Tag Archive for: دکتر آمالی

Facial angulation methods

Facial angulation :

Tendency to beauty and having a better appearance, increases people’s self-confidence. Facial angulation cosmetic procedures are very popular among men and women. Because in Face angulation (face modeling), the posture of the face becomes V-shaped after the operation, which is very popular all over the world.

Facial Facial Facial angulation

Facial angulation causes facial beauty, skin rejuvenation, correction of nasal angle, removal of wrinkles and shaping the chin. In this operation, parts of the face such as the angle of the jaw, jaw lines, cheeks and chin, which play a key role in the beauty of the face, become more prominent to fit them better with the rest of the face. These components are highlighted in proportion and give a beautiful look to the face.

In addition to the aesthetic aspect, this operation also has a therapeutic aspect and is used to treat people who have a problem in the jaw area during an accident or congenitally.

Who are the right candidates for face angulation?

People with these characteristics can be a good option for this action:

Wide jaw

Square jaw

Circular chin

Obese species

Lean species

People whose jawline has no angle.

Women whose jaws are masculine.

Who are not good candidates for face angulation?

People who have these features on their face are not a good option for this operation:

They have very thin or very fat faces.

They have sagging skin.

They have a small mandible.

They have a round and fat face.

They have small species.

They have big noses.

The chin is retracted.

They have obese necks.

The upper part of their face is narrower and smaller than the lower part.

Facial Facial Facial angulation

Facial angulation methods

Face angulation with gel injection

Gel injection is a non-surgical procedure that must be done with sufficient care and accuracy. Depending on what type of gel is used in this method, the shelf life of this method is between 6 to 36 months. The best type of gel is hyaluronic acid, which is compatible with the body. Disadvantages of gel injection include asymmetry in the face after injection, infection, bruising and swelling.

Facial angulation with Botox injections

This method is very suitable for people who have a square jaw and want the lower part of their face to look more elongated. In this method, Botox is injected into parts of the chin to make the chin look smaller. Botox injections are performed without surgery and the patient does not feel the slightest pain while doing it.

Facial angulation with fat injection

This method is one of the best ways to angle the face. In this method, excess fat is taken from one part of the body and after preparing the fat, it is injected into the areas of the face specified by the doctor.

Liposuction does not have any side effects and because it is taken from the body, it is compatible with the body and the problems that may occur in gel injections do not occur in fat injections. Injected fats usually last for several years.

Facial angulation with thread

This method is one of the most popular methods that causes lifting and lifting of the skin. The results of this method are immediate and visible. In this method, the doctor first determines the entry and exit areas of the thread on the patient’s face. Then, with thin and special needles, it inserts the threads into the desired parts and after leaving, it ties the threads and hides it under the skin. This method has no side effects and does not cause scars or scars on the face.


In this method, the doctor reduces the size of the jaw by cutting a part of the jaw bone, and if this part has large muscles, he pulls out parts of this muscle and sutures that part.

Care to be taken after facial angulation

Do not apply makeup for four hours after the operation.

Do not apply any pressure to the area for four hours after the operation.

Avoid chewing hard foods for a week.

Do not sleep on your stomach for two days after surgery.

Avoid strenuous exercise for one day after surgery.

Avoid going to saunas and spas for a week after surgery

Neck lift methods

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


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?

اسپلینت بینی – آیا استفاده از اسپلینت در جراحی بینی برای بیمار دردناک است؟

اسپلینت بینی چیست؟

اسپلینت بینی (گچ بینی) یک آتل پلاستیکی است که از بینی محافظت می کند و به استخوان و غضروف های بینی کمک می کند تا زمان ترمیم از جایشان تکان نخورند.

اسپلینت بینی

انواع اسپلینت بینی :

اسپلینت داخلی: که پس از جراحی زیبایی بینی کاربرد دارد، و عموماً پس از جراحی انحراف تیغه بینی یا سپتوپلاستی مورد استفاده قرار می‌گیرد.

اسپلینت خارجی: این نوع اسپلینت از نوع داخلی آن پرکاربرد تر است با هدف حفظ شکل جدید بینی در زمان آسیب پذیر بودن بینی و نیاز به محافظت بیشتر به کار برده می‌شود.


اهداف استفاده از اسپلینت خارجی در جراحی بینی چیست؟

1-حفظ شکل جدید بینی

اسپلینت پس از جراحی برای صاف نگه داشتن بینی تغییر شکل داده شده به کار برده می‌شود و استخوان‌های شکسته شده بینی و غضروف دستکاری شده را در جای خود نگه می‌دارد. پایدار و ثابت نگه داشتن بینی و استخوان زیرین در دوران بهبود برای رسیدن به بهترین نتیجه بسیار مهم است.

2-محافظت از بینی در برابر آسیب‌دیدگی

اسپلینت یا گچ بینی از بینی در برابر عفونت و آسیب‌دیدگی محافظت می‌کند. البته بیماران باید علاوه بر استفاده از آتل بینی در دوران بهبود از انجام فعالیت های شدید و هر گونه فعالیتی که منجر به صدمه دیدن بینی شود، خودداری کنند.

