Temporomandibular joint disorder and what you need to know :

Temporomandibular joint disorder and what you need to know :

Temporomandibular joint disorder

Temporomandibular joint disorder | The temporomandibular joint includes the condyle joint of the lower jaw with the skull bone and, like all body joints, plays a role in bone lubrication and movement.. This area includes muscles around the jaw, blood vessels, bones and nerves. The basis of the work of this joint is the coordination of the jaws in movements such as chewing and biting.

Therefore, the disorder in this area causes problems with the flexibility of the jaws. You may feel severe and intermittent pain in the above areas while talking, yawning, chewing, or even while resting, and it may have been with you for many years..


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Jaw surgeon of Isfahan  | Temporomandibular joint disorder

Temporomandibular joint disorder symptoms

The most common symptom is pain that is felt not only in the jaw and face but also in the shoulder and neck. Also, you may find an unreasonable and incongruous feeling in the area of ​​your pinky joint or even experience muscle spasms.. سندرم مفصل گیجگاهی فکی اغلب باعث درد و ناراحتی شدید می شود. This complication may be temporary or last for several years. It may affect one or both sides of your face. Women are more affected than men and among people between 20 until the 40 Sal is more common.

Common symptoms include::

  1. درد یا حساسیت در صورت، ناحیه مفصل فک، گردن و شانه‌ها و داخل یا اطراف گوش هنگام جویدن، صحبت کردن یا باز کردن دهان زمانی که سعی می کنید دهان خود را کاملا باز کنید
  2. Jaws that clamp or lock in open or closed mouth position
  3. Clicking, popping, or grinding noises are heard in the jaw joint when opening or closing the mouth or chewing.. This may or may not be painful.
  4. A tired feeling on your face
  5. Difficulty chewing or sudden uncomfortable bites – As if the upper and lower teeth do not fit together properly.
  6. Swelling on the side of the face
  7. There may also be toothache, headache, neck pain, dizziness, earache, hearing problems, upper shoulder pain, and ringing in the ears. (Tinnitus) you have.

The way to diagnose temporomandibular joint disorder (TMJ)

The specialist dentist examines the signs and symptoms of your problem and performs the necessary examinations of the shape of the jaw movements and the presence of stiffness or pain in the facial muscles.. عکسبرداری رادیولوژی و در برخی موارد انجام ام آر آی یا سی تی اسکن نیز در صورت لزوم برای تشخیص دقیق تر استفاده شود. عکس ام آر آی بافت نرم همچون دیسک مفصل فک را بررسی می کند و به این ترتیب می توان حرکت مناسب فک را تشخیص داد. با انجام سی تی اسکن می توان جزئیات استخوان فک را مشاهده نمود. به علت اینکه بسیاری از بیماری های دیگر همچون دندان درد، عفونت سینوس، آرتروز یا بیماری لثه نیز می توانند علائم مشابه درد استخوان فک داشته باشند، دندانپزشک متخصص می تواند با بررسی سوابق شما و آزمایش های لازم علت درد مفصل فک را تشخیص دهد.

اگر اختلالات مفصل گیجگاهی فکی در شما تشخیص داده شود، درمان بلافاصله شروع می‌شود. دندانپزشک متخصص ممکن است در ابتدا به شما پیشنهاد دهد که از راه های درمانی غیر جراحی استفاده کنید. اما در مورد بیماران مبتلا به اختلالات شدید مفصل فکی گیجگاهی، مراقب و درمان های ساده و شخصی نتیجه ی مطلوب را به دنبال نخواهد داشت و نیاز به عمل جراحی می باشد. در هر حال عمل جراحی به عنوان آخرین راه حل برای درمان اختلالات مفصل فکی گیجگاهی توصیه می‌شود.

Isfahan nose surgeon | Temporomandibular joint disorder

treatment methods

1 -Orthodontics

آیا ارتودنسی برای درمان مفصل گیجگاهی فکی کاربرد دارد؟
در واقع مشکلاتی که برای بایت به وجود می‌آید، سبب ایجاد این ناهنجاری می‌شود، به همین جهت براکت‌ها می توانند به منظور کاهش علائم درد مورد استفاده قرار گیرند. زمانی که دندانها صاف و مرتب می‌شوند و در جایگاه صحیح خود قرار می‌گیرند، مفصل فکی گیجگاهی نیز به جایگاه خود بر می‌گردد که در این صورت علائم آن کاهش یافته و یا حتی متوقف می‌شوند.

Rarely, we need surgery for temporomandibular joint disorder. Usually, the problems are solved by correcting fillings and dental veneers or orthodontics to make the dental relationships and occlusion suitable..

2 -Dental Appliances

If there is no structural disorder in the joint, your surgeon will pay attention to the destructive effects of teeth in biting and chewing..

3 -mouth guard

The surgeon uses a plastic plate to fix the upper and lower teeth. This treatment is very effective especially in cases of teeth grinding, especially at night.

4 – اسپلینت

اسپلینت یک ابزار موثر است که با قرار گرفتن در دهان و بر روی دندانها، مانع از قرار گرفتن دندانها روی هم می‌شود. استفاده از این ابزار به طور معمول در شب‌ها بوده و برای افرادی که دارای دندان قروچه هستند، بسیار مناسب است.

5 -درمان جراحی surgical treatment

In cases of structural temporomandibular joint disorder and the ineffectiveness of the device and dental guards and splints with the help of MRI or CT Scan of the jaw bones, the surgeon may recommend surgical treatment..

These surgical methods include arthroscopy, open surgery or washing the area with two needles in the area to enter the washing liquid and remove the resulting items..

Isfahan nose surgeon | The effect of jaw-face surgery

آیا می‌توان از مفصل گیجگاهی فکی پیشگیری کرد؟

به طور کلی باید گفت که راهی برای پیشگیری از این اختلال وجود ندارد، اما با مدیریت استرس و ترک برخی از عادات رفتاری نادرست مانند دندان قروچه می‌توانید به کاهش علائم آن کمک کنید. برای ترک دندان قروچه استفاده از نایت گارد می‌تواند بسیار موثر عمل کند. همچنین مشاوره، ورزش و تغذیه مناسب می‌توانند کارایی بسیاری برایتان داشته باشند.

What do you know about Apolis fissureatum?

What do you know about Apolis fissureatum?

