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Nasal necrosis

Nasal necrosis or blackening of the nose after surgery depends on the size of the necrotic tissue. Spot necrosis causes less damage, but if the amount of damaged tissue is large and the nasal skeleton is severely damaged, it affects the appearance of the nose.

Nasal necrosis

What causes necrosis of nasal tissue?

When for any reason the blood does not reach a part of the body tissue, the tissue no longer receives oxygen and is destroyed and so-called necrosis. Necrosis or death of part of the body tissue is seen in diseases such as leprosy, some autoimmune diseases, severe frostbite, trauma, accident or invasive surgery.

Nasal necrosis is a very rare problem in rhinoplasty, usually due to underlying disorders in the patient. Of course, sometimes there are drawbacks to the surgeon’s incorrect technique. When the rhinoplasty surgeon manipulates the nasal tissue too much with the wrong technique and does not show delicacy in the surgery, the blood supply to the tissue becomes disturbed and the tissue becomes black or so-called dies.

Causes of nasal necrosis:

Vascular disorders

Local infections inside the nose

Injecting and taking Accutane or Roaccutane before rhinoplasty

Smoking

Improper technique of the nasal surgeon and excessive manipulation and destruction of nasal tissue by the surgeon

Rhinoplasty: It is a re-operation of the nose and because the nasal tissue has been operated and manipulated once, in early surgery for the second time, there is a possibility of damage to the nasal tissue and not reaching the blood.

Injecting non-standard gels into the nose or injecting too much gel in the wrong place on the nose.

Nasal necrosis

Does injecting fillers into the nose cause damage to the nasal tissue?

Injecting non-standard gels or injecting large amounts of gel into the inappropriate area of ​​the nose also increases the risk of necrosis. Rhinoplasty sometimes involves gel injections or manipulations to fill in the indentations or protrusions of the nose in the nasolabial fold or the crease between the lips and cheeks, which also increases the risk of necrosis.

People who have severe pain during or after the gel injection and who have changed the color of the skin of the nose in the first 24 hours to a week are more likely to have nasal necrosis. This complication with fat injection has never been reported.

Of course, any change in the color and blackness of the nasal skin does not mean necrosis. Anemia is sometimes temporary, and even with necrosis, spontaneous tissue regeneration may occur. As a result, it is necessary to wait for its range to be determined, but if it is in a place where the vessel is probably under pressure, the pressure should be removed from the vessel very quickly with reconstructive surgery.

How can nasal necrosis be prevented?

To prevent this complication after rhinoplasty, the removal of the fat layer from the patient’s skin should be done with great caution because if it is excessive, the blood supply to the nasal skin will be disrupted and the pressure caused by the splint and glue will cause necrosis of the nose and blackening of the skin. The nose will be after surgery.

How can a necrotic nose be treated?

The treatment of this complication is very complex and the patient may need several surgeries to treat it. Surgeons try to replace the necrotic area with normal body tissue, using cartilage from other parts of the body, such as the rib or ear cartilage.

But if a large part of the nose is missing, it must be replaced with a prosthesis. The condition for using a prosthesis is that the damaged tissue is completely repaired and there is no infection. Of course, an artificial ear or nose will never look like a normal ear or nose.

If the necrosis is in the middle wall of the nose, the suture and graft site will not be identified. Therefore, the type of lesion and repair will be effective as a result of the work.

Broken nose – treatment of nasal fractures

Nasal splint removal – The effect of using splint as a result of rhinoplasty

What is a nasal splint?

A nasal splint is a plastic splint that protects the nose and helps the bones and cartilage of the nose not move when repaired.

nasal splint

Types of nasal splints :

Internal splint: used after rhinoplasty, and is commonly used after rhinoplasty or septoplasty.

External splint: This type of splint is more widely used than the internal splint, with the aim of maintaining the new shape of the nose when the nose is vulnerable and requires more protection.

What are the goals of using external splints in rhinoplasty?

1- Maintain a new shape of the nose

After surgery, the splint is used to keep the deformed nose straight and holds the broken bones of the nose and the manipulated cartilage in place. Keeping your nose and lower back stable during recovery is critical to achieving the best results.

