How the nose changes at different stages of rehabilitation after rhinoplasty (PHOTO)

Examples of consequences after unsuccessful rhinoplasty

Aesthetic consequences

• The stitches do not heal. This is due to the individual characteristics of the body. If you know that you have slow tissue regeneration processes, it is better to inform your surgeon about this
• Swelling does not go away. Here the reason may be both in individual characteristics and in the skill of the surgeon. Another “X factor” is anesthesia. You can read more about this in my article.
• Nose too small. This happens because the surgeon removed too much tissue. But sometimes due to the fact that expectations do not match what is received
• The effect is too weak. Most often this is a psychological problem after rhinoplasty. When the patient thought that after rhinoplasty it would change dramatically, but in the end, aesthetic corrections simply made a beautiful nose. But they didn’t make the whole patient beautiful.
• It is clear that the nose is “made”. I also chalk this aesthetic problem up as a result of unsuccessful rhinoplasty. Because after plastic surgery the patient must “wear” a natural nose, not a doll one.

Sources

• Dowlatshahi AS., Constantian MB., Deng A., Fudem G. Defining the Histologic Support Structures of the Nasal Ala and Soft Triangle: Toward Understanding the Cause of Iatrogenic Alar Retraction. // Plast Reconstr Surg - 2022 - Vol146 - N3 - p.283e-291e; PMID:32842101
• Kaplama ME., Ak S., Yukkaldiran A. Is Rhinoplasty Surgery a Risk Factor for Low Back Pain among Otorhinolaryngologists? // Facial Plast Surg - 2022 - Vol37 - N1 - p.102-106; PMID:32838440
• Schall JL., Rogers TL., Deschamps-Braly JC. Reprint of: Breaking the binary: The identification of trans-women in forensic anthropology. // Forensic Sci Int - 2022 - Vol314 - NNULL - p.110356; PMID:32758678
• Dey JK., Recker CA., Olson MD., Bowen AJ., Hamilton GS. Predicting Nasal Soft Tissue Envelope Thickness for Rhinoplasty: A Model Based on Visual Examination of the Nose. // Ann Otol Rhinol Laryngol - 2022 - Vol130 - N1 - p.60-66; PMID:32627568
• Rohrich RJ, Mohan R. Male Rhinoplasty: Update. // Plast Reconstr Surg - 2022 - Vol145 - N4 - p.744e-753e; PMID:32221209
• Schall JL., Rogers TL., Deschamps-Braly JC. Breaking the binary: The identification of trans-women in anthropological forensics. // Forensic Sci Int - 2022 - Vol309 - NNULL - p.110220; PMID:32200173
• Sykes JM., Dilger AE., Sinclair A. Surgical Facial Esthetics for Gender Affirmation. // Dermatol Clin - 2022 - Vol38 - N2 - p.261-268; PMID:32115136
• Borujeni LA., Pourmotabed S., Abdoli Z., Ghaderi H., Mahmoodnia L., Sedehi M., Hasanpour Dehkordi A. A Comparative Analysis of Patients' Quality of Life, Body Image and Self-confidence Before and After Aesthetic Rhinoplasty Surgery . // Aesthetic Plast Surg - 2020 - Vol44 - N2 - p.483-490; PMID:31832733
• Kim HJ., Lee SJ., Lee JH., Kim SH., Suh IS., Jeong HS. Clinical Features of Skin Infection After Rhinoplasty with Only Absorbable Thread (Polydioxanone) in Oriental Traditional Medicine: A Case Series Study. // Aesthetic Plast Surg - 2022 - Vol44 - N1 - p.139-147; PMID:31797043
• Parab SR., Khan MM. Do Aesthetic Average Nasal Parameters Matter For Rhinoplasty in India? // Indian J Otolaryngol Head Neck Surg - 2022 - Vol71 - NSuppl 3 - p.2011-2018; PMID:31763285

Functional consequences of unsuccessful rhinoplasty

• Labored breathing. This problem rarely occurs after, and more often before, surgery, but you still need to carefully monitor your breathing.
• Painful sensations. I will not expand on this issue, everything is clear here.
• Loss of smell. When you stop smelling, it's as if you have sinusitis.