Apolis fissureatum – Reaction losses

Apolis fissureatum | Due to its special anatomical position and its various actions, such as chewing, the oral cavity is constantly exposed to various chronic and continuous stimuli; For this reason, there are many lesions in the mouth called reaction or stimulus lesions (Reactive) or pseudo-tumoral in response to these chronic and continuous stimuli that appear in different areas of the mouth such as the gums, tongue, cheek, palate, alveolar mucosa, floor of the mouth and alveolar bone of the jaw..


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Isfahan nose surgeon  | Apolis fissureatum

Apolis and soft tissue lesions

A hyperplasia (volume increase) Benign in the gingival connective tissue, which is often a reactive lesion and occurs in response to constant stimulation.. Its other names are granuloma fissuretum, hyperplasia of inflammatory fibrosis, epolis fissuretum.. This condition can be found in toothless people who have lost their dentures (Complete denture) They are used to create the edges of the denture.

Sometimes these lesions also occur during pregnancy, which often resolve after delivery. But if its size is large or it interferes with chewing, it should be removed during pregnancy. These lesions are in the form of smooth and firm swelling, which have different sizes, and its surface is flat, red and sore. These lesions are mostly seen in the front of the jaw.

Diagnosis of these lesions by clinical examination by a dentist and Jaw surgeon of Isfahan It can be done easily and the treatment includes removal of the lesion by surgery or by laser. Laser therapy makes the recovery period very short and easy.

The important point in the treatment is that the irritating factor must be removed so as not to cause the recurrence of the lesion. For this reason, it is necessary to see a dentist if there is a problem with the denture or if there is any swelling in the mouth.

The reactive lesions of the oral cavity include the following lesions:

  1. Excitatory fibrosis
  2. Environmental myxoma
  3. Peripheral cemento fibroma
  4. Hyperproplasias in response to drugs;
  5. Apolis fissureatrum
  6. Palatal papillomatosis and inflammatory papillary hyperplasia
  7. Pyogenic granuloma or pregnancy tumor
  8. Apolis granulomatosum
  9. Fibrosis healing of injury caused by tooth extraction
  10. Peripheral granuloma cell
  11. Jeanette central granuloma cell
  12. Aneurysmal bone cyst
  13. Traumatic bone cyst
  14. Traumatic neuroma
  15. Mukosel
  16. Ranula

Apolis fissureatum (Cracked food)

Apolis fissuretum lesion is a pseudo-tumoral hyperplasia of fibrous connective tissue in connection with poorly fitting removable dentures.. Due to the lack of stability of mandibular prostheses, apolis fissuretum is more common in the mandible and occurs mostly in the anterior areas and on the buccal side of the alveolar ridge..

This lesion occurs mostly in middle-aged and elderly people, who use dentures, and apolis fissuretum has been reported to be more common in women. Alveolar bone breakdown after pulling teeth over several years causes relatively high prosthesis edges and mild trauma. It becomes continuous.

 Jaw surgeon of Isfahan  | Apolis fissureatum .

Reactive lesions of the oral cavity

It is better to replace or reline movable prostheses after 5-10 years in order to prevent the formation of apolis fissuretum. From a clinical point of view, the lesion is in the form of long strips of regular wide tissue near the edges of the prosthesis. (Flange) The prosthesis is placed in the groove between them.

The abundance of Epolis fissuretum in the vicinity of the edges of mobile prostheses is so much that it is often easily diagnosed, but in any case, there must be a malignancy. (Like SCC) Rahmwara considered; For this reason, microscopic examination is necessary. In rare cases, SCC, verrucocarcinoma, and malignant salivary tumors may develop near the edges of the prosthesis and create an appearance similar to apolis fissuretum. As a result, their complete removal by surgery and pathological examination is mandatory..

Prevention of osteonitis after rhinoplasty

Prevention of osteonitis after rhinoplasty

Osseous nasal edema after surgery

Osseous rhinosinusitis | The nose can be considered one of the most important parts of the face that has a great impact on your appearance and beauty, and any small change in it can change your entire appearance.. So you should be diligent in protecting it and pay great attention to the health of your nose. Some people undergo surgery and nose surgery due to abnormalities or problems in their nose, which will not be a problem if it is accompanied by the approval and prescription of a specialist, because nose surgery is for a specialist. Isfahan nose surgeon Compared to other facial surgeries, it will be lighter and easier.


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Jaw surgeon of Isfahan | What are the side effects of bone nose surgery?

Osseous rhinosinusitis

Sometimes complications and problems may arise for the patient naturally after surgery, problems that you can solve by consulting a specialist or doing special things.. One of these problems can be swelling, Bruising or inflammation of the nose And also swelling Bone nose After the operation, you know that the appearance of your nose will change completely, so it is better to be familiar with methods to deal with or prevent it..

Complications of rhinoplasty And the swelling of the nasal bones after the operation are generally temporary and will disappear after a certain period of time in about two to three weeks, so it is better not to worry and do not rush to return to your normal state.. Of course, it is noteworthy that the extent of this problem varies among people and will not be determined precisely.

You can prevent this problem by doing special things and mentioning it to the specialist, and also after the operation, you can suppress it by observing other points.. Stay with us in this article to briefly and usefully mention the most important things related to post-operative ossification..

Swollen nose

Before getting acquainted with the methods of dealing with and preventing nasal problems and nasal ositis after surgery, it is better to know what the problem of ossitis after surgery is and what you are facing.. Swelling or edema of the nose is a type of reaction that occurs as a result of the repair of an injured area of ​​the nose, this inflammatory swelling is caused by an increase in intercellular fluid, and in most cases, it will be present for one to three months after the operation of the patient..

During the surgery, there are points that the specialist can prevent this from happening as much as possible. For example, if the specialist performs the surgery more gently and spends more delicacy in the surgical process and its steps, this may not happen..

Another thing is to be more gentle with the bones, and to separate the skin from the nasal skeleton more delicately to reduce bruising and swelling.. Regarding the amount of swelling, it is significant that this case has a direct relationship with the thickness of the nasal skin, which means that the thicker the nasal skin, the more the intercellular fluid accumulates in it; As a result, we will see the need for more time to resolve the swelling of the nose.

Isfahan nose surgeon | What are the side effects of bone nose surgery?.

Prevention of the occurrence of osteonasal edema

As we have mentioned in the above sections, the specialist can prevent the occurrence of osteonasal edema after the operation by using some tricks.. Stay with us in this section to mention other things in this regard:

  1. Try to follow the medical advice
  2. Start the necessary care some time before the surgery.
  3. Do not take medicine without a prescription and do not use herbal supplements.
  4. Having a healthy diet is very important.
  5. The use of tobacco, especially cigarettes, is prohibited.

