Rhinoplasty

Rhinoplasty is the modification of morphology of the nose for the purpose of aesthetic improvement that has attracted many people specially women in the country. It is a form of cosmetic surgery to reshape bones and cartilage of the nose to fix structural and aesthetic problems and achieve a well-balanced face and stablish better breathing. considering the recommendations of Dr. Shahriyar Yahyavi one of the best rhinoplasty specialists in Tehran, Iran would be a good idea when choosing a plastic surgeon for nose aesthetics.

 

Rhinoplasty - dr yahyavi

 

Reasons for rhinoplasty

Possible changes that surgeon can make to your nose through nose job include the following:

  • To get rid of hump and deviation of nose
  • A change in size
  • Reshaping of the nasal tip

Rhinoplasty surgery purpose

  • Cosmetic surgery is used to correct and/ or improve the appearance of nose such as smoothing visible humps, big nostrils, etc.
  • Functional nose job involves correcting the internal anomalies like sinus disorders, nasal polyps and deviated septum.

Nose job techniques

The best surgeon for rhinoplasty in Tehran practices nose job to alter the bone and cartilage to achieve the cosmetic and functional goals through two variations of open or close techniques.

Open rhinoplasty: During open approach the surgeon lifts up nose skin to sculpt the internal structure by creating a small incision on the columella, a narrow strip of tissue that divides the nostrils. An open technique typically is preference of many surgeons for rhinoplasty in Tehran because of the accessibility to anatomy of nose below the skin surface.

Closed rhinoplasty: A closed approach is a modern surgical technique. The skin is separated from bone by special tools and is suitable for patients that do not need significant change in the nose. This technique is not suitable for patients with fleshy nose in which surgeon needs for extensive access to make significant changes specially in the nose tip.

 Different types of noses

Noses are categorized based on structure and skin thickness in two types of bony and fleshy noses.

  1. Bony nose (Thin skinned nose): The most noticeable features of bony nose are rough hump on the bridge, thin skin and strong bone and cartilage structure. The success rate of rhinoplasty for people with this type of nose is usually much higher.
  2. Fleshy nose (Thick skinned nose): Fleshy nose is known for several features such as thick skin, wide nasal tip and cartilage and bone. Due to the more delicacy and accuracy needed in thick skinned nose rhinoplasty, this procedure usually is more difficult and challenging.

Is the fleshy nose surgery reversible?

In the past a nose may be displaced due to the use of reductive rhinoplasty technique and insufficient stiffness of the structural tissues of the nose. So, it was possible for the nose to reverse back to its original shape. Today, cartilage grafts are often necessary to properly construct and strengthen a weakened nose and give it the most appealing and irreversible result.

Results

Generally speaking, achieving the following satisfactory results of rhinoplasty in Tehran or other cities in the country can be assured for a life time if you do your best to choose the right expert for nose job in Iran to get the proper form of nose. Some of these nose form are as follow:

  • Natural structure rhinoplasty:

Natural looking nose job is a strategy in which any modification is made to preserve natural integrity of the nose and rectify nose defects. Natural looking nose rhinoplasty in Iran is the most common among men. It creates a nose bridge that is perfectly straight and it is not curved at all. In this model the nose is fully matching with other parts of the face and the nose tip will not become upright. The ideal nasolabial angle is between 90-95 degrees. This model is recommended to patients with long face to help their face look rounder.

  • Fancy nose surgery:

With fancy nose surgery, the bridge of nose is curved and the nose tip is pulled up. It is necessary for patients to have realistic expectations of the best expert for rhinoplasty in Tehran or other cities in Iran. Making nose extremely small or upright can destroy the balance and harmony of nose with other facial features and decrease breathing quality too. Fancy nose rhinoplasty is suitable for people who have bony nose with thin nasal skin. It is not recommended for nasal skin with thick tissue. The angle between nose and upper lip should reach 105 degrees in fancy look nose cosmetic surgery. Based on golden ratio of facial aesthetic, fancy nose rhinoplasty disturbs true and natural harmony of male individuals, so it is not recommended for male patients at all.

