Rhinoplasty nose in Moscow - Vremya Krasoty Clinic
Rhinoplasty is arguably the most difficult procedure in cosmetic surgery, thereas finding the best rhinoplasty surgeon is vital for obtaining the perfect rhinoplasty results. Otari Gogiberidze of Vremya Krasoty provides thorough consultations in English also. He has perfomed thousands of rhinoplasty procedures during 15 years of his practice, and generally here performs over 200 such procedure per year. All of his patience show before and after results that completely coincide with their expectations. Moreover he is experienced in advanced rhinoplasty techniques such as open rhinoplasty, and he is also known to those who are seeking a revision of previous unsuccessful rhinoplastic jobs.
How rhinoplasty is carried out in Vremya Krasoty
Consultations and examination: a specialist of Vremya Krasoty discussed each stage of forthcoming rhinoplasty procedure, explaining all technology in full detail. Medical history of each patient is discussed in order to prevent undesired outcome of the anesthesia. Form and characteristics of the future nose of the client is carefully protocolled, whereas the possible outcome of the operations are foreseen and fully explained. Computer modelling is used to show the patient their future nose and to discuss it. If necessary the doctor will do all scans of the nose in the clinic. The price and all legal procedures are meticulously discussed and put in order. Blood tests are made in clinic and analysed.
Getting ready for rhinoplasty: right before the procedure in the surgery theatre a special solution is injected into patients’ nose - this is called infiltration. Several prominent kinds of anesthesia are used in the clinic, so there is always an opportunity to find what suits the patient perfectly.
Rhinoplasty procedure starts when the patient is dafely stabilized and is under full anesthesia. Procedure time may vary from 30 minutes to 2 hours usually.
Post surgical recovery. According to Vremya Krasoty traditions the patient stays over night in the post-operational ward under precise attention of the doctor. Tampons are put inside the patients’ nose, so the breathing is only possible through mouth. After 7-10 days from procedure date the bandages are removed, the first results are beginning to show after 10-14 days after, the final results of rhinoplasty are visible within 6-8 month atfer.
Rhinoplasty is usually simply called «a nose job», in other words it is a plastic surgery procedure for reconstructing and correction the form of nose, while in the meantime restoring its functions. It is widely used after nasal trauma (blunt, penetration, blast) in order to aesthetically enhace the nose. Two kinds of nasal surgeries exist: closed rhinoplasty and open rhinoplasty.
Plastic surgeons of Vremya Krasoty are educated as both aestheticians and medical specialists. Not only they create a proportionate nose by separating the nasal skin and the soft tissues from the osseo-cartilaginous nasal framework, but they are also keen on correcting them as required for its healthily function. There are 2 types of
rhinoplasty — primary and secondary. Primary rhinoplasty defines all first-time functional, reconstructive, or aesthetic corrective procedures. Secondary rhinoplasty is also called a revision rhinoplasty, as it revises a failed rhinoplasty, an occurrence in 5–20 per cent of rhinoplasty operations. The corrections usual to secondary rhinoplasty include the cosmetic reshaping of the nose: a defective tip of the nose, i.e. pinched (too narrow), hooked (parrot beak), or flattened (pug nose); and the restoration of clear airways. Revision rhinoplasty procedures are mostly done using an “open approach”, such a primary correction is more complicated in a technical way. Nasal support with cartilage grafts is recreated, harvested either from the ear (auricular cartilage graft) or from the rib cage (costal cartilage graft).
Another very important rhinoplasty procedure is a nasal reconstruction. It is usually done to restore nasal functions to their normal level. There are certain defects and defo deformities when nasal reconstructions are indicated, to name a few: collapsed bridge of the nose; congenital defect, trauma (blunt, penetrating, blast), autoimmune disorder, cancer, intranasal drug-abuse damages, and failed primary rhinoplasty outcomes. After bony humps are resected, a plastic surgeon re-aligns the nasal bones When the bridge of the nose is collapsed, rib-cartilage, ear-cartilage, or cranial-bone grafts can be used to restore its anatomic integrity, and thus the aesthetic continuity of the nose. For augmenting the nasal dorsum, autologous cartilage and bone grafts are preferred to (artificial) prostheses, because of the reduced incidence of histologic rejection and medical complications.
Other important field of rhinoplasty embraces corrections of defect and deformity, caused by cancer, Congenital deformity, perforated septum etc. Most popular requests for rhinoplasty in Vremya Krasoty deal with obstructed airways - correcting nasal obstruction caused by a cosmetic rhinoplasty wherein nasal cartilages were over-aggressively trimmed and therefore and the nose appears pinched, which compromises nasal airflow. Furthermore, to improve breathing a septoplasty can be performed concurrent to the reconstructive surgery; likewise, if there is turbinate hypertrophy, an inferior turbinectomy can be performed.
Another problem that is quite usual for Vremya Krasoty clinic is wide nose or aquiline nose. To narrow a too-wide nose or to correct the aquiline nose, the plastic surgeon dissects, contours, and rearranges the craniofacial bones to achieve the desired functional and aesthetic outcome of a narrower, straighter nose. To leave no visible, surgical scars upon the new nose, the surgeon effects the osteotome (bone chisel) incisions to the nasal bones beneath the facial skin.
Photos of patients before and after rhinoplasty
Reviews of rhinoplasty
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