Reconstructive rhinoplasty

During the operation, our plastic surgeon restores the normal position of the bone and cartilaginous structures of the nose, using implants if necessary. Most reconstructive surgeries are performed under general anesthesia. After that, the patient is observed in the hospital for up to 48 hours. The cost of the operation depends on the volume of the intervention and the materials used.

In most cases, the patient has a medical condition. Broken nose surgery varies in price, depending on the severity of the defect. Correcting the mistakes of a third-party surgeon is always more difficult. Most often, rhinoplasty is done after 18 years and up to 40 years, during this period there is high regeneration and the active growth phase has already ended. However, reconstruction can be performed at an early age if it is necessary to restore the ability to breathe normally.

Indications

1. Re-rhinoplasty after unsuccessful primary surgery.
2. Congenital nose deformities, medical indications.
3. Reconstruction of injuries because of trauma.

Contraindications to the procedure

In case of repeated surgical intervention, at least 1-1.5 years should elapse since the last operation.

The surgeon decides on the possibility of operating based on the collected anamnesis, test results, existing chronic and current conditions.

The patient undergoes tests and does a CT scan of the nose. The surgeon determines the options for solving the problem. Reconstruction often requires the implantation of artificial materials or autocartilage (patient tissue) to fill the missing volume.

In addition, in case of severe defects, not one, but several operations may be required.

• General anesthesia is performed.
• The surgeon provides access to the internal structure of the nose.
• Work is underway to restore the architecture of bones and cartilage.
• Self-absorbable sutures are applied.
• Tamponade of the nasal passages is performed for fixation from the inside.
• A fixing plaster cast is made from the outside.

The patient is sent to the ward for observation in the next 24-48 hours.

Restoration of the architecture of the nose is a more complicated operation than primary rhinoplasty. It takes patients on average 1 year to recover (6-12 months is the norm).

• The splint is removed - 2-3 weeks.
• Hematomas and edema disappear within 4 weeks.

3 control examinations are done by a specialist:

1. 2-3 days after surgery;
2. after 10-14 days;
3. after 6 months.

It is important to follow the individualized list of recommendations given by our surgeon. In case of alarming symptoms, be sure to consult with the doctor who operated on.

The patient needs to do everything possible so as not to injure the nose again, to avoid stress and potential diseases.

After 12 months, complete healing occurs, all cartilaginous structures will heal, take on a normal appearance, implants are integrated into bone formations and cartilage. However, after a month, the patient can see the changes that have occurred.

The clinic MN “Dobrobut” employs experienced specialists who know all the subtleties of restorative measures in the nose's area. You will not only get rid of the problem, but you will gain an attractive appearance and the ability to breathe normally. Patients are offered many diagnostics and a comfortable, modern hospital.

The high professionalism of our plastic surgeons guarantees the success of the operation. Sign up for a consultation right now: our contact phone number and a call form on the clinic’s website are working for you.

1. Andrew M., et al. The use of allogeneic cartilage for grafting in functional and reconstructive rhinoplasty. Journal of Oral and Maxillofacial Surgery 76.7 (2018): 1560-e1.
2. Lalezari, Shadi, et al. Trends in rhinoplasty research: a 20-year bibliometric analysis. Aesthetic plastic surgery 42.4 (2018): 1071-1084.
3. Nuara, Michael J., Randall B. Loch, and Sarah A. Saxon. Reconstructive rhinoplasty using multiplanar carved costal cartilage. JAMA facial plastic surgery 18.3 (2016): 207-211.
4. Скрипніков, Андрій Миколайович, et al. Психологічні аспекти естетичної ринопластики. Світ медицини та біології 12.1 (55) (2016).