The nose is an aesthetic and functional organ that affects facial appearance. Aesthetic nose surgery, also known as rhinoplasty, is the reshaping of the nose shape through a surgical intervention. Aesthetic nose surgery is one of the most frequently performed plastic surgeries in the world and in our country.
Aesthetic nose surgery can perform many functions such as reducing the size of the nose, reshaping the tip of the nose, eliminating bone protrusions in the nose or increasing the narrow angle between the nose and the upper lip. It is applied to correct the deformity.
In addition to these, complaints such as cartilage curvatures in the inner middle part of the nose (septum deviation) or difficulty in breathing due to deformation or weakness in the cartilages, rhinoplasty, that is, septorhinoplasty operation, is performed. It can be corrected with functional aesthetic nose surgery. Difficulty in breathing through the nose, that is, nasal congestion, can be solved with this surgery.
Septoplasty, that is, intranasal curvature, burning of the nasal flesh, that is, turbinate, can be performed together with nose plastic surgery. In rhinoplasty surgeries, a natural, understated and most importantly, a result that suits the face should be aimed, taking into account the person's wishes. Especially in nose surgery, aesthetics and function are an inseparable whole.
Successful nose surgery is an intervention that is compatible with the patient's face, provides natural results, and solves breathing problems functionally.
» Am I a suitable candidate for rhinoplasty surgery
• If you think that your nose is disproportionate and large with your face
• If there is a hump on the back of the nose when viewed from the side,
• If the angle between the tip of the nose and the upper lip is narrow and the tip of the nose looks droopy,
• If your nose looks wide and big when viewed from the front,
• If the tip of the nose is wide and wide
• If you think that your nose structure hardens your facial expression
• If there is a curvature in the nose
• If you have breathing problems
• If the nose wings are wide and wide
• If your nostrils are large and wide
You are a suitable candidate for aesthetic nose surgery. If you are physically healthy and spiritually balanced and your expectations are realistic, you can undergo aesthetic nose surgery. You are the best candidate for rhinoplasty.
Rhinoplasty can be performed on men and women of all ages. It is generally not recommended to have rhinoplasty surgery until the development of the face and nose is completed, in other words, before the age of 17. However, aesthetic nose surgery can be performed starting from the age of 16 on boys and from the age of 15 on girls, who have very significant nose deformity and have completed their emotional development.
» Rhinoplasty Preoperative interview...
Before having rhinoplasty, the first step is to consult an experienced aesthetic plastic surgeon. During this meeting, your doctor will examine you and give you information about the operation.
He will also check your emotional and physical health. You will be questioned about whether you have a known disease, the treatments you have received, the medications you use, if any, and whether you have any allergies that make it difficult for you to breathe.
During the physical evaluation, your doctor will examine the shape and size of your nose, its proportional relationship with your face, the condition of bones and cartilages, and examines its structure from the outside. In addition, whether the nostrils are symmetrical or not, and the size and width of the nostrils are also examined. With intranasal examination, it is evaluated whether there is septum curvature and turbinate enlargement (nasal concha) that makes breathing difficult in the nose.
Your doctor compares these examination findings and evaluations with your expectations and determines the most appropriate treatment. He/she will inform you about your option and explain specific details about what to realistically expect from this surgery. During this meeting, your doctor will inform you about the surgical technique, anesthesia, where the surgery will be performed and the preparations for the surgery. It will enlighten you about the possible risks and complications of the surgery. Before you decide on rhinoplasty surgery, ask and get answers to all the questions you have about this subject. Listen to them carefully and ask again about anything you do not understand. You can also get information about the cost of surgery at this meeting. After this meeting, you make your own evaluation and decide on surgery.
When you decide on surgery, you are asked to have examinations in preparation for the surgery. z will be requested. If the results of these examinations are within normal limits, it is evaluated that you are suitable for surgery and the day and time of surgery are decided. Aesthetic nose surgeries should be performed under hospital conditions.
» Rhinoplasty Surgery Intervention Day...
Following your admission to the hospital, you will be taken to your room. Your doctor visits you in your room and plans your surgery. Following this, the anesthesiologist gives information about anesthesia and asks you questions about anesthesia. You will be given a sedative injection before going into the operating room. This will reduce your excitement, stress and tension that may occur due to the surgery, calm you down and encourage you.
Anesthesia will be applied after you land in the operating room. Although nose surgery can be performed under local anesthesia, where the nasal area is numbed, it is often performed under general anesthesia. Many surgeons consider general anesthesia safer and more comfortable. If general anesthesia will be applied, you will sleep throughout the operation. Your doctor will offer the most suitable option for you.
» Rhinoplasty How is nose surgery performed...
