The nose performs a very vital function such as breathing, and since it is in the middle of the face, it affects facial expression, gaze and smile. At the same time, since it is performed in a very small area, even micro-level interventions made during the operation create positive or negative differences on the aesthetic and functional results. For example, removing the bridge of the nose more than necessary can cause depressions in the nose and breathing problems, while removing it too little can still cause the arch appearance to persist. Or, lifting the tip of the nose 1 degree too much may lead to an undesirable appearance such as the nostrils being visible from the front; If it is 1 degree lower, it may cause the nose to look low. Functionally, micro-level curvatures in the middle cartilage, called the septum, narrow the airway and cause nasal congestion, while correcting the cartilage also helps the patient breathe in a healthy way. For this reason, nose surgery is one of the most delicate aesthetic operations performed on the human body. As we always emphasize, in order to obtain a natural, aesthetic appearance and a healthy functional nose, the surgeon's knowledge of nasal anatomy, his experience on many different noses, his manual dexterity and his ability to detect the patient's existing defects and decide on the correct interventions to eliminate them. It is very important. Looking around the world, the number of surgeons who have these qualifications is not very high. For this reason, it can be said that the rate of revision requirement after nose surgery is high.
Most Common Errors in Nose Surgery
Rhinoplasty is not a surgery to reduce the size of the nose. Some parts of the nose are reduced in size; It is a balancing surgery in which some parts are enlarged with cartilage additions when necessary. One of the most common mistakes is making the nose smaller than it should be. It is not aesthetically appropriate to make excessive reduction attempts while lowering the arch and narrowing the nose wings and nose tip. Because the nose is compatible with the other lines of the face. It should be. In addition, reduction procedures should be compatible with the structure of existing bone, cartilage and soft tissues. However, curvature of the nose, inequality in the wings of the nostrils, excessive lifting of the tip of the nose, irregularities on the back of the nose are frequently encountered deformities. In revision surgeries to reshape the nose with rib cartilage and eliminate deformities, cartilage tissues taken from the ear or ribs are generally used to correct nasal skeletal deformities and to reconstruct the nose aesthetically and functionally.
It may be necessary to remove the cartilage tissues damaged during the previous operation / operations and replace them with smooth cartilage.
What are the techniques used in nose revision surgeries?
In patients whose noses have been reduced excessively in previous operations, abdominal muscle membrane is also used along with rib cartilage. The cartilage tissue taken from the rib is chopped into very small pieces of 1 mm and placed inside the muscle membrane. Thin cartilages placed in a membrane prepared in the size needed in the nose are placed on the septum cartilage and the cartilage of the nose is elevated.
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