What is the process of reducing swelling after nose surgery?

After five to six weeks of rhinoplasty, the tissues of the nose gradually recover. Therefore, the bruised color of the nose will be less and the swelling after the nose surgery will be much less compared to the first days, and at this time the appearance of the nose after the operation will be somewhat clearer..
Although swelling of the tip of the nose, it is possible to approx 188 It is still there a month after the operation. Although the swelling of the tip of the nose will be more noticeable in people who have thicker and oily skin; But it gradually decreases. To completely eliminate the problem of swelling of the nose after the operation.

Reduction of nasal swelling

After you performed your surgery and you had a problem with swelling of the nose after the operation. You can partially solve your problem by using the following tricks. Of course, it is noteworthy that consultation with a specialist is the first step for treatment.

  • Try to avoid heavy activities and sports.
  • Glue the tip of your nose according to the instructions of the specialist.
  • Do not bow your head.
  • After your surgery, use an ice pack.
  • Try to walk daily.
  • Take medications as prescribed by your doctor.

Isfahan nose surgeon  |  Prevention of osteonitis after rhinoplasty

How to remove swelling after nose surgery?

In order to make it easier to bear the pain after the nose surgery and to reduce the swelling after the nose surgery. Methods recommended by the nose surgeon for home treatment of patients; Some of these methods are described below.

  1. In addition to reducing swelling after nose surgery, keeping the head up will also reduce pain. Keeping the head up causes more blood to flow in the face area. Therefore, more blood reaching the facial area around the nose will reduce swelling and pain after nose surgery..
  2. Using a cold compress can be used as another method to reduce pain and swelling after nose surgery.. To apply a cold compress around the nose, you can use ice packs available in pharmacies, or square ice packs available in the refrigerator.. Use a cold compress for a long time 20 minutes in consecutive hours, it can reduce the pain and swelling of the nasal area well after nose surgery.
  3. Avoid bathing with hot water after nose surgery; Because bathing with hot water will increase the swelling after nose surgery. Of course, if the attending physician deems it necessary to use a hot water bath to heal the wound after rhinoplasty. It is better to follow the doctor's advice.

Nutrition to reduce swelling of the nose after surgery

Proper nutrition is also very important for the removal of bony nose edema after surgery . And by doing this correctly, you can get your health as quickly as possible. Try to minimize or eliminate the use of salt in your diet. Use natural juices and liquids such as pineapple juice or celery juice. Try not to eat hard foods and foods that require a lot of chewing. Avoid tobacco and alcohol for four weeks before and after the operation.

 

Complications of cleft palate and treatment

Complications of cleft palate and treatment

Complication of cleft palate

Sugar lip and cleft palate refers to the abnormal opening of the upper lip or the roof of the mouth. During the sixth week of pregnancy, different parts of the upper lip are put together to form the upper lip. The development of the palate occurs after the formation of the lips at the end of the first trimester of pregnancy. Due to the separate development of the cleft lip and palate, it is possible for a child to be born with cleft palate only, or with both..


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Jaw surgeon of Isfahan | Complications of cleft palate and treatment

Sugar lip surgery or cleft lip

A child with a cleft lip or palate may undergo four to five surgeries during infancy to adulthood. These surgeries include primary lip repair, primary palate repair, pharynx reconstruction (Pharyngoplasty), bone grafting of the jaw, orthognathic surgeries of the upper or lower jaw and nose beauty.

Cleft palate repair is generally performed at the end of the first year of infancy, although the ideal time varies from child to child.. Repair is done in the operating room under general anesthesia.

Cleft lip and cleft palate can be unilateral or bilateral. In sugar lip and cleft palate surgery, with special incisions, the separate parts are brought together to create a single lip. Cleft lip repair is generally performed at three months of age, although the ideal time varies from child to child. There are several methods of cleft palate and cleft palate repair, and the surgeon chooses the most appropriate one based on the condition of your child's cleft palate. During the growth of the child, he often needs additional surgeries called retouching in order to correct any confusion or deformity that often occurs over time..

There are several surgical methods of cleft repair, and the surgeon chooses one of them for repair according to the type of cleft.

Post-operative training

After the cleft palate is repaired, there will be stitches in the roof of your child's mouth. You may not be able to see these stitches from outside your mouth. Sometimes your child will have discharge from the nose or mouth.

  1. Avoid manipulation and putting objects in the mouth
  2. Painkillers and antibiotics are prescribed for consumption at home.
  3. Do not use a pacifier for three weeks. Because it is possible to open the stitches.
  4. Restraining hands for at least three weeks continuously, except when under direct parental supervision.
  5. Any high fever, if you get enough fluids
  6. It is better to refrain from consuming hard foods for 6 weeks after the surgery, and during this period, you can use soft foods such as porridge or grinding family food for the child..
  7. Place your baby in a sitting or semi-sitting position while feeding.
  8. Feeding the child is done in many but few meals (Especially the first week)

Follow us by reading the rest of the article on sugary lips and cleft palate.

Isfahan nose surgeon | Cleft palate treatment and treatment

Orthodontic guide for diabetic lip and cleft palate patients

The dental and jaw abnormalities observed in cleft lip and palate patients are mainly caused by fetal disorders and to a relatively lesser extent are caused by numerous reconstructive surgeries that are inevitably performed in the lip and palate area of ​​these patients..

Lack of growth in the upper jaw due to the reasons mentioned along with the growth disorder in the lower jaw can cause a severe lack of coordination in the relationship between the jaws.. Therefore, in order to establish the proper beauty of the face as well as the correct relationship between the teeth and jaws, special orthodontic treatment protocols are proposed for these patients, which can be summarized as follows..

1.- Orthopedics of the jaw in a newborn baby before primary lip surgery, which starts from the first or second week of infancy and continues until lip reconstruction surgery at about 10-12 weeks.. Although this treatment is rarely done, if the distance between the two parts of the lip caused by the cleft lip is large, it is done to facilitate the lip surgery and before that..

2.- The first phase of orthodontic treatment, which starts between the ages of six and eight and continues until the age of 12, aims to widen the dental arch of the upper jaw and align the incisors and correct the intermaxillary abnormality..

