Rhinoplasty: "reconstruction" work

Operations rhinoplasty - nose correction - are divided on the purpose of the functional and the aesthetic. Functional rhinoplasty is aimed at solving the problems that arise because of the uneven shape of the nose, deformed walls - most often it is a problem with breathing, nasal congestion, runny nose, which can not be cured. Aesthetic rhinoplasty - a correction of the nose so that the face became more proportional and pleasant to the eyes, elimination of various cosmetic defects: dropped tip, hump, too wide, long or short nose. In that case, when you need to remove the excess, about the mechanism of operation is clear. But what if the operation involves increasing the size of the nose, and the patient's own tissue for this not enough?

In these situations, plastic surgeons have resorted to transplantation. The latest techniques allow the use of natural cartilage - they act as a kind of natural implants. Installing the cartilage implant is called "grafting".

In the context of the use of natural methods of transplantation of cartilage not to mention another type of plastic surgery, which stands somewhat apart - a reconstructive repeated (or secondary) operations, ie operations aimed at eliminating the defects left over from a previous rhinoplasty .  After all, only 10% of cases the cause of an unsuccessful rhinoplasty becomes unfavorable reaction of the body: the excessive swelling, excessive scarring, too slow and long process of healing .  And the remaining 90% of failures - a result of the fact that the operation was not properly brought to an end, or, on the contrary, when the surgeon "overdone" .  In the first case we experienced no problems and efforts can finish the job and make it such a result, which is waiting for the patient .  But when the doctor before the "altered" or "zaoperirovannye 'noses, difficult to correct an unsuccessful rhinoplasty .  The surgeon must masterfully wield transplant techniques as reshape the nose, at times, it is only possible when installing a special implant - natural cartilage .  rhinoplasty using technology graftinga requires the plastic surgeon's perfect knowledge of anatomy, years of practice and expertise in rhinoplasty .

Consider the example of the use of graftinga three operations carried out by an expert in rhinoplasty, renowned plastic surgeon, a leading expert group clinics KLAZKO, Edward Shihirmanom .

1. Aestheticism shape of the nose with a deficit of quadrangular cartilage tissue unfinished after rhinoplasty.

What we have at the entrance: the operation without any missteps on the part of the surgeon first, just not brought to its logical conclusion, which is why the aesthetic appearance of the nose is still not satisfactory, and respiratory function - impaired. In addition, due to excessive resection of the quadrangular cartilage, the patient was formed "empty the tip of the nose." Reconstructive rhinoplasty is to correct krylnyh cartilage, bilateral osteotomy and improving the configuration of the nasal bridge. In order to solve the problem with the tip and to raise the columella was installed implant tissue from a patient's own (autologous graft). The operation was conducted in conjunction with the ENT surgeon who restored the respiratory function.

Before

After

2. Complete reconstruction of the nose, followed by reduction of soft tissue and skin.

Before contacting a doctor Shihirmanu patient has gone through three operations, as a result of which it was possible to observe an excessive resection of the hump and suppression krylnyh medial cartilage and legs, as well as the absence of bilateral osteotomy. In addition, surgeons traumatized septum, columella and the structure has been completely disabled. To top it all began in a woman too much scarring of the soft tissue inside the nose. To correct many flaws, it took hold two open surgery. During the first (and for the patient - the fourth) operation was rectified partition restored cartilage skeleton, cartilage and columella krylnyh. There was also a bilateral osteotomy. Before the second operation, the patient underwent a course specially designed cosmetic procedures to soft tissue and cover heavily depleted so many operations can be restored.

The second operation was purely aesthetic: elevated bridge of the nose, promoted a selective grafting - cartilage implants were installed in the tip of the nose to correct its shape.

Before

After the first correction After the second correction

3. Aesthetic grafting in primary rhinoplasty.

A striking example of the use of transplantation of cartilage in primary rhinoplasty. The patient applied for operation exclusively reasons aesthetization in functional correction it is not needed, breathing problems was not. During the operation, a change was made form the nasal bridge: to clear the line instead of the saddle. This was made possible due to graftinga using rib cartilage from the patient's tissue. Also during the operation it was adjusted krylnyh cartilage and medial leg - the tip of the nose has become more pronounced and neat.

Before

After

Plastic surgery

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