Tests before plastic surgery. What tests are required for nose surgery? What images are needed for nose surgery?

The main thing in the work of a plastic surgeon is the safety of his patient. Any operation is associated with risks, even those aimed at purely aesthetic changes in the body. To eliminate the risks associated with the operation, the patient is required to undergo a detailed examination. This is necessary to exclude contraindications to nose correction. Therefore, we will consider not only tests before rhinoplasty, but also the reasons, but to whom they are handed over.

Contraindications for rhinoplasty

Before turning to the list of “measures,” we decided to identify the main contraindications, due to which correction becomes impossible either completely or for the duration of treatment. Contraindications include:

• Oncological diseases.
• Diabetes.
• Infectious diseases of the ENT organs.
• Inflammatory diseases of the general spectrum (from intestinal infections to thrush).
• Viral and bacterial diseases that cannot be treated - hepatitis, HIV, and so on.
• Reduced blood clotting.
• Manifestations of inflammation, rashes on the skin of the nose and nasolabial triangle.
• Damage to internal organs.
• Diseases of the heart and blood vessels.
• Lung diseases.
• Chronic diseases that can complicate the operation.
• Mental illnesses.

RHINOPLASTY WITHOUT SURGERY

Plastic surgeon, Pavlov E.A.:

Hello, my name is Pavlov Evgeniy Anatolyevich, and I am a leading plastic surgeon at a famous Moscow clinic.

My medical experience is more than 15 years. Every year I perform hundreds of operations, for which people are willing to pay HUGE money. Unfortunately, many people do not even suspect that in 90% of cases surgery is not required! Modern medicine has long allowed us to correct most appearance flaws without the help of plastic surgery.

Plastic surgery carefully hides many non-surgical methods of appearance correction. I talked about one of them, check out this method

We emphasized this section because it is an extremely important list not only for health, but also for your life in general. You need to know for sure that everything is in order with your health so that the operation takes place without complications. That is why you should undergo a series of tests, undergo some procedures and visit specialized specialists.

Tests before rhinoplasty

First of all, we will look at what tests are taken before rhinoplasty, which must be done without fail. It is worth noting that the list may vary depending on a number of factors - the type of anesthesia, the wishes of a particular surgeon, and so on. Tests before rhinoplasty include:

• CBC (general blood test).
• Blood test for biochemistry (that is, blood composition - protein, creatinine, urea, and so on).
• Prothrombin analysis.
• Anti HCV and Hbc antigen.
• For HIV and RW.
• Rh factor and blood group.
• OAM (general urinalysis).
• X-ray or computed tomography of the sinuses.
• ECG followed by interpretation.

It is imperative to take tests on an empty stomach. The only thing that is acceptable is a few sips of water. The data obtained is valid for ten days, and therefore such an examination must be done approximately in this time range before the operation.

Visiting doctors

The patient may also be required to visit a number of specialists. We would recommend that you consult your dentist and ENT doctor for advice on inflammatory diseases. Some clinics may not devote enough time to this issue, but such a full examination will guarantee that your health will not suffer irreparable damage.

The plastic surgeon must also perform nose modeling before rhinoplasty. This will allow you to see the future result. If you have previously done (a special substance that is injected under the skin in the nose area), then be sure to report this. The drug may not be completely eliminated from the body, and therefore any calculations and modeling due to the substance will be invalid. The patient himself is then to blame for the defects acquired after such correction.

Our readers write

Topic: Fixed my nose

From: Ekaterina S. (ekary*** [email protected])

To: Site Administration

Hello! My name is Ekaterina S., I want to express my gratitude to you and your site.

Finally, I was able to change the shape of my nose. Now I am very happy with my face and no longer have complexes.

And here is my story

From the age of 15, I began to notice that my nose was not what I would like, there was not a large hump and wide wings. By the age of 30, my nose had grown even more and became absolutely “potato”, I was terribly complex about this and even wanted to have surgery, but the prices for this procedure are simply astronomical.

Everything changed when a friend gave me one to read. You can’t imagine how grateful I am to her for this. This article literally gave me a second life. After just a few months, my nose became almost perfect: the wings noticeably narrowed, the hump smoothed out, and the tip even rose slightly.

