What is Rhinoplasty (Nose Plastic Surgery)?

– Previous nasal trauma,

– Previous nose trauma Presence of previous nose surgery,

– Presence of bleeding disease (Hemophilia, Von Willebrand, etc.)

– List of routinely used medications will be noted.

2. Physical examination

Your doctor will perform a complete physical examination, including blood tests. He or she will examine your facial features and the outside of your nose. The inside of the nose will be checked with an endoscope that has a camera at the end. Through physical examination, the surgeon determines what changes need to be made through surgery. It allows you to predict how your physical characteristics, such as the thickness of your skin or the cartilage strength of your nose, may affect your surgery outcome. Physical examination is also important to determine the effect of rhinoplasty on nasal breathing.

3. Photography process

Your surgeon's office staff will take photos of your nose from different angles. Your surgeon obtains the possible postoperative appearance from these photographs using computer software. Since photographs provide you with visual details and predictions about the outcome of the surgery, they are effective in making a joint decision with your surgeon about the type of surgery. Photographs are used as reference during surgery; It will also be used for before-and-after comparisons and long-term follow-up.

4. Decision-making process with the patient

You and your doctor should talk sincerely about your expectations together. Your doctor will explain realistically what can and cannot be done for you with rhinoplasty surgery. It is very important that you feel comfortable and conscious and be clear about your expectations and goals when planning the possible surgery outcome with your surgeon.

Do I need to be accompanied by friends or relatives on the date of surgery?

Once surgery is planned, a family member or friend will need to be with you to drive you home if you are having day surgery. If you are having surgery that requires an overnight stay, a family member or friend will need to stay with you overnight to help with personal care tasks during post-surgery recovery.

Pre-surgery. Which drugs should not be used?

Do not use the blood thinners listed below until two weeks before and two weeks after the surgical procedure, as they will cause bleeding during and after the surgery. If necessary, your surgeon will contact your heart doctor.

Can I smoke before the operation?

Since smoking delays the wound healing process, it is beneficial to quit smoking before the operation. .

What should be done one day before the surgery date?

It is necessary to stay hungry by stopping eating and drinking, including water, at least 6 hours before the surgery time. Blood pressure pills should be taken with a little water. Asthma and COPD patients must take their medications. You should definitely inform your surgeon if you have any upper respiratory tract disease, fever, cough or any abnormal condition you feel in your body.

What should I do on the morning of the surgery?

The morning of the surgery. , our nurse in charge will meet you and your relative on the ward floor.

She will give you a patient surgery gown and ask you to wear it. There will be a lockable cabinet in your room for your personal belongings such as wallets, bags and clothes. After the vascular access is established, if you are going to have "Rhinoplasty + MIST surgery", two separate nasal sprays will be applied to your nose 3 times, five minutes apart. In doubtful cases, a pregnancy test will be performed before the surgery if necessary.

Will I be naked while going to the surgery? Can our spouse or a relative attend the surgery?

Before coming to the operating room, our service nurse will give you a patient surgery gown and ask you to wear it. You will be taken to the operating room wearing this outfit without taking off your underwear, so you will not take off your underwear and you will not be naked. Due to sterilization rules, the patient's relative is never allowed into the operating room, only the patient is taken into the operating room.

What are the details of rhinoplasty surgery?

Your surgery may be performed "locally" depending on the degree of difficulty and your surgeon's preference. anesthesia + sedation” or � It will be performed using "general anesthesia".

Local anesthesia + Sedation: This type of anesthesia is generally used for outpatient, simple procedures. It is limited to a specific area of ​​your body. Your doctor injects a pain-relieving drug into your nasal tissues and, together with the drugs injected intravenously (IV, intravenously), completely eliminates your pain sensation locally. In this case, you will be conscious and alert, but you will not feel any pain.

General anesthesia; You receive the medicine (anesthetic) by inhalation or through a small vein (IV line) placed in your hand/arm. General anesthesia affects your entire body and makes you completely asleep and unconscious during surgery. A breathing tube is required for general anesthesia, and breathing is allowed through this tube.

Rhinoplasty is performed through a few millimeter incision inside your nose or in the most invisible part of your nose. Your surgeon then separates your skin from the bone and cartilage tissues, preserving the tissues, and this process is called elevation. After the elevation, a detailed surgical planning is made and the bone structure of your nose is completely changed as desired. Afterwards, the cartilage in your nose is removed and the nasal cartilage skeleton is rebuilt in the desired shape. If the nasal cartilage has previously been removed with another nose operation, reconstruction is performed by removing cartilage from behind the ear or from the rib.

After the desired aesthetic appearance is achieved, the surgeon restores the nasal skin and tissue. and stitches the skin on your nose with invisible stitches.

After the surgery is completed; A silicone tube splint is placed inside the nose to provide nasal support, facilitate breathing and prevent intranasal adhesions.

Then, a plastic plaster cast is placed outside the nose.

After the surgery, you will be accompanied by our nurses in a rest room until you regain full consciousness. After the surgery, your surgeon; Depending on the size of the surgery performed, the anesthesia technique used and the length of the surgery duration, you may be discharged on the same day or He will decide whether you will stay in the hospital for a day.

What are the post-operative instructions?

– Immediately after the surgery, keep your head up and upright to prevent nosebleeds and edema. You need to rest in bed using high pillows. You may feel some congestion in your nose due to the silicone nasal splint and/or edema placed on your nose during the surgery, this is completely normal.

• You should not get out of bed for 6 hours after the surgery. The reason for this is the possibility of dizziness, blackout and fainting due to the fact that the effect of anesthesia has not worn off yet.

• Dark brown, sometimes pink in color, in the form of a leak for a few days. A runny nose is considered normal. (If there is a persistent runny nose, a gauze can be taped to the front of the nose to absorb the runny nose and prevent contamination of clothes.

• Until the runny nose stops  and while sleeping. It may be wise to tape a piece of gauze).

• Wear openable clothing that buttons/zippers at the front, such as a shirt. In this way, you will be protected from accidentally hitting your nose while changing.

• Nasal saline irrigation should be started 2 hours after the surgery as described by our nurses and continued for 14 days. If MIST surgery has been performed, nasal irrigation should be continued for 3 weeks.

• Nasal cleaning by blowing nose should be avoided for the first 7 days.

• To equalize the pressure in your nose, you should sneeze with your mouth open

• During the winter months, the nose is sneezed due to mouth breathing. and dryness of the throat may occur. An air humidifier or aromatherapy device can be used to prevent this drying.

• 2-2.5 liters of water should be drunk a day.

• Prescribed antibiotics and painkillers should be used.

• Antibiotic ointment prescribed by your doctor should be applied to the stitches under the nose, gently with a Q-tip, twice a day, until the stitches are removed.

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