Rehabilitation period

With proper preparation and adherence to the surgical technique, rehabilitation proceeds quickly and without complications. Patients may be bothered by minor swelling, hematomas and pain that go away on their own or after taking anti-inflammatory drugs. Sometimes mild swelling persists for 2–3 months, which is considered normal.

After the intervention, the patient must follow several rules:

• sleep on your back, leaning on a high pillow;
• protect the wound from contact with water for several days;
• for at least 3–4 weeks, avoid physical activity, visiting the sauna, bathhouse and solarium;
• stick to a diet, avoid spicy, salty and fatty foods.

Often, the doctor gives individual recommendations to consolidate the result and shorten the rehabilitation period. Changes in appearance can be assessed after 8–10 weeks, and the tip of the nose will take its final shape 6–12 months after surgery.

How can you fix a failed rhinoplasty?

The patient can understand that the nose job was unsuccessful no earlier than six months later. During this time, a recovery period passes, and the patient follows the doctor’s recommendations

Correction methods after rhinoplasty:

• A revision rhinoplasty can be performed by a plastic surgeon. It can be carried out either closed or open. But most often it is carried out using the open method. After all, a doctor’s capabilities are limited if there is a deficiency of skin, cartilage, and bone tissue.
• It is possible to carry out a correction that takes no more than half an hour. During correction, the surgeon carefully brings the shape to the required level. Recovery after correction is very fast.
• Correction with fillers or contouring. The procedure allows you to remove a hump, give the necessary angle, achieve symmetry, tighten the tip of the nose, and get rid of minor defects. Has a time-limited aesthetic effect. The result will last from a month to two years

Indications

The operation is carried out according to direct and indirect indications. In the first case, the procedure is used to correct serious congenital defects or anomalies that are caused by burns, frostbite and mechanical damage. Indirect indications mean the patient’s desire to improve his appearance, to make his facial features more proportional and attractive.

Surgery is indicated if the tip of the nose:

• too wide;
• forked;
• curved;
• upturned or down;
• deformed as a result of injury or surgery.

Computer modeling is used to predict results. Thanks to this technology, the patient can see how his face will change after surgery.

Can the patient himself cause unsuccessful rhinoplasty?

Yes, if you do not follow the specialist’s recommendations. There are not as many of them as it seems. And I am doing everything possible to make the recovery easy and comfortable. But still there is a small list of recommendations.

• Give up sports for two months. Because the new nose should quietly “glue” its tissues together.
• Do not smoke two weeks before and two weeks after nose surgery. Well, or at least reduce the number of cigarettes smoked by 50%. Because cigarettes constrict blood vessels and scar regeneration occurs much more slowly.

Do not smoke two weeks before and two weeks after nose surgery. Well, or at least reduce the number of cigarettes smoked by 50%. Because cigarettes constrict blood vessels and scar regeneration occurs much more slowly.

In principle, that's all.

Types of correction

There are many types of plastic surgery, depending on the physiological characteristics of the patient and the goals set. In particular, the wide tip is reduced by resection (excision of “extra” cartilage tissue) or in a more gentle way by suturing the pterygoid cartilages in the dome area. The problem of an upturned nose is solved by transplantation. To do this, the patient’s own cartilage tissue is used, which replenishes the volume in the problem area. In case of “bifurcation” of the columella, the right and left pterygoid cartilage in the area of ​​the dome and medial crura are sutured.

The drooping tip is corrected using various techniques. For example, the lower fragment of the nasal septum and part of the pterygoid cartilage are excised, and then the remaining structures are brought together. An alternative method is tissue transplantation into the columella area. For transplantation, a miniature fragment of the auricle is usually taken.

The method of correction is determined by the surgeon after studying the patient’s problem. When choosing a technique, the doctor takes into account physiological characteristics: the general anatomy of the face, the density of cartilage tissue, the shape of the nostrils and nasal septum.