Now I don’t have any complexes about my appearance. And I’m not even shy about meeting new men, you know))

The result obtained after the operation will largely depend on how completely and openly you provide medical information about yourself. Mention all types of allergies and additional medical conditions that may prevent you from taking medications during or after surgery. You should also mention the medications that you are taking or stopped taking a month before the operation. Drugs such as coagulants can reduce blood clotting. The results will be catastrophic - significant blood loss, severe hematomas, and in especially severe cases - death. Ten days before surgery, some medications should not be taken. An example would be aspirin, medications with a high iron content, and even some vitamins and dietary supplements.

Before the operation, a consultation with an anesthesiologist is carried out regarding pain relief. Some operations require local anesthesia, while some procedures require general anesthesia. Therefore, this issue needs to be clarified and, probably, allergy tests for substances should be carried out.

The last point in preparation for surgery is diet, avoiding alcohol (which affects the blood and internal organs significantly), energy drinks and other junk food that you consume. Many people wonder how many days not to smoke before rhinoplasty. Let us answer right away: ideally, it is better not to smoke at all, but if you have this bad habit, then it is better to give it up a month before surgery. After surgery, you should also not smoke, at least during the first stage of rehabilitation.

If you have one of the contraindications, the doctor will decide whether to perform surgery if there is an increased risk of complications. Your general practitioner must also approve the surgery. We, in turn, can only advise a reasonable attitude towards your health and life.

After the examination

If the doctor has given his consent to perform the operation, then you need to be prepared for the following:

1. Hospitalization begins at approximately 10 am.
2. The operation is performed on an empty stomach. Eating and all liquids should be stopped approximately 8 hours before surgery.
3. In any case, you will have complications such as swelling in and around the surgical area, hematoma, and pain.
4. You will have to take antibiotics and other medications after the operation.
5. You will need to follow your doctor's instructions exactly after surgery, even if you feel awkward and uncomfortable (for example, not everyone likes to sleep semi-sitting on their back).

We will also stipulate that the operation may be postponed for some other reasons. There are also restrictions that must be observed. Among them:

1. Four days before, four days after and during menstruation, the operation is not performed.
2. Surgery is not performed when a person is sick with acute respiratory infections or acute respiratory viral infections.
3. You should not use cosmetics or nail polish before surgery. Remains of makeup and varnish must be removed. The same applies to creams. Their use is stopped 10 hours before correction. On the eve of the operation, carry out the necessary hygiene procedures: taking a bath, showering, washing your hair.
4. After the operation, the patient cannot drive. Therefore, the person undergoing surgery will need to be accompanied.

This is all. The rest of the information regarding nose rhinoplasty should be provided to you by your doctor. Please note that if the clinic where you plan to correct the shape or length of your nose does not conduct a detailed examination at least on the above points, then it is better to refuse the services of such a hospital. The risk of complications and even injuries in the hands of such irresponsible people increases many times over.

If abnormalities are detected, the patient may be prescribed an ultrasound examination of the liver, gallbladder, pancreas, and kidneys. Changes in blood biochemistry may also indicate the presence of metabolic disorders and endocrinological diseases. Abnormal blood glucose levels may indicate the development of metabolic syndrome or a decrease in cell sensitivity to insulin. Both conditions are precursors to type 2 diabetes. If such violations are detected, a glucose tolerance test and other additional tests are prescribed.

Basic laboratory testing methods are prescribed before all operations. The patient undergoes these tests both before aesthetic rhinoplasty and before plastic surgery, which is performed for functional indications (breathing problems due to a deviated nasal septum). The list of laboratory tests before rhinoplasty includes: a general clinical blood test, a general urinalysis, an analysis of the coagulation system (coagulogram, prothrombin index, clotting time), blood biochemistry (bilirubin, creatinine, liver enzymes ALT and AST, urea), blood glucose, analysis blood for markers of viral infections (HIV, hepatitis B, hepatitis C), blood type, Rh factor. A general clinical blood test is a basic screening diagnostic method. With its help, you can identify many deviations from the norm, including the presence in the body of a hidden pathology, a tumor process, or a chronic source of infection. The doctor receives information about the state of the immune system, the number of red and white blood cells, and hemoglobin level.

After rhinoplasty, internal hematomas may form, which are a complication of the operation. Accelerating blood clotting is also dangerous, as it can lead to thrombosis with the most serious consequences. If changes in the blood coagulation system are detected, rhinoplasty is not performed! The operation is possible only after complete drug correction of the identified disorders. A biochemical blood test is another test for screening diagnostics, which analyzes in more detail the work of the hepatobiliary (liver, pancreas) and urinary systems.