2- Protecting the nose against injury

A splint or nasal plaster protects the nose from infection and injury. However, in addition to using a nasal splint during recovery, patients should refrain from strenuous activity and any activity that can cause nasal damage.

3- Reduce swelling

Swelling is a common complication of rhinoplasty, and the glue and plaster on the nose put pressure on the skin of the nose, reducing swelling. Splinting helps to cover the skin of the nose well on the cartilage and get more accurate results. If the skin of the nose becomes swollen after rhinoplasty, there is a space between the skin and the cartilage where the scar tissue can form. If connective tissue and hematoma form, new abnormalities develop that make the surgical results unpredictable. This is why the swelling is tried to be reduced after the operation and the skin is completely smooth on the nasal cartilage.

What are the goals of using internal splints in rhinoplasty?

1- Holding the nasal septum (septum)

Internal splint is a soft silicone splint that is used to hold the nasal septum after rhinoplasty.

2- Reduce bleeding

The internal splint compresses the skin and mucous membranes to reduce bleeding and hematoma.

3- Forcing the tissue to heal on the cartilage

The inner splint of the nose causes the inner lining of the nose (mucosa) to heal on the inner body of the nose (bone and cartilage).

nasal splint

As long as the splint is on the nose, you should avoid the following:

1- Hit different things

The nasal plaster is firm, but not as thick as the plaster on the arm or leg. Strong blows or rough effects can damage the nose through the same plaster. Be careful around you to avoid getting any blows to your face as much as possible.

2- Pulling the nasal plaster

As the healing process begins, the swelling in the nose subsides and the nasal plaster may loosen. It may even be so loose that it is close to falling. If so, don’t be tempted to do so. Pulling and pulling will cause the nasal plaster to come out prematurely and damage the nose and the process of improving your nose.

3- Wet the nasal plaster

Nasal plaster, like all plasters, should not be wet or damp. Water loosens the nasal plaster and loses its functional and structural role, and as a result, it is unable to perform its function of supporting and supporting the nose well during the recovery period. Use a sponge or bath to prevent your face from getting wet before the nasal splint is removed. If you really need to wash your face, do it very carefully and try not to go around the nasal plaster.

What materials are nasal splints made of?

Splints are made of different materials such as silicone, aluminum and other materials. The type of splint is chosen according to the individual’s needs.

nasal splint

When is a nasal splint removed?

The location and extent of the surgery determine the time it takes for the splint to form and the time to remove it. Splints are usually removed about two weeks after rhinoplasty. Internal splints may be removed 3 to 5 days after surgery.

What to do if the splint loosens?

Rarely, the splint loosens during recovery, and it is usually about the same time that these splints may loosen. But if this happens, contact your surgeon.

Is removing the splint associated with pain?

Removing plaster, nasal glue, and nasal sutures usually does not cause discomfort. Some people may experience slight discomfort when removing the splints due to stretching of the skin. Of course, after the splint is removed, they get rid of this feeling. The presence of splints may cause a slight obstruction and nasal congestion. It is very helpful to use saline nasal spray immediately after surgery to reduce flaking and burning when the splint (nasal plaster) is removed.

Why isn’t a nasal tampon used in the new nose surgical procedure?

Safe Surgery during coronavirus in Iran

Surgery during coronavirus

First we want to say “Thank You” to all of the men and women in the healthcare community in Iran and around the world helping with the current healthcare crisis, coronavirus (Covid_19).

With the efforts of medical staff who faced the coronavirus pandemic with devotion and bravery, we have succeeded in controlling coronavirus and starting Surgery during coronavirus in a completely safe environment.  Also we adhere to the highest standard of hygiene and safety during your stay in Iran.

Your health and safety are our top priority.

To see Dr. Amin Amali’s portfolio and book a surgical appointment, refer to the following link:

rhinoplasty gallery

Surgery during coronavirus

Broken nose – treatment of nasal fractures

Broken nose or Nasal fractures are the most common facial injury. This injury can be caused by a car or motorcycle accident, a sports activity such as football or hockey, physical fights and punches, falling or even hitting a door or wall.

It is best for people to see a doctor as soon as possible after seeing the symptoms of a broken nose so that they do not get into trouble.

