Nasal anesthesia after surgery

Nasal anesthesia after surgery

Nasal anesthesia after surgery

Nasal anesthesia after surgery is one of the concerns. Which patients face after rhinoplasty. Nasal sensation after rhinoplasty is not only focused on the tip of the nose and is possible. There may also be numbness in the upper lip after rhinoplasty. What is the reason for this anesthesia and how long will it go away after rhinoplasty?

The reason for numbness of the tip of the nose after rhinoplasty

During rhinoplasty, due to the manipulation of the cartilage of the tip of the nose to change the shape required, and also in the presence of nasal deviation and correction of the nasal septum during nasal surgery, the nerves in the tip of the nose and under the nose in the upper lip become sensitive.. And after rhinoplasty, there will be a feeling of numbness in these areas.

Of nose surgery | Nasal anesthesia after surgery
Duration of nasal anesthesia after surgery

As mentioned, numbness of the tip of the nose and upper lip is caused by stimulation of the nerves in the nose. And this is temporary and will return to normal after a few weeks after rhinoplasty. But in some cases, it may take several months after the nose job to get rid of the numbness at the tip of the nose or upper lip.. Again, this is not a cause for concern, and the process of healing the nasal nerves is different in each person and will return to its original state over time..

Therefore, according to the cases mentioned in this article, nasal anesthesia after surgery and also upper lip after rhinoplasty is not a cause for concern at all.. .And over time (About a few weeks to finally a few months) After the operation, the nose will return to normal.

 


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Of nose surgery

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The effect of corticosteroids after rhinoplasty

The effect of corticosteroids after rhinoplasty

The effect of corticosteroids after rhinoplasty

Corticosteroid injection after rhinoplasty is one of the measures to reduce nasal swelling and improve it faster.. But this is not prescribed for every disease and the doctor must determine whether the patient needs corticosteroids or not.. Unfortunately, many people think that corticosteroid injections are necessary and should be done if overuse can have irreversible side effects.. So increase your knowledge in this regard and also adhere to your doctor's advice. Join us in this article to get a detailed definition of the effect of corticosteroids after rhinoplasty and its function and how to use it correctly..

What is Corton?

Corticosteroids are substances that the body naturally produces. These substances are made by the adrenal glands.. Also known as corticosteroids, it is widely used in medicine. Used in the treatment of allergies and autoimmune diseases. Corticosteroids play an important role in maintaining the body's immunity because they reduce inflammation. Corticosteroids are commonly used to treat rheumatic or autoimmune diseases.

This drug is widely used in cosmetic surgeons 'offices, especially rhinoplasty, and corticosteroid injection after rhinoplasty is one of the surgeons' techniques to achieve the desired result.. Corticosteroids are also effective in treating old wounds. But this medicine should be taken with a doctor's prescription and not arbitrarily.

Of nose surgery | Corticosteroid injection after rhinoplasty

What effect does Corton have on the shape of the nose after rhinoplasty?

As you know, the nose becomes swollen after rhinoplasty. Postoperative rhinitis is a natural process and part of the treatment process. Occasionally there is a severe swelling of the nose and it becomes abnormal. In this case, if it is not stopped in time, the shape of the nose may deteriorate or even have a negative effect on the patient's health.. The amount of swelling depends on many factors, including the type of skin that the thicker the swelling, the more severe the swelling.. This is why there is more swelling after a fleshy nose operation than a bony nose operation.

Of course, rhinitis normally disappears completely after one year. And in the worst case, 24 months. But some people want to see results immediately, so they force their doctor to inject corticosteroids if taking it unnecessarily will have bad side effects..

 

Control of rhinitis

One of the things that can be done to control rhinitis is to inject corticosteroids after rhinoplasty. The effect of corticosteroids after rhinoplasty A new skin is formed at the site of a wound after the skin is cut or injured.. But if the wound is deep, a thick tissue called a scar forms to repair deep damage.. The color of the new scar is usually pink and reddish. Which becomes darker or lighter than the skin color over time. If the scar tissue is too deep and thick, it may not look good.