TESTS BEFORE RHINOPLASTY

Tests for immunological markers of viral infections are mandatory laboratory tests before surgical interventions.

Like the CBC, urine analysis is used as a screening diagnostic method, which sets the vector for further diagnostic examination when detecting deviations from the norm. Analysis of the function of the blood coagulation system is the most important point in the diagnostic program. Slow coagulation is fraught with severe blood loss during plastic surgery. The risk of bleeding in the postoperative period increases.

Tests before rhinoplasty: diagnostic plan. Surgery is associated with operational and anesthetic risks. This is true both in relation to general surgery operations and in relation to plastic surgery, the purpose of which is to correct aesthetic defects. Rhinoplasty is no exception to the general rule. At the stage of preoperative preparation, a diagnostic examination is prescribed, which makes it possible to exclude contraindications, identify hidden disorders, and carry out drug correction of the patient’s deviations from the norm. Diagnostics before rhinosurgery operations has another goal - obtaining detailed information about all structures of the facial and nasal skeleton, their relative position. For this purpose, both the latest and traditional methods of visualizing deep anatomical structures are used - X-ray diagnostics, computed tomography, rhinoscopy.

Changes in blood tests make it possible to determine the direction of further, more targeted and specific research of organs and systems. A general urine test is performed to assess the function of the urinary system, but not only for this. The qualitative and quantitative composition of urine changes due to various diseases.

ANALYSIS BEFORE PLASMOLIFTING

Is it possible to tighten the skin with plasma lifting? It is possible, but within 2-3 mm. 45. Is it possible to combine plasma lifting with other procedures for rejuvenation?…

Any surgical intervention carries a potential danger for the patient. To achieve a good result, the surgeon’s experience alone is not enough, since much depends on the patient himself.

There is only one way to avoid troubles during surgery - to prepare well for it. Patients must scrupulously follow all instructions of specialists and undergo mandatory preoperative preparation.

Indications for plastic surgery

Indications for rhinoplasty may include various defects in appearance:

• disproportionate size of the nose;
• large nostrils;
• hump,
• thickened tip of the nose;
• deviated nasal septum;
• congenital and acquired deformities of the nose;
• genetic defects in appearance (for example, cleft lip), etc.

Features of preparation for surgery

The process of preparing for rhinoplasty includes several stages:

1. The first consultation with a plastic surgeon, during which he examines the patient, determines the scope of the upcoming surgical intervention and makes prescriptions.
2. Blood and urine tests are submitted to the laboratory.
3. The patient undergoes a hardware examination.
4. Consultations are held with highly specialized specialists identified by the surgeon (therapist, anesthesiologist, cardiologist, neurologist, dentist, etc.).
5. A second consultation with a plastic surgeon takes place before rhinoplasty, during which the doctor takes photographs of the patient’s nose and marks.

• several weeks before surgery, it is necessary to completely stop taking medications that thin the blood (this requirement must be fulfilled unquestioningly in order to eliminate the risk of bleeding during surgery);
• stop taking hormonal medications and other medications, especially those that affect blood pressure (if the patient has chronic diseases that require regular medications, he should consult a doctor);
• a month before surgery, you must quit smoking and stop drinking alcohol (nicotine often leads to the formation of blood clots in the postoperative period);
• stop taking vitamin-mineral complexes for a while;
• stop visiting solariums, and also minimize the time spent under the sun, etc.

6-8 hours before plastic surgery, the patient must:

• stop eating solid food (intestinal cleansing is prescribed, which can be done through an enema or a special drug);
• It is prohibited to use cosmetics, including lotions and creams;
• Before visiting the operating room, the patient must take a shower and put on sterile clothing (usually issued in medical institutions).

After surgery, the patient is taken on a gurney to his room. Within a few hours he will recover from the anesthesia (it is not recommended to drink water, as a gag reflex may occur).

If the patient is thirsty, he can moisten his lips with a damp cotton pad or gauze pad.

The patient will have to spend the night within the walls of a medical institution, and the next day (if there are no complications) he will be discharged home to undergo rehabilitation.

During the entire recovery period, the patient must follow the instructions of his doctor, take medications, undergo physical therapy procedures, and attend regular checkups.

