Nasal lavage after surgery

After rhinoplasty and due to bleeding, blood clots fill the nostrils and cover the surgical wounds.. This irritates patients both visually and in terms of nasal airway obstruction and difficulty breathing, and should be treated appropriately.. It is best to follow your doctor's advice and instructions on rinsing your nose after surgery, as each surgeon has his or her own pattern..

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دکتر مجید راستی – Of nose surgery – Nasal lavage after surgery

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Our proposed method is given here step by step, which we will review together:

1- In the first days

After the operation, ear cleaners or similar devices soaked in saline are used to remove dried blood clots inside the nose and external wounds..

It is important to remember not to over-clean the ear (Usually its cotton tip ) Enter the nose. Because there is a possibility of damage to the nasal wall and subsequent bleeding.

In this case, it is better to coordinate exactly with your surgeon and ask him the right principles

2- Hydrogen peroxide

For hard clots that are closed on the sutures of the external nasal wound. They use diluted hydrogen peroxide solution to force the wound to open..

The important thing about this solution is that it should not be used inside the nose. And your surgeon must have prescribed it for you in the right concentration.

۳- Probability of bleeding

In general, if you suspect a nosebleed and are not sure of immediate access to your surgeon or nursing team. It is best not to manipulate the nose for the first few days.

4- After the initial cleaning

For the next 2 to 3 weeks, rinse your nose with nasal saline drops or sprays containing saline.. It is used many times during the day, which moisturizes and cleanses the area and prevents blood from re-accumulating and drying in the nose..

5. During the first to second week

After the operation, after each cleansing of the wounds, sterile eye ointment muprosin or gentamicin is rubbed into the nose and on the outer wounds with the help of ear cleaner .

These ointments are antibiotics and are prescribed to reduce the chance of wound infection until it closes..
And since long-term use can cause reactions and inflammation in the wounds of some patients, it is better..
It should be used only during the recommended period by your surgeon, which is the first 1 to 2 weeks after surgery and at most once every 8 hours daily.

Remember that these ointments are not emollients or to eliminate scars and should not be used for these purposes..

۶- After 2 to 3 weeks

When initial tissue repair is achieved, nasal lavage with saline with a syringe is used..
To do that, the patient is given the necessary training. It is usually done at intervals of 4 to 6 hours at the beginning and gradually decreases in frequency..

 

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دکتر مجید راستی

Of nose surgery

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Rhinoplasty with control mold

Rhinoplasty with control mold : Rhinoplasty is one of the most common cosmetic surgeries and unfortunately some people do not get the desired result after rhinoplasty. .

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دکتر مجید راستی – Of nose surgery – Rhinoplasty with control mold

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To reduce patient dissatisfaction, rhinosurgeons are looking for a way to show the patient the shape of the operated nose before rhinoplasty. . It is very rare for a rhinosurgeon and a patient to share a common sense of beauty, which is why some patients experience dissatisfaction with the shape of their nose after rhinoplasty.. Today, the control mold is used to reduce patients' dissatisfaction with the surgical nose form.

Reasons to use the control template

Everyone who has rhinoplasty expects a well-shaped nose at the end, but sometimes the definition of a well-shaped nose is different for the patient and the rhinosurgeon. . Some applicants change the shape of their nose with graphic software such as Photoshop and show it to the nasal surgeon to have a somewhat image of their face after rhinoplasty, but this is not confirmed because the type of nose is effective in shaping the nose. The patient does not know which model is more suitable for the nose, depending on the type of nose . For this reason, if the patient wants to use a three-dimensional design, the nasal surgeon will prepare a mold from the shape of the nose that is in accordance with the patient's wishes and is suitable for the type of nose. .

Advantages of nasal surgery with control mold

Design based on doctor and patient opinion

Using the most modern method of rhinoplasty

Before rhinoplasty, the patient can see the shape of the operated nose and the necessary changes in the nose.

Designing the shape of the nose based on the patient's facial proportions and tastes

The use of control molds also help increase the accuracy of rhinoplasty.

Rhinoplasty with control mold is not performed by all rhinosurgeons. For this reason, first ask your rhinosurgeon.