The first phase of orthodontic treatment should be done before bone grafting at the age of 9-10 years to create a suitable bed for the growth of teeth in the jaw and in the filled gap.. At this stage, the extra teeth around the gap should also be removed with a specific treatment plan. The treatments of this stage are mainly performed by mobile orthodontic devices.

Restoration and maintenance of milk and permanent teeth at this stage is one of the key factors of a successful treatment in these children.

۳- The second phase of orthodontic treatment is around the age of 12 and after the permanent teeth have fully grown. The aim of this treatment is to completely align the teeth and, if possible, to establish the correct relationship between the jaws. These treatments are mainly performed by fixed orthodontic devices and are able to create a suitable beauty in the appearance of the teeth..

4.- The third phase of orthodontic treatment is performed in some patients with cleft lip and palate who have severe jaw deformity and need jaw surgery.. These treatments are performed around the ages of 17-18 and before jaw surgery. If the patient's jaw relationship is disturbed and phase two orthodontic treatment is not able to fix it, the need for jaw surgery is inevitable and must be followed by orthodontic treatment. To be done at the end of the age of 18.

Incidence of mouth sores after nose surgery

Incidence of mouth sores after nose surgery

Canker sores after nose surgery

Why does mouth sores happen after nose surgery? Perhaps the question of many patients of rhinoplasty is that canker sores after rhinoplasty Does it happen or not? Do oral ulcers after rhinoplasty The next case is common Nose surgery Is it related or not? What are the ways to treat canker sores? Stay with us until the end of the article to find the answers to these questions.

Usually, pest has different and unknown causes, but the most important factors of its creation are:: Stress, sensitivity to some devices such as dental devices, sensitivity to some foods such as citrus fruits, tomatoes, strawberries and figs.. More complex diseases occur due to the defect of the immune system in the body, the lack of elements such as zinc, folic acid or vitamin B12 deficiency in the body, also some diseases of the digestive system, genetics, hormonal factors and smoking can also cause it. be a pest.


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Jaw surgeon of Isfahan  | Incidence of mouth sores after nose surgery

The reason for mouth sores after nose surgery

Canker sore after rhinoplasty Or the small sores that people often get inside their mouths are called stomatitis.. This disease is one of the common diseases in the mouth and teeth, which has a white, yellow or gray color. These wounds are oval or round and most adults are involved with it.

These oral pests usually occur in the softer parts of the mouth such as the lips, inside the cheeks, and the tongue. Sometimes these pests heal by themselves and do not need treatment. But after some time they keep reappearing in the same or a new part of the mouth. Canker sores are one of the most common types of mouth ulcers that affect almost 20% of people in the whole world. Science has proven that women suffer from this condition more often than men, and sometimes it is possible that this condition is hereditary.. These wounds are very small and the diameters are less than one millimeter.

Causes of mouth sores after nose surgery

rhinoplasty It is a very sensitive surgery that should be performed by a specialist. Sometimes it is asked in the process of mouth sores after rhinoplasty does it happen Part of the recovery process after Nose surgery It is the responsibility of the individual and he should be aware of all the complications after the operation and take the necessary care to reduce the complications and speed up the recovery.. It is very difficult to find the cause of this disease and the following factors can be considered as its cause:

  1. Allergy to bad habits in oral and dental hygiene, acidic conditions and food
  2. Diet without iron, zinc, B12 and vitamins
  3. Toothpaste that contains sodium lauryl sulfate
  4. Sensitivity to bacteria in the mouth
  5. emotional stress
  6. Hormones
  7. smoking
  8. Gastrointestinal diseases such as Crohn's disease or celiac disease
  9. Disorders of the immune system such as Behcet's disease
  10. Weakness in the body's immune system such as organ transplant, AIDS, flu
  11. Nutritional deficiency
  12. Paint cancer

However, sometimes some drugs may also be involved in causing oral ulcers, which can be mentioned below:

  • aspirin
  • Anti-inflammatory drugs
  • Blockers
  • Nicotine, which in most cases is oral nicotine
  • Chemotherapy drugs
  • Medicines that suppress the body's immune system
  • Penicillamine
  • Sulfate drugs
  • Phenytoin
  • Anticholinergic
  • Platelet aggregation inhibitors
  • Vasodilators
  • Protein inhibitor
  • Antibiotics
  • anti Virus
  • Antihypertensive

Sometimes mouth ulcers are caused by eating hot and spicy foods, acidic vegetables and fruits, stress and minor injuries in the inner parts of the mouth..

Isfahan nose surgeon | Incidence of mouth sores after nose surgery.

Treatment of canker sores after nose surgery

For the treatment of mouth ulcers (including when mouth ulcers occur after nose surgery) There are different ways of working which can be mentioned below:

  • Topical drugs

Sometimes topical ointments and gels are used to reduce inflammation and relieve pain and prevent infection for oral ulcers, and these topical medications have two main types.:

  • Painkillers

Gels such as lidocaine and benzocaine are used to relieve discomfort and pain, which are placed directly on the injured area..

  • Local anti-inflammatory or anti-inflammatory drugs

Steroid drugs such as fluocinonide or triamcinolone acetonide can be used for local anti-swelling and inflammation.. These drugs do not require a doctor's prescription. But these anti-swelling or anti-inflammatory drugs should be taken as prescribed by the doctor.

ways of prevention

As you know, prevention is always better than cure, so it is better to use the following ways to prevent ourselves or our beloved children from getting infected.:

  1. Not using foods that can irritate the mouth and oral tissue.
  2. Preventing stressful behaviors for children.
  3. Avoiding even slight damage to the soft tissue of the mouth.
  4. feeding with complementary foods that can provide elements such as zinc, folic acid and also vitamin B12.

Jaw surgeon of Isfahan | Canker sores after nose surgery

Compliance with health care

Usually, mouth sores resolve by themselves after a week, but the following treatments can be used to reduce the pain and discomfort of children while eating.:

  • Regular brushing and hygiene
  • Use of painkillers such as acetaminophen and ibuprofen
  • Avoiding acidic, sour and sugary foods and spices
  • Use diluted diphenhydramine syrup as a mouthwash

Tip:

If the pest is not treated after two weeks, or its symptoms after 2 or 3 The days did not decrease, or the intervals between the appearance of mouth sores were shortened, and in cases where the child's weight decreased after the appearance of mouth sores, it is necessary to consult a dentist or a specialist in the diagnosis of oral diseases..

What doctor should we see for a gum infection?

What doctor should we see for a gum infection?

What doctor should we see for a gum infection?

