Rhinoplasty consultation with Dr.Sohrabpoor (nose job in IRAN)

A Rhinoplasty consultation with plastic surgeon “Dr.Sohrabpoor” about rhinoplasty or nose job , age limits and some tips about nose surgery in IRAN.

Introduction of Dr. Sohrabpoor

Hello doctor, please introduce yourself

I am Dr. Saeed Sohrabpoor, surgeon and specialist in ENT, head and neck surgery, faculty member of Tehran University of Medical Sciences. I have been doing cosmetic nose surgery or septorhinoplasty for about 8 years.

Do you only do rhinoplasty or do you have experience with other cosmetic surgeries?

I do rhinoplasty, I do chin prosthesis and I also do earlobe cosmetic surgery. I also have experiences in therapeutic surgeries such as salivary gland tumors of the thyroid and neck.

So are you familiar with all face and neck surgeries.

rhinoplasty age limit

Given that in this consultation session we want to talk about age limit and conditions of rhinoplasty. Please answer the question whether those who perform rhinoplasty at a young age, the result of the operation will change after a while and may return to the previous state? Please explain about the age conditions of rhinoplasty.

What is the youngest age for rhinoplasty?

In general, we face two age limitations on rhinoplasty:

• Physiological limitations
• Psychological limitations

Physiological limitations: The nose, and especially the nasal septum, like other organs of the body, grows up to the age of teens, and then this growth stops. What is said in references and academic books about this age is different for men and women. The age for stopping nasal growth is 13 and 14 years for women and 15 and 16 years for men. Within these ages, the growth of the nasal septum stops and will reach its maximum growth. And physiologically, rhinoplasty can be performed  one or two years later. But this is not the only factor!!

psychological limitations: After completing the physical development, with the counseling sessions that we do, we can check the mental and psychological condition of the applicant and find out whether he or she is ready for the operation or not? In most cases, the age limit for women is 17 years, and after this year, they reach this mental maturity suitable for surgery, and in the case of men, 18 to 19 ages, it is usually possible to have rhinoplasty.

Regarding the physiological growth of the nose, how can we know if the growth of the nose has stopped or not?

We usually understand this in two ways. The first method is to use previous studies and research in this field, and we know when it’s almost time for men and women to stop growing physically. The second method, based on the pre-operative counseling sessions and the information we receive from the applicant about the person’s height and physical growth in previous years, we can make our estimates more accurate and notice that the person’s physical growth has stopped.

Please explain a bit about the applicant’s mental maturity and how you noticed this maturity in the counseling session.

Given the approximate time of preoperative counseling sessions, which is about half an hour, and the conversations we have, we can almost realize this mental maturity.

For example, just because a person’s other friends do rhinoplasty, and therefore the person has to do it, is not a logical reason for the operation.

On the other hand, when the client talks about his nose problems and talks about his reasonable expectations, then there are more logical reasons.

Or sometimes it happens that the client does this operation due to the pressure of others, which again is not the right reason for the rhinoplasty.

In some cases, we encounter clients who face obsessive-compulsive disorder or depression, and so-called manic patients.

All these facts and conversations help us to understand this mental maturity of a person and to conclude whether this person is a suitable candidate for rhinoplasty or not?

read more : Rhinoplasty consultation with Dr.Sohrabpoor (nose job in IRAN) - Beauty Magazine (butmag.com)

 

What is Reconstructive nose surgery?

Reconstructive rhinoplasty is usually referred to a surgery that nose is disfigured in some way (primary surgery, accident, … ) and it’s necessary to perform another nose surgery. In another word Reconstructive means rebuild the nose, whatever that may mean for each individual case.

For some patients, this is done with a simple gel injection. For other patients, this may require a full open rhinoplasty surgery and complex reconstruction involving the entire nasal structure.

The difference between reconstructive surgery and primary surgery and how to do it

How is secondary nose surgery performed?

In this surgery, according to the existing problems, the following measures are performed:

• To remove the remaining hump, the nasal bone is cut enough to improve the shape of the nose and remove the hump.
• In noses where the tip of the nose is drooping, the cartilage is strengthened to eliminate the problem of drooping. In this case, a cartilage transplant must be performed, and if there is not enough cartilage in the nose, the cartilage is removed from the patient’s eardrum or ribs.
• If the middle septum of the nose is deviated, it is smoothed with the help of surgical techniques to eliminate the deviation of the nose.
• The nasal tubes are also symmetrically shaped to make the holes look as uniform as possible.
• All factors that cause breathing problems should be identified and addressed.

