"In ancient times, the Chinese created a whole science called Mian Xiang. According to this teaching, one could form an idea of a person's character by the nose, even predict his fate. The question arises: if the nose determines fate, then changing its shape can change its life scenario? ", - Pavel Andreevich Denishchuk, Ph.D., leading plastic surgeon at the ANA-COSMO clinic, National Secretary of the International Association of Plastic Surgeons ISAPS in Ukraine, about the features of rhinoseptoplasty.
Rhinoplasty - fashion trend or necessity
Paradoxically, but the fashion for the nose is also observed. So, in the 50-60s, the ultimate dream was a small, neat nose with a slightly upturned tip. Now a larger and more noticeable nose with a flat back is considered beautiful.
At the same time, there is no ideal universal nose! The patient can meditate as much as he likes on images of Hollywood stars, but in reality they show only his ideal ideas. In reality, HIS perfect nose looks different. Every face – unique and inimitable, therefore it is not a fact that the star's nose will fit into the patient's face. Best result – it is always the fruit of the joint work of the patient and the surgeon.
About the reasons for the operation
In my practice, I have noted that in 90% of cases, an incorrectly formed or deformed external nose entails problems with nasal breathing. This is already a medical problem, and its solution cannot be delayed. In such cases, rhinoplasty can really change the patient's quality of life.
There are also patients who are simply dissatisfied with the aesthetic appearance of their nose. By the way, plastic surgery can only be performed from the age of 18. This is due to the laws of physiology – up to 18 years of age, bone structures are still being formed, the facial skeleton is growing and changing, and this can make the result of the operation unpredictable.
If we are talking about older patients, then after 45 years, rhinoplasty has a pronounced rejuvenating effect, since the nose drops with age. This increases the angle between the lip and the columella (terminal part of the nasal septum), as well as the distance between the columella and the edge of the upper lip. All these acquired (and sometimes innate) qualities make a person very old.
About unsuccessful surgeries and qualifications of a doctor
With regard to unsuccessful results, it is necessary to take into account such a moment – you see the result, but you don't know what the original material was. Perhaps the surgeon was dealing with such a changed shape of the nose that it was simply impossible to correct it in one step. After six months or a year, you need to make a second correction. Failure can also be seen when the doctor goes along with the unrealistic demands of the patient.
I can say that it is rhinoplasty operations that can serve as an indicator of the surgeon's qualifications.
They are considered the most difficult. This is a delicate and delicate work, almost jewelry. Yes, today there are many centers of plastic surgery, at the same time it is difficult to judge the qualifications of doctors, if only because they do not provide such knowledge in Ukraine.
About what else affects the result
First of all, it's – quality rehabilitation. Based on many years of experience in our clinic, special rehabilitation programs have been developed and patented, which not only speed up the recovery process, but also positively affect the result of the operation. Thanks to this, the patient can appear in society already 2 weeks after the operation.
Secondly, giving up bad habits, in particular smoking, for at least 2 weeks after the operation. Smoking impairs blood clotting and increases vascular fragility – this increases the risk of complications.
Psychological factor
The psychological moment in the communication between the surgeon and the patient is very important - each operation should be preceded by more than one meeting, a conversation. Be sure to discuss in detail with the patient all the details of the future result and make a computer prediction of the future nose. A competent doctor always gives an account of how important the decision to operate is for the patient.
Source: based on extracts from P.A. Denischuk "Mysteries of Plastic Surgery"
September 2-3, 2016 Pavel Andreevich Denishchuk will make presentations within the framework of the scientific and practical program Visiting Professor Program II, which will be held in Kyiv under the auspices of ISAPS.
Theme of the program: «MODERN TECHNOLOGIES OF ENDOSCOPIC AND MINIMALLY INVASIVE FACE REJUVENATION. RHINOSEPTOPLASTY.»
September 2-3 program includes live surgery and presentations also from:
- Oscar Ramirez (USA), an innovative plastic surgeon, one of the TOP 3 plastic surgeons in the world.
- Oleg Kompaniets (Ukraine), Dr. med. Sciences, Honored Doctor of Ukraine, otorhinolaryngologist of the highest category
- Vasily Pasechnik (Ukraine), candidate of medical sciences, surgeon of the highest category, associate professor of the department of combustiology, reconstructive and plastic surgery of KhMAPE
Registration for the event is possible at the link - http://www.vpp.com.ua/
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