Nasal columella plasty. Rhinoplasty. Columella plastic surgery of the nose, nostrils, tip, open and closed Plastic surgery of the nasal columella

The nose is not only a respiratory organ, but also an important detail of our appearance, which, unfortunately, is often far from an aesthetic ideal. A crooked or hooked nose, too big or too small a nose - this is what our patients very often complain about, because any, even the most insignificant, flaw in appearance can lead to the development of complexes, and generally pretty spoil life. And that's not to mention that a deformed nose can make breathing difficult or cause snoring. Agree, not the most pleasant things either. To solve all these problems, rhinoplasty, or, more simply, nose plastic surgery, is called upon.

How is rhinoplasty performed?

There are two types of rhinoplasty: open and closed. The second option is considered more preferable, since all incisions during the operation are made from the inside of the nose and after rhinoplasty there are no visible marks left on your nose - they are all inside. An open method (that is, a dissection on the outside) is rarely used - with very complex plastic options.

The operation in most cases is performed under general anesthesia and lasts from half an hour to two and a half hours. It all depends on the specific case. At the end of the operation, you will have self-absorbable sutures that will disappear within a week, and cotton swabs will be inserted into your nostrils (they will be removed in a day). In difficult cases, a plaster splint is also applied.

What is rhinoplasty capable of?

Correction of the tip of the nose

This version of the operation allows you to make the tip of your nose thinner or thicker, to correct the angle or protrusion. It is carried out internally. The surgeon corrects soft tissues and cartilage.

Correction of the nasal septum

This correction is also called septoplasty. It is carried out with the help of an endoscope, which is essentially a micro-camera that allows you to "look" inside the nose and makes it possible to apply the internal variant of plastic surgery even when it comes to the nasal septum.

Nose alae correction

There are two options: decrease and increase. In the first case, part of the wings on the outside is removed (as shown in the figure). In the opposite situation, the main task of the surgeon is to restore the support of the wings of your nose. For these purposes, a small piece of cartilage tissue is taken either from the auricle or from the nasal septum.

Nose reduction

In this case, the part of the nasal bone that "spoils" your nose is removed. Thus, the operation allows not only to reduce the nose, but also to correct its shape.

What to do before rhinoplasty?

If you decide on rhinoplasty, then you will have to follow some simple rules:

• within a week before the operation, do not drink alcohol and drugs that thin the blood;
• if you are taking any medication prescribed by your doctor, you will need to inform our specialist about this during the preliminary consultation;
• at the time of the operation, your nose must be completely healthy (no SARS or acute respiratory infections - this will also need to be taken care of).

About computer simulation

Many of our patients are concerned about the question: how exactly the nose will look after plastic surgery, and this is quite justified, because sometimes it is very difficult to imagine all the details of the future appearance, guided solely by one's own imagination. To solve this problem, we use computer modeling, which will allow you to see what your future nose will look like during the consultation.

What to do after?

Already a day after rhinoplasty, you can go home. The sutures, as we have already said, will dissolve on their own, and the splint can be removed after ten days.

You will be able to return to the usual rhythm of life at the latest in a week, however, for several months after that, you will need to observe some restrictions:

• do not sunbathe in the sun or in a solarium;
• exclude thermal procedures, first of all, a sauna and a bath;
• limit physical activity;
• in addition, it is not recommended to wear glasses at first, as they will put pressure on the bridge of the nose, so if you need constant vision correction, get contact lenses for this time.

As you can see, nothing complicated. Moreover, the reward for following these rules is a perfectly shaped nose.

Questions and myths

Rhinoplasty, as well as any other operation related to appearance, raises questions in patients, the answers to which, for some reason, many prefer to receive not from specialists, but on the Internet. Hence the many myths that accompany rhinoplasty. Let's try to figure it out.

Myth #1 – Rhinoplasty is painful

As we have already said, the operation is performed under anesthesia, so there is no pain. Moreover, in comparison, for example, with breast plastic surgery, rhinoplasty is considered a fairly simple and non-traumatic procedure.