Rhinoplasty surgery is to reduce the size of the entire nose, reduce the tip of the nose. It is applied to correct many deformities such as reshaping, eliminating bone protrusions in the nose or increasing the narrow angle between the nose and the upper lip. In some patients, it may be necessary to add tissue to improve the contours of the nose. One or all of these changes can be made during a single surgery. The size of the procedure depends on what changes are desired and what your surgeon deems appropriate for you. This may be an intervention aimed at the tip of the nose, or it may be septorhinoplasty, which is a complete aesthetic and functional intervention in which the full arch is removed, the nasal dorsum is narrowed, and the septum is corrected.
» Should the closed or open technique be applied in nose aesthetics?
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Rhinoplasty can be performed in two ways: open and closed techniques. In closed nose surgery, incisions are made from the inside of the nose to access the cartilage and bones that shape the nose. In the open technique, an incision is made from the section called columella in the middle of the nostrils to the inner part of the nose wing and the nose is inserted into the nose. shaping cartilage and bones are reached. Thus, nose tip aesthetics is completed.
Which technique is better is always a matter of debate among the doctors who perform this surgery, and no decision has been made on this issue. With the 3-dimensional shaping and reduction technique, the desired amount of reduction in the length of the nose tip, in proportion to the nose dorsum, can be achieved. It is possible to reduce the size of large nostrils using this method and other techniques. Both techniques have advantages and disadvantages relative to each other. Your doctor, who successfully applies both techniques, will decide which technique will give you better results. Therefore, still consult your doctor on this issue and trust him. After open or closed technical incisions, the cartilage and bone that will be shaped and changed the external appearance of the nose are accessed.
After the bone protrusion on the nose is removed, the bones are cut, the roof is closed and the bones are reshaped.
The bone and cartilage that form the arch on the nose are corrected using special tools. The nasal bones are then brought together to form a narrower roof. Cartilage is removed, the cartilages are shaped, the size of the tip of the nose is reduced, it is lifted and a better nose appearance is provided. To correct the angle between the lower part of the nose and the upper lip, the tip of the nose is lifted. If the nose is long, it can be shortened or if it is short, it can be lengthened. This process is achieved by shortening the septum (the cartilage that separates both nostrils). If the nasal wings are wide and wide, the nasal base can be narrowed by removing wedge-shaped tissue from the inner part of the nasal wings to correct this.
» Rhinoplasty The process of narrowing the wide nasal base
After the surgery is completed, if needed, a tampon (vaseline impregnated tampons or special perforated silicone splints (Doyle) may be preferred depending on the procedures performed in the surgery) is placed into the nose. The surgery is completed by applying a plastic or plaster splint to the back of the nose. The surgery usually takes 1.5-2 hours. Depending on the degree of deformity and the intervention, this period may be longer.
» How is the recovery after rhinoplasty surgery?
You can spend the first day after rhinoplasty surgery resting. Usually there is no pain, but if it occurs, it can be relieved by using simple painkillers. It is important to keep your head slightly elevated and apply ice to your eyes to reduce bruising and swelling after the operation. How to do these will be explained to you. Medical staff will assist you with these procedures during your stay in the hospital. Limitations in activities may be required on the first day. On the first day, there may be slight bleeding from the nose, this is natural. 3-4 hours after the surgery, you will first be allowed to drink liquid foods, and then you can gradually switch to normal nutrition. It is not recommended to drink very hot drinks in the first days. More warm liquid drinks are recommended. You can then start eating and drinking normally.
Swelling usually begins to appear hours after the surgery and reaches its highest level on the 2nd day. This is a natural process and then the swelling begins to decrease gradually. If bruising around the eyes has developed, it will begin to fade within a few days and usually disappear within the next week. If tampons are placed, they are removed a few days after the operation. This is definitely not a painful procedure. At the end of the first week, the plaster splint or splint is removed and any stitches are removed. If necessary, a small plaster splint or fixation with tape can be applied. This splint is intended to protect your nose from impacts. This splint can stay for 3-5 days. At this stage, you will notice the positive change in your nose. You can now fully return to your daily life.
Most of the swelling in your nose will have gone down. However, there will still be some edema. This will disappear over time and you will see it getting better every day. You will notice the positive change in your nose. It is important to avoid activities that require excessive effort (jogging, swimming, bending, sexual intercourse - any activity that increases your blood pressure) for 2-3 weeks. Hitting or rubbing the nose and sunburn should be avoided for 2 months. It is beneficial not to use glasses during this period. The patient can use contact lenses as soon as he feels well and when the edema begins to regress (5-7 days). However, it takes at least 3-6 months for the nose to take its final shape.
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