1. After rhinoplasty, the shadow of nasal tip prosthesis is obvious and unnatural. 2. After augmentation rhinoplasty, the contour of nose bridge prosthesis is obvious, which is easy to be regarded as a done nose bridge;
3, nose redness after rhinoplasty, especially when the ambient temperature changes;
4. After rhinoplasty, the false experience of the bridge of the nose will easily shake;
5. After augmentation rhinoplasty, the nose prosthesis deviates and its appearance is distorted;
6. Expose nasal prosthesis after rhinoplasty;
7. Displacement and slippage of nasal prosthesis after rhinoplasty;
8. Infection after rhinoplasty;
9. After rhinoplasty, the body's rejection of the implant appears;
10, scar hyperplasia after rhinoplasty;
1 1, nose bridge after rhinoplasty.
Rhinoplasty usually takes 1-2 hours, although some complicated operations may take longer. During the operation, the fascia on the back of the nasal bone is stripped, and then the nasal bone and cartilage are carved according to the medical aesthetics, the requirements of the operator and the skills of the doctor, or the carved nasal bracket is directly implanted to achieve the desired effect. Finally, sew the skin back to its original position.
Most rhinoplasty is done in the nostrils, and no trace can be seen after operation. Implants are made of materials that are compatible with human tissues, such as silicone rubber and polytetrafluoroethylene. Rejection is extremely rare and easy to carve.
At present, most rhinoplasty operations form an incision with a length of about 1 cm inside the nostril edge at the junction of the columella and the alar. Through this incision, a spacious cavity is separated under the fascia of the back of the nose or/and the periosteum of the nasal bone, and then the prosthesis is carved according to the requirements of patients and the skills of doctors, or directly implanted into the already carved prosthesis to achieve the desired effect. Finally, sew the skin back to its original position.
Some complicated operations often need to make an incision on the columella, and an inconspicuous scar will be left on the columella after operation.
The causes of common complications and sequelae after rhinoplasty are as follows:
1, the shadow of nasal tip prosthesis is obvious-this is often caused by excessive elevation of nasal tip with prosthesis;
2. The contour of the nose bridge prosthesis is obvious-this is because the prosthesis at the nose bridge is too thick and does not fit well with the cartilage at the back of the nose;
3, nose redness-basically due to the shallow implantation of the prosthesis or the excessive tension of the implant;
4. Prosthesis sloshing-it is caused by the shallow placement of nasal prosthesis;
5. Prosthesis deflection-usually caused by the separation of the implant tunnel that is not in the midline;
6. Exposure of prosthesis-it is caused by improper placement of prosthesis, which leads to excessive local tension in the later stage;
7. Prosthesis slippage-often because the implant is not fixed well, it gradually slips under the action of gravity;
8, postoperative infection-is due to the concept of sterility is not strong, or prosthesis disinfection is not strict;
9. postoperative rejection-this is unpredictable before surgery. Once infection occurs, the prosthesis must be taken out at the first time and replaced with other materials after three months;
10, scar hyperplasia-this is often caused by the incision not following the original physiological arc during suture;
1 1, the light transmission of the prosthesis-mostly occurs after silicone augmentation rhinoplasty, and the nasal prosthesis is shallow and large.
Avoidance mode
1. Use two pillows to raise your head when you sleep in the first week after operation.
2. Within 72 hours after operation, you need to use an ice pack for cold compress to minimize swelling and congestion. Please don't put pressure on the nasal splint during cold compress; After 72 hours, hot compress can be used to reduce swelling. Cold compress or hot compress should be carried out alternately in different parts, and it is not allowed to stay in the same part for more than 15 minutes to avoid frostbite or scalding local tissues.
Swelling is normal after 3.48 hours. The most severe swelling occurred 48-72 hours after operation.
4. The swelling will be reduced by 60% after 1 week, and by 80% within one month, and the remaining 20% will gradually dissipate within1year. When smiling early, the nose may feel stiff, not as soft as before the operation, and will not be noticed by others, and will gradually return to normal as time goes by.
5. If you have pain, you can take oral painkillers such as Fenbid, 1 capsule/12h. If there is no pain, there is no need to take medicine. Please don't drink alcohol when taking painkillers.
6, such as nausea, vomiting, rash, shortness of breath or diarrhea, or fever (body temperature over 37? C) When the surgical wound is red and the pain is aggravated, please contact the doctor immediately. 7. If you feel anxious, you can take diazepam 1mg every 8 hours in the first 24-48 hours. Please don't take other sleeping pills while taking diazepam.