Myth #2 – The effectiveness of rhinoplasty depends on the season

Some people think that rhinoplasty is best done in the summer so that the nose is not in the cold, while others consider rhinoplasty to be an exclusively winter operation, because in winter it is easier to protect yourself from the sun's rays. This is not true. Rhinoplasty is equally effective at any time of the year. When exactly to carry it out is up to you.

Myth #3 – It is very easy to identify a person who has had a rhinoplasty.

Of course, it's easy, because his nose will become more beautiful and better. But seriously, rhinoplasty, as already noted, leaves no visible marks behind, so the likelihood that someone will find out about the operation is practically absent.

Finally

It should be understood that rhinoplasty requires not only professionalism from a plastic surgeon, but also the talent of a sculptor, because the doctor, in fact, creates a new shape of the nose. In this case, we are talking not only about the proper functioning of the respiratory organ, but also about its beauty. That is why it is very important to choose the right clinic.

Clinic "GENESIS" is a staff of qualified specialists with a worldwide reputation. For more than ten years, plastic surgeries of any level of complexity have been carried out within the walls of our clinic. Our clinic consists of hundreds of patients who, with our help, have already solved problems with their appearance.

Clinic "GENESIS" is always a comfortable visiting schedule. Your visit will be scheduled at the most convenient time for you. Modern sparing techniques allow us to minimize the length of stay in the hospital - a day after the operation, we will let you go home.

Clinic "GENESIS" is a maximum of attention. Our specialists will take into account all your wishes regarding the upcoming rhinoplasty and answer any questions you may have.

Are you unhappy with the size or shape of your nose? Call the Clinic "GENESIS" and we will help you solve this problem!

Rhinoplasty (before and after):

The nose is the most pronounced part of the face, thanks to which the face can change beyond recognition. The part of the skin located between the nostrils is called the columella and greatly influences the appearance of the nose. Also, this small part of the nose is very important for the breathing process to be normal, and for this, it performs important functional tasks. At rhinoplasty the columella is often corrected to remove an aesthetic flaw and create a harmonious nose.

Columella - what is it?

Between the human nostrils there is a unique part of the skin, which is called the columella. Anatomically, the columella of the nose consists of the medial crura of the alar cartilages, however, these cannot be seen. There is another name for this anatomical term: column or column of the nose.

The huge role of columella lies in the perception of a person's nose as something normal, not interfering with existence. These qualities are inherent in a beautiful columella:

• width - no more than five to seven mm;
• in women the angle between nose and lip is about one hundred degrees, in men ninety-five;
• there should be no sagging of the column;
• the location of the columella cannot be higher than the wings of the nose, when viewed from the front.
• symmetry of the nostrils.

The success of rhinoplasty directly depends on these rules. If you do not take them into account, the image of the nose will be very wrong, as a result, the appointment of a second plastic surgery is possible. In other cases, excellent results can be obtained with a simple operation to improve the nose.

In some cases, people may have problems with the columella of the nose, for the solution of which it is necessary to carry out rhinoplasty of the nose in Moscow. Patients of a plastic surgeon, based on how the ideal columella of the nose should look like in size and shape, most often face the following problems:

• sagging of the nasal column;
• very high location of the columella;
• a very small, or vice versa, large, angle between the nose and the lip.

In certain cases, a person considers that his nose is large, with a curved tip, snub-nosed. To correct the appearance, in general, it does not require heavy and traumatic operations aimed at changing the shape of the back or its tip. A change in the nasal column will also suffice. For this purpose, we recommend paying attention to rhinoplasty of the nose, the price of which will pleasantly surprise you.

Columella correction during rhinoplasty

Maintaining a perfect combination of nose and face is the goal of a plastic surgeon when correcting a certain flaw. This should also be done in the most simple way. With an irregular shape of the columella, the result of working with it will not make the face beautiful, but will reveal other features.