 

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دکتر مجید راستی

Of nose surgery

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Lifting heavy objects after rhinoplasty

Lifting heavy objects after rhinoplasty is one of the most dangerous tasks that can cause damage to the operated nose after rhinoplasty.. Lifting heavy objects after nose surgery causes the tip of the nose to sag. But the question is, how long after heavy rhinoplasty should not lift heavy objects?

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دکتر مجید راستی – Of nose surgery – Lifting heavy objects after rhinoplasty

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Lifting heavy objects after rhinoplasty

After rhinoplasty, lifting objects whose weight causes you to feel pressure and pain in your nose. If done repeatedly, the tip of the nose may fall off. Of course, with the advancement of rhinoplasty techniques. To prevent the tip of the nose from falling out, a cartilage holder is used under the cartilage of the tip of the nose. To strengthen the tip of the nose against sagging. But again, it is recommended to avoid lifting heavy objects after rhinoplasty. Because in addition to the possibility of drooping the tip of the nose, there is a possibility of rupture of the nasal sutures.

How long after heavy objects do not lift heavy objects?

As mentioned, objects whose weight lifting causes pressure or pain in the nose. It can affect the recovery and outcome of rhinoplasty. Therefore, it is recommended that you refrain from lifting heavy objects for at least 3 months after rhinoplasty.

An example for heavy objects

It is strongly recommended to athletes who do bodybuilding. Refrain from exercising for at least 3 months after rhinoplasty. Mothers with infants should also breastfeed their infants for up to 3 months after rhinoplasty. Because the baby's weight can also put pressure on the operated nose.

Finally, it is recommended to observe the above in connection with not lifting heavy loads after rhinoplasty. Avoid activities that increase blood circulation until 2 weeks after rhinoplasty. Because increased blood circulation may also put pressure on the nasal sutures and rupture them.

 

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Of nose surgery

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Fasting and rhinoplasty

Dear ones who want to have rhinoplasty during Ramadan and fast after rhinoplasty, in this full article we will explain to you what conditions you should observe for fasting and rhinoplasty. Rhinoplasty is religious if it causes damage to the patient's body and It is not permissible from a religious point of view and it is permissible not to do so.

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دکتر مجید راستی – Of nose surgery – Fasting and rhinoplasty

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After rhinoplasty, the patient suffers from physical weakness for several weeks. The patient also needs to take antibiotics for about a week after rhinoplasty. So if you decide to have rhinoplasty during the holy month of Ramadan, you need to abstain from fasting for about 1-2 weeks after rhinoplasty.. After rhinoplasty due to physical weakness and taking postoperative medications, you should not fast for at least a week so as not to put pressure on the body and continue taking regular medications, and after a week after rhinoplasty, if your physical condition is favorable. You can fast.

The opinion of imitation authorities for fasting and surgery

The opinion of imitators for fasting and rhinoplasty is that if rhinoplasty has a therapeutic aspect, you can not fast in a week after rhinoplasty, then you only need to make up for the same number of days that you did not fast, but if rhinoplasty Only if it has a beauty aspect, you must atone in a week that does not fast after rhinoplasty. Friends who fast after rhinoplasty and should wash their noses do not worry about the body during the day. Be sure to ask the opinion of the doctor and my own imitation authority.

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دکتر مجید راستی

Of nose surgery

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Nasal heaviness after rhinoplasty

The nose may be numb for a long time after rhinoplasty, what is the cause and solution? Is nasal heaviness normal after rhinoplasty?
The decision to have plastic surgery is very personal. You need to decide whether rhinoplasty will achieve your goals of improving your physical or physical condition, and whether the risks and potential side effects of rhinoplasty are acceptable to you..
If you think that you will continue to have a dangerous rhinoplasty, you should know that this is not the case, because the cosmetologist and the person who is going to perform the rhinoplasty procedure will definitely talk to you about all the aspects ahead so that Away from any stress and worries, you can go through this stage in your life.

One of the complications of rhinoplasty that you must be familiar with is the feeling of heaviness in the nose after the operation, which is discussed below along with other complications..