Gum infection or gingivitis occurs in situations where the accumulation of dental plaques around the gum line causes irritation and ultimately sensitivity of the gums, and sometimes it is accompanied by bleeding.. Now, if these plaques are not cleaned with dental floss or a toothbrush during the day, they harden over time and cause dental deposits or plaque that cannot be removed..

Also, if the mass and plaques penetrate into the lower part of the gums, they bring infection and swelling of the gums. Then, with acute bacterial irritation, the gum tissue gradually separates from the teeth and creates cavities that become a place for the accumulation of pus and infection; Therefore, the patient should see a periodontist.


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Isfahan nose surgeon | What doctor should we see for a gum infection?

Causes of gum infection

In addition to not complying with oral and dental hygiene, some other factors such as: Diabetes( Blood sugar), genetic predisposition, hormonal changes( pregnancy period), drugs that reduce saliva and drugs that affect saliva secretion, dry mouth, irregular teeth( Having crooked teeth), immune system defects can also be effective in the occurrence of gum disease and inflammation.

In other cases, the use of dental bridges or artificial teeth can also be associated with a high risk of infection in the gums. Because if the health and care tips regarding these external devices are not observed, these devices are the best possible place for the formation of bacterial biofilm and then the formation of plaque.. In a more general way, the causes of gum infection can be categorized in the following cases :

  1. Diabetes
  2. Hormonal changes in women, especially during pregnancy
  3. Genetics
  4. Stress and anxiety
  5. crooked teeth
  6. Medicines that make saliva dry or less
  7. Weak immune system

What doctor should we see for a gum infection?

In fact, periodontists are dentists who specialize in periodontal diagnosis or treatment (Inflammation, swelling and infection of the gums), prevention and dental implants have special expertise; Because these specialists receive extensive and specific training in this field to the extent that they need 3 years of training more than dental training courses..

Symptoms of gum infection

Swelling, redness and bleeding in the gums are among the symptoms of gum infection, and if it persists, you should see a dentist and you can prevent the progress of gum disease.. Of course, infection and inflammation have other symptoms as follows.

  • Bad breath when breathing
  • Creating an unpleasant taste in the mouth
  • Boy with fast receding gums
  • Discoloration of the entire gum due to decreased oxygen in the blood
  • Red
  • Bleeding when flossing or brushing
  • Increased gum sensitivity to any food
  • Swelling and inflammation of the gums
  • Losing the tooth line and making them look long
  • Creating a cavity between the gums and teeth
  • Creating plaque under the line and inside the tooth
  • Ulcers
  • Creating a V-shaped gap between the gums and teeth
  • Misalignment of teeth or changing position when biting

.Jaw surgeon of Isfahan  | What doctor should we see for a gum infection?

Treatment of gum infection

If gum infection is treated in the early stages, the disease does not spread and does not cause periodontal disease or swelling of wisdom tooth gums; Therefore, the treatment of infection in the gums is the removal of plaque, which is done by brushing and scaling on the teeth. Of course, in some cases, in order to prevent the growth of bacteria, the use of antibiotics and the removal of inflammation, toothpaste is recommended.

Now, if the infection progresses and causes gingivitis, methods such as deep scaling of the tooth root, removal of tartar should be used. (stain removal) and straightening the same root of the tooth to be used. Of course, along with these methods, oral antibiotics and topical gels are also prescribed. If the infection worsens, the possibility of flap surgery (Reducing the distance between the gums and teeth) Bone grafting or soft tissue grafting goes up.

Causes of gum infection

What doctor should we see for a gum infection? The most common cause of gum infection is improper dental and oral hygiene, which creates plaque on the teeth and causes inflammation around the gums.. Of course, there are other reasons as follows.

  1. Alcohol consumption, chewing edible tobacco and smoking
  2. Improper nutrition such as lack of vitamin C, use of sugary substances and carbohydrates
  3. Improper and unprincipled restoration of teeth that causes irritation and swelling of the gums.
  4. The incorrect and crooked shape of the tooth pocket, which is a suitable place for collecting plaques and makes cleaning difficult..

Prevention of gum infection

According to many sources, observing two points is effective in preventing oral and dental diseases, especially gum infection; One is oral hygiene and the other is not smoking. Keeping gums healthy and preventing infection can be easy if you practice good oral hygiene by brushing and flossing daily and using a toothpick, preferably every day. . By following these steps, you can significantly reduce the risk of gum disease and infection, tooth decay, and other oral problems..

Make a regular daily schedule for your oral health and stick to it. You will definitely benefit from this healthy habit, so keep the following tips in mind for your health and infection prevention :

1- Brush your teeth twice a day :
Brushing with fluoride toothpaste, such as anti-gingival toothpaste, twice a day is fine.. These anti-inflammatory toothpastes gently neutralize bacteria around the gum line..

2- Use mouthwash :
Use an anti-gingival mouthwash. There are different types of these mouthwashes and some of them are more beneficial; Such as mouthwash that prevents cavity formation and whitening mouthwash.

3- Periodic visits to the dentist :
Visit a dentist at least twice a year for a professional check-up; Because there are deposits on the teeth that you cannot remove with home care.

4- Other points :
Rinse your mouth with fresh, clean water after every meal.
Gargle with warm water and salt to reduce swelling and kill bacteria.
Limit the consumption of sugary foods and soft drinks.

Treatment of protruding canines

Treatment of protruding canines

Protruding canine treatment without orthodontics

Protruding fangs | زیبایی دندان های خود را بدون انجام ارتودنسی به دست آورید. One of the main criteria of beauty that has a great impact on people's self-confidence is the beauty and neatness of the teeth. Despite this criterion, people can easily smile and appear among people. One of the problems that make people unable to feel satisfied with their laughter is protruding canine teeth.

دندانهای نیش که می توانند با بیرون زدن ظاهری بد به خود بگیرند و از اعتماد به نفس افراد کاهش دهند. You should know that you can arrange this tooth without using orthodontics and regain its beauty.