Sometimes when correcting the nasal column, the doctor does a lot of work. It depends on the structure of the nose of a person who has expressed a desire to provide plastic surgery services. In such cases, the tip of the nose can be changed by the doctor, raised higher, and with it the columella of the nose.

It happens that the effect can be achieved with columella plastic surgery. In this situation, the surgeon transfers them higher without touching the column. As a result, it becomes, as it were, lower. The doctor and patient must work closely together in preparation for surgery. The patient should be explained what he would like to see at the end of the operation, and the doctor, knowing all the subtleties of such a process, the structure of the nose, should tell you which methods are best used to achieve the desired result.

The amount of work depends on how much anesthesia is needed during the operations of the surgeon. In cases where the doctor needs to remove unnecessary tissues to raise the nasal column to the intended height, it is enough to use local anesthesia. If you need to do more, general anesthesia is indispensable.

Advantages of anesthesia causes the following:

• thanks to medication sleep, the patient is not aware of the excitement, he is physically unable to move, and interfere with the surgeon in his work;
• general anesthesia makes it possible to almost not use local anesthetics, and, as a result, the doctor works with those tissues that have not been exposed to various drugs.

The importance of anesthesia in a particular case is discussed with the doctor. After assessing how large and how long the work required, coupled with the degree of soreness, he should advise the patient to use the most appropriate option in a particular case.

Many factors affect the recovery time after columella plasty. In particular, these include:

• doctor experience;
• how severe the intervention was;
• how accurately the instructions of the surgeon were followed.

Two weeks after rhinoplasty in Moscow is optimal rehabilitation period after rhinoplasty . But there is an exception. After two days, you can return to normal life if only columella has been corrected by the doctor.

People of all ages and any gender turn to rhinoplasty, wondering: how much does a rhinoplasty of the nose cost? The reason for this is clear - the nose is that part of the face that adorns a person more than other parts of the face. It is enough to order a rhinoplasty of the nose in Moscow, and an excellent result is guaranteed.

Rhinoplasty is a concept that includes many different techniques to change the shape of the nose. Some patients need to work with the bone part of the back, others - with the cartilage part, and the third - with the soft tissues of the tip of the nose. Often there is a need for correction of columella. And what it is, how this part of the nose is corrected and what effect can be achieved with the help of surgical intervention, you can find out by comprehensively considering this issue.

Columella - what is it?

The nasal columella is the part of the skin located between the nostrils. Anatomically, the columella includes the medial crura of the alar cartilages, but they are not visible visually. Sometimes it is called a column or column of the nose.

This small fragment of the nose performs a number of important functional tasks in the normalization of the breathing process. Supporting the tip of the nose and maintaining the optimal lumen of the nostrils, it allows you to freely inhale and exhale air. So, to provide the body with oxygen, which is involved in all biochemical processes.

What should a columella look like?

A small area of ​​skin called the columella of the nose plays a huge role in the perception of the nose as a harmonious part of the human face. A beautiful columella should have the following qualities:

• its width should not exceed 5-7 mm;
• the angle between the nose and lip should be about 100 degrees for women, 95 degrees for men;
• the column should not sag;
• when looking at the face from the front, the columella should be located lower than the wings of the nose;
• nostrils should be symmetrical.

If these rules are ignored, any rhinoplasty will not be successful. The nose will look disharmonious, and the person may go for a second plastic surgery. While in other cases, a simple correction operation can give a more pronounced result.

Problems with columella

What problems can be with columella to require nose plastic surgery - rhinoplasty?

Based on how the ideal size and shape of a columella should look like, we can identify the problems that potential patients of a plastic surgeon most often face:

• the nasal column sags;
• columella is too high;
• the angle between the nose and the lip is too large, or vice versa, small.

A person may regard his nose as too wide, with a curved tip, snub-nosed. But in order to correct the appearance, it is not necessary to do complex and traumatic operations to change the shape of the back or its tip. It is enough just to change the column of the nose.

