Necessary Reconstruction Time – Step By Step To Your New Nose

Reconstruction of all layers, including the cartilaginous skeleton, the lining and the frontal flap, should generally be counted on three surgeries four to five weeks apart. If microsurgical plasty with a free flap is additionally required for the reconstruction of the inner lining of the nose, it should be done two months before the actual reconstruction of the nose. Thus, from the beginning to the end of the rhinoplasty surgery and the removal of the stitches, it will generally take at least 12-15 weeks, of which only a few days will need to be spent in the hospital. Less extensive interventions to create an optimal contour of the reconstructed nose can be performed additionally immediately after the reconstruction of the nose.

Working patients can issue a sick leave for this entire period and, moreover, until full recovery.

Nasal Epithesis (Nose Prosthesis) – An Alternative To Nose Reconstruction Using Your Own Tissue

Replacement of the entire nose, half of the nose, or the wing of the nose with epitheses is a possible alternative to nose reconstruction using one’s own tissue. However, more often than not, this is only a temporary solution if additional radiation therapy or chemotherapy is required immediately after surgery to remove the tumor, or if there is doubt that the surgery was sufficient and the entire tumor was removed.
The epitheses of the nose are made of medical grade silicone. In this case, material of varying degrees of hardness can be purposefully used in order to provide a plasticity similar to the skin in the area of ​​the adjacent tissue. The color and shape of the epithesis of the nose are adjusted to the existing anatomical features and are practically invisible in the patient’s everyday life.

A nasal epithesis is only suitable as a long-term solution if the patient can get used to it or if surgical repair of the nose for certain individual reasons is not considered. The epitheses of the nose at the site of the defect, as a rule, are quite stable and well adhered, or, alternatively, they can be fixed with metal implants that are fixed in the bone.
In general, epitheses should not be worn for 24 hours in a row, as the adjacent tissue in the area of ​​direct contact takes several hours to recover. In addition, epitheses need to be changed from time to time, as they are subject to natural wear and tear.

Postoperative Follow-Up And Reconstruction Schedule

The timetable for complex nose reconstruction after malignant tumor removal differs from case to case. Since nasal reconstruction complicates regular follow-up after tumor removal, if in doubt, the patient should be encouraged to reconstruct later.
With carcinomas, it is recommended to wait one year, with very slowly growing, but the same destructive basaliomas – two years. At this time, a nasal epithesis (nose prosthesis) is suitable as a replacement for a nasal defect. The patient can, with less psychological pressure, calmly explore the options, difficulties and limits of reconstruction possibilities.
Due to the limited reserves of its own tissue, even more extensive nose reconstructions require precise planning. Unfortunately, it is always necessary to count on the possibility of relapse in tumor diseases. Therefore, at higher risk, a postoperative follow-up phase is recommended before reconstruction. Early collaboration of otorhinolaryngologists and dermatologists with reconstructive plastic surgeons achieves the best results here.

Recovery After Rhinoplasty: How Quickly Sensitivity Will Return

Plastic surgery of the nose (rhinoplasty) is one of the most popular interventions. Its first results can be seen within 10-14 days, but the final effect is evaluated only after 6-12 months. This is due to the special properties of the recovery period. Consider both the rehabilitation process and the features of the operation itself, indications and contraindications to it.

Indications for rhinoplasty

Rhinoplasty can be performed for aesthetic and medical reasons. In some cases, surgery is prescribed when several factors are combined.
Aesthetic indications

Rhinoplasty can be performed with such disadvantages as:

• Large nostrils
• Pronounced hump
• Volume tip
• long length
• Various curvatures

All such defects impair the perception of appearance and violate the proportions of the face.

Functional indications

The nose performs a number of important functions from the point of view of life support. These include:

• Respiratory
• Reflex
• Olfactory
• Speech
• Protective

The nose allows us to breathe normally, provides warming and purification of the incoming air, participates in the formation of speech and makes it possible to perceive odors. Congenital and acquired defects of both the osteochondral skeleton and the septum can reduce nasal breathing, interfere with smell and reduce other organ functions. At the same time, only pronounced breathing disorders are an absolute indication for plastic surgery.