Broken nose - Nasal fractures

What are the symptoms of a broken nose?

Feeling pain, especially when touching the nose

Swelling of the nose and its surroundings

nose bleeding

Bruising around the nose and eyes

The nose is crooked or twisted or deformed

Crooked nose

Nasal congestion

Feeling that one of the nostrils or both of them is cramped

Broken nose - Nasal fractures

By the time you get to the doctor, try to stop the bleeding by doing the following and reduce the pain and swelling.

1- Stop the bleeding:

Sit straight; Don’t lie down and rely on anything. The nose should be higher than the heart.

Keep your head forward so that the blood does not reach the back of your throat.

Hold the soft part of the nose between your thumb and forefinger. Hold it tight for 5 minutes.

If the bleeding does not stop, hold it again for 10 minutes between your fingers.

2- Pain relief:

Use over-the-counter painkillers such as acetaminophen or ibuprofen.

Put your head on a few extra pillows and sleep.

3- Reducing swelling:

Pour the ice into a plastic bag and wrap the towel around it. Keep the ice towel on your nose for 10 minutes; Then remove for 10 minutes. Repeat this several times.

Do not press the towel on the nose. Doing so may damage your nose.

In the first two days after the injury, apply ice to your nose at least four times a day.

How should we go to the emergency room immediately?

Head or neck injury that may be accompanied by severe headache, neck pain, vomiting, or loss of consciousness.

Hard to breathe

Bleeding that does not stop

A drastic change in the shape of the nose that has nothing to do with swelling; Like a crooked or twisted look.

Clear discharge of fluid from the nose

What are the risk factors that cause a broken nose?

Any activity that increases the risk of facial injury increases the risk of a broken nose. These activities include:

Sports such as football and hockey, especially if they are without a masked hat

physical contact

riding bike

weightlifting

Driving without seat belts

Broken nose - Nasal fractures

What are the complications of a broken nose?

 

1- Deviation of the nasal septum:

A broken nose can lead to a deviated nose. When the thin wall between the two nostrils is tilted, a deviation of the nose occurs, which narrows the airway in the nose. Nasal anticonvulsants and antihistamines help control the consequences, but rhinoplasty should be performed to permanently correct the complication. During surgery, the rhino surgeon can repair the fracture and deviation at the same time.

2-Dead blood:

Occasionally, blood clots build up in the broken nose, causing a condition called hematoma or nasal septal abscess. Hematoma of the nasal septum blocks one or both nostrils. These clots must be surgically removed so that the nasal cartilage is not damaged.

3- Failure of nasal cartilage:

When a nasal fracture is like an accident due to a severe blow, a cartilage fracture may also affect the nose. If the injury is so severe that surgery is needed, the surgeon should examine both the bone and the cartilage and repair them.

4- Neck injury:

Rapid nasal fractures (such as car accidents) may be associated with neck injuries. If the blow is so severe that the nose is broken, then the neck bones may have been damaged as well.

What are the treatments for nasal fractures?

 

1- Manual correction method (non-surgical)

Sometimes the nasal bone breaks but remains in place. In this case, surgery is not needed and the bone will heal on its own. If your doctor determines that surgery is not needed, treatment should be given one to two weeks after the nasal fracture and the symptoms of the fracture have disappeared. If it lasts longer, the injury will heal on its own, which can lead to a runny nose.

Your doctor may plaster your nose to protect it during recovery. The doctor will put something like a splint inside your nose and dress it outside, which will allow the nose to be in place during treatment. Several antibiotics will also be prescribed to prevent infection.

2- Surgery

When a broken nose is severe or lasts more than two weeks, your doctor may choose the surgery. The goal of this surgery is to return the nasal bone to its proper place and, if necessary, reshape the nose. In such cases, surgery improves the patient’s breathing. Rhinoplasty usually does not require hospitalization, but the patient must stay at home for about a week to relieve swelling and bruising.

How to Manage and Reduce Bruising After a rhinoplasty

 

Why isn’t a nasal tampon used in the new nose surgical procedure?

What is a nasal tampon?

