Aquiline nose - the shape of an external nose which is characterized by the bone and cartilaginous ledge towering over a back. The small hump on a nose is especially noticeable in a profile and involuntarily attracts attention people around, breaks a harmonious combination of features at owners of Slavic appearance. If the small hump is a consequence of the previous trauma, it can be combined with a nose curvature, violation of nasal breath. Correction of an aquiline nose is carried out by the plastic surgeons specializing in area of rhinoplasty after comprehensive inspection of the patient (consultation of the otolaryngologist, a rinoskopiya, a X-ray analysis of a facial skull, computer modeling of a desirable shape of a nose, etc.).
The small hump on a nose is formed by the bone cartilaginous tissue acting over its back and giving it an uneven convex contour. The aquiline nose serves one of very common forms of a nose and a problem of which it is possible to get rid by means of plastic surgery. The small hump on a nose can be hereditary feature or the defect acquired owing to injuries. Quite often such shape of a nose adds to the person of embarrassment, uncertainty and discontent with.
If existence of a small hump on a nose at residents of the Caucasus and Asia Minor is considered typical, then at owners of Slavic appearance this feature brings disharmony in features. Elimination of a small hump of a nose in this case allows to draw attention to eyes, cheekbones, lips, to show and emphasize all natural beauty of the person, to make it more expressive, natural and harmonious. Quite often together with a small hump complexes, failures in private life and at work disappear.
Types of shapes of a nose
The form to a nose is given by cartilaginous and bone bases, and also the soft fabrics covering them. It is schematically possible to present a nose in the form of a geometrical figure – the prism having 4 sides. The nose has a frontal surface (back), horizontal (basis) and two sidewalls. The bone basis of a nose is formed by frontal shoots of maxillary bones and nasal stones. The cartilaginous framework consists of an unpaired cartilage of a partition of a nose which first line forms a nose back form; sidewalls are formed by side cartilages and small, irregular shape the additional and sesamovidny cartilages supplementing a bone basis; thickness of wings of a nose - krylyevy cartilages. The shape of a nose depends on a form of its separate elements: backs, bridges of the nose, tip, wings and nostrils.
As the most noticeable part of the face, a nose and its form brightly transfer national, racial signs and in many respects form appearance of the person. On ethnic features distinguish the following shapes of a nose:
- classical "Greek" - a thin, straight nose with rather narrow wings;
- "Roman" - a thin nose of average length, with a pronounced small hump;
- "negroid" - a fleshy nose with wide nostrils;
- "Mongoloid" - a small, flat nose;
- "Caucasian" - strongly acting aquiline nose and the lowered basis.
The sizes and shapes of a nose can be various: short, long, narrow, wide. In a profile the straight nose, with a small hump, wavy, snub-nosed, concave, convex, etc. differs.
As a rule, the narrow nose has a small hump: the nature provided preservation of capacity of the narrow nasal courses due to increase in the vertical size. This feature is important when carrying out reconstructive operations since removal of a small hump of a nose and necessary rapprochement of sidewalls can lead to narrowing of capacity of the nasal courses and violation of process of breath.
Correction of a shape of a nose by a rhinoplasty method
Operation on change of a form and the sizes of a nose - rhinoplasty is technically difficult, "aerobatics" among plastic surgeons. When planning operation consider a sex, age, features of a structure of a nose of the patient and his wish. Today became possible to execute computer modeling of a nose the patient could consider the new shape.
For carrying out rhinoplasty the age from 18 to 40 years is considered optimum. Sometimes the lower threshold of age is a little shifted if bones of a skull are already created and their growth stopped. After 40 years rhinoplasty is practically not carried out in connection with high risk of development of postoperative deformations. At this age owing to withering of skin, decrease in its elasticity and delay of exchange processes there can be a violation of a retraktion, i.e. skin can not take the form of the new basis. In that case the result of operation on change of a shape of a nose will be nullified by deformations and additional wrinkles. Also at this age recovery processes in bone cartilaginous tissue proceed more slowly.
By means of rhinoplasty it is possible to reduce or increase the nose size, to change its form (including to remove a nose small hump), to eliminate the congenital and acquired defects.
During operation on elimination of a small hump the surgeon deletes a part of bone and cartilaginous tissue, straightening a nose back. When performing rhinoplasty from the surgeon high precision in definition of the place and optimum quantity of cuts, their sizes that on skin there were no excess scars is required.
Operation is carried out under the general anesthesia. Elimination of a small hump of a nose is carried out step by step: at the first stage the surgeon through a section in the nasal courses makes an otsloyka of soft fabrics, getting access to a small hump. Further removal of a cartilaginous component of a small hump, then correction (cutting) of its bone part follows.
After necessary reduction of bone and cartilaginous tissues carry out their movement and fixing in new situation. If necessary correction of a tip of a nose by removal of surplus of skin and hypodermic cellulose, and also change of position of cartilages of this area is made.
After the end of operation imposing on a nose of the plaster bandage fixing the new provision of fabrics is made. Plaster is removed in 8-10 days. For the prevention of bleeding in nostrils establish wadded tampons that makes impossible within several next days nasal breath.
Preliminary results of rhinoplasty can be estimated after removal of a bandage, and final – 6 months when fabrics completely are restored later.
Extremely rare complications of rhinoplasty are suppuration, a necrosis of fabrics and severe postoperative bleedings.
Usually in the postoperative period emergence of shadows under the eyes, hypostasis of fabrics and a congestion of a nose is noted. It is natural reaction to surgery which at 90% of patients disappears within a month. During this period it is necessary to limit liquid reception, physical activity, to avoid viral infections. Reception of vitamins and immunostimulators is desirable. If the patient wears glasses, to him recommend to pass temporarily to lenses to exclude load of a nose bridge.
Solderings, deterioration in breath, loss of sense of smell occur among the most frequent side effects of rhinoplasty. Sometimes even after carrying out operation patients remain are dissatisfied with a shape of the nose therefore, statistically, nearly 25% of noses are exposed to repeated rhinoplasty.
In the remote period the patient is recommended to avoid traumatizing a new nose, diseases of a nasopharynx, antritises not to allow development of infectious processes in nose bones.