  • Semi-fancy nose job :

Semi-fancy nose rhinoplasty is among beauty procedures that are very popular among patients who desire to have a nose with both natural and fancy nose features. In semi-fancy nose job done by the best expert for nose surgery in Tehran- Dr. Yahyavi – the proportion of the size and shape of nose with other components of the face will be preserved through developing the rotation of nose tip between 95-100 degrees and creating a slight arc on the bridge. It is a proper model for bony nose patients.

Who is a good candidate for rhinoplasty?

As mentioned before, statistics show that nose job procedures have gained much popularity in recent years as a radical solution that permanently removes deformities in the nose and solves aesthetic concerns. The main purpose of rhinoplasty is to correct the outside problems that negatively affects beauty and achieve healthy breathing. There are always some risks involved in cosmetic and surgical procedures that that act like a barrier to benefit from the procedures. Apart from these, some of the problems can be handled. Reviewing of medical history of the patient is the best way to decide whether the patient is a suitable candidate for surgery.

  • If you are 15 to 17!!

There is no set age as the right age for this surgery. However, it should not be done on teenagers or young adults. Technically, nose is fully formed and stops growing at 15 in girls and 17 in boys. Many teenagers should wait until the full growth of their nose to improve the appearance of their nose or correct the imperfections that they suffer from. During the initial consultation, the best rhinoplasty expert in Tehran will determine whether patient is qualified for this procedure or whether their nose has not fully formed and is longer growing.

  • If you cannot stop drinking alcohol!!

There are some measures of risk like drinking alcohol that can destroy the result of rhinoplasty. Drinking alcohol harms your veins and increases the risk of bleeding. To avoid this problem, it is a good idea to stop drinking this beverage almost 2 weeks before surgery and continue this avoidance until 3 months after surgery.

  • If you have a serious health problem or infectious disorder!!

The severe infectious problems such as Aids and viral hepatitis can stop patient from doing rhinoplasty in Tehran. Doing surgery on these patients can put the surgeon and the team at the risk of getting infected. Considering the fact that nose job follows safety purposes along with aesthetic ones, surgery on the patients with these health problems may be a risk for their health and should be avoided in Tehran and other cities of Iran.

Can I have rhinoplasty if I am overweight?

Excess weight especially obesity and high BMI diminishes many aspects of health and can cause various serious disorders in body and the result of rhinoplasty. It can make anesthesia riskier. Besides overweight people may suffer from a condition called sleep apnea which can cause to temporarily stop breathing while sleeping. Due to these problems, many skilled experts suggest their potential patients to lose weight and get to an ideal BMI before operation.

Do weight changes influence the result?

Since the nose is made of bone, cartilage and a little fat tissue, weight changes do not have direct impact on the result. Your nose remains the same even if you lose or gain much weight. But changes in weight can impact overall facial proportion and balance. When you gain weight, fat collects around your cheeks and it can cause the harmony of nasal structure and face be out of balance. It is completely natural to have nasal swelling during the initial 6 months of rhinoplasty.

Nose skin type in rhinoplasty

Cosmetic nose surgery is largely directed at modifying the underlying bone and cartilage skeleton in order to achieve more desirable external appearance and not much changes is made on the nasal skin during the procedure. But it should be mentioned that nasal skin has crucial influence on the results.

Thin skin tends to heal with minimal scarring but it acts in a poor way to conceal imperfections in the underlying skeletal framework. Another downside of thin skin is the tendency to shrink following surgical procedure. In order to discover your nasal type of skin it is necessary to meet a skilled surgeon.

Rhinoplasty complications

One of the most important questions usually asked by patients who care their health is that whether rhinoplasty carries serious risks and how they can be avoided. To answer the question, it should be mentioned that nose job inlike many other cosmetic procedures may carry some risks. Some of these risks and complications are natural and some specific tips are recommended to decrease their severity. Swelling, bruise and mild bleeding are some of minor and natural complications that can be decreased by the applications of some recommendations such as keeping your head elevated, using cold compress, get plenty of rest, etc.   

Poor scar and drooping nasal tip, nasal adhesion, loose of smell, damage to nerves and breathing problems are some of major rhinoplasty complications that are mostly related to the poor operation of the inexperienced and unskilled surgeon. Therefore, choosing the right surgeon is quite important because the quality of the choice can make a big difference.

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