علت رشد نا بجای دندان نیش چیست؟

بنا به دلایل مختلف ممکن است دندان نیش در محل مناسب خود رشد نکند. گاهی ممکن است دندان نیش به سمت سقف دهان (the work) متمایل شود و به جای مکان طبیعی خود، کاملا خارج از قوس دندانی و در فضای کام رشد کند. گاهی هم ممکن است دندان نیش بیرون زده و از قوس دندانی به سمت جلو حرکت کند. در هر دو این موارد دندانپزشک می تواند با Orthodontic treatment نا هنجاری دندان نیش را اصلاح کند و آن را در مکان طبیعی خودش قرار دهد. دندان های نیش به دلایل مختلفی خارج از محل مخصوص خود رشد می کنند:

Isfahan nose surgeon | Treatment of protruding canines

Genetic factors

در اثر وجود عوامل ژنتیکی ممکن است دندان نیش به سمت کام حرکت کرده و در آن جا رشد کند. گاهی هم ممکن است دندان نیش به دلایل ژنتیکی و وراثتی به صورت نهفته باقی بماند. در این موارد با درمان ارتودنسی دندان ها به حالت عادی باز خواهند گشت.

کمبود فضای کافی

یکی از دلایل رشد نا بجای دندان نیش، کمبود فضای کافی برای رشد است. هنگامی که دندان نیش شیری به دلیل پوسیدگی، یا به هر دلیل دیگری زودتر از موعد مقرر، از دست برود، یک فضای خالی در لثه کودک ایجاد می کند. در این هنگام دندان های دیگر به سمت فضای خالی حرکت کرده و سعی می کنند تا جای خالی دندان از دست رفته را پر کنند.

هنگامی که جای دندانهای نیش به وسیله دندان های دیگر پر می شود، دندان نیش دائمی فضای کافی برای رشد نخواهد داشت و به سمت عقب یا جلو متمایل می شود. به این ترتیب دندان نیش بیرون زده و از مسیر طبیعی رشد خود منحرف می شود.


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دندانهای نیش بیرون زده؛ یکی از مشکلات دندان های نامرتب

First of all, you should know that protruding teeth are called teeth that are not in their natural state. In situations where fangs are protruding, fangs are said to be higher than the rest of the teeth and give a longer appearance to the fangs..

Jaw surgeon of Isfahan  | Protruding fangs

در برخی موارد دندانهای نیش در ردیف بقیه دندان ها رشد نکرده اند و بالاتر از خط لثه رشد می کنند. This case, in addition to having a great impact on people's self-confidence, can cause health problems. But do you know what is the reason for protruding canines?. Don't miss reading to know the reason.

Various reasons can cause protruding canine teeth. One of the reasons that is common in most people is that because of the position of the other teeth, the canine grows in a protruding position.. If your canine does not have enough space to grow, it can grow crooked and ruin the appearance of your teeth.. Of course, other factors can also cause this case, among which we can mention the genetic reason.

چرا باید سریعا نسبت به درمان عمل کرد ؟

One of the most important reasons that you should act quickly on the treatment of your protruding canine tooth is your oral hygiene.. In order for you to feel more confident and to be able to chew well, you need to treat your protruding canine..

There are various methods that you can use to treat your protruding canine, one of these methods is laminating the protruding canine.. Of course, you can have your teeth orthodontic, but it takes a lot of time, and we suggest doing the next method, which is to laminate it..

توجه داشته باشید که استفاده از روش لمینت دندانهای نیش بیرون زده، زمانی امکان پذیر است که میزان بیرون زدگی دندان کم باشد. برای این که بتوانید متوجه شوید که آیا می توانید از روش لمینت دندان استفاده کنید، بهتر است با Jaw surgeon of Isfahan Call.

Isfahan nose surgeon | Treatment of protruding canines ..

In the method of laminating a protruding canine tooth, the dentist will shave off a little bit of your tooth and remove the enamel from your tooth.. After doing this, he goes to laminate the tooth. By using this solution, you can have regular teeth easily and in a short time. Of course, tooth extraction and tooth implantation are other methods that are recommended in emergency situations.

Lamination of protruding canines can allow you to smile with high confidence and complete dental health.. Of course, note that the use of this method has precautions that you must ask your doctor and follow all those points. یکی از دلایلی که می تواند اعتماد به نفس افراد را کاهش دهد یا سبب مشکلات بهداشتی در دهان افراد شود، دندانهای نیش بیرون زده است.

Dry nose after rhinoplasty

Dry nose after rhinoplasty

What will happen if the mucous membrane of the nose is dry?

Severe dry nose is not a normal problem. The mucous membrane of the nose must be constantly moist in order to protect itself from various infections. Sometimes crusts that form inside your nose tempt you to pick them, which allows bacteria to enter your nose through your finger..

Since the mucous membrane of the nose is very dry, it cannot protect itself well against germs and other types of microorganisms, which increases the risk of catching a cold. . Dry nose In addition to disrupting the process of preventing microbes from entering the nose, it will create a very unpleasant and unpleasant feeling for the patient..


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Isfahan nose surgeon | Nasal septum perforation after rhinoplasty

Dryness of the nasal mucous membrane causes nosebleeds .

When the mucous membrane of the nose is very dry, it cracks easily. For example, removing the crusts formed inside the nose causes the mucous membrane to crack and nosebleed. If you experience nosebleeds in dry weather, it is most likely that the mucous membrane of your nose is dry. If suffering Nasal bleeding You can use the following tips to stop the bleeding:

  1. Blow gently and clean your nose.
  2. Press your nose just below the bone.
  3. Raise your head a little and make it look like you are reading.
  4. Stay in this position for about 10 minutes.
  5. After doing these steps, your nose should stop bleeding. If the nosebleed continues, repeat all these steps for another 10 minutes.
  6. If your nosebleeds have not stopped, you should go to the general practitioner and ask him for help.

Dry nose after rhinoplasty

Dry nose syndrome (ENS) It is a disease that usually occurs after surgery to remove or reduce the turbinate, or surgery to correct the nasal septum. The nasal turbinate actually creates the nasal mucus and the moisture needed for it, thus making the inhaled air warm and humid.. In fact, the turbine can regulate the flow of air through the nose. This organ has the role of filter, humidifier and heater in the nose.

Therefore, turbidity plays an important role in the normal process of breathing, lung function, and protection of the throat and pharynx against dryness and the entry of unrefined air.. If the level of this organ decreases too much, there will not be enough mucous tissue left in the nose to keep it moist, and as a result, the nose will become dry..

The nasal turbinate is also equipped with small pressure sensors that send the necessary signals to the brain in connection with the passage of sufficient air through the nose.. If this organ shrinks or disappears completely, the brain will not receive enough information about the state of airflow from the nose. This condition can cause a feeling of insufficient air supply even when the nasal passages are completely open.