Side effects of rhinoplasty surgery

Side effects of rhinoplasty include the following::

Risk of infection, numbness and pain, heaviness in the face and nose, swelling, bruising around the eyes, inflammation and the like. These complications and other conditions before rhinoplasty will be fully discussed in consultation with a plastic surgeon..
In addition to consulting with the surgeon, before rhinoplasty surgery, to reduce such complications, you are asked to perform the relevant tests, before rhinoplasty, limit the use of some medications that the surgeon warns, and smoking and Stop drinking alcohol. Your plastic surgeon will also talk about the location of the operation.

نکات قابل توجه:

If you are looking to perform this cosmetic surgery, be sure to note that in addition to the surgeon's skills and background in this field, the equipment and facilities of medical centers, whether hospitals or clinics, play an important role in reducing complications..

Talking to your surgeon about what to expect after rhinoplasty will help you not get excited or stressed about certain events. One of these events is the feeling of heaviness in the nose and heaviness in the face in general.

Immediately after you regain consciousness after rhinoplasty. You will feel that your face and nose are heavy. Due to the presence of tampons inside the nose to prevent bleeding and plaster on the nose, this feeling is completely understandable and is not far from the mind..

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Read more : Weight loss after rhinoplasty

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In addition to feeling heavy, underwear may make it difficult for you to breathe. With a little patience, it will soon come out of your nose. A general feeling of heaviness due to the presence of plaster on the nose. Due to the time when the surgeon ordered to be at the operation site and then removed, it needs to be tolerated.

Another reason why people feel heavy after rhinoplasty is because of swollen nose. Especially if the swelling is fluid retention, which is a normal postoperative process. You will feel heavier, to reduce this type of swelling and heaviness, it is recommended that you eat low-salt foods because the sodium in your salt will increase fluid retention..

How long will the feeling of heaviness in the nose accompany the person?

One or two days after your rhinoplasty, your doctor will make an appointment for you. In this session, in addition to cleaning the nose after rhinoplasty, tampons will also be removed. Removing tampons, in addition to making it easier for you to breathe, will relieve the feeling of heaviness..
Bruising and redness around the eyes and face will also be with you for a short time after the nose job. The main cause of the feeling of heaviness, namely nasal plaster, is often removed by a doctor about a week later.

By removing the plaster, you can return to your normal life and work routine by observing some tips. However, depending on your doctor and your condition, this period may be more than a week.

Rhinitis caused by the tissues trying to repair it. Or fluid retention will gradually decrease in the first month. It generally takes a year. So that the nose is completely without any swelling and shows itself in the way you want.

Ways to prevent complications such as nasal congestion and عمل after surgery

As mentioned, a splint is possible during the healing process of rhinoplasty. Place it inside your nose and place a splint or bandage on the outside to support new structures during initial healing and then remove..
Also, swelling after rhinoplasty nose surgery often subsides within a few weeks. Of course, this swelling can last up to a year. During this time you may notice gradual changes in the appearance of your nose as this will lead to permanent results.

تورم:

Swelling may come, go, and get worse during the first year after rhinoplasty surgery. You will be given specific instructions that prevent such offers and include the following:

You should definitely reconsider how you sleep and keep your head above the heart, use a special pillow or two to three pillows under the head. Be sure to follow the instructions for eating during the recovery period. Eating a healthy, low-salt diet during this time is important for recovery. Limit strenuous exercise and activities that cause stress. Avoid getting the dressing and plaster wet from washing and makeup. External sutures should be kept clean and dry. In the case of non -solvable sutures in external cuts, they should be during 5 تا 7 To be removed day after the operation.

the pain:

The amount of pain and discomfort associated with surgery will be mild to moderate. Pain is easily reduced with painkillers. Tylenol with codeine (Or equivalent if there is a sensitivity to codeine) In general, it is always enough to control the pain. So cope with the pain and take the medication on time. Avoid taking blood thinners in the first few weeks after rhinoplasty. A healthy lifestyle and protection of the nose from the sun will help improve the results of your appearance.

Concluding remarks

The results of rhinoplasty will be long lasting. While the initial inflation subsides within a few weeks. It may take up to a year for the nose to be completely repaired and the rhinoplasty results to be visible. During this time you may notice gradual changes in the appearance of your nose as this will lead to a more permanent result.

After rhinoplasty, as your body ages, it is normal for some gradual changes to occur in your face, including your nose. But most of the results of your nose job should be relatively permanent. With these tips in mind, take care of yourself after rhinoplasty.