What methods are used to correct the nose?

In reconstructive surgery, like the initial operation, two open and closed surgical techniques are used.

Open method:

 The advantage of this method is the open and wide field of view of the surgeon and the surgeon can make deeper changes without error and with more space. For this reason, this technique is a better method for rhinoplasty, which is more sensitive than the first operation. Also, if the surgery is performed delicately and carefully, no sutures will remain on the nose.

Closed method:

 This method is done in a closed way, i.e. without cutting and opening the nose. Rhinoplasty is one of the most difficult operations in the field of cosmetic surgery, which requires a lot of delicacy and precision. When the skin of the nose is not removed, the surgeon has very limited access to the structure of the nose and therefore cannot make many changes. Most specialists recommend open revision surgery to give the surgeon more access to the nasal structure.

Strengthen nasal cartilage

Use of graft (tissue transfer) in rhinoplasty

 In rhinoplasty, the doctor has to use tissue transfer from other parts of the body to strengthen the nasal cartilage. In primary rhinoplasty, the surgeon usually does this with the help of the nasal cartilage (also called an auto graft); But in the second surgery, if there is not enough cartilage in the nose, the surgeon will have to use cartilage in the ear or ribs. This does not cause any problems for the patient and the incision is very small and will not cause pain.

Use of artificial prosthesis for repair

 If the surgeon finds the amount of nasal cartilage insufficient and on the other hand finds that the thickness of the cartilage in the ear and ribs causes the nose to be deformed, the artificial prosthesis will replace the graft method. These prostheses are silicone and come in different qualities. A good surgeon chooses the best type of prosthesis to prevent problems caused by the prosthesis.

What is the difference between nose repair and primary surgery?

In the second surgery, the patient’s condition is different, both in terms of the structure of the nose and in terms of mood, and for this reason, the doctor has to work harder. The most important differences between this surgery and the first operation are:

Nasal structure is damaged

 In the first operation, all tissues and skin of the patient are healthy and the ENT specialist can easily apply the desired changes. But in the second surgery, these tissues were changed and damaged. For this reason, the surgeon must be more delicate and precise so that the changes cause the least damage to the nasal tissue.

Dissatisfaction of the patient with the first operation

When a person wants to operate on his nose for the first time, although he is naturally anxious and stressed about the final shape of his nose, he has high hopes for the outcome of the surgery. However, most people who want to have rhinoplasty for the second time come to the operating room in a weaker mood and worry that the result of rhinoplasty will not be satisfactory again. On the other hand, these people may have been reprimanded or ridiculed by those around them for tolerating the inappropriate shape of their nose after the first operation, and as a result, they may have lost their self-confidence. A good reconstructive surgeon should give the patient morale and hope that the condition will improve.

Long duration of operation

 Another difference between the second operation and the initial operation is the long duration of surgery. Due to the complexity of the secondary operation, the surgeon needs more time to make changes. This may take up to 3 hours.

read more : What is Reconstructive nose surgery? - beauty magazine (butmag.com)

 

10 Most Popular Celebrity Nose Jobs Before And After (women)

Many people believe that Rhinoplasty is one of the most common forms of plastic surgery in the world, but having a nose job isn’t always a cosmetic thing. For many people, this operation is only to correct a defect in the respiratory system. This problem includes celebs too. Although many celebs have had work done on their noses to help them breathe better, there are other actress and singers who admit to having had nose jobs for appearance’s sake. of course, there are also celebrities who prefer not to comment or admit to have rhinoplasty or any nose lift at all.

This is a list of 10 Most Popular Celebrity who may have had rhinoplasty or any nose job.

1. Bella Hadid Nose Job

Bella Hadid is one of the best successful models in the world. despite her struggle with Lyme disease. From a simple girl next door who loves riding horses, Bella has grown into her super glamorous avatar. What else has changed is her nose. Gone are the days of the cute round nose. Bella can now be seen with a slimmer, defined and angular one.

2. Kaley Cuoco Nose Jobb

Kaley Cuoco has been open about having her nose done as well as a boob job, telling Women’s Health in 2016 that it was the best thing she ever did.

“As much as you want to love your inner self … I’m sorry, you also want to look good,” she said. “I don’t think you should do it for a man or anyone else, but if it makes you feel confident, that’s amazing.”