Isfahan nose surgeon | The effect of weight loss on rhinoplasty

Common symptoms of dry nose

Patients describe a feeling of nasal dryness with shortness of breath, and this condition occurs even when the nose is completely clean and open.. In this case, the patient may feel a lot of air passing through the nose with very little nasal resistance against it. These conditions and symptoms often increase when the nasal mucosa becomes swollen due to a cold. Some common symptoms of dry nose are as follows:

  • A feeling of not getting enough air through the nose even when the nose is wide open
  • Chronic feeling of dryness in the nose or throat
  • Feeling cold
  • Head pain
  • nose bleeding
  • Desquamation of tissue inside the nose

Ways and methods of treatment

For the treatment of dry nose, there is still no complete treatment method and this problem can only be diagnosed by some doctors specializing in this field and treated using special methods.. In this case, surgical and non-surgical methods can be used to treat dry nose. Non-surgical methods focus on preserving and caring for the remaining nasal mucosa. In this way, the humidity of the nose is maintained as much as possible and its inflammation or infection is prevented. On the other hand, the aim of nose surgery is to permanently reduce the symptoms caused by dry nose syndrome.

The various non-surgical measures that can be used to maximize the effectiveness of treatment methods used for dry nasal syndrome are as follows:

  1. Daily nasal washing with water and inhalation of sea salt
  2. Using saline nasal spray
  3. Drink plenty of water and avoid caffeine
  4. Taking expectorants (Like eucalyptus incense)
  5. Using a steam generator, especially in the bedroom and workplace
  6. Using a moisturizing sleeping mask
  7. Avoid exposure to environmental conditions that dry the nasal mucosa
  8. Spending enough time in areas that have positive effects on the nasal mucosa .
  9. Daily use of herbal nasal drops
  10. Eating a proper diet
  11. Choosing a healthy and active lifestyle
Necessity of coronet injection after rhinoplasty

Necessity of coronet injection after rhinoplasty

The duration of coronet injection after rhinoplasty according to doctors' recommendations

Cortone injection | In nasal surgery, corticosteroid drugs, which of course are better known by the name Corton . It is used to reduce nasal inflammation after surgery. Corticosteroids are used both in the form of oral prescription drugs such as tablets and as injectable drugs. After rhinoplasty surgery, coronet can be injected directly into the nose to reduce swelling and scar tissue..

برخی از جراحان متخصص زیبایی بینی برای اینگونه افراد که که بینی گوشتی دارند در هنگام عمل جراحی تزریق آمپول and some doctors inject the ampoule after a week by examining the operated nose. to reduce nasal swelling . Some also up 2 ماه بعد از عمل تزریق آمپول را انجام داده تا تورم اضافی ناشی از عمل بینی را از بین ببرند تورم بینی که با Sticking to the nose نیز از بین نرفته باشد و با تزریق آمپول آن را برطرف میکنند.این تزریق 1 load or with the discretion of the doctor until 3 The load is done. آمپول تزریق شده با نام تریامسینولون و از جنس کورتن است و این آمپول برای بینی های با ضخامت پوست متوسط تا نازک و بینی های استخوانی تزریق و توصیه نمی شود زیرا که ممکن است پوست نازک اینگونه بینی ها را از بین ببرد.

Isfahan nose surgeon | Nasal surgeon

This تزریق آمپول جهت کاهش تورم حتما توسط پزشک متخخص انجام می گیرد زیرا که رقیق بودن آن و محل مناسب تزریق بسیار اهمیت دارد. After injecting the ampoule, it is necessary to apply glue on the nose for one to two weeks.


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Swelling after nose surgery and the cause of corticosteroid injection

Swelling, or as it is commonly called, having a windy nose, is one of the most important side effects that occur after rhinoplasty. This complication is one of the natural and temporary complications that all people experience with different intensity and weakness. This is the reason why seeing the final result of rhinoplasty is delayed.

One of the most important actions that people take is that they receive solutions from their surgeons to reduce the duration of nasal swelling after rhinoplasty..

از مهم ترین روش هایی که در این جهت بکار گرفته می شود Coronet injection به نوک بینی است. این ماده با تاثیراتی که از خود به جای می گذارد سبب می شود که مدت زمان It will disappear completely کاهش یابد و میزان تورم نیز کاهش خواهد داشت. As a result, people can see the final result after nose surgery in the shortest time.

Isfahan nose surgeon | Number of coronet injections to reduce nasal swelling

مراقبت های بعد از تزریق کورتون

پس از تکمیل عمل ، گاهی پزشک بر حسب نیاز، تشخیص می دهد که تزریق کورتون بعد از جراحی بینی، الزامی است. همانطور که در بخش های مختلف این مقاله ذکر شد، تزریق کورتون با هدف کاهش دادن تورم در نواحی مختلف بینی و اغلب در نوک آن انجام می پذیرد. صرف نظر از تزریق یا عدم تزریق کورتون، مراقبت های بعد از عمل ، بخش اجتناب ناپذیر این فرایند محسوب می شود. برخی از اقدماتی که برای کنترل و تورم و کمک به کاهش آن باید مد نظر قرار دهیم، عبارتند از:

  1. Avoid sports and heavy activities for at least one month. Carrying out heavy physical activities causes high blood pressure and can damage the nasal tissue and increase swelling and inflammation in the nose..
  2. Avoid taking blood thinners.
  3. Do not forget to use a cold compress during the first two days after surgery. During this period, the tissue and structure of the nose is very sensitive and should not be stimulated in any way.
  4. Do not touch the nose. Even a simple finning during the recovery period can cause serious damage to the nose.
  5. Do not lower your head. When you tilt your head down, the blood flow to the nose increases and this action can put pressure on the nasal vessels and lead to bleeding problems..

Corticosteroid injection after rhinoplasty | Isfahan nose surgeon

In what cases is corticosteroid injection performed after nose surgery?

You should note that the coronet injection process will not be done for all people. Only those who meet the following conditions will be eligible for corticosteroid injections. For this reason, it is necessary to think about your condition, then visit a surgeon to perform this procedure.

This operation is usually done for the following people:

  • Those whose nose skin is very thick; In general, those who have fleshy noses have thick nose skin. As a result, the speed of recovery and reduction of swelling after nose surgery is very slow. In these cases, corticosteroid injection and also the use of nasal tape after surgery are recommended for this group of loved ones. Because these two solutions have an undeniable effect in increasing the speed of recovery.
  • Those who have had a nose surgery for a long time and the process of reducing the swelling is slow.