 

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دکتر مجید راستی

Of nose surgery

Click to follow the latest educational content and office news on Dr. Majid Rasti's Isfahan Rhinoplasty Instagram page.

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Application of splints in rhinoplasty

Application of splints in rhinoplasty

In fact, a nasal splint or nasal cast is actually a plastic splint. Which protects your nose and helps the bones and cartilage of the nose. Do not move until repaired. The use of splints in rhinoplasty is important because it can protect the nose from damage.

When rhinoplasty is performed, nasal splints or casts are used to further maintain the shape and appearance of the nose. . Nasal splints can also be used to reduce swelling and maintain bone position after rhinoplasty.. . In fact, the use of nasal plaster after rhinoplasty is mandatory for the patient. . Use of splints in rhinoplasty is an external splint that can. As a result, rhinoplasty plays an important role. . In the first days after rhinoplasty, the nose is vulnerable. Using a splint can protect the nose from any damage.. .

There are two types of nasal splints:

External splint

Internal splint

Application Use of external splint

1-Swelling and swelling: Inflammation is reduced by the pressure that glue and plaster put on the nose.

2-Splint use in nasal surgery is effective in covering cartilage by nasal skin and the result will be more accurate..

3-If the splint is not used, there will be an empty space between the cartilage and the patient's skin. This empty space is a good substrate for connective tissue and hematoma.

4-Because in case of such cases, the result of the operation will be a lot of changes.

5-Protects the new shape of the nose: During nose surgery, the shape of the bones and cartilage changes. In order for these bones to remain in a new shape, it is necessary to use plaster.

6-Protects the incidence of injury in the nose:The use of splints in rhinoplasty protects against injuries. But this protection is not enough to allow the patient to engage in dangerous activities after the operation and still have to take care of his nose..

Purposes of using internal splints

In cases where the patient has a deviation or deviations in his nasal septum. An internal splint will be used. Nasal splint is made of silicone and has a soft structure.

1-Forcing the nose tissue to heal on the cartilage: Nasal splints or the same plaster is used on the inner nose after rhinoplasty. To be able to improve the inner lining of the nose on the inner body of the nose, which includes bones and cartilage.

2-Holding the nose blade (سپتوم): After rhinoplasty, the doctor uses an internal splint in cases where it is necessary to keep the septum fixed.

3-Reduce bleeding:Significantly reduces bleeding and swelling with the pressure that the splint puts on the skin and membranes..

 

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دکتر مجید راستی

Of nose surgery

Click to follow the latest educational content and office news on Dr. Majid Rasti's Isfahan Rhinoplasty Instagram page.

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Nasal massage after nasal surgery

One way to reduce rhinitis is to massage the nose after rhinoplasty. Which largely eliminates rhinitis. It is very effective, especially in meaty noses. In people with wide noses, the shape of the nose is balanced by massage.

Massage can be done in two ways :

1- Nasal massage is the next operation of the nose in order to shape the prominent parts of the nose. In fact, in this type of massage, we put more pressure inward on the prominent areas. . This type of massage must be done by a doctor. First, massage parallel upwards to below the eyebrows. The massage pressure is calmer when the fingers pass along the tip and cartilage of the nose and is stronger when passing through the nasal bones.. This massage lasts for two to three minutes.

2.The second type of nasal massage after nose surgery that 1 یا 2 Day -to -day and when the adhesive is replaced by the patient itself. To reduce the swelling of the nose, the skin sits on its underlying structure, and accelerates and helps the skin to form.

Massage method after rhinoplasty

First introduced: First, massage the index finger on one side of the tip of the nose and the index finger on the other side of the tip of the nose.. Massage parallel upwards to below the eyebrows. The massage pressure is calmer when the fingers pass along the tip and cartilage of the nose and is stronger when passing through the nasal bones.. This massage lasts for two to three minutes.
Step two : At this stage, the junction of the nose is massaged into the cheeks or the sides of the nose for a few minutes..
Som introduced : Finally, the massage starts from the top of the tip of the nose and continues upwards with gentle pressure up to between the eyebrows and lasts for a few minutes..