3. Jennifer Aniston Nose Job

The former friends star opted for a rhinoplasty surgery quite early in her career. But it was not to enhance her appearance and to deal with her deviated septum. Jenifer Aniston nose job, however, brought only subtle changes to the shape of her nose.

4. Megan Fox Nose job

Fans probably won’t be too surprised to discover that Megan Fox’s face is a lot different than it used to be at the start of her career.

It’s even more noticeable when before and after side profile pictures are examined. Although the change in the tip of the nose could be achieved non-surgically with the use of filler, the much thinner shape can usually only be achieved by going under the knife. We wonder if Megan will ever confess to having a nose job…

5. Gigi Hadid nose job

Gigi Hadid is genetically blessed and was born a natural beauty. However, she too did take a little help. Minor tweaks in her nose have been done to enhance her already pretty and glam looks.

6. Scarlett Johansson Nose Job

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10. read more : 10 Most Popular Celebrity Nose Jobs Before And After (women) - beauty magazine (butmag.com)

 

Am I a good candidate for Rhinoplasty ? | expectations, psycho effect

What you expect from your rhinosurgeon and what you think that will happen in your personal and social life after the rhinoplasty is very important. There are many patients, despite the satisfactory result, are dissatisfied with the result of their nose operation after rhinoplasty, due to mental problems, obsessive disorders or being overly influenced by others.

You may also like a form as an ideal nose that does not fit in with any other part of your face. In such cases, after the first consultation with the doctor, you may feel disappointed. As a result, one of the biggest question before rhinoplasty is this. “Am I a good candidate for Rhinoplasty ?

Rhinoplasty and patient’s mental state

Usually, people who have decided to have rhinoplasty, consciously or unconsciously visualize the postoperative conditions in their mind, and sometimes they may expect a miraculous event in their life by creating unrealistic expectations; such as, having successful marriage, gaining more confidence in social interactions, satisfying family and friends, etc.

To have a rhinoplasty, you first need to know that changes in appearance are not going to save your failed marriage, or help you get a new job. So it would be imperative that people who have unrealistic expectations of rhinoplasty refrain from surgery. It is also important to postpone cosmetic surgery for people who are experiencing severe mental crises, anxiety, or unstable emotions.

It is strongly recommended that you go for rhinoplasty when you are not under pressure from others and you do this for personal satisfaction and to eliminate the appearance defects of your face. In general, having realistic expectations, along with choosing a good doctor, significantly increases the probability of patient satisfaction of the outcome of the operation, and ultimately having a more acceptable face can even have positive effects on improving a person’s social relationships.

Ideal nose shape

It is the surgeon who should distinguish the suitable shape of the nose that fits your face. You may have a rhinoplasty with a certain assumption, but during the initial examinations and preoperative consultation sessions, the surgeon will diagnose that another form is more compatible with your face. Or the surgeon may even explain to you that your request is not applicable due to the skin type or the size of the nose before the operation.

Hence, at the first visit, it is necessary to clearly explain all your expectations to your doctor so that he can acquaint you with all the dimensions of the surgery with the explanations he gives.

Natural Rhinoplasty

Unlike fantasy rhinoplasty, in natural nose surgery, only the defects of the nose are eliminated and the appearance of the nose will not change that much. This type of operation is often common among men; Because fantasy noses in men disturbs the proportions of their face and affects the attractiveness of their masculine countenance.

It should be noted that in a natural nose, the lower angle of the nose with the lips is about 95 degrees and there is no curve on the nose.

read more : https://www.theottawaclinic.com/rhinoplasty/am-i-a-good-candidate-for-rhinoplasty/

 

Is anesthesia safe in rhinoplasty?

Rhinoplasty is one of the types of cosmetic surgeries that should be assisted by various anesthesia methods to increase the comfort of the person during the operation. Many volunteers are concerned about the manner and risks of anesthesia for rhinoplasty. Many people even give up the operation because they are afraid of anesthesia.

You should know that despite the various methods available to anesthetize or anesthetize the patient during the rhinoplasty procedure, if you choose a good rhinoplasty, this concern is useless.

This operation is performed after receiving anesthesia by an anesthesiologist. These medications may cause side effects after surgery or the patient may have an allergic reaction to these medications. It should be noted that allergy to anesthetic drugs is one of the possible complications after rhinoplasty that may occur for some patients.

