Non-surgical rhinoplasty: The rhinofiller
What is rhinoplasty
The first rudimentary rhinoplasty operations were performed by Egyptian doctors as early as 4 thousand years ago, while the modern trend began to develop around the 1500s thanks to the experiments of some Italian medical schools. The Bolognese Gaspare Tagliacozzi was one of the first to theorize and practice this type of surgery, inaugurating one of the most important branches of modern aesthetic surgery. The need to reconstruct the nose, in the beginning, was configured as a remedy for amputations and malformations, both congenital and following a trauma.
By rhinoplasty, therefore, we mean a surgical intervention that allows to correct anomalies of the nose both from an aesthetic and functional point of view by acting on the bone-cartilage sections and on the skin. The operation can be performed with traditional surgical methods or with the aid of lasers with a much less invasive impact. Also in terms of execution, rhinoplasty contemplates different techniques subordinated to the particular disorder or to the single area to be treated.
Why rhinoplasty is performed
The reasons for carrying out a rhinoplasty operation can be essentially functional and / or aesthetic.
Among the functional disorders we find:
- Disturbances in breathing
- Deviated nasal septum (also called septoplasty or rhinoseptoplasty)
- Traumas that compromise the natural functionality of the organ
- Congenital malformations
Among the most common aesthetic problems it is possible to identify:
- Bone hump
- Deviation of the nasal septum
- Large nostrils
- Trauma or congenital malformations
- Disharmonious nose
- Pathologies of the nose
Aesthetic disorders of the nose are often a reason for psychological discomfort and in relating to a social group. These reasons highlight the importance of rhinoplasty in order to eliminate these limits for the individual. Harmony and well-being of the body are fundamental aspects for the individual, as established by the World Health Organization and national medical societies.
Non-surgical rhinoplasty: the rhinofiller
Although rhinoplasty refers to surgery, the same term is used to define non-invasive rhinoplasty techniques. The rhinofiller is the main non-invasive intervention for the correction of the nose and bases its action on the effectiveness of fillers to shape the nasal profile. Hyaluronic acid is the main filler used in this technique and allows to obtain aesthetically positive results although not definitive.
Although the filler is not able to eliminate or modify bone-cartilage tissues, it is able to make the profile of the nose harmonious from an aesthetic point of view. In addition, the invasiveness of the intervention is limited and can be carried out quickly, with sessions not exceeding 30 minutes. The treatment is not painful and has no health risk, allowing you to obtain results at a cost and in a short time.
The rhinoplasty surgery
To date, rhinoplasty is a safe intervention with positive results, both for the aesthetic and functional components. Most rhinoplasty operations can be performed under local anesthesia and with fast recovery times for patients. In more complex interventions, general anesthesia and direct patient monitoring are used in the following 24/48 hours.
The intervention is mainly carried out through two methods:
- Closed technique, which involves access to the areas to be operated on through an internal incision in the nasal cavities.
- Traditional or open technique, or the direct incision of the skin in the columella area or the area that divides the nostrils at the tip of the nose.
- Non-surgical technique, mainly identifiable with the rhinofiller.
In addition, rhinoplasty operations usually include, in addition to the primary surgery, a revision surgery to refine the results of the primary surgery, and possibly a tertiary rhinoplasty one year after the last operation.
The first phase of the intervention concerns the consultation of your doctor or referral specialist. The surgeon then exposes to the patient, based on the profile and the disorder, the realistic results that can be obtained, the times, the risks and all the aspects related to the intervention. Furthermore, in the following period, it is necessary to check from a psychological point of view all the parameters necessary to proceed.
In the two weeks prior to surgery, it is recommended not to smoke and take alcohol. It is also indicated not to take acetylsalicylic-based drugs.
The operation lasts from 20 to 60 minutes in relation to the disorder to be corrected while hospitalization is generally in a day hospital and rarely lasts 24/48 hours, in the case of general anesthesia. At the end of the surgery, braces are usually applied to allow breathing and a special one to protect the nose from bumps and other possible traumas.
The postoperative course
In the days following the surgery, the internal braces are removed and a general check on the healing of the lesions is carried out. The nose, and the surrounding areas, in the first hours may present widespread bruising and edema which tend to spontaneously reabsorb during the hospital stay. The doctor prescribes, in support of the rules for proper healing, antibiotics and painkillers to contain infections and post-operative pain.
In the following days it is possible to apply ice packs to the nose in an appropriate way in order to contain swelling and pain. The removal of the external brace is generally consequent to the third week after the operation at the same time as the return to normal activities. After 15/20 days the swelling tends to disappear and, if there are no external scars, the surgery is aesthetically undetectable.
Risks and complications of rhinoplasty
As a surgical intervention, rhinoplasty involves risks and complications of various kinds although it is now a consolidated and safe technique in most cases.
Common side effects can be identified in:
- Reaction to anesthesia
The less common risks, on the other hand, are attributable to:
- Difficulty in breathing
- Numbness of the nostrils
- Persistent or chronic pain
- Perforation of the nasal septum
- Need for corrective and supplementary interventions
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