 

Coronet injection after nose surgery to prevent scar tissue formation

In addition to reducing swelling, injecting corticosteroids for the nose can prevent the formation of scar tissue. People whose nose skin is relatively or very thick . The formation of scars and wounds with hard and compact tissue between the bone or cartilage and the skin of the nose is very likely after the operation.

If the scar tissue created in the nose area is very wide and does not allow the skin . In order to adapt to the new shape of the nose, the beautician prevents the creation and expansion of this waste tissue by injecting coronet after nose surgery.. Cortone or the same steroid drug is possible . A long time after nose surgery, to treat the scar tissue formed . also be used.

 

The effect of rhinoplasty in reducing mass

The effect of rhinoplasty in reducing mass

جراحی زیبایی بینی و کاهش جرم و جنایت

کاهش جرم | Usually, when a hateful or ugly feature is removed from a person's face and something beautiful and pleasant takes its place, we also see a change in his personality.. Examples of these abnormalities include::

  • Protruding ears
  • A large or uneven nose that does not fit the face or profile .
  • the hump
  • Droopy eyelids or puffiness under the eyes
  • Chin receded

Some medical evidence shows that the effect of the return of self-confidence after cosmetic surgery is so great that it makes prisoners who undergo this cosmetic surgery reform and show better behavior..

In the year 1952 A plastic surgeon named Jay Bankoff published his findings under the title "Plastic Surgery and Criminology" in the Journal of Western Surgery.. Bankoff selected four prisoners to correct congenital or acquired facial deformities. These surgeries were mainly reconstructive and cosmetic surgery of the nose.

Isfahan nose surgeon | Limitations of Rhinoplasty

According to Dr. Bankoff, these prisoners showed positive behavior changes immediately after the rhinoplasty, which included not committing crimes.. This plastic surgeon attributed the positive changes in the behavior of these prisoners to the increase in their self-esteem and self-confidence due to rhinoplasty or reconstructive surgery..


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تاثیر جراحی زیبایی بینی در کاهش جرم

If criminals gain enough self-esteem by undergoing rhinoplasty and facial cosmetic surgery to make a positive change in their behavior and life, imagine how performing these surgeries can change the lives of ordinary people at home and at work as well..

Jaw surgeon of Isfahan | male nose .

In the year 1965 Dr. Edward Levison conducted another trial to examine the effectiveness of rhinoplasty and reconstructive surgery among Ocala inmates.. He in this experiment 450 He studied the prisoner for more than a decade. Dr. Levison was also of the opinion that correcting facial deformities, especially the nose, can improve the self-confidence of prisoners..

The witness of this claim cannot be anything other than the reduction of the crime rate. Although at that time normally 75% Prisoners who were released from prison returned to prison due to committing another crime, among these 450 Prisoners who had plastic nose surgery or face correction 42% After their release, they committed crimes again and were returned to prison. In decades 70 And 80 Sam Heston University in collaboration with Texas Prison 1000 He subjected the prisoner to cosmetic surgery. The return rate of prisoners in this prison is normal 33% It was but from this 1000 Prisoners who had plastic surgery or correction of the nose 15% percent returned to prison.

Dr. John F. Peek, a plastic surgeon in Illinois between 1937 until the 1967 on about 500 The prisoner underwent nose surgery and face reconstruction. Dr. Peek's skillful work on inmates in Illinois prisons, especially Stateville Penitentiary, was recognized in several prominent medical journals.. His theory was that the correction of physical defects could lead to the psychological correction of many prisoners.

عمل زیبایی بینی

The tendency to beauty and beautiful creation is a natural thing in human existence. In the shadow of advances in medical science, cosmetic surgery, like any other phenomenon, has flourished in its golden age, and more and more people are brought to this direction every day.. After any type of surgery, complications usually arise for a person, nose surgery is no exception to this rule. During nose surgery, a proper process must be followed to achieve a favorable result, and this is not possible without the care of the doctor and the patient.

عمل زیبایی بینی به منظور بهبود ویژگی های ظاهری انجام میشود. کسانی که از شکل بینی خود ناراضی هستند ، از بینی گوشتی یا استخوانی یا قوزدار خود خسته شده اند ، و فکر میکنند زشتی بینی آنها در بقیه ی اجزای صورت آنها تاثیر منفی گذاشته است و یا حتی سایر زیبایی های آنان را از بین برده است بیشتر به دنبال این هستند که عمل زیبایی بینی را انجام دهند.

عمل زیبایی بینی در چندین مورد انجام میشود :

Jaw surgeon of Isfahan |. Male rhinoplasty

  • Fleshy nose surgery

بینی گوشتی با نشانه هایی از جمله ضخیم تر بودن پوست بینی و پهن تر بودن پره های بینی شناخته میشود معمولا عمل این نوع بینی ظرافت ها و تفاوت هایی نسبت به سایر انواع بینی دارد.

  • Bone nose operation

بینی استخوانی نوعی بینی با استخوان و غضروف های مستحکم و پوستی نازک است. معمولا نتیجه عمل بینی استخوانی و تغییرات آن بسیار چشمگیر و مطلوب خواهد بود زیرا تغییرات انجام شده از زیر پوست نازک بینی کاملا قابل مشاهده است.

  • عمل بینی معمولی

بینی معمولی مشخصاتی مابین بینی گوشتی و استخوانی دارد. The skin of this nose model has a medium thickness and looks relatively natural and without problems.

All three cosmetic procedures that are performed for a fleshy, bony or normal nose should be done in harmony with other parts of the face, because just as the ugliness of the nose can prevent the beauty of other parts of the face from appearing, when the nose fits the shape of the face, mouth and eyes. If it is not yours, it can have a bad effect. The best way to solve this problem is to get advice from an experienced specialist.

Isfahan nose surgeon | The effect of weight loss on rhinoplasty

Is nose job difficult?

جراحی زیبایی بینی بین بقیه جراحی های زیبایی از بابت تکنیک های جراحی جزو سخت ترین جراحی است . منتها از بابت بیمار نه جراحی زیبایی بینی برای بیمار عمل دردناک نیست . ریکاوری خودش از وقتی بیهوشی و اینها معمولا ۲۴ ساعتی هست . بیمار بلافاصله بعد از مرخص شدن میتواند کارهای شخصی انجام بدهد . فقط باید رعایت کند که سرش خم نمونه کارهای سنگین انجام ندهد .