3-کاهش ورم بینی

ورم یکی ازعوارض معمول جراحی بینی است و چسب و گچ بینی بر پوست بینی فشار آورده، ورم را کاهش می‌دهد. اسپلینت کمک می‌کند تا پوست بینی به خوبی روی غضروف را بپوشاند و نتیجه‌ای دقیق‌تر به دست بیاید. اگر پوست بینی پس از رینوپلاستی ورم کند، فضایی بین پوست و غضروف ایجاد می‌شود که امکان تشکیل بافت همبند جای زخم در آنجا وجود دارد. در صورت تشکیل بافت همبند و هماتوم، ناهنجاری‌های جدیدی ایجاد می‌شود که نتایج جراحی را غیرقابل پیش‌بینی می‌کند. برای همین سعی می‌شود تا ورم پس از عمل کاهش داده شود و پوست کاملاً صاف روی غضروف بینی را بپوشاند.


اهداف استفاده از اسپلینت داخلی در جراحی بینی چیست؟

1-نگه داشتن تیغه بینی (سپتوم)

اسپلینت داخلی اسپلینت سیلیکونی نرمی است که برای نگهداشتن تیغه بینی پس از جراحی بینی به کار برده می‌شود.

2-کاهش خونریزی

اسپلینت داخلی پوست و غشاء مخاطی را فشرده می‌کند تا خونریزی و هماتوم کاهش یابد.

3-واداشتن بافت به التیام یافتن روی غضروف

اسپلینت داخلی بینی سبب می شود تا پوشش داخلی بینی (مخاط) روی بدنه داخلی بینی (استخوان و غضروف) التیام یابد.


اسپلینت بینی

تا زمانی که اسپلینت روی بینی قرار دارد باید از موارد زیر اجتناب کنید:

1-ضربه زدن به چیزهای مختلف

گچ بینی محکم است اما ضخامت آن به اندازه ی گچ بازو یا پا نیست. ضربات محکم یا اثرات خشن می تواند از طریق همان گچ به بینی آسیب بزند. حواستان به اطرفتان باشد تا حتی الامکان از وارد شدن هر گونه ضربه به صورت شما جلوگیری شود.

2-کشیدن گچ بینی

با شروع فرآیند بهبود، تورم بینی فروکش می کند و ممکن است گچ بینی شل شود. حتی ممکن است آنقدر شل شود که نزدیک به افتادن باشد. اگر اینطور بود وسوسه نشوید که آن را بکنید. کندن و کشیدن باعث می شود گچ بینی زودتر از موقع در بیاید و به بینی و فرآیند بهبود بینی شما آسیب بزند.

3-خیس شدن گچ بینی

گچ بینی هم مانند همه ی گچ ها نباید خیس و مرطوب شود. آب باعث می شود که گچ بینی شل شود و نقش کاربردی و ساختاری خود را از دست بدهد و در نتیجه نمی تواند وظیفه ی حمایت و پشتیبانی از بینی را در طول دوران بهبود به خوبی انجام دهد. تا قبل از اینکه اسپلینت بینی برداشته شود برای جلوگیری از خیس شدن صورتتان از اسفنج یا وان حمام استفاده کنید. اگر واقعا نیاز دارید که صورتتان را بشویید این کار را خیلی با دقت انجام دهید و سعی کنید اطراف گچ بینی نروید.


اسپلینت‌ بینی از چه موادی ساخته می‌شود؟

اسپلینت‌ها از مواد متفاوتی همچون سیلیکون،آلومینیوم و مواد دیگر ساخته می‌شوند. نوع اسپلینت با توجه به نیازهای فرد انتخاب می‌شود.


اسپلینت بینی

اسپلینت بینی چه موقع برداشته می‌شود؟

محل و میزان گستردگی جراحی مشخص‌کننده مدت زمان مورد نیاز برای وجود اسپلینت (گچ بینی) و زمان برداشتن آن است. معمولاً اسپلینت‌ها پس از حدود دو هفته بعد از جراحی بینی برداشته می‌شوند. اسپلینت‌های داخلی ممکن است پس 3 تا 5 روز بعد از جراحی برداشته شوند.


اگر اسپلینت شل شود چه کاری باید انجام داد؟

به ندرت، اسپلینت در طول مدت بهبودی شل می‌شود و معمولاً زمانی که ممکن است این آتل‌ها شل شوند تقریباً همان زمانی است که باید برداشته شوند. اما اگر این اتفاق افتاد با جراحتان تماس بگیرید.


آیا برداشتن اسپلینت با درد و ناراحتی همراه است؟

برداشتن گچ، چسب بینی و بخیه بینی معمولاً باعث ایجاد ناراحتی نمی‌شود. برخی از افراد ممکن است به دلیل کشیده شدن پوست، ناراحتی جزئی در هنگام برداشتن اسپلینت‌ها تجربه کنند.

البته پس از این که آتل برداشته شد از این احساس رهایی پیدا می‌کنند. وجود آتل‌ها ممکن است باعث انسداد و گرفتگی خفیف بینی شود.

استفاده از اسپری بینی سالین بلافاصله پس از انجام عمل جراحی برای کاهش پوسته شدن و سوزش در زمانی که اسپلینت‌ (گچ بینی) برداشته می‌شود بسیار مفید و کمک‌کننده است.


چرا در روش نوین جراحی از تامپون بینی استفاده نمی شود؟


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