Causes of rhinitis

The formation of this tissue is in wounds caused by surgical incisions, which become thicker as the swelling becomes more severe, and if it progresses, it may deform the appearance of the nose.. What Corton does is prevent this tissue from forming. And to make the skin thinner to some extent. Therefore, rhinoplasty surgeons use corticosteroid injections after rhinoplasty. To prevent this from happening. Of course, as we have emphasized several times, this is at the discretion of the doctor and you should not take corticosteroids arbitrarily..

In what case should corticosteroids be injected after rhinoplasty?

Corticosteroid injection after rhinoplasty does not cover all patients. And only if you have one of the following conditions should you see your doctor to consider the need for corticosteroid injections.

The skin of your nose is thick:

Because thick skin has a strong tendency to form scar tissue, and after the accumulation of scar, the skin tightens and its repair stops..
If rhinoplasty has been going on for a long time but the rhinitis is still severe and has not gone away.
Seeing the above conditions, you need a corticosteroid injection after rhinoplasty.

Side effects of corticosteroids

For the effect of corticosteroids after nasal surgery, it should be injected in an appropriate and necessary amount, not more. High concentrations of corticosteroids thin the skin and make it appear under the skin and veins. Which has an ugly appearance on the nose. But this is just the appearance of the adventure. Excessive and excessive use of corticosteroids can lead to many complications such as obesity, stomach ulcers, osteoporosis, cataracts, depression, mood swings and increased risk of infection..

Corticosteroids should be injected in the required amount, otherwise it will cause a deep and visible depression in the nose because it will completely destroy the useful scar tissue..

Corticosteroid injections after rhinoplasty can help reduce rhinitis, but this is a specialized procedure that should be carefully studied by a doctor to determine the exact amount to be injected in the right place and the desired changes appear.. So do not do this arbitrarily.

 


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Rhinoplasty with grafts

Rhinoplasty with grafts

Rhinoplasty with grafts

Sometimes in rhinoplasty we need rhinoplasty with a graft to get better results.
This graft is added to the nose so that the cartilage can support the internal structure of the nose and can also be the skin and be used to improve the skin of the nose and the deformities created in an accident..


دکتر مجید راستی – Of nose surgery – Rhinoplasty with grafts


In most cases, for rhinoplasty, the graft is removed from different parts of the body, and this graft is removed during rhinoplasty, sometimes before rhinoplasty.. The cartilage and bone needed for the graft are often removed from the patient's own ears, ribs, and skull, while the skin needed for the graft is removed from the forehead, thigh, or neck. A graft that is removed from the forehead is the best graft for the skin of the nose because its color and texture are more in harmony with the skin of the nose..
How to graft in rhinoplasty How to graft in your rhinoplasty depends on your individual circumstances and needs.

Rhinoplasty with grafts | Of nose surgery

Rhinoplasty with a graft under anesthesia

In some cases, rhinoplasty performed with a graft is performed under general anesthesia.
Because this type of surgery is very complicated and long. Rhinoplasty usually takes between 1-3 hours.
But if the surgery you request is complicated, it may take longer.
To have rhinoplasty with a graft, the required graft is removed from a part of your body.
The scar or scar is completely invisible and easily covered. In this type of nose surgery is performed with an open method..
That is, a small incision on the outside of the nose (In the Columella section) Is created.
So your surgeon can lift the skin of the nose and get better access to the bone, cartilage and underlying tissues..

Applications of Cartilage Graft in Rhinoplasty Cartilage graft

-Narrow or highlight the tip of the nose

-Reduce excessive curvature in the contouring nose

-Increase nasal structural support Enlarge nostrils and بینی

Caregivers after rhinoplasty with grafts

If you have a cartilage graft, you should also use an internal splint to support the new graft..
An external splint should also be used to limit swelling of the nose.
In the first days, the feeling of swelling and tightness around the eyes is completely normal, but this swelling subsides after a few days.
The total duration of the internal splint is 5-7 days and the external splint remains for 7-10 days and then it is removed..

In cases where a skin graft has been performed, the speed of recovery will depend on what you have done and the size of the graft.
If stitches are needed, the healing time will be longer. You should take at least 1-2 weeks leave for this surgery.
Of course, this also depends on your individual circumstances, how your body reacts to the surgery and the amount of work you have done.
After surgery, you should not do strenuous exercise or contact for at least 6 weeks after surgery.