Rhinoplasty is performed to improve the appearance of the nose, in such a way that the appearance of the nose is more in harmony with other components of the face and its function is maintained or better than before. In the past, one of the downsides of rhinoplasty has been the uncomfortable healing process.

In order to control the side effects of surgery, the surgeon uses a well-known method called “nasal dressing”. Although nasal dressings were unpleasant in appearance, they were considered common after rhinoplasty, whether the surgery was performed for cosmetic purposes or for the purpose of improving function and relieving nasal obstruction.

Nasal tampons were used to support nasal septum, control bleeding, and absorb nasal secretions after rhinoplasty, and the patient had to cope with a nasal dressing to achieve the desired result.

nasal tampon

Types of nasal tampons

One type is sterile gauze or a piece of cotton wool that is compressed and inserted into the nasal cavity. Or it is pre-designed in the form of foam, gas or cotton, which enters the nose directly after removing it from the package.

Some types have an appendix or thread that stays on the outside of the nose and can be used to change or replace the tampon. It may also have a tube in the middle so that air can pass through it easily.

Are tampons used in modern surgical procedures?

In the past, tampons were used to shape and keep the middle blade of the nose straight and also to prevent bleeding after surgery.

The tampons pressed the blade in the middle of the nose, keeping the nose blade straight and not bleeding. But with the advancement of rhinoplasty techniques, we do not need to use tampons today after surgery. And the middle blade of the nose is smoothed out, and the accuracy of sewing the mucous membranes of the middle blade of the nose is higher and the possibility of bleeding is greatly reduced.

This is done with the help of delicate sutures inside the nose that are absorbed by the patient without discomfort. Nasal fins are also treated with radiofrequency ablation or minimally invasive procedures, which will prevent bleeding.

With the help of modern surgical methods, tampons are used in less than 5% of surgical cases today. In fact, it is only used in cases where severe nasal surgery or a large volume of the nose is involved, such as correcting the deviation of the nasal septum.

nasal tampon

Is a nasal tampon painful for the patient?

Large dressings called nasal tampons (wicks, mesh, filters), which were previously used to repair internal incisions in the nose, were difficult for the patient to bear, and it was painful and uncomfortable to remove. Fortunately, with the new surgical techniques, there is no need to put on a wick.

What are the side effects of nasal tampon removal?

The most common complication of nasal tampon removal is the reduction of pressure on the repairing tissue, resulting in the onset of bleeding. And in people who have difficulty breathing through the mouth (the elderly), it causes a lack of oxygen supply. In some cases, there is a possibility of infection.

How to Manage and Reduce Bruising After a rhinoplasty

Nose skin type in rhinoplasty – thin skin or thick skin ?

Nose skin type in rhinoplasty ( thick skin and thin skin in rhinoplasty ) :

The template of the nasal skeleton is covered by skin and subcutaneous tissues such as fat and muscles. The skin covering the nose helps to smooth, soften, hide and reshape the nasal skeleton and has a greater effect on some areas.

Therefore, in order to achieve the desired result of rhinoplasty, the effect that the skin has on the final shape of the nose must be considered in any change in the shape of the bones. In some people, the effects of the skin are far more difficult to predict or control.

Nose skin type in rhinoplasty

What are the best and worst skin types for rhinoplasty?

Medium-thick skin and a healthy, smooth complexion are the best conditions for rhinoplasty.

Extremely thick skin (too thin or too thick) is the worst condition for rhinoplasty.

Bad skin and elasticity of the skin are other important factors that affect the prognosis of rhinoplasty.

Rhinoplasty is one of the most important factors in rhinoplasty.

What are the complications of thin skin in rhinoplasty?

In people with very thin nasal skin, scars from a small scar leave scars. However, in these people, the swelling caused by the surgery usually heals very quickly.

 One of the biggest side effects of having thin skin is hiding the defects of the nasal skeleton, in which case the thin skin is very weak, so that a thin skin on the nose can only hide a little more than a damp paper towel, and even the smallest flaws. The nasal skeleton is easily visible.

Another side effect of having thin skin on the nose is that during rhinoplasty, the skin tends to contract, which, after surgery, takes the nose out of its normal state and eventually leads to unpleasant abnormalities.

