Lowered or raised tip of the nose
A lowered or raised tip of the nose is an arrangement of cartilage in which the end part is turned up or directed down, which is due to the peculiarities of the structure and location.
The content of the article:
Basic principles of nose tip plastic surgery
Rhinoplasty of the tip of the nose
Rhinoplasty results
Lowered or raised tip of the nose
Since ancient times, the correct shape of the nose was considered to be the one in which the back had a straight line starting from the frontal bone and ending at the tip. If a person has an anatomical sinking of the back of the nose, and the end part is directed to the top, this form is called “snub-nosed”, and the downturned and sharp tip of the nose is called “bird-like”. Both in the first and in the second case, the shape of the nose is not correct, which makes a person want to change it and give the nose a more aesthetic appearance. To date, plastic surgery is engaged in solving problems of irregular nose shape, which offers its patients various methods of rhinoplasty, which allows you to choose the most appropriate option of surgery for each clinical case.
The upturned or lowered tip of the nose depends on the correct development of the muscular zone and the bones of the facial skeleton. In some cases, the irregular shape of the end part of the nose will look harmonious, but it happens that cartilage has a structure in which the shape of the nose makes a person’s appearance unattractive, sometimes ugly due to the lack of symmetry and proportions.
With the correct size ratio, a right angle is formed from the tip to the upper lip. If the tip of the nose rises, then, accordingly, the angle increases, and when it is lowered, it decreases. When a person is in profile, you can draw a line at an angle from the bridge of the nose to the tip of the nose and down to the upper lip: it should form an angle equal to 30 degrees. It is these parameters that are considered aesthetically correct.
The shape of the nose is given to a person from birth, but in the process of life it can change, which is influenced by both the injuries received and the process of natural aging of the skin. The main symptom of skin withering is ptosis of the tip of the nose, which is most often manifested in people over 40 years of age as a result of loss of elasticity and elasticity of the skin of the back of the nose and the frontal zone.
Often, it is possible to hide age-related manifestations of skin fading in the nose area only by corrective operations without the need for face lifts and other cosmetic procedures.
Basic principles of nose tip plastic surgery
If a person has a naturally raised tip of the nose, this cosmetic defect is corrected in the plastic surgery clinic, the same applies to the lowered end part of the organ. Surgical intervention on this part of the face is technically very complex and requires a high level of qualification from the surgeon. The main principle of rhinoplasty of the tip of the nose is to preserve the structures of the supporting cartilage, while the doctor works with the lower layers, changes their shape and position. It is very important that during the operation there is no distortion of the end part of the nose or its even greater omission. The surgeon mainly performs exclusively corrective manipulations with the tip of the nose.
Based on the main goals and objectives of the surgical intervention, the operation can be called corrective, which allows it to be attributed to the group of sparing techniques, since the doctor works only with cartilage. But it is worth remembering that the nose is the most noticeable part of our face, any medical error will be noticeable, so the surgeon should approach with high accuracy to determine the points of movement of the tip of the nose. If all the rules and techniques of the operation are followed, as a result, the patient will receive a new nose shape with a harmonious, symmetrical and proportionally correct tip.
Rhinoplasty, like other operations, has a number of contraindications, in the presence of which the intervention cannot be performed or is postponed until the contraindications are eliminated. Considering the fact that the growth and formation of the bones of the facial skeleton lasts up to 20 years, the minimum age from which rhinoplasty can be performed is considered to be 18 years. If the operation is performed earlier, the process of bone formation after a few years may aggravate the result. Surgical intervention in patients under the age of 18 is performed only according to the indications of the attending physician and with the consent of the parents. After 60 years, rhinoplasty is also performed with extreme caution, due to the poor ability of tissues to heal.
Contraindications of surgical intervention include:
the presence of pathological diseases of internal organs;
poor blood clotting;
malignant and benign tumors;
diabetes mellitus;
heart disease.
Before rhinoplasty, the doctor will definitely prescribe a full medical examination, during which it will be possible to establish the presence or absence of contraindications. In addition to the main contraindications, the operation is not performed in the following cases:
the presence of allergic reactions to anesthetic drugs in the patient;
inflammatory processes;
the period of pregnancy and lactation;
weakened immunity.
Rhinoplasty of the tip of the nose
The lowered tip of the nose (as well as the raised one) is corrected in plastic surgery in two ways: an open rhinoplasty technique and a closed version.
The technique of closed rhinoplasty of the tip of the nose consists in dissecting the tissues in the inner part of the nose, that is, along the mucous membrane. After that, the surgeon separates the lower sections of the wing cartilages, and then sutures are performed. It is the seams that are responsible for correcting the tip of the nose.
The main disadvantage of the technique is the surgeon’s limitations in the use of medical equipment, which negatively affects the final result, also during the intervention there is damage to blood vessels that the doctor is unable to control, and as a result, there is a lot of swelling and bruising, and the rehabilitation period is delayed.
The open technique involves dissection of tissues in the area of the bridge, after which the wing cartilages are immobilized, then excess skin and cartilage are removed, stitches are applied, which form the final result. If it is necessary to strengthen and raise the tip of the nose, the doctor works with the supporting cartilage. This technique has a number of advantages, including full control over the course of the operation and reducing the risk of postoperative complications.
Surgical intervention involves the introduction of local or general anesthesia and lasts no more than 2-3 hours.
Rhinoplasty results
After rhinoplasty of the tip of the nose for a long time, about two months, hypersensitivity of the operating area may persist. The swelling almost completely disappears after 14 days, but a slight swelling can persist for up to six months or a year. The first result is visible immediately after removing the bandage, and the final result is 12 months later.