Rakutan and rhinoplasty

Rakutan and rhinoplasty

Rakutan and rhinoplasty

Rakutan, or isotretinoin, is a widely used drug . In fact, dermatologists use this drug to treat acne . Rakutan is very effective and good in treating acne, but it is better to stop taking this drug for three to six months when you are going to have rhinoplasty, because it can lead to complications in the person. .


دکتر مجید راستی – Of nose surgery – Rakutan and rhinoplasty


Due to the increased use of Rakutan, it is better for people to know that it should be stopped between three and six months, because it can cause necrosis, blackening, tearing and thinning of the skin and deformities of the nose. . It is worth mentioning that after rhinoplasty, it is better to prevent taking Rakutan for one to two months, then take it again. .

Rakutan and rhinoplasty | Of nose surgery
راکوتان

Rakutan is a vitamin A drug that is very effective in treating acne pimples . If you are taking any medicine including Rakutan and است, it is better to inform your doctor because it can lead to complications in the person. .

Side effects of Rakutan

Taking Rakutan can always lead to several side effects, including::

Dry lips, mouth, nose and eyes
nose bleeding
Feeling tired and mild headaches
Sensitivity of the skin to sunburn
Increase hair loss
joint's pain
In some cases, taking this drug can lead to side effects such as vomiting, nausea, severe headache, blurred vision and feelings of depression, it is better to see a doctor immediately at this time and avoid taking this drug. .

The role of drugs on the process of rhinoplasty

Taking medications will have a significant impact on the process of performing rhinoplasty and even after . For this reason, it is better to inform your doctor if you are taking any kind of medicine before having a nose job . For example, if you are taking medications such as aspirin, vitamin E, ibuprofen and naproxen, it is best to stop the nose for one to two weeks before the operation. .

Use ointments and creams after rhinoplasty

After rhinoplasty, the rhinosurgeon prescribes medications and creams to speed up the treatment process and reduce swelling and bruising, as well as pain. It is better to follow your doctor's tips and recommendations to achieve the desired result. .

Conclusion

Prevention is better than cure, so before doing anything, it is better to inform your nasal surgeon about the disease and the use of your medications. . Therefore, if you want your health and beauty, if you take any kind of medicine, whether for a long time or temporarily, inform your doctor so that you do not regret it and prevent complications. .

Removing and replacing nasal glue

Removing and replacing nasal glue

How to remove and replace nasal adhesive?

Steps to remove and replace nasal glue : Removing the glue must be very careful.
You can not easily grab the end of the glue and pull it upwards in a hurry and pressure, because this will destroy all the benefits that the glue had to put the skin on the nasal skeleton..
1- It is better to loosen the nasal glue with the glue solvent or in the bath with the effect of water vapor and then remove it..

دکتر مجید راستی – Of nose surgery – Removing and replacing nasal glue


Removing and replacing nasal glue | Of nose surgery

2- It is better to use a tool such as tweezers or pliers after the glue softens, and as shown in the picture below, take the glue one by one from its edge and separate it from the nose.
3- Remember to remove the glue from the skin of the nose in a direction parallel to the surface of the skin. Then wash and dry the skin of the nose and immediately put the new glue on the nose again in the same way as described..
Observing these points minimizes the possibility of any lifting of the skin and its separation from the lower skeleton..
Usually, it is better to change your nasal patch daily until your surgeon advises you to finish gluing, which, as mentioned, will last between 3 weeks and 2 months..
In the end, we should mention that the mentioned materials about nasal adhesives have been our recommendations for our patients and have been given based on personal experience and trainings obtained from our professors, but each surgery has its own method in each of the mentioned stages and The best thing to do is to follow the advice of the surgeon you trust for the nose job.
Nasal lavage after surgery

Nasal lavage after surgery

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..


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


Nasal lavage after surgery | Of nose surgery

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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Rhinoplasty with control mold

Rhinoplasty with control mold

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. .


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


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.

Rhinoplasty with control mold | Of nose surgery

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.

 


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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Lifting heavy objects after rhinoplasty

Lifting heavy objects after rhinoplasty

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?


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


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.

Lifting heavy objects after rhinoplasty | Of nose surgery
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

Fasting and rhinoplasty

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.


