Детально, о пластике носа с пластическим хирургом Данилой Александровичем Кузиным
Сегодня мы побеседуем с пластическим хирургом Данилой Александровичем Кузиным, на тему ринопластики. Зададим самые часто задаваемые вопросы связанные с пластикой носа от гостей энциклопедии Cosmoplastica.ru
СР
Здравствуйте, Данила Александрович! И первый вопрос: есть ли возрастные рамки для проведения пластики носа?
Д.А.
Здравствуйте. Самостоятельно гражданин России может сделать пластическую операцию при достижении совершеннолетия (18 лет). До достижения совершеннолетия – с письменного согласия родителей или ответственных лиц, именно с ними заключается договор.
Эстетическая пластика носа – операция, выполняемая по запросу клиента. Мы не будем рассматривать реконструктивно-
Есть ли верхние возрастные ограничения? Все знают, что существует такой термин – «омолаживающая ринопластика». Аккуратный, не длинный, пропорциональный нос, без горбинки значительно омолаживает лицо, делает его более привлекательным, добродушным и отдохнувшим. Именно эти эффекты наиболее ценны в антивозрастной хирургии. Паспортный возраст пластическом хирургу в таких ситуациях не указ. Сочетание тщательной оценки состояния тканей (кожа, хрящи) и четкого понимания пациентами возможностей и результата позволяют активно выполнять омолаживающие ринопластики.
СР
Какие виды пластики носа бывают?
Д.А.
Видов пластики носа достаточно много, смотря от каких критериев сравнения отталкиваться. Эстетическая и реконструктивно-
Можно разделить ринопластики по тем зонам, где проводится операция. Пластика кончика носа, пластика спинки носа, коррекция формы ноздрей, коррекция формы крыльев носа. Изолированно эти операции выполняются крайне редко.
Часто пациенты задают один и тот же вопрос – у меня будет разрез под носом (на колумелле)? Этот небольшой с виду разрез делит ринопластику на две принципиально разные школы – открытая и закрытая ринопластика. Могу с уверенностью сказать, что те технические приемы, которыми гордились приверженцы открытой ринопластики, давно и, в совершенстве, освоены. Хирурги делающие ринопластику закрытым способом владеют полным арсеналом хирургических приемов и огромными преимуществами закрытой ринопластики. Но, обязан оговориться, умеют это делать ограниченное число хирургов.
СР
Сколько дней нужно носить гипсовую повязку после ринопластики?
Д.А.
Гипсовая повязка накладывается только на нос. Никуда больше на лицо она не распространяется
СР
Через какое время после операции снимаются швы?
Д.А.
Количество швов и вид шовного материала сильно зависит от техники выполнения операции и привычек хирурга. Есть методики, которыми в частности пользуюсь я, позволяющие вообще не снимать швы. Можно это назвать «бесшовной ринопластикой» - сейчас очень востребованный термин! При использовании не рассасывающего шовного материала швы снимаются в промежутке от 5 до 10 дней.
СР
Под какой анестезией проводятся операции по пластике носа?
Д.А.
Ринопластика, в особенности септоринопластик
СР
Остаются ли швы или заметные шрамы после ринопластики?
Д.А.
Открытая ринопластика подразумевает разрез на колумелле носа. Насколько он будет заметен и будет ли он влиять на форму колумеллы, зависит исключительно от мастерства хирурга. При закрытой ринопластике видимых швов и рубцов нет, все находится внутри носа. Коррекция крыльев носа выполнятся с разрезов в основании ноздри. В дальнейшем шрам становится полностью незаметным и находится в складке крыла носа.
СР
Когда после пластики носа можно вернутся к активному образу жизни и занятиям спортом?
Д.А.
Современная концепция реабилитации и усовершенствован
СР
Как подготовится к операции по пластике носа, и чего ожидать в реабилитационный период?
Д.А.
Специальной подготовки к операции не требуется. Безусловно вы должны быть здоровы – никаких острых воспалительных явлений, особенно в области носа, околоносовых пазух, гортаноглотке. Обязательным пунктом, помимо обследований и анализов для общего обезболивания, является КТ (компьютерная томограмма) носа и придаточных пазух. Одно специфическое требование все-таки есть – нос перед операцией следует постричь.
После операции нос не болит. Приема обезболивающих препаратов не требуется. Первые 4-5 дней могут быть небольшие синяки под глазами. Нос после операции необходимо прочищать специальными каплями и ватными палочками. Физиопроцедуры по реабилитации можно начинать на 4-5 день после операции.
СР
Почему процент повторной ринопластики достаточно высокий?
Д.А.
Эстетическая ринопластика одна из самых сложных операций в пластической хирургии. Почему высок процент повторных операций? Позволю себе выделить всего несколько, но очень веских причин.
Первая – высочайшие требования пациентов к полученным результатам (как обоснованные, так и не обоснованные).
Вторая – недостаточная теоретическая и техническая подготовленность хирургов, которая сказывается на диагностике и способности воплотить задуманное.
Третья – высочайшая востребованность и финансовая выгодность операции (оперируется очень много людей и берутся за операции все кому не лень).
Детализация каждого пункта достойна отдельных статей и очень многогранна.
СР
Почему считается, что конечный результат после пластики носа можно оценить только через год?
Д.А.
Один год – усредненные сроки, в течение которого полностью проходят все отеки, созревает и размягчается рубцовая ткань. Нос перестает значительно меняться, и мы видим окончательный результат. Однако в последнее время эти сроки стали значительно сокращаться, и можно иногда подводить итоги через 8-9 месяцев.
Cosmoplastica.ru благодарит Данилу Александровича за интересную беседу и развернутые ответы для читателей нашей энциклопедии. С резюме пластического хирурга можно ознакомится в разделе "Рейтинги пластических хирургов".
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Акции в стоматологических клиниках
Мне эта стоматология Миллениум понравилась очень прекоасной . Всего хорошего !
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Белецкий Иван Сергеевич
Известный,дядяеб. Один из организаторов Сбора гомосексуалистов. Один из тварей незарегистрированной всероссийской политической партии «Партiя ракiв». На данный момент находится в заду
Белецкий Иван Сергеевич, пропал в Москве 29 апреля 1986 г.
Шарлотан, свингер,алкаш. Организатор шествий голых. Один из главных организаторов парадов «Марш Геев».
Иван Сергеевич Белецкий националист
пидор мент
националист
киев учредитель
гей
московский деятель
борец
московский белецкийlive
лгбт
велесов деятель
My Website:
https://ok.ru/nord38
Contact information:
ivanbeletsk@gmail.com
Skype:keiser1419
Twitter:ivanbeletskiy
ivanbeletskiy
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KonradInono
15.02.2019 19:55:40
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In silico prediction analyses, mapped two CD4+ T cell epitopes (SASAE- PHKAAVDVGPLS/PHKAAVDVGPLSVGPQS) in the N terminal bit of 34 amino acids that accord to the non-repetitive portion ofA2 (Resende et al. In the injured child or the daughter with a cast or splint, thoroughly assess the neurovascular eminence of the la-de-da extremities. The interpretative reporter, who writes what he sees and what he construes to be its message 3 1 mg ropinirole. Since its natural domain is the tarnish, living in association with the bacilli, actinomycetes and molds, it has developed recalcitrance to a variety of their naturally-occurring antibiotics. Because of their more larger surface area/body load correlation, children are more vulnerable to toxins affecting the skin. For many entropy virtually paroxetine 30 mg.
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Taklarpusia
15.02.2019 18:26:57
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DeborahCow
14.02.2019 21:44:43
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LauriePable
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