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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.
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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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.
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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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.
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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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- Reducing swelling and swelling: Inflammation is reduced by the pressure that glue and plaster put on the nose.
2- The use of splints in rhinoplasty is effective in covering the cartilage by the skin of the nose and the result will be more accurate..
3- If the splint is not used, a space will be created 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 change a lot.
5- Protecting 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- Protecting the nose from injury: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 nasal tissue to heal on 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- Reduction of bleeding:Significantly reduces bleeding and swelling with the pressure that the splint puts on the skin and membranes..
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Nasal massage after nasal surgery
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 :
۱- 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 nasal surgery, which is performed by the patient himself within 1 or 2 days and when changing the adhesives.. 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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Nasal stenosis disorder
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 external valve consists of 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- Previous unsuccessful surgery.
2. Congenital or inherited problems in the structure of the nose.
۳- 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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Complications of rhinoplasty with grafts
Complications of rhinoplasty with grafts
Some complications of rhinoplasty with grafts :
۱- تورم :
You should not be surprised if your nostrils swell after rhinoplasty and grafting . It is also associated with bruising, bleeding, and infection .
Rhinitis improves after a while and that its appearance gradually changes over a few months, so you should not be too sensitive to the appearance of your nose for the first 10 to 12 months. .
۲- اسکار :
In some surgeries, a cut incision is made . It is called a scar instead of a wound . In some cases, the color of the scar may be slightly different from the color of the skin . It takes about 6 to 9 months for these to go away, so don't worry .
۳- Numbness in the tip of the nose
4- Nasal asymmetry :
After surgery, asymmetry in the nose is one of the most common complications of rhinoplasty with grafts, which mostly occurs in the operation of noses that have deviations, so patients turn to the second operation of the nose. .
۵- Delay in the recovery process :
In most cases, the patients' recovery process is a bit slow and this worries the patient . This is more common in people who smoke and people with chronic diseases .
۶- Allergic reactions
۷- Abnormal breathing :
In most cases, the patient may not be able to breathe normally after surgery. In these cases, he should use nasal sprays. .
8- Problems of nasal septum
۹- Oscar necrosis :
Scar necrosis means thickening, redness and tightening of the skin . This may happen to the part of the skin that is being cut . If the scar tissue is growing, do not worry at all, because they can be treated with steroid injections. .
۱۰- Failure of skin graft
۱۱- Dissatisfaction with the result of the action
The above is a complication of rhinoplasty .
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Rhinoplasty
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.
۱- Avoid driving on the day of surgery.
۲- To sleep, keep your head above your body and be careful not to put pressure on your nose during sleep.
۳- Avoid drinking liquids using a straw.
۴- Avoid doing heavy work.
۵- Avoid acidic fruits on the day of nose enlargement surgery.
۶- Care should be taken not to hit the nose.
۷- Avoid water sports for up to two months after a nose job.
۸- 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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The best time for rhinoplasty
The best time for rhinoplasty :
Many nasal problems can occur in the early years of life. Deviations and fractures are usually in childhood until adolescence and youth. Many people with rhinoplasty expect the best time to have rhinoplasty so they can have rhinoplasty easily. .
Now to the question that may arise for many people. That means we will pay the best time for rhinoplasty. Normally, women wait longer than men to reach puberty so that they can have problems with the nose and its appearance by performing rhinoplasty..
The right age for rhinoplasty
You may have rhinoplasty sooner or later due to not knowing the right age for rhinoplasty. Therefore, if you are planning to have rhinoplasty, you should be aware that rhinoplasty will not be age-restricted and can be performed at any age if you have cardiovascular health and there are no uncontrolled underlying diseases..
As a result, rhinoplasty is also allowed at older ages .
If cosmetic surgery is performed at a younger age, it may be in the near future that the bones of the face complete their growth and the jawbone and forehead bones become larger and the face wider. Because of this, the operated nose will look smaller compared to the new face and the fit between the components of the face will be lost. Therefore, it is recommended that until the bones of the face and body grow enough and be patient after completing puberty and then proceed to rhinoplasty .
Which season is the best time for rhinoplasty?
Many applicants ask what is the best time to have rhinoplasty nose surgery?
In the spring, many people avoid rhinoplasty because of allergies. In this regard, it should be noted that rhinoplasty does not initiate or exacerbate any allergies.
Summer is a good season for applicants. Because it is easier to get to the doctor's office and they do not face problems such as rain and snow.
Many people also prefer rhinoplasty in winter because of the increased swelling in the heat..
Also in winter, the likelihood of sweating is lower and the need for bathing is reduced, so the plaster is less likely to get wet due to bathing..
Each season has its own characteristics and difficulties. As a result, we can not say that rhinoplasty in summer is better than rhinoplasty in winter.
People should have rhinoplasty when they are physically and mentally ready, so be sure to consult a rhinoplasty surgeon for advice..
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