Complex

Rhinoplasty can be performed with a combination of various aesthetic and functional indications. Reconstructive rhinoseptoplasty is usually performed. This operation makes it possible for:

• Expansion and strengthening of narrowed passages
• Baffle fixes
• Elimination of asymmetry of the nose, etc.

Preparing for plastic surgery of the nose

Preparation for surgery always begins with a consultation with a surgeon. The patient describes the changes that he would like to see after the end of the rehabilitation period. The surgeon conducts an examination and announces the options for correction, discusses with the patient the terms of rehabilitation and possible complications.

During the examination, the doctor:

Assesses the structure of the nose, its symmetry and proportion
Reveals all external and hidden defects

Determines the structure of the skin of the nose and its features
Computer modeling is also carried out. It allows you to understand how the nose will look after recovery.

If necessary, other examinations are carried out. Their full list is voiced by the doctor.

Typically, patients:

• Get X-rays and ECGs
• Take blood and urine tests
• Consult with an otorhinolaryngologist

Contraindications to surgery

Plastic surgery of the nose is not performed for:
• Diseases of the blood associated with a violation of its coagulability
• Diabetes mellitus
• Pregnancy and lactation
• Acute stages of infectious and inflammatory diseases
• Oncological pathologies, etc.

The intervention is not performed on patients under 18 years of age. This is due to the fact that only at this age the formation of the osteochondral skeleton is completed.

The doctor will tell you about all the contraindications.…

Complications Should Avoid During The Postoperative Period

After the intervention, the patient remains in the hospital for a day. In the early days, minor nasal discharge is possible. Also, edema develops immediately after the intervention. It extends to the area of the nose and eyelids. The swelling usually subsides within a month. The applied plaster is removed 1.5-2 weeks after the operation.

The total rehabilitation period varies from 10 days to 3-4 weeks. The duration depends on both the volume of the intervention and the individual characteristics of the patient and the quality of postoperative care.

If the operation involved working only with soft tissues and cartilage, the recovery is quick enough and takes up to 1.5 weeks. If during the intervention all structures were affected (not only cartilage and soft tissues, but also bone), then rehabilitation takes on average 2-3 weeks.
There are some limitations of the postoperative period:

• Elimination of physical activity for 6 weeks
• Refusal to engage in contact and traumatic sports for 3 months
• Wearing a special splint for 1.5 weeks after surgery

Also, patients after surgery are prohibited from:

• Wear glasses for a month (including for vision correction)
• Sleep on your stomach or on your side
• Visit the bathhouse, pool and sauna
• Sunbathe
• Visit the solarium

The exact terms of the restrictions will be announced by the operating surgeon. He will also issue specific recommendations regarding nutrition, intake of liquids, medicines, vitamin complexes, etc.

As a rule, many patients return to their usual way of life within a few days after the operation.

In the recovery period, the following complications are possible:

• Hematomas. They are formed both directly in the nose and under the eye sockets.
• Swelling. They are formed in the area of the nose and eyes, at first they can provoke difficulty in nasal breathing and impaired sense of smell
• Complete or partial numbness
• Pain in the nose. In some cases, discomfort is concentrated in a certain area, in others – over the entire area of the face
• A slight increase in body temperature
• Callus formation that looks like a slight hump or bump

All these complications are not dangerous, do not require repeated intervention and are eliminated on their own. Pain and discomfort can be reduced with special medications.

You should consult a doctor only with severe pain syndrome and an increase in body temperature above 38 degrees. Also, a doctor’s consultation is required for prolonged swelling and hematomas.

Dangerous complications after plastic surgery of the nose include:

• Infection
• Necrosis of skin, bone, or cartilage
• Seam divergence

They arise due to medical errors or violation of the recommendations of specialists in the postoperative period. That is why it is very important to follow all the rules of rehabilitation and go to proven medical institutions.

Important! The final result of the nose plasty is assessed one year after the operation.