 That’s why the biggest challenge for rhinoplasty in people with extremely thin nose skin is to achieve a smooth, smooth and firm nasal skeleton. If these conditions are difficult or impossible to achieve, they artificially increase the thickness of the skin to better cover the defects of the nose.

The skin of the nose can be artificially thickened by grafting the middle membrane of the skin, but the persistence of this graft requires a healthy source of blood supply to the skin. Thin skin is usually more prone to redness and the formation of spider veins, although laser treatments are often effective in relieving these problems after surgery.

Nose skin type in rhinoplasty

What are the complications of thick skin in rhinoplasty?

The only advantage of very thick skins is that, unlike thin-skinned noses, it completely covers all the obvious flaws in the skeleton of the nose. Very thick skin is one of the most challenging issues and sometimes one of the most insurmountable obstacles in rhinoplasty.

Thick skin reduces nasal specifications by covering the nasal skeleton. Optimal features of the nasal skeleton are hidden and subtle fluctuations in the surface of the nasal skeleton, which makes the nose more beautiful and balanced, are lost.

The weak framework of cartilage, which is more common in these types of noses, only exacerbates the appearance of bumps.

Very thick skin puts more pressure on the cartilage of the nose, while in thin skin, the skin of the nose does not put pressure on the cartilage.

This pressure will cause the progressive collapse of the nasal skeleton and the deformity of the nose. Therefore, it is necessary to strengthen the structural support of the nose at the same time as rhinoplasty in order to have the best results from rhinoplasty. This ensures a firm and attractive nose frame that can withstand the extra weight caused by thick skin.

In fact, without a safe and strong cartilage framework, it is almost impossible to have a stable, well-proportioned nose in patients with thick skin.

A good, firm skeleton for thick-skinned noses, in addition to protecting against structural collapse, makes it easy to pull the tip of the nose to correct superficial nasal protrusions.

Very thick skin, in addition to being thick and overweight, is also more prone to swelling and inflammation after surgery. In patients with thick nasal skin, postoperative swelling takes 12 to 18 months to fully heal.

Also, most people with thick nasal skin are prone to developing excess tissue under the skin. In these people, due to the thickness of the skin of the nose and the subcutaneous tissues that may be created, surgical advances to shape the nose will lose their effect.

Natural nose surgery

Fantasy Nose Surgery

How to Manage and Reduce Bruising After a rhinoplasty

Bruising after rhinoplasty

Swelling and bruising after rhinoplasty is a short-term and natural complication that occurs in different amounts in all people after rhinoplasty and disappears completely after a while. Bruising of the eyes is actually the result of the removal of blood droplets from the damaged blood vessels of the nose, which manifests itself in the form of discoloration of the underlying layers around the skin of the eyes.

By following the pre- and postoperative care recommended by Dr. Amin Amali , the bruising caused by the rhinoplasty will be eliminated in a short time.

Bruising after rhinoplasty

What causes nose bruising after rhinoplasty?

Blood Coagulation System Status: People should refrain from taking medications such as aspirin and ibuprofen that cause blood clotting disorders for two weeks before and after rhinoplasty.

Blood leaks from capillaries into the tissues under the skin of the nose: After the nose operation, there is a possibility of dead blood in the eyes.

Type of rhinoplasty (open or closed): Depending on the structure and type of nose and the amount of manipulation and changes that will be made to the skeleton and structure of the nose.

What is the healing process for bruising caused by rhinoplasty?

Bruising from rhinoplasty is not immediately apparent and is as follows:

The first day of rhinoplasty is the most severe bruising and purple color.

On the second day after surgery, bruising peaks.

And from the third day after surgery, the bruising will gradually begin to decrease.

However, after a week of rhinoplasty, the bruising will go away.

Cases that increase bruising after rhinoplasty:

Excessive facial movement (talking and laughing too much)

Sleeping on your side or abdomen

Keep your head down

Lifting a heavy object

preoperative care to reduce the amount of bruising caused by nose surgery

Follow these tips for two weeks before rhinoplasty:

Avoid medications such as aspirin and ibuprofen that thin the blood.

Avoid taking all herbal supplements or multivitamins

Avoid smoking and alcohol

Bruising after rhinoplasty

postoperative care to reduce the amount of bruising caused by nose surgery

Do not touch the nose while dressing.