Failed rhinoplasty. Conclusions.

At the end of this article, I want to say that despite the scary stories described above, there is no need to be afraid. It is important to choose your surgeon, get confidence from him in the success of nose surgery and calmly prepare for life with a new nose. But if you are afraid to tremble. If the thought of rhinoplasty makes you break out in a cold sweat, consider whether it’s too early for you to have it. Because an operation is the work of at least two team members. Both the surgeon and the patient. Thank you for reading this article, you can ask me questions about rhinoplasty here.

Contraindications

Any operation has contraindications if there are health problems. Plastic surgery is not performed if the patient has the following diseases and pathological conditions:

• oncology;
• diabetes mellitus;
• herpetic infection;
• severe pathologies of the heart, kidneys and liver;
• low blood clotting;
• hepatitis B and C.

There are also time restrictions for surgical intervention. These are inflammatory processes in the operated area, respiratory infections and exacerbations of chronic diseases. The operation is not performed on women during menstruation, pregnancy or breastfeeding.

Biography

Natalya is from the Belarusian Mogilev. She has a twin sister, Julia. The girls were born on May 20, 1982. Their parents are people of non-creative professions: the director of an exhibition hall and a lawyer. Unlike her sister, Natalya showed creative talents from childhood. She happily performed in front of her parents, sang songs, read poems and posed in her mother’s outfits. The parents divorced, and the father soon had a son, Andrei.

At the age of nine, Natalya entered the Rainbow music club. Later, Podolskaya entered Studio W at the Mogilev Institute of Singing and Choreography. During her studies, the girl took part and won singing competitions for young performers.

Natalya dreamed of becoming a singer. But her parents saw her future connected with a more serious profession. Therefore, they insisted that their daughter enter the Institute of Law. The girl did not contradict them and entered the university chosen by her parents and graduated with honors.

Immediately after graduation, she leaves for Moscow and enters the Moscow Institute of Contemporary Art at the vocal department. She studied with Tamara Mansurova, who, noticing the girl’s talent, helped her in her career. Thanks to the help of the teacher, Natalya became a participant in “Universetalent Prague 2002” and “Slavic Bazaar”.

Podolskaya successfully built a career, but did not forget about her personal life. The singer's first common-law husband was Igor Kaminsky. Their relationship lasted about five years. In 2005, a loud scandal occurred between the lovers and they decided to break up.

Podolskaya was selected for Eurovision from Belarus in 2004, but did not make it. The same year she became a participant in the popular musical project “Star Factory”.

On the project she met producer Viktor Drobysh. Under his mentorship, Natalya recorded a video for his song, and later recorded an album, which included 13 tracks. Her album hit the TOP on the radio.

At “Star Factory 5” the performer took 3rd place.

After the show ended, Podolskaya performed at Eurovision from Russia, but took only 15th place. Later she took part in the “Great Races”, where she met her future husband Vladimir Presnyakov.

Their relationship began with friendship, which gradually grew into love. According to the celebrity, she realized at first glance that her future husband was sitting in front of her. Presnyakov was fascinated by the red-haired girl, but at that time he was married, so he decided to remain friends. But in the end he could not resist Natalya’s charm and began to court her.

The artists dated for a long time and lived in a civil marriage. They legalized their relationship only in 2010, and later got married. Two years earlier, Podolskaya received Russian citizenship.

Exactly ten years later, the woman gave her beloved son Artemy. They had long dreamed of adding to their family and, as they themselves admit, they literally begged God for a son. In 2022, their family was replenished again and little Ivan was born.

Cost of the procedure

The price depends on the complexity of the operation, technique, type of anesthesia, equipment and medications used. There are other factors that influence pricing. The cost of the procedure in the capital’s clinics is higher than in most Russian regions. The services of a qualified surgeon who knows the original technique will cost more than the average specialist. And the primary operation will cost less than correction of unsuccessful surgery.