Nose reconstruction

Nose reconstruction operations aim to restore or improve the shape and function of the nose.

It is one of the operations that the best plastic surgeon performs at the Freshness Center for Dermatology, Cosmetic and Laser in Hurghada.

Let's learn in this article about the benefits of nose reconstruction, and how it is done? What are the necessary instructions for the success of these operations.

What are nose reconstruction surgeries?

It can be said that the nose is the most prominent aspect of the face, and nose reconstruction includes modifications and aesthetic details that cannot be easily hidden.

The nasal septum or the cartilaginous part of the nose can be corrected by making the nose larger or smaller.

The three extreme dimensions of the nose allow for minor structural modifications, due to the varying thickness of the skin covering it.

 Thus, such operations can be made more difficult due to the nuances that the nose has.

These processes help in the following:

• Repair of deformities resulting from accidents or excision of the tumor.
•  Seal and seal the perforations resulting from the treatment of skin cancer.
• Repair of congenital defects in the nose.
• Correcting nasal deformities as a result of some previous surgeries.

You can also read : Scalp reduction surgery.

Instructions before nose reconstruction operations

The plastic surgeon at Nadara Skin, Cosmetic and Laser Center in Hurghada recommends that patients follow some instructions that include the following:

• Conducting some medical tests to ensure the patient's health condition.
• Asking the doctor about the medical history and finding out if he is taking certain medications or not?
• The plastic surgeon examines the mucous membranes of the nose and checks on breathing functions.
• The doctor should know if you have had any surgeries or surgeries in the nose before.

Operation steps

The plastic surgeon uses general anesthesia, then makes a small incision between the nostrils and then opens the nose.

It separates the skin and mucous membranes and modifies and restructures the nasal septum, then restores and closes the mucous membranes again.

 Finally, he closes the nostrils, and fixes them with specialized medical bandages, which the patient puts on for about two weeks.

Expected results of rhinoplasty

Some swelling and bruising can occur but usually goes away after about 2-3 weeks.

These operations take several hours, and the patient may stay in the Freshness Center for Dermatology, Cosmetics and Laser in Hurghada for a day to ensure the safety of his health.

A plastic surgeon removes the plugs from the nose a day or two after the operation.

You will get great results and your nose will look good within a few days after this surgery, but the last full results will be visible after several months.

Post-operative instructions 

• Complete rest and not do any hard work so as not to bleed.
• Do not touch or rub the nose.
• It is advised not to be exposed to direct sunlight.
• Stop taking any blood-thinning medications.

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Types of techniques used in nose reconstruction

Nose reconstruction strategy after lumpectomy

Most nasal tissue defects result from resection of malignant tumors, especially basal cell carcinoma, followed by squamous cell carcinoma, andSkin cancer.

The tumor can be removed first, followed by a surgical treatment to preserve the rest of the tissue, followed by a partial reconstruction of the nose.

Single-procedure restoration techniques 

Small nose defects can only be repaired by reconstructing the nose performed by a plastic surgeon in a single surgical procedure.

These defects involve less than a third of the nostril and the doctor uses a nose graft technique with thicker skin from the forehead below the hairline, where it heals best.

This step provides completely complete coverage of the tip of the nose and these composite grafts are made of skin and cartilage from the ear as well.

If the defects include more than 25% of the nasal tip or nostril, it should be reconstructed as a complete nasal subunit.

Multi-step reconstructive techniques

These techniques used in nose reconstruction are the best method for complete reconstruction of the nostril.

The vertical design of the forehead blood vessels allows the construction of a bridge of skin containing a specific blood vessel.

A large piece of skin can be obtained and used to correct nose defects.

But another procedure is needed to split this skin and reconstruct the brow anatomy.

Nose reconstruction after total loss

If the nasal septum (the central supportive structure of the nose) is missing, nasal reconstruction surgery is required.

The anterior nasal septum can be built first, then the lining of the septum that remains internally is re-implanted.

The plastic surgeon moves the mucous membrane forward in the form of bilateral round plates.

If the entire nasal lining is replaced, the addition of cartilage will be required.

You can also read : Micro fat injection.

Types of nose reconstruction surgery

Rhinoplasty

Chronic sinusitis can cause symptoms that are difficult to control with medication alone.

That is why the plastic surgeons at the Dermatology, Cosmetic and Laser Center in Hurghada resort to a minimally invasive procedure that may provide great relief to patients suffering from blocked sinuses.

The doctor inserts a small, flexible balloon catheter through the nostril, then gently inflates it to widen the sinus opening.

He puts a saline solution at the end, and the goal of this procedure is to recreate the bone structure and restore normal breathing function.

Septoplasty

The nasal septum forms a wall between the nasal passages, and many people have a deviated septum, which means that the cartilage or bone of the septum separates from one side or the other.

 This may make it difficult to breathe through the nose and cause some other symptoms.

Septoplasty is a surgical procedure that involves removing deviated bone and cartilage from the nasal septum.

This procedure is sometimes necessary for surgery paranasal sinuses Endoscopic.

Secondary rhinoplasty

This operation to reshape, reconstruct and change the size of the nose occurs after surgery, but the results are not satisfactory.

Some of the problems patients complain of after primary rhinoplasty include:

• Distortion of the tip of the nose.
• There are wrinkles around the nostrils.
• breathing difficulties;

These problems can range from minor defects to severe abnormalities.

The plastic surgeons at Nadara Skin, Cosmetic and Laser Center in Hurghada always strive to achieve the highest level of patient satisfaction.

Correction of amputated nose tissue

When subjected to a nasal tissue cut of no more than 5 mm, the cartilaginous components should be removed if they constitute a barrier to revascularization.

Nose reconstruction can then be performed until the cartilaginous lining is reconstructed.

Why are nose reshaping operations necessary after skin cancer treatment?

Nose reconstructions focus on maintaining, supporting and covering the lining of the nose, and use one of 4 different techniques depending on the size of the defects as well as the anatomy of the nose.

Direct Line Closure

This is the easiest and most common method, in which the skin closes in a straight line, lengthening the missing skin line so that the surface does not wrinkle when pulled together.

spot paintings

The local flap technique can be used when the defects are small, this process covers the area of lost skin by pulling the surrounding skin to cover the holes.

Full thickness skin graft

Tissue can be taken from anywhere on the body to adequately cover the nostrils.

forehead flap

This technique is the gold standard for nose reconstruction, as the forehead provides a large amount of tissue that can be safely transferred to the nose.

Finally, you can perform operations Nose reconstruction At the Freshness Center for Dermatology, Aesthetics and Laser in Hurghada under the supervision of the best plastic surgeons to improve the function and shape of the nose.