Mandatory tests

During the appointment, the plastic surgeon must give the patient a list of laboratory and hardware tests that he must undergo before undergoing rhinoplasty of the nose:

1. Biochemical and clinical blood test, which determines the levels of protein, glucose, creatine, ALT, AST, bilirubin, etc.
2. General urine analysis.
3. An analysis that determines blood clotting time (INR, PTI);
4. A blood test that determines the patient's Rh factor;
5. Blood tests revealing sexually transmitted and infectious diseases (even in latent form): viral hepatitis group B - HbsA, C - HCV; AIDS; syphilis (RW), etc.
6. ECG (cardiogram is performed on all patients, without exception).
7. Fluorography or radiography (the image shows the condition of the patient’s bronchi and lungs).
8. Nomogram of the nasal bones and maxillary sinuses (this diagnostic method allows you to determine the condition of cartilage and bone tissues and identify any pathology at an early stage).
9. Rhinomanometry is prescribed to prevent breathing problems in the patient in the postoperative period.

Additional tests

After examining a patient who is scheduled for rhinoplasty, the plastic surgeon may have doubts about the functioning of some of his internal organs and systems.

In this case, the patient is sent for additional examination:

• if the endocrine system is disrupted, blood donation is prescribed to determine hormone levels;
• if the functioning of the gastrointestinal tract organs is disrupted, patients are sent for an ultrasound examination, including endoscopy of the stomach;
• if the patient is at risk of developing postoperative complications, he will need to consult a dentist;
• people who have heart disease are prescribed echocardiography in addition to a cardiogram;
• if there are disorders of the nervous system, the patient is referred for consultation to an appropriate specialist;
• if the presence of tumors is suspected, patients are prescribed magnetic resonance or computed tomography, which can determine the type of tumor;
• A hardware examination of EEG, etc., will help you find out about problems with the blood vessels of the brain.

Prices

Today, many Russian medical institutions perform rhinoplasty within the walls of their operating rooms.

The cost of such surgical intervention directly depends on the degree of complexity of the defect, the age and health of the patient.

Prices for studies in Moscow clinics are presented in the table.

Video: What is rhinoplasty

Conclusion

For rhinoplasty to be successful, the patient must undergo thorough preparation for plastic surgery.

He should send the necessary tests, carry out hardware diagnostics and get advice from highly specialized specialists indicated by the attending physician.

In the absence of contraindications, which will be confirmed by the examination performed, the patient will undergo rhinoplasty of the nose, through which all visible and hidden defects will be eliminated.

Discussion: 3 comments left.

I annually undergo a preventive examination with an otolaryngologist, since I have a deviated nasal septum and various problems often arise. My doctor advised me to undergo rhinoplasty to normalize nasal breathing, and also to remove a visual defect. The operation was performed in a private clinic, which my friend told me about. Rhinoplasty lasted for 1 hour, I was given general anesthesia, from which I quickly recovered and did not experience any side effects. During rehabilitation, I felt severe pain, there was swelling of the eyelids, and there was almost no nasal breathing. After a few months, everything completely went away, and I was able to evaluate the result, which I was very pleased with.

I recently turned 18 years old, and I began to think about rhinoplasty, because in childhood I fell unsuccessfully, which resulted in a severe curvature of the nasal septum. I started choosing a clinic where plastic surgery would be performed a long time ago, I studied Internet resources, and asked friends. I decided to go to a well-known medical center that has been performing such operations for a long time. In a week I need to go to see a surgeon. I am very afraid of anesthesia, but I am reassured by the fact that now only safe anesthetics are used that do not harm the blood vessels of the brain. I hope the operation will be successful, and in a few months I will be able to pleasantly surprise my friends with my new appearance.

Since childhood, I have not liked my nose, which even then was large and humpbacked. I firmly decided to correct this defect, and when I turned 25, I turned to a plastic surgeon. I first carefully studied articles about rhinoplasty and reviews from former patients, so I went to see a specialist confidently and without fear. Before the operation, I had to undergo preparation, which included tests, hardware examination and consultation with other specialists. During plastic surgery, I had otoplasty and rhinoplasty at the same time. I came to my senses very quickly. Discomfort and severe pain appeared the next day. But it’s okay, all this can be endured, but now I have the nose of my dreams and am very pleased with my appearance.