Do not move your nose left or right while massaging. Massage the nose towards the cheeks with the help of your fingers. This exercise of nasal massage is stopped after about two months under the supervision of a nasal surgeon. Such exercises must be under the supervision of a surgeon in order to be done with correct principles..

Duration of nasal massage after surgery

The best time to massage the nose is after bathing and before gluing the nose. You can also massage your nose when you have used nasal glue.

Benefits of nasal massage after rhinoplasty

If the nose massage after the nose operation is done correctly and at the right time and according to the training given by the surgeon. Most often, mild problems in the nose are corrected. Many patients have mild nasal tilt. And by listening to the surgeon's advice and nasal massage, their problems are solved.

Postoperative nasal massage can remove bumps on the nose or crooked nasal bones and in some cases improve swelling of the nose. .

Disadvantages of nasal massage after surgery

It is possible when nasal massage is not done properly after rhinoplasty. Make changes in the shape of the nose. If your nose needs a massage. And if you do not massage it, there may be changes in the shape of your nose. Therefore, you should listen to the surgeon's recommendations for nasal massage after surgery so that there are no problems for your nose..

 

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دکتر مجید راستی

Of nose surgery

Click to follow the latest educational content and office news on Dr. Majid Rasti's Isfahan Rhinoplasty Instagram page.

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Nasal stenosis disorder

In fact, you should know that nasal stricture disorder is a respiratory disorder that can. Causes severe nasal congestion, wheezing and shortness of breath. But in this case, most doctors do not consider stenosis of the nasal valve as the main cause of sinus problems..

Performance of two internal and external nasal valves

In the case of narrowing of the nasal valves, which disrupts the breathing process, which leads to breathing through the mouth, snoring and puffiness during sleep, dry mouth and other difficulties.. In fact, the complications of nasal stricture disorder are sometimes not limited to the area and eventually affect the heart, lungs and internal body system.. So in this type of nasal valve stenosis, it is important to discuss your condition with an ear, nose and throat doctor.

What do you mean by nasal valves?

There are two small valves on either side of this nose, or more precisely, two narrow nostrils for the airway and air passage.. These two holes are called nasal valves, which are divided into two parts: inner valve and outer valve.. The valves are located in the middle and lower part of the nose.

1-The outer valve contains four parts:

-In the first part of the anterior septum or the lower part of the nasal septum, which itself consists of two parts: cartilage and mucosa.
-Then there is the lateral wall of the nose or the inner part of the nasal fin.
– In the next part, the head of the lower tentacle of the nose, which is in its front part, which has a great impact on the function of the external and internal valves..
-And finally, the bony pear-shaped hole that you see in the image of an empty skull as the place of the nose. .
This next part also affects both external and internal valves.

2-The inner valve consists of two parts:

-The first part of the septum (The blade) Nose from under the nasal bones to near the tip of the nose.
-Next is the upper lateral cartilage that extends from the middle septum below the nasal bone on each side.
In fact, this disease causes narrowing of the nasal valves for any reason, which impairs the respiratory function of the nose, and the surgeon must eliminate it during rhinoplasty..
The most important causes of nasal valve stenosis are::

-Rhinoplasty in the past if the hump was removed

-Nasal trauma or fracture of the nose that causes nasal stricture and inflammation, swollen tissue or excessive scar tissue.
-Congenital defects in the cartilage of the nose, such as narrow nostrils or a wide columella that narrows the nasal valve..

-nose deviation

-Aging The aging process naturally weakens the overall structure of the nose.
Causes of nasal valve stenosis:
1-The previous unsuccessful surgery.
2-Congenital or hereditary problems in the nose structure.
3- Collision blows and fractures of the nose.

Diagnosis of nasal valve stenosis:

However, in any case, the diagnosis of nasal valve stenosis should be made by an ear, nose and throat specialist. . This diagnosis of nasal valve stenosis is made with the help of an endoscopic device inside the office and also taking a history of the patient.. In fact, signs of nasal valve stenosis are possible. Similar to the symptoms of nasal deviation, which will be finalized by a thorough examination and use of an endoscope device.

