What should I choose: to have open or closed nose surgery? We determine this regardless of your preferences. In our practice, we are guided only by how to achieve predictable and long-lasting results most effectively and with the least effort. There is no template path to achieve this. The approach to each person is individual. Neither one nor the other surgical approach will reduce the healing time, the severity of edema and make your rehabilitation after rhinoplasty easier or harder, both involve the separation of soft tissues in the most bloodless layers- subcostally and subcostally. This minimizes injury and blood loss during rhinoplasty, and also ensures comfortable work for the surgeon.

Doctor: Malakhov Alexander Andreevich

In this case, it can be noted that the ideals of beauty can be completely different. What unites people? If you look closely, there are many beautiful people, but they all differ from each other. They are united by a normal anatomy — something that does not catch the eye, but harmoniously combines with facial features. It is these nuances, these facial features, that the doctor analyzes, determining which points require correction and what deviates from the normal anatomy. In the future, the doctor explains what needs to be done to achieve a balanced result.: both in relation to all parts of the nose and in combination of the nose and facial features. Of course, the opinion of the patient also plays an important role, since there may be certain individual requests. Again, within the framework of normal anatomy, some variations of parameters are allowed, so it is important to discuss these points with the patient together.

Doctor: Malakhov Alexander Andreevich

In general, as far as aesthetic surgeries are concerned, they are usually available fr om the age of eighteen. Why? Because before this age, the human skeletal and facial skeleton is actively formed. To obtain predictable results on an already formed face, this age is always taken into account. Until adulthood, only functional operations can be performed in the nasal area, for example, if the child has breathing problems.

As for the upper age limits, they don't really exist as such. There are certain contraindications due to the fact that age imposes its own limitations. They are expressed in the form of chronic diseases, which can play a role both in preparing the patient for surgery (making it impossible) and negatively affect the rehabilitation period. Therefore, I would say that the average upper lim it is up to about seventy years of age, when a person is still quite active in society. Why this particular age? Because, as a rule, a critical mass of chronic diseases has not yet accumulated by this time, which could interfere with the preparation of the patient for surgery and his management in the postoperative period.

Doctor: Malakhov Alexander Andreevich