The nose area is the focal point as it is located in the middle of the face and attracts a lot of attention. In this regard, the nose area is one of the areas where the most aesthetic operations are performed.
Nose surgeries are procedures related to the focal point of the face, performed with the joint evaluation of the patient and the doctor, and aiming to provide satisfaction for the patient. However, nose surgeries are not standard surgical practices. In this regard, after nose surgery, there is a possibility that the patient will be dissatisfied with the operation performed and will resort to a new nose surgery procedure.
People who have had nose surgery or aesthetic procedures related to the nose have a second or more surgery (3.4). . etc.) and revision nose surgery applications. In this regard, it will be useful to first address the situations that require nose surgeries and then revision nose surgeries.
Nose Surgeries
In the nose area, which is the most striking point of the face. Nose surgeries are performed due to certain deformations or breathing problems that exist or arise as a result of various reasons. In addition, many people, even if they do not have breathing problems, may resort to aesthetic nose surgery due to aesthetic concerns. After aesthetic nose surgery, it is possible to have a nose that looks more beautiful and allows you to breathe more easily.
Basically, in a normal nose structure, both aesthetically and functionally, the narrowest place should be the nose root. In addition, the nose shape widens slightly towards the tip, indicating the most suitable feature in terms of functionality.
Classical Nose Surgeries
The nose is anatomically divided into two basic points; It consists of cartilage and bone. These two basic structures are divided in half by a partition called the septum. Narrowing may occur in the nasal passages through which air passes while breathing, due to mechanical and dynamic factors. Mechanical obstructions that cause breathing difficulties are caused by curvatures in the nasal wall or the growth of flesh in the nose. can be caused by the most. Dynamic blockages occur due to moving areas (valve areas) in the nose. These problems may be congenital or may occur due to surgeries or trauma. External valve area in the nose; nostrils, internal valve area; It constitutes the region of the middle cartilage roof region closest to the tip of the nose.
In classical nose surgeries, in order to eliminate the deformation in the nose, the bone roof is narrowed, the cartilage roof is reduced and the tip of the nose is thinned. If attention is not paid to the areas where the procedures are performed during these operations, both undesirable deformities and breathing problems may occur.
Aesthetic Nose Surgeries
The most common aesthetic nose surgeries are Basically, while correcting the curvatures of the nasal wall for functional purposes, the valve areas must be protected. In addition, during aesthetic nose surgeries, the patient's demands should be evaluated based on the facial structure.
While creating an aesthetic nose, the anatomical structure of the nose should not be damaged and the natural qualities should not be deviated from.
Revision Nose Surgeries. Requiring Situations
Rhinoplasty is a surgical field where the standard practices that should be performed by a good observer, a good listener, a good designer and a good and meticulous surgeon are not performed. Creating a nose design suitable for the patient, taking into account the patient's demands, and creating a healthy nose that performs its basic functions without any problems can only be revealed as a result of meticulous evaluations. In this regard, in rhinoplasty surgeries, bone, cartilage, skin and all tissues surrounding these structures should be meticulously analyzed and the evaluations made should be applied with the same meticulousness during the procedure.
In this regard, we can list the situations that require revision nose surgeries as follows;
>-In cases where there is no equality in the facial area; When viewed from the front, the face has 3 horizontal sections. The middle part of these 3 parts constitutes the nose. In an aesthetic nose, these three parts are connected to each other. must be equal. In cases where equality is not achieved in these three sections, the nose, which is the focal point, affects the facial appearance and may make revision nose surgeries a necessity.
-In cases where compatibility with the patient's facial structure is not taken into account; Revision nose surgery may become necessary. The nose size should be compatible with the face size. A successful rhinoplasty should be based on compliance with facial proportions. In aesthetic nose surgeries, procedures should be performed based on the cheekbones, jaw bones and forehead bones.
-In cases where nose functions cannot be performed properly; We encounter nasal structures that appear aesthetic but cannot fulfill their basic function, and revision nose surgeries may become necessary. After nose aesthetic operations, the nose should be able to easily perform its most basic function, breathing, and the airways should be open.
-In cases where gender-appropriate noses are not created; Even if the nose has an aesthetic appearance and can function healthily, revision nose surgeries may become necessary.
-In case the basic anatomy of the nose is damaged and its natural appearance is removed; Revision nose surgeries can be performed. In this regard, the edges of the cartilages that form the tip of the nose should be vaguely visible in the lower part of the nose, it should not appear as a separate piece separated from the general appearance of the nose. When looking at the nose area from the front, only the entrance part of the nostrils should be visible and care should be taken to ensure that the tip of the nose consists of two hills that are symmetrical with each other.
-In cases where the nose collapses, falls, or turns; Revision nose surgeries are a necessity. Nose surgeries must be performed effectively and successfully, so that even after years, the nose should not collapse, turn, fall, or appear tightened with a latch.
-In cases where results are not produced in accordance with the patient's demands; Revision nose surgeries may be possible. In this regard, the patient and the doctor must be in communication, the patient's demands are well observed and meticulously followed. It is very important to evaluate and implement it.
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