The effect of anesthesia on rhinoplasty

Possible complications and risks have led some people to think that anesthesia can lead to death and other serious damage to their health, while these fears are obsessive and futile.

Types of anesthesia

Rhinoplasty can be performed under different types of anesthesia; the most commonly used anesthesia methods include:

• General anesthesia
• Local anesthesia
• Intravenous anesthetic injection

The choice of type of anesthesia depends on the expertise, experience and skills of the anesthesiologist and the patient’s condition. But it has often been observed that general anesthesia is used for cosmetic surgery.

Local anesthesia

When the goal of rhinoplasty is to make small changes and corrections, so-called outpatient surgery, local anesthesia can be used to reduce pain during surgery. For example, if you want to inject a filler into your nose, the surgeon will use local anesthesia, but you will need to be anesthetized for more extensive changes.

To perform local anesthesia, an anesthetic is injected into the nasal tissue to provide temporary anesthesia for the nose and surrounding tissues. In general, this method is not used in rhinoplasty, but in non-surgical methods of correcting the appearance of the nose, its benefits can be used.

Intravenous anesthetic injection

In some cases, depending on the individual’s condition, complete anesthesia is not possible. For this reason, surgeons and anesthesiologists in the operating room use a method of injecting a sedative into a vein.

The level of anesthesia in this case is shallower than general anesthesia and the person is not fully anesthetized.

General anesthesia

General anesthesia is the most common way to reduce surgical pain. In this method, the person is in the deepest state of anesthesia and all his voluntary activities will be stopped.

Before starting the rhinoplasty procedure, the person’s vital signs and general condition will be checked; To do this, his blood pressure, heart rate and the amount of oxygen in his blood are measured.

During the surgery, subsequent injections are performed using an angiocatheter, and a mechanical breathing device is used to help the person breathe and to adjust their depth and number.

Anesthesia drugs

In the past, riskier drugs were used for surgery, but now, with advances in medical science, less dangerous and much safer drugs are being used in the operating room. In the past, drugs called halothane, isoflurane, and influenza were used to anesthetize patients, but now drugs called propofol, atra curium, and fentanyl are used.

* Each of the mentioned drugs for anesthesia is applied according to the age and physical and mental condition of the patient and also according to the discretion of the anesthesiologist.

Is there a possibility of death in rhinoplasty?

In very rare cases, receiving anesthesia may lead to death, which is more common in the past.

Today, with the efforts of experts in this field, the death rate due to anesthesia has been drastically reduced to the point that it is close to zero, so there is no need to worry and you can have rhinoplasty without considering all aspects.

Complications of anesthesia

One of the dangers of anesthesia in rhinoplasty is drug interactions. The patient should inform the surgeon if the patient has a history of illness and is taking certain medications or is taking medication. Otherwise faced with drug interactions, which can be troublesome for the patient.

These risks are very small, but when the necessary precautions are considered before the operation, the probability of these complications is close to zero.

Short-term side effects

• Feeling nauseous
• Confusion and weakness
• Tremors and severe cold in the body
• Feeling of pain in the muscular area of the body
• Bruising
• Headache
• Sore throat
• Skin rash
• Impaired urination

Nausea and vomiting: One of the most common complications of nasal anesthesia is nausea and vomiting. Usually in the first 24 hours after surgery, the person experiences nausea and vomiting that will disappear after a few hours.

Sore throat: Another complication of anesthesia is the sore throat that is often associated with Slight hoarseness and dry mouth is accompanied.

Headache: One of the complications of local anesthesia is headache, short-term drowsiness, dizziness, and’s common in most people under local anesthesia.

Muscle pain: During surgery, the body and limbs are in an abnormal position and this causes pain in the shoulders, back and chest. This pain usually goes away after 2 to 3 days without the need for any special medication.

Sometimes, anesthesia in people with kidney and liver disease can cause adverse events, and smokers are more exposed to these complications than others.

The short-term effects of anesthesia are quickly eliminated by observing the tips and care before and after the operation, and you can continue your daily life with ease.

Long-term side effects

These complications are rare and most people who have had rhinoplasty have not experienced such complications. Long-term complications of anesthesia are common in the elderly and with certain diseases, and so far few cases have been reported.

Delusions: This complication may be caused by long-term anesthesia.

Memory impairment: Or in another form of Alzheimer’s and amnesia that the patient does not remember his loved ones for a while.