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Rhinoplasty

General Information

The aesthetic nose surgery (rhinoplasty) is a process which allows the nose to breathe in a healthier way and makes the nose complete with the face. Rhinoplasty is still the mostly conducted aesthetic surgery.

What is the importance of Nose on the Face?

The nose shoulders the duty to determine the axis of the face with its vertical extension and being at the center of the face. The communication between people is mostly conducted face-to-face. The nose being neighbor to eyes causes people to look on the nose instead of the eyes. A person with a shape disorder on the nose feels like the people are checking his/her nose constantly.

How can the Ideal Nose be described?

There may be no definition such as ‘the width, diameter and height of ideal nose is 3 cm, 2.5 cm and 5 cm respectively’ since the thing determining the ideal nose is not its dimensions, it is nose’s ratio with the face and other elements of the face. At this point, the elements such as the length, width and height, angle to forehead and upper lip are defined in ratio for both types. For example, the length of nose must separate the face into 3 and width to 5 equal sections. The rotation between upper lid and the nose base must be 95-100 degrees for females and 90-95 degrees for males. The projection of the tip of nose to middle face must not exceed the one third of the distance between the brows and upper lip, etc.

How the Aesthetic Nose Surgery is planned?

Generally, three changes may be planned over the nose for these surgeries. Either tissue is extracted from the nose and it is downsized or tissue is added to the nose and it is extended; or only its shape is changed.

The determination of current problem and processes to be conducted for nose aesthetic surgery are the subjects to be decided by the patient and the doctor together. If the problem observed by the patient when looking at the mirror and the doctor when looking at the face of the patient, it is expected that the surgery result will satisfy the patient. At this point, the simulations conducted on computer media with front and side profile photographs helps for healthy evaluations.

Rhinoplasty Surgery

During this surgery, the problems preventing the patient from breathing (septum deviation, concha hypertrophy, valve insufficiency, etc.) may be removed.

The rhinoplasty may be conducted with open or closed techniques. With closed technique, the back of the nose may be corrected, the nose width may be narrowed or the nose tip may be lifted. The rhinoplasty conducted with closed technique causes less edema and swelling and the recovery period is shorter.

The rhinoplasty conducted with open technique may correct all deformities on the nose. The open technique must be preferred for the surgeries requiring detailed correction for the tip of the nose and for the patients who had unsuccessful nose surgeries.

For both techniques, the tissue dissection must be made on subpericondrial level over the cartilage. The dissection conducted on this level ensures lesser bruises and edemas and shorter recovery period.

The nose aesthetic surgery is conducted with general anesthesia and approximately takes 1.5 hour. There is almost no pain during the surgery and post-surgery recovery period. Yet, the degree of edema and bruises to occur varies. To keep the bruises and edema at a minimum level, the patient must stop the use of alcohol 1 week before the surgery, must not use painkillers and consume products such as herbal teas and lemons which are anticoagulant.

The patients who have had osteotomy during the surgery have internal splints placed in the nose which have their air channels. The patient may only distinguish this when he/she puts a finger in the nose.

Secondary Rhinoplasty Surgery

The ‘secondary rhinoplasty surgery’ is the process for correcting the noses which were operated previously but resulted in failure in regards to shape or function. The secondary rhinoplasty requires experience depending on the deformation of bone and cartilage. Mostly, a cartilage and grafts are taken from another section of the body and used on the nose. The ear or ribs may be used as a donor area depending on the needs of the patient.

What Will Be Your Experience Day By Day ?

1st Day: You will have no pain after the surgery. There will be a thermoplastic mold over your nose for protection at the end of the surgery. Since the bruises and edema will occur in hours after the surgery, you have to apply cold compress on your face.

2nd Day: You may be discharged after the control of your doctor. If a silicone tampon is placed on the nose during the surgery, this is taken off before being discharged. These tampons are taken off with no pain. The bruises and edemas will be in its maximum on the 2nd day.

3rd Day: You may conduct your daily works by the condition of taking your medicine in a timely manner.

5th Day: This is your first check up day. The thermoplastic mold is changed in this check up and the stitches are taken off from the nose and general checks are conducted. You may have a flight after your first check up.

12th Day: This is your second check up day. The thermoplastic mold is completely removed. Your nose has some edema and bigger than normal.

3rd Week: Your nose significantly looks normal. When seen by other people, it does not draw the attention of other people. At this phase, if the doctor deems necessary, he/she will suggest you to perform nose massage.

10th Week: Your nose is healed by 90%. Only the tip of the nose will have slight edema and a circular appearance. It is suggested that you should not wear glasses, smoke or get hit on the nose for 10 weeks after the surgery.

6-8 Months: The recovery period of the nose is completed.

Frequently Asked Questions

Can you have nose aesthetics surgery before the age of 18?

The bone and cartilage development of the nose stops after a surgical process conducted on the nose. Therefore, no aesthetic surgery shall be conducted until the nose is sufficiently grown. In addition to this, if the main problem is the big size of the nose, the aesthetic process may be conducted on the nose before the age of 18.

Can you have the nose aesthetic surgery on every season?

There is no specific season to conduct nose aesthetic surgery. It may be conducted on every season of the year.

 

Can you have the nose aesthetic surgery with local anesthesia?

The surgeries such as concha cauterization or septoplasy may be conducted with local anesthesia. Yet, this situation affects the comfort of the patient negatively. Therefore, all surgical processes shall be conducted with general anesthesia.

Will I be hospitalized for nose aesthetics surgery?

It is sufficient to be hospitalized for 1 day after the nose aesthetics surgery.

Will I use tampon after the surgery?

If the nose bones are moved during the surgery (osteotomy), the silicone tampons with their own air channels are utilized. These tampons do not adhere to tissue around it and the patient does not feel the tampon.

Does a splint get placed in my nose after the surgery? For how long does it stay?

A thermoplastic splint is placed on the nose for each surgery with osteotomy. This splint is replaced on 5th day after the surgery. It is completely taken off on 12th day. It may not be utilized for cases with no osteotomy.

When will my nose heal after the surgery?

The recovery of nose is very important for the 10 weeks after the surgery. During this period, the patient should not wear glasses, smoke and protect his/her nose from impacts. The soft tissue edema on the nose  will heal completely and nose will have its final form in 6 months – 1 year.

What is the existence of bones in the nose? How is it treated?

The structure which is half bone and half cartilage separating the nose channels is called septum. The septum bends to one side depending on the structure or trauma. As a result, the patient will have a permanent breathing problem. This situation is known as ‘existence of bone in the nose’ in public. The septum deviation may be corrected during aesthetic nose surgery.

What is the existence of flesh in the nose? How is it cured?

There are structures in each nose channel which cleans, heats and moistures the channel and the air, acting as a filter. These are called concha. The concha sometimes swells and plugs the airway.This situation is known as ‘existence of flesh in the nose’ in public. The concha enlargement may be corrected during aesthetic nose surgeries.

Does the nose aesthetic surgery solve the problems preventing breathing?

The situations such as septum deviation, concha hypertrophy or valve insufficient may be treated during the surgery.

May snoring be treated with nose aesthetic surgery?

There may be many reasons which arise from the airway. The problems in nose only consist of some of these reasons. Therefore, not all nose surgeries may treat snoring.

May sinusitis be treated with nose aesthetic surgery?

 The nose and sinuses are completely different anatomic structures. Therefore, sinusitis treatment is not possible with nose aesthetics surgery.