8. Eat only digestible liquid food on the day after operation. You can eat semi-liquid food the next day, but avoid eating foods that make your lips move too much, such as apples and corn cobs, avoid spicy and irritating foods within 2 weeks, and avoid alcohol and tobacco stimulation.
9. There may be bloody runny nose for 3-4 days after operation, and it may be necessary to replace the nasal drainage gauze. Please don't rub or suck your nose, which may stimulate bleeding. After no drainage, you can take out the drainage gauze and the adhesive tape on your cheek by yourself.
10. To prevent bleeding in the first two weeks after operation, please don't suck or blow your nose. Try not to sneeze. If it is unavoidable, please sneeze with your mouth.
1 1. If there is a large amount of bright red bleeding on the nose (the drainage gauze needs to be changed every 30-40 minutes), please inform the doctor immediately. Please sit still and press your nose 15 minutes. Generally speaking, this method can stop most bleeding.
12. Clean the inner edge of nostril and all sutures with a cotton swab dipped in hydrogen peroxide, keep it clean, and then apply a thin layer of erythromycin eye ointment. Doing so can prevent scabbing. You can also send a cotton swab into your nostrils for cleaning until the cotton reaches the length, being careful not to be too deep. As long as the action is gentle, there will be no tingling inside the nose. This step is recommended by the doctor.
13, please avoid strenuous activities (heart rate increases every minute 100 times or more [such as aerobic exercise, weight lifting, bending over]) in the first 3 weeks after operation. Then slowly increase the activity in the next two weeks to get back to normal before the third week.
14. You must avoid lifting more than 5 kilograms within 3 weeks after the operation. Please avoid hitting your nose within 4 weeks after operation.
15. After the operation, the nasal skin and incision site will be sensitive to sunlight. Please pay attention to sun protection within 6 months. If you have to stay in the sun for a long time, please wear a wide-brimmed hat and/or use a better sunscreen (SPF-20 or higher) to resist ultraviolet rays.
16. If there is a nasal splint after operation, wear it for at least two weeks every 24 hours, and then wear it before going to bed at night for three months.
17. You can go to the beauty salon to wash your hair while wearing the nasal splint. Pay attention to prevent the nasal splint from getting wet.
18, after taking off the nasal splint, you can gently clean your nose with soap, which is less irritating and can be used for makeup. If your nose is dry, you can use a moisturizer.
19, the mask can only be used two weeks after operation, and a slight facial beauty massage can only be done one month later.
20. After removing the splint, don't wear glasses or put anything else on your nose for 4 weeks. Frame glasses should be tied to the forehead. Contact lenses can be worn as long as the swelling subsides enough to be put in.
2 1, sometimes the tip of nose feels numb after rhinoplasty, and occasionally the front teeth feel strange. These feelings will gradually disappear with postoperative recovery.
22. After suture removal and internal/external splint, it is suggested to gently remove the crusted skin of the nose with clear saline, especially after nasal surgery such as nasal septum reconstruction or inferior turbinectomy.
23. The stitches were removed 7 days after operation. Before taking out stitches, keep the incision clean to avoid pollution. After 24 hours of suture removal, observe whether the wound is dry and has no secretion.
counter-measure
As a patient, we should know as much as possible about some common nursing knowledge after rhinoplasty, make all kinds of preparations before operation as much as possible, find a regular plastic surgery institution, select an experienced rhinoplasty doctor to carry out standardized and standardized operation, and strictly follow the doctor's advice or postoperative nursing guidance. Generally, the probability of complications or sequelae in rhinoplasty is very low. The swelling and bruising in the first few days after a brand-new nose operation may make you forget that your nose will look good. In fact, many plastic surgery patients will feel depressed in the first few days after surgery, which is very normal and understandable. Rest can make this unpleasant period of depression pass smoothly. Your nose will look better every day, and your spirit will gradually get better. 1 -2 weeks later, you will feel that you have never had an operation.
However, the healing of surgery is a slow and gradual process. The swelling of the tip of the nose may last for several months. Sometimes it takes a year or more to see the final result. At the same time, you may experience abnormal reactions from your family or friends. They may say that your nose hasn't changed before and after the operation, and some people may even resent you for changing the view of your family or friends. If this happens, you must remember the purpose of your planned operation. If the operation itself has catered to your wishes, then your operation is successful. Once there are various complications or sequelae, don't worry, get in touch with the surgeon in time and carry out correct treatment under the guidance of a professional rhinoplasty doctor. Some repair operations can be carried out three months after operation, while others will be carried out more than one year after operation, and the nasal tissue will be completely restored.
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