What is rhinoplasty, what should be its purpose? Rhinoplasty is a surgery in which the outside of the nose is shaped. Septorhinoplasty is the correction of the curvatures in the middle section of the nose along with the external shape of the nose. The aim of rhinoplasty should be to obtain a nose that is compatible with the other structures of the face, in a shape that is proportional to itself and to the other facial structures, and from which breathing is healthy.
At what age can rhinoplasty surgery be performed?
Nose plastic surgeries can be performed at the age of 16 for women and at the age of 17 for men and beyond. The nose continues to develop and change until this age. It should not be performed before this age group unless necessary.
Pre-operative evaluation
The success of rhinoplasty surgeries depends on the anatomical characteristics of the patient as well as the skill and ability of the surgeon. depends on its structure. It is important to determine the patient's expectations before surgery. However, it is inevitable to encounter negative results when expectations are not possible. Therefore, possible positive and negative consequences that can be expected should be evaluated in advance. In the preoperative evaluation, realistic expectations should be put forward and discussed according to the patient's anatomy difficulty.
Preoperative nasal examination
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A detailed ear, nose and throat examination. examination is performed. Curvatures in external vision, the resistance and weakness of the tip of the nose, the structure and symmetry of the side wings, and whether they collapse when taking a deep breath are evaluated and noted.
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The middle section of the nose, starting from the skin in front (columella). The back (nasal septum) is examined in detail, endoscopically if necessary.
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How much the tip of the nose will be lifted during the examination can be predicted in advance and planned accordingly. The angle between the nose and the upper lip is evaluated in the preliminary examination.
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An experienced surgeon usually decides what needs to be done by visual and manual examination.
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In the internal examination of the nose, the nasal valve region, curvatures of the middle compartment, bone protrusions, and the occlusive effect of the side meats of the nose were easily evaluated. is said. In addition to these examinations, endoscopic or fiberoptic rhinoscopy should be performed.
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Holes formed in the middle section of the nose due to surgery or other reasons should be detected by prior examination and surgery should be planned accordingly.
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With realistic expectations and correctly informed patients, it is possible to achieve the success of a "happy patient" at the end of the surgery.
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The thickness or thinness of the nasal skin may vary. It has advantages and disadvantages.
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It should not be forgotten that in rhinoplasty surgery, the surgeon must have an aesthetic and artistic perspective and foresight in addition to his surgical skills.
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Prior to rhinoplasty surgery, photographs are taken in a suitable environment, from various angles.
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Consent forms and pre-operative blood tests, radiography and electrocardiogram are performed during the preparation period for the patients.
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If you have any medications you use regularly, be sure to inform your doctor before the surgery.
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Aspirin or aspirin-containing medications should be stopped 2 weeks before the surgery.
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Herbal or alternative medicine medications should be discontinued 2 weeks before the surgery.
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If the patient has complaints about the sinuses in the history, sinus tomography may be required in the preoperative period.
Things to consider before surgery
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You must fast for 8 hours before surgery, your doctor will tell you the timing. It will inform you.
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He will inform you how to use the medications you regularly use before the surgery and the medications that need to be stopped. Be sure to inform your doctor about the medications you use regularly.
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Aspirin or aspirin-containing medications should be discontinued 2 weeks before the surgery.
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Herbal or Alternative medicine medications should be stopped 2 weeks before the surgery.
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Get enough rest by taking a warm shower the night before the surgery.
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Before the surgery. When coming to the surgery, wear clothing that can be opened easily from the front.
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You should not wear any jewelry or metal buckles when coming to the surgery. nail polish and makeup Do not do it.
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Male patients should not have a mustache or beard.
Anesthesia in rhinoplasty
The type of anesthesia routinely preferred by patients and doctors in rhinoplasty surgeries is general anesthesia. It provides comfort to both the patient and the surgeon. After the patient is anesthetized with general anesthesia before the surgery, some infiltrative (administered with a needle) or topical (applied to the surface) local anesthetics are used to reduce bleeding in the surgical field.
Rhinoplasty surgery. Who should do it?
When you decide to have rhinoplasty, you should do a good research and decide accordingly. Your first meeting with your doctor will usually give you an idea. When you go to your first interview, it is a good idea to write down your questions so you don't forget them.
What is closed technique nose aesthetics (rhinoplasty)?
It is a nose aesthetic surgery in which the surgical field is reached through an incision or incisions made inside the nose. It is the preferred method in patients who do not have serious asymmetry and in whom nose tip intervention will be kept minimal. It is useful for your doctor to decide on the appropriate surgical method for nose aesthetic surgeries.
Revision or secondary rhinoplasty surgeries
When the desired and expected result is not achieved, a second surgery may be required. In second surgeries, it may be necessary to take a piece from the ear or rib cartilage, depending on the condition of the middle section of the nose. Secondary surgeries usually take longer than primary surgeries.
Things to consider after aesthetic nose surgery
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The tampon will be removed after 2 days.
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Now, mostly silastic, softer, less painful nasal tampons that allow partial breathing are used. However, the type of tampon to be placed is usually decided during the surgery.
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Do not blow your nose for the time you are told.
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The splint on your nose and The patches will remain for about 5-7 days. Keep them dry, do not get them wet, until your doctor removes them.
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The patches require long periods of chewing. Choose soft foods instead of whole foods. Apart from this, there are no restrictions on your diet.
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Do not do excessive physical activity. Get more rest than usual. However, rather than resting lying down, prefer to spend time lying down or standing with your head up.
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Brush your teeth gently with a soft toothbrush.
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Avoid long phone conversations or excessive social activities for 10-14 days.
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You can wash your face, but be careful not to get the splint and patches wet.
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You can take a bath without wetting the splint and tapes. Someone else can wash your hair by letting your head hang back, or you can take a bath in the bathtub for your body.
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Avoid laughing and excessive facial movements for about a week.
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1 week. Do not wear t-shirts or turtlenecks that are difficult to put on your head or that may damage the splint.
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Absolutely avoid direct sunlight or solarium for up to 6 weeks.
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Do not swim for up to one month after the surgery.
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After the splint is removed, swelling and color changes may be observed under it. It may take 2-3 weeks for these to go away.
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Use only the medications prescribed by your doctor.
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Sunglasses or normal glasses 3 Do not use moon. You can use contact lenses 2-3 days after the surgery.
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After the splint and patches are removed, you can gently clean your nose with soapy water.
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You can apply make-up after the splint is removed.
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If an unexpected situation occurs, contact your doctor, do not leave it to chance.
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