Use a cold compress or ice for up to 48 hours after surgery. Cold minimizes swelling and bruising due to narrowing of blood vessels, so apply compresses to the cheeks and eyes once every 30 days for the first two days after rhinoplasty. Be careful not to touch any. Apply directly to the nose.

In the first 72 hours after rhinoplasty, use natural juices such as celery juice, carrot juice, pineapple juice due to its anti-inflammatory properties.

Always keep your head up and do not bend forward as much as possible.

When sleeping, place two to three pillows under your head so that your head is at a 45-degree angle to your body.

Avoid direct sunlight to prevent bruising and staining around the nose and eyes.

Avoid smoking and alcohol for up to two weeks after rhinoplasty.

Avoid aspirin and herbal supplements that dilute the blood and increase the risk of bleeding until two weeks after rhinoplasty.

Nose surgery in less than 10 minutes

Swelling after rhinoplasty

Swelling after rhinoplasty

After rhinoplasty, the nose becomes swollen due to manipulation of the skin, bones and cartilage of the nose and inflammation of the tissues in and around these areas.

Swelling after rhinoplasty

What causes the amount of swelling after rhinoplasty?

The severity of swelling after rhinoplasty depends on a number of factors, including the type of nose, the thickness of the skin on the nose, the amount of manipulation of the nose during surgery, and the patient’s postoperative care. Also, the rate of nose swelling varies from person to person. Swelling in fleshy noses with thicker skin is greater, and the duration of swelling and recovery will be longer.

In open rhinoplasty, where external incisions are made at the base of the nose, the rate of swelling of the nose is higher than in closed rhinoplasty, and the recovery time is longer.

Also, in crooked and deviated noses, due to the need for the nose to perform more operations and manipulations during surgery, the swelling of the nose after surgery will be more. The rate of nasal swelling at the tip of the nose, as well as in the area where the nasal hump is removed, will be higher than in other areas of the nose.

How long after rhinoplasty does Swelling disappear?

Nasal swelling is a temporary complication and first progresses rapidly and then gradually decreases. Within 2 to 4 weeks after surgery, the nose undergoes significant changes, and within a few months after surgery, the swelling of the nose gradually decreases and improves. It usually takes one to three years for bony noses and two to three years for thick-skinned fleshy noses.

Most people after rhinoplasty complain that their upper lip is hardened and it is difficult for them to laugh. It returns to normal.

Steps to reduce and improve nose swelling

One week after rhinoplasty, when the nasal plaster is removed, the swelling of the nose appears, which is normal.

The second week after surgery, the swelling and bruising of the nose and around it will be significantly reduced, and the appearance of the nose will be acceptable to the person.

After 3 to 4 months of rhinoplasty, most rhinoplasty is absorbed and may only appear a little puffy in the photo.

In bony noses a year and in fleshy noses two to three years after rhinoplasty, the final shape and appearance of the nose appear.

Swelling after rhinoplasty

Individual care to reduce nose swelling after rhinoplasty

Cold compress: For the first two days after rhinoplasty, apply a cold compress alternately to the area around the nose. Cold compresses should be applied around the nose every quarter of an hour, as colds can damage the skin around the nose. After 48 hours, use a warm compress to spread and reduce bruising around the eyes, but the heat may Increases swelling.

Keeping your head up: It’s best to keep your head 30 to 45 degrees above your body for two weeks after having rhinoplasty, while sleeping with two or three extra pillows.

Avoid heat and heat: Avoid bathing in hot water and being in the sun or in incandescent light bulbs.

Diet: Avoid excessive salt and salty foods, hot and cold foods, chewing foods and drinking liquids with a straw.

Rest and reduce strenuous activity: In the first few weeks after rhinoplasty, rest more and avoid strenuous exercise and strenuous physical activity, as strenuous exercise can cause excessive bleeding in the face and nose and increase nasal swelling. .

Slow walking: Improves blood flow and reduces nasal swelling.

Avoid bending over and lifting heavy objects for a month.

Avoid separate fins for a month: this will cause the nasal tissue to rupture, bleed, and increase the swelling of the nose.