Treatment of this type of nasal valve stenosis:

You should know that in this type of stenosis of the nasal valves, there is no better treatment than surgery. Rhinoplasty is the best treatment for nasal stenosis. If the narrowing of the nasal passages causes significant symptoms. Surgery to enlarge the inner valve of the nose may be needed. This surgery requires the use of a cartilage extension graft that sits between the upper lateral cartilage and the nasal septum.. In fact, this junction connects the upper and lower edges of the upper lateral cartilage and the septum..
This action should reduce or eliminate the deformity of the vestibule or reverse VV. But it may also widen the arch of the nose and, if not used properly, make it appear wider than usual..

In people with severe nasal canal stenosis. Different cartilage grafts may be needed to strengthen the weak nasal wall. Nasal wing extension grafts are commonly used, which come in several shapes and species.
In fact, the cartilage grafts of the nasal wing and the cartilage grafts of the floor of the nostrils are grafts.. Which are used to strengthen the nasal airway in the narrow part of the nostrils. In this part, soft triangle connections will also play a role in improving respiratory flow through the external nasal valve..
Nasal valve stenosis can be complex and requires a physician to be experienced and controlled in a variety of ways. To succeed in repairing it. But for people with narrowed nasal passages, this process can really change their lives.

 

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دکتر مجید راستی

Of nose surgery

Click to follow the latest educational content and office news on Dr. Majid Rasti's Isfahan Rhinoplasty Instagram page.

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Rhinoplasty

It is done for people who have a respiratory problem or their nose is too small and does not fit their face. In most cases, the small size of the nose is due to previous surgeries. In nasal surgery, care should be taken not to make the nose too small and to fit the dimensions of the face.

Rhinoplasty does not really mean that the nose is too large; In nose enlargement and nose surgery, the fit of the nose to the dimensions of the person's face should be considered. This surgery is performed using a cartilage graft. In other places, such as the cartilage behind the ear and other parts of the cartilage is removed and attached to the nose..

*Increase the height of the nose

In fact, increasing the height of the nose is the same as enlarging the nose. By removing cartilage from other parts of the body and transplanting them to the nose, the height of the nose is increased. Increasing the height of the nose is done for two reasons: the nose is too small and respiratory disorders.

*Cartilage transplantation into the nose

In rhinoplasty, the cartilage is transplanted into the nose due to an increase in the height of the nose. Most people have cartilage-to-nose transplants due to previous surgeries, genetic causes, trauma, and respiratory disorders.. Due to the inflexibility of the bone and its absorption, intraocular cartilage transplantation has priority over bone..

In rhinosurgery, the surgeon uses the person's own cartilage to transplant the cartilage into the nose. The best source for nasal cartilage transplantation is the cartilage behind the ear. When the cartilage behind the ear is used to transplant cartilage into the nose, it does not change the appearance of the ear and does not interfere with the hearing system..

Complications of cartilage transplantation into the nose

 

In rhinoplasty, infection is one of the complications of cartilage transplantation to the nose. In noses that use artificial cartilage to increase height, a severe infection develops in the nose over time, and there is a possibility that cartilage may protrude from the skin of the nose. . Another complication of cartilage transplantation to the nose is that it is absorbed by the body over time and the nose returns to its original state. This problem usually does not occur when the cartilage is removed from the person's body to transplant cartilage into the nose.

Postoperative care Enlargement of the nose

Postoperative care for nose augmentation can greatly help improve the outcome of a nose transplant.
1- Avoid driving on the day of surgery.
2- To sleep, keep your head above your body and be careful not to put pressure on your nose during sleep.
3- Avoid drinking liquids using a straw.
4- Avoid doing heavy work.
5- Avoid acidic fruits on the day of nose enlargement surgery.
6- Care should be taken not to hit the nose.
7- Avoid water sports for up to two months after a nose job.
8- Avoid smoking and drinking alcohol.

The cost of the nose enlargement operation

The cost of a nose job is not known and depends on many factors. There may be various insurances when nose surgery has a therapeutic aspect. Factors that affect the cost of rhinoplasty include the type of nose and its small size, the doctor's specified salary, the anesthesia team, the salary of the doctor's assistants and the hospital expenses..

 

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دکتر مجید راستی

Of nose surgery

Click to follow the latest educational content and office news on Dr. Majid Rasti's Isfahan Rhinoplasty Instagram page.

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