery due to the patient's dissatisfaction with the appearance of the nose and aesthetic features
- In rare circumstances, severe bleeding from the surgical site can lead to the need for blood products or blood transfusions
- Chronic discharge or excessive dryness of the nose or scaling of the nose after surgery
- Chronic sinus headaches
- Damage to the eye and related structures, which is rare
- Permanent numbness of the upper teeth, palate or face
- Allergic reaction to sutures, dressings or antiseptic solutions
- Prolonged pain
- Impaired recovery, often related to smoking or diabetes
- Septal hole means creating a permanent hole between the two sides of the inner blade of the nose
- Weakness or loss of sense of smell or taste
- The formation of a large blood clot (هماتوم) Below the surgical incision site, which may require drainage
- Keloids and hypertrophic scar, which are actually thickening of the scar and site of surgical incisions. Keloids may be itchy, annoying, and unsightly, but they are not a health threat
- Separation of wound edges
- Short-term nausea after general anesthesia and risks of anesthesia
- Breathing problem after nose job
- Skin discoloration and swelling
- Asymmetric appearance and crooked nose after surgery
- Nasal constriction after surgery