Non-surgical correction

In the event that the column of the nose is small, that is, the angle between the nose and the lip is increased, and there the nose looks snub-nosed, or the leg of the columella and the wings of the nose are located on the same level, you can use

Its meaning lies in the introduction of a special preparation under the skin - a filler, which increases the volume of tissues. As a result of this, the columella of the nose becomes larger, and the nose itself looks harmonious. During the procedure, the doctor injects the filler into the columella in the required volume through the needle. The intervention causes a minimum of pain, but if desired, you can use an anesthetic injection.

The advantages of the method are:

• minimum rehabilitation period;
• short duration of the procedure;
• no need to do tests and functional studies before the procedure.

The main disadvantage of the method is its fragility. The duration of the effect depends on the drug that was injected into the soft tissues of the columella: a more viscous gel will be retained in the tissues longer. But it is necessary to take into account the individual characteristics of a person.

The safety of the method is great, but relative: the introduction of any substance into the body can become a catalyst for pathological processes, for example, exacerbation of chronic diseases, the development of autoimmune diseases. In order to avoid such consequences, you need to undergo a medical examination and consult with your doctor.

Surgical correction of columella

If the columella is large or sagging, the only method of correction is surgery.

But the methods used by the surgeon when performing the operation may be different. Correction of the columella of the nose should be discussed by the doctor and the patient before the operation, so that the operated person is as satisfied as possible with the result.

The easiest way to reduce the columella is to excise the soft tissue and, if necessary, the adjacent cartilage. Understanding how the nasal septum is connected with the columella, we can conclude that in some cases it will be necessary to reduce the length of the septum itself, and only then tighten the columella.

During the preparation period, the doctor decides which operation technique will be more justified in a particular case: raising the nasal column, or deepening it to create a harmonious angle between the nose and the upper lip.

For patients who are not satisfied with the temporary solution of the problem in the form of a biogel injection in the cosmetologist's office, there is a way to permanently maintain the result with the help of surgical intervention. In this case, we are talking about lowering the columella or filling the columnar labial angle.

For this, cartilage implants can be used, which are installed in the columella region in order to lengthen the nasal septum. The implant is fixed with suture material.

Change of columella during rhinoplasty

The goal of a plastic surgeon is not only to correct a specific defect, but also to maintain the overall harmony of the nose and face, and also to make it as simple as possible. Sometimes the columella of the nose has an irregular shape, but working with it will not make the face beautiful, but, on the contrary, will make other features more obvious.

Therefore, sometimes, in order to correct the nasal column, the doctor can make a volumetric correction, based on the structure of the nose of a person who has come to the plastic surgery clinic. The doctor can change the tip of it higher, thereby pulling up the columella. Sometimes rhinoplasty is effective, when the surgeon moves them higher, so the column, remaining in the same place, becomes visually lower.

Therefore, preparation for surgery is a productive collaboration between the patient, who must explain what result of the surgical intervention he wants to see, and the doctor, who knows the structure of the nose and the person and understands what results and what methods can be achieved.

Is anesthesia necessary?

The need for anesthesia during surgery is determined by the amount of work that will be carried out by the surgeon. If the doctor plans to simply excise excess tissue, thereby raising the nasal column to the required height, local anesthesia can be used. For large-scale surgery, it is better to use general anesthesia.

The advantages of anesthesia in rhinoplasty can be identified by at least two arguments:

• the patient, being in a medical sleep, does not experience excitement, is not able to make involuntary movements, in other words, to prevent the surgeon from performing “jewelry” work on his face;
• with general anesthesia, the need for the use of local anesthetics is reduced, so the doctor gets the opportunity to work with “living” tissues, and not with various drugs that have been injected.

To find out if anesthesia is needed in a particular case, it is better to consult a doctor. Assessing the scale and duration of the proposed work, as well as the degree of pain of manipulation, he should recommend to the patient the most suitable option for a particular operation.