Do not touch or manipulate the nostrils with your hands or paper towels, as this will cause nasal infections and increase swelling.

Over projected nose surgery

Natural nose surgery

Natural nose surgery – Many people who do nose surgery are not satisfied with the artificial appearance of their nose after seeing the results. Natural nose surgery allows people to remove only their nasal defects and keep the beautiful areas of the nose intact. In natural nose surgery, many people do not notice the nose surgery.

Your nose is at the center of your face, a defining feature of your profile. While many people don’t give their noses a second thought, if you’re bothered by the shape or size of your nose, you know that it can significantly affect your confidence and self-image.

In general, there are not many changes to the nose in natural nose surgery. A flawless nose that fits in well with the rest of the face will enhance the beauty of the person’s face. While a very small and upright nose not only does not create the beauty of the face, it also creates dissonance between the face and its members.

In your consultation, Dr. Amin Amali evaluates your nose and facial features. He talks with you about your medical history and your goals for the procedure

 Natural nose surgery

What are the features of a natural nose?

In natural nose the nostrils do not become too small.

The arch of the back of the nose is very small and the nose surgeon tries to create a right angle between the nose and the forehead.

The most obvious natural nose symptom is the distance between the upper lip and the nose, which is between 90 and 95 degrees and prevents the tip of the nose from overflowing.

What is the difference between Natural Nose Surgery and Fantasy Nose Surgery?

The tip of the nose, the large arch on the nose and the very small holes, are fantasy nose features that are not seen in a normal nose. The distance between the upper lip and the nose is 90 to 95 degrees in the normal nose, which is 100 to 105 degrees in the pupal nose, leading to the tip of the nose being upright.

Due to the thick skin in the fleshy nose, many changes to the nose cannot be made during nasal cosmetic surgery, Because people who have a fleshy nose are the most appropriate option for natural nose surgery and will achieve a more favorable outcome.

Septoplasty

What is septoplasty?

The septum is the wall of bone and cartilage that divides your nose into two separate nostrils. A deviated septum occurs when your septum is moved to one side of your nose.

Septoplasty is a surgical procedure to straighten the bone and cartilage dividing the space between your two nostrils (septum). When the septum is crooked, it’s known as a deviated septum. A deviated septum can make it harder to breathe through your nose and can increase the risk of sinus infections due to poor drainage.

Once a septoplasty is healed, you’ll likely find it’s easier to breathe. You can discuss with your surgeon about what septoplasty can achieve for you.

septoplasty

What is deviated septum?

A deviated septum occurs when your nasal septum is significantly displaced to one side, making one nasal air passage smaller than the other.

A crooked septum is common. But when it’s severe, a deviated septum can block one side of your nose and reduce airflow, causing difficulty breathing through one or both sides of your nose.

Septoplasty straightens the nasal septum by trimming, repositioning and replacing cartilage, bone or both. If you experience symptoms  such as difficulty breathing through your nose  that affect your quality of life, septoplasty can be a good choice for you

During the septoplasty procedure

The septoplasty  may be done with either local or general anesthesia. Which type of anesthesia is used depends on how complex your surgery is, and what you and your surgeon prefer.

During surgery, the incision is closed with absorbable suture. Soft silicone splints may be inserted inside each nostril to support the septum. To prevent postoperative bleeding, your doctor may place bandage-like material in your nose (packing).

septoplasty

To further decrease the chances of bleeding and swelling, your doctor may ask that you follow these precautions for several weeks after surgery. Depending on the extent of your surgery, you may not need to do all of these:

Elevate your head when you’re sleeping.

Don’t blow your nose for several weeks.

Wear clothes that fasten in the front; don’t pull clothing, such as shirts or sweaters, over your head.

You should also limit your physical activity for several weeks after surgery to minimize swelling and promote healing. This includes most forms of intense exercise, such as running, lifting weights, and playing contact sports. These activities can increase your blood pressure and lead to heavy bleeding.

Most people find that septoplasty improves their symptoms, such as difficulty breathing, that were caused by a deviated septum. The level of improvement you can expect with septoplasty varies by person.

Read about Rhinoplasty – nose surgery