دکتر مجید راستی – Of nose surgery – Fasting and rhinoplasty


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.

Fasting and rhinoplasty | Of nose surgery

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.


دکتر مجید راستی

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Recurrence of nasal hump after surgery

Recurrence of nasal hump after surgery

Recurrence of nasal hump after surgery

Many people are dissatisfied with the appearance of their nose and resort to rhinoplasty surgeries. The most common cause of dissatisfaction in people is the presence of a hump on the nose. Recurrence of nasal hump after surgery is possible and it cannot be said 100% that it will not return.

The final diagnosis of nasal hump is made by a doctor and there are several ways to treat nasal hump. The nasal hump is located at the junction of bone and cartilage behind the nose. And because of this, people undergo surgery to create fit in their facial features.

Contrary to popular belief, hump is not a type and the final and definitive diagnosis is possible only by a doctor. Nasal hump can be severe, mild, latent or false. Depending on the type of nasal hump, the treatment offered is different and the most common treatment offered is rhinoplasty..

Does the nasal hump come back after rhinoplasty?

Recurrence of nasal hump after surgery is possible and it cannot be said 100% that it will not return.

In some cases, we see that the nose becomes calloused after the surgery. This is due to the reaction of the nasal bone to the injury in the surgery and as a result it will gradually thicken. And this gives people the impression that the nasal hump is back.

Of course, it must be said that nasal hump will never return as much as before surgery. And nasal hump will not be completely reversible after rhinoplasty.

Applicants for rhinoplasty should be aware that this is sometimes possible. Due to swelling and callus formation in the structure of the nose, we see a small amount of irregularity in the bridge of the nose.

Of nose surgery | Recurrence of nasal hump after rhinoplasty
Return the nose to the preoperative state

If after rhinoplasty surgery, the person's nose changes a lot and loses its postoperative state. In this case, the surgeon recommends rhinoplasty. Rhinoplasty is a process that has a special complexity and requires special skills and abilities from the surgeon. Because in this surgery, the doctor will deal with a weakened nasal structure, and in this surgeon, the person must consider. This operation may leave surgical scars.

If the nasal hump returns after cosmetic surgery. It is recommended to wait 6 to 12 months after the initial surgery before deciding on rhinoplasty. Often the callus that forms or the swelling in the bony part of the nose, which makes people think this. When the nasal hump is back, it goes away on its own.

In fleshy noses that have undergone rhinoplasty, because the nasal skin is thicker. Swelling after surgery takes longer to go away, giving the patient the impression that the nasal hump has returned after cosmetic surgery.. Although the nose is less likely to become larger after rhinoplasty. Or other changes, but there are other things that can happen after rhinoplasty.

Factors influencing the return of nasal hump after cosmetic surgery

There are many factors involved in the return of nasal hump after cosmetic surgery. And their role in the return of the nose after rhinoplasty can not be ignored.

Factors influencing the return of nasal hump after surgery include the following?

Age

Applicants for rhinoplasty at an early age should consider. After years of adolescence, the nose continues to grow. The fact is that rhinoplasty is performed when it is performed on a teenager. It is likely to occur with changes that cause nasal deformity. In some adolescents, the nose continues to grow after surgery. But in others, the nose does not grow after surgery and there is no change as a result of the surgery. There are many surgeons who are reluctant to perform rhinoplasty at an early age.

Unforeseen probabilities in the return of nasal hump after surgery

The results of rhinoplasty should, in principle, be permanent and irreversible, and there is no 100% guarantee that there will be no relapse.. This reversal may be due to structural problems or factors such as illness or injury. Plastic surgeons are not in control of all cases and things happen to patients and they experience problems, and this happens more often in older people.. This condition causes the structure of the nose to deform, which in turn leads to the growth of the nose after rhinoplasty.. It is very important that the rhinosurgeon is very skilled and trained.

Is the nasal hump made of bone?

Only about 10% of the chance of a nasal hump returning after surgery remains, and the rest is eliminated by sticking on the nose and massaging the nose.. Because the nasal bone is shaved, it causes this bulge to form, and shaving at this point causes callus formation, and this callus disappears over time, so it can be said that it is not permanent..

 


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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