Preparing for the operation

Rhinoplasty in Moscow, St. Petersburg and other cities of Russia requires a mandatory medical examination of the state of health before the intervention. For this, there is a list of laboratory tests and functional studies.

In addition, opinions from the attending physician and, in the presence of chronic diseases, a specialist physician may be required.

Rehabilitation

How long it will last depends on many factors: the experience of the doctor, the extent of interventions, the state of health of the patient, the thoroughness of fulfilling all the surgeon's instructions.

On average, the tissue healing time for nose surgery is two weeks. But if the doctor corrected only columella, a person can return to normal life after 2 days.

It is quite possible to reduce the risk of unsuccessful intervention if you remember a brief reminder for a plastic surgeon's patient.

1. Choosing a doctor is half the battle. It is important to choose a specialist who will have experience in correcting noses with such aesthetic defects. Of course, finding such a doctor for rhinoplasty in Moscow or another big city is much easier.
2. Before the operation, colds, emotional and physical stress should not be allowed.
3. After the operation, you need to give the body time to heal the tissues, carefully following all the recommendations of the surgeon.

Rhinoplasty is the most common plastic surgery in the world, which is performed by people of any age and gender. And there is a reason for this: it is the nose that is called the part of the face, which to a greater extent affects the beauty of a person. Therefore, even slightly changing the structure of the human nose, you can achieve a beautiful result.

Immediately, let's define what a columella is. Columella, or, as it is also called, the column of the nose, is a fold located between the nostrils. It is formed by the skin component and the legs of the large alar cartilages. The aesthetic appearance of the nose, the contours of its nostrils and their symmetry depend on the columella. According to modern canons of beauty, it is generally accepted that it should be slightly below the level of the nostrils.

In addition to the aesthetic function, an anatomical load is also assigned to the columella - it must maintain the tip of the nose in an elevated state and form an adequate lumen of the nostrils, ensuring unhindered entry of air into the nasal cavity.

When is columella plastic surgery performed:

• Too upturned tip of the nose due to high columella.
• Descent of the tip of the nose.
• Too sharp or too obtuse nasolabial angle.
• "Dangling columella" is an anatomical feature when the columella is lowered too low compared to the level of the nostrils.

The columella is enlarged by transplantation of the patient's own tissues or biocompatible transplants. With a decrease, on the contrary, its partial excision is required. However, changes in the appearance of the columella do not always imply surgical work with it; most often, complex plastic surgery of the tip of the nose, including its wings, is required. Let's look at the operations in a little more detail.

You can enlarge the nose column in one of the following ways:

• Install cartilage grafts.
• Suture the medial crura of the alar cartilages.
• Introduce fillers or the patient's own adipose tissue into the columella area.

If the patient has a smoothed nasolabial angle, a partial excision of the columella or resection of the edge of the quadrangular cartilage is performed.

With a pointed nasolabial angle, an increase in the nasal septum is performed using biocompatible expanding grafts or suturing is used on paired alar cartilages.

The operation on the columella is performed under anesthesia or with the use of local anesthesia, depending on the volume of intervention, the duration of which is 20-40 minutes. Long-term hospitalization is not required.

Contraindications for columella plastic surgery

Contraindications are standard, as for most plastic surgeries:

• Chronic diseases in the stage of decompensation.
• Violation of the blood coagulation system.
• The presence of skin diseases in the area of ​​intervention.
• Acute respiratory diseases.

Postoperative period

Recovery after columella plastic surgery is much easier than with rhinoplasty, because. in the case of this operation, the bone structures of the nose are not affected. Difficulties in nasal breathing are not observed. For the first 1.5-2 months, swelling and pastosity of the operated tissues are possible, but visually this is noticeable only in the first weeks.

There are also no special restrictions in the postoperative period. Recommend reasonable abstinence from excessive physical exertion, exclusion of the action of thermal procedures - baths, saunas, hot baths. You also need to protect the nose from physical injury, in particular,
In order not to accidentally damage the tip of the nose during sleep, it is better to sleep on your back.