An initial consultation at a plastic surgery clinic involves not only answering the patient’s questions, but also identifying the main points of his medical history. At this stage, the surgeon asks the patient to provide a medical record and clarify what medications are currently being taken. This is necessary in order to prevent possible negative consequences that may result from an inattentive and negligent attitude towards the patient’s health during the period of preparation for surgery.

Based on the collected information, the surgeon informs the patient what tests need to be taken before rhinoplasty. You should take into account the fact that each surgeon may have his own list of tests and include additional items. In addition, before the operation under general anesthesia, the patient is given a more detailed list.

List of tests before rhinoplasty

1. General urine analysis
2. Clinical blood test
3. Blood chemistry
4. Blood test for HIV and syphilis (RW)
5. Test for hepatitis C and B (HSV and HBS antigen)
6. X-ray of the paranasal sinuses
7. Coagulogram and blood test for prothrombin
8. ECG with interpretation
9. Blood type and Rh factor

In addition, the patient should obtain a physician's opinion and consult with his dentist.

To identify nasal breathing problems, rhinomanometry is performed. The condition of the paranasal tissues is assessed based on the results of an x-ray or computed tomography.

Absolutely all patients preparing for rhinoplasty undergo a hemoglobin test. Low hemoglobin levels may indicate anemia. In this case, patients are prescribed a complex of homeopathic remedies with a high iron content. It is advisable to take a blood test no later than three weeks before the operation. This will allow you to determine your hemoglobin level in advance and, if necessary, increase it to the required level with the help of vitamin supplements.

Main contraindications

Even before undergoing all the basic medical tests, the patient should inform the surgeon about health problems such as: eye diseases, thyroid diseases, heart disease, high blood pressure, circulatory disorders, diabetes, bleeding disorders, keloid scars, etc. The surgeon may ask the patient if he smokes and if he has had other plastic surgery on the face and nose before.

During the initial consultation, the surgeon provides the patient with a list of medications that should be avoided before and after testing and for the first month after surgery. In addition, the patient should avoid drinking alcohol and salty foods three days before surgery. This will reduce the likelihood of fluid retention in the body and will reduce the degree of swelling after rhinoplasty.

The cost of plastic surgery does not include preoperative examination. The patient undergoes preoperative tests independently.

IMPORTANT! Results and extras The patient must send the examination for approval by email. surgeon's address [email protected] no later than in 10 days before surgery.

Algorithm for preparing for a medical examination and sending documents to plastic surgeon A.V. Grudko

✔ Blood tests are taken strictly on an empty stomach.

It is forbidden to take food or any liquid;
A minimum of 8-12 hours of fasting is recommended;
More favorable hours for blood sampling in the morning are from 07:30 to 12:30;
Blood is taken before fluorography, chest x-ray, CT of the nose, MSCT of the chest);
Venous blood collection should be preceded by a 15-minute rest;
1 hour before donating blood for testing, you must refrain from smoking.

✔ Urine analysis.

A strictly morning portion of urine is collected, excreted immediately after waking up (the previous urination should be no later than 2 am);
Before starting urine collection, it is necessary to perform hygiene procedures without using disinfectants and antibacterial soap;
The first few milliliters of urine should be flushed down the toilet. Next, the entire portion of morning urine must be collected in a dry, clean container while urinating freely;
The collected material must be immediately delivered to the laboratory;
It is not advisable to collect urine during menstruation.

✔ The day before and on the day of the test, psychological and thermal stress, heavy physical activity (including sports training), and alcohol intake are unacceptable.

✔ Medical documentation is accepted only in Russian.

✔ Copies of tests are not allowed; upon admission to the clinic, only originals of all documents are accepted.

✔ Each analysis/conclusion of a specialist must be placed on a separate form.

✔ Each form must indicate the name of the institution, the signature of the person who issued the document, and the original seal.

✔ When a complete set of medical documents is ready, they should be sent to the following email address: [email protected] .

✔ When sending tests, please pay attention to the format of the submission and the quality of reading the forms.

✔ In the subject of the letter, please indicate: full name, date of consultation and operation, name of the operation, contact mobile phone number for communication.

✔ Within 24 hours after sending the letter, the personal assistant of plastic surgeon A.V. Grudko will contact you. will confirm receipt of honey. documents, will inform you about the completeness of the set, as well as their satisfactoriness.

On the day of surgery, the patient is required to provide the clinic with the results of all tests., conclusions, extracts and other medical documents strictly in ORIGINAL form.