Rhinoplasty

The nose is the most important component of facial anatomy. It is aesthetically very important, it is located in the center of the face, it is the most extreme point of the face and is the first place that attracts attention in facial appearance. It is also the place where breathing first begins and has an important place in respiratory physiology. It moisturizes, warms and filters the inhaled air. It provides ventilation of the cavities in the face, which we call sinuses, and is an important component for a healthy life.

The nose, which has such a variety of tasks, has an anatomically complex structure. Therefore, the surgery performed varies according to the purpose and the anatomical structures intervened.

These are:

1. It is performed only for the cartilages at the tip of the nose; aesthetic type-plasty
2. Estetik burun ameliyatı: Bütün buruna müdahele edilir burun gövdesi ve kemik çatı da düzeltilir
3. Septoplasti ve veya septorinoplasti: It is the area that is intervened in case the middle curtain in the corridor (nasal cavity-nasal passage), which is the continuation of the nostrils that prevent breathing, lies too much to one side.
   This surgery can be performed in the same session as aesthetic rhinoplasty surgery. In the meantime, other structures in the nose that prevent breathing can also be intervened.
4. Nasal valve surgery: Sometimes, depending on the structure of the nose or after rhinoplasty, the nasal skeleton can also functionally impede breathing. In this case, this procedure can be used together with other rhinoplasty or septoplasty.

The above procedures can be performed by making an incision only through the nose or additionally through the bridge in the middle of the nose. You and your doctor will make this choice. The most decisive variable in this decision is the deformities of the nasal tip. Open rhinoplasty is generally the preferred method for dimensional disorders of the nasal tip cartilages

In the light of generally accepted medical trends, the above procedures can be performed by a doctor who has been trained in Plastic, Reconstructive and Aesthetic Surgery and has a specialization certificate in this branch. However, in cases such as intervention in the sinuses or polyps or in other clinical situations, an Otorhinolaryngologist may also be included in the team.

Are You a Suitable Candidate for Rhinoplasty?

If you have an idea about the shape of your nose and want to change it; as a candidate for rhinoplasty, consult a physician who can perform this procedure. When you talk to your doctor, you are a suitable candidate if the changes you want are considered realistic and feasible. It is also a very important step for you to understand and decide on your doctor's recommendations and the risks that may occur during the doctor's examination. In addition, a nasal obstruction related to breathing is really a reason for surgery. It is not physiological to have to breathe through the mouth.

The nasal passage is a very complicated structure and sometimes the inability to breathe can also be due to some functional disorders of the inner lining. In such cases, you may be a candidate for medical treatment rather than surgical treatment. Also, if you are a smoker, you must quit smoking before you can breathe!

Whether you are a good candidate is also related to other aesthetic interventions in your facial area. Your facial dimensions, such as the amount of cheekbones and chin protrusion, and even the shape of your forehead will be evaluated by your doctor. In addition, the ratio of the upper and lower jaw should be evaluated sensitively before a planned aesthetic rhinoplasty.

Sometimes supporting aesthetic rhinoplasty with some additional procedures; sometimes giving priority to other facial aesthetic surgeries can provide us with better and satisfactory results. We should not forget that the nose is like a castle placed on the facial skeleton. It may not be possible to beautify only the castle without a ground survey.

What to Expect and What to Fear from Rhinoplasty?

Rhinoplasty is a very safe and satisfying surgery. Sometimes a second correction may be required. This does not exceed 5-10% depending on the situation. The reasons for this correction may be slight irregularities and mild curvatures, or they may interfere with breathing by creating mutual bridges in the inner lining of the nose. These conditions are easily corrected with local anesthesia.

Before and After Rhinoplasty

• Smoking should be stopped at least 2 weeks before rhinoplasty and/or septorhinoplasty. The use of blood thinners should also be regulated as far as possible.
• If a bone-directed procedure is performed, which is at least 70% in aesthetic rhinoplasty, the patient is operated under general anesthesia and sleeps overnight.
• Bruising (around the eyes) is not a rare finding when the bone procedure is performed. It completely disappears in 10-15 days. We provide additional treatments suitable for this condition.
• A nasal tampon is usually placed after rhinoplasty. Although a tampon may seem like a difficult thing, it increases the comfort of the patient. Nasal crust formation or continuous leakage is more common when a tampon is not used. We keep the nasal tampon for at least 2 days. In the past, the tampons used in rhinoplasty were painful to remove. In modern applications, thinner profile and non-stick tampons are used. We recommend regular cold application within 24 hours after surgery and ensure that it is applied.
• If we have treated the bone, we apply a plaster cast at the end of the surgery. This remains in place for 1 week after surgery. Although the casts (outer mold) used in rhinoplasty are made of many different materials depending on the situation, the main purpose in the selection of the cast is to minimize the appearance of our patient being operated on in this one-week period.
• During the recovery period after rhinoplasty, the nose takes its final shape in about 6 months. The reason for this is edema. Edema can be described as tissue swelling. Nasal swelling, which is the highest in the first 15 days after the plaster is removed, decreases within months. At the end of one month, even if the patient is satisfied with the result, the healing process continues. Therefore, if a second surgery is desired, at least 6 months should be waited. It may take up to 3 weeks for breathing to return to normal. The reason for this is that the mucosal cleansing system of the nose does not work due to surgical trauma. The slightest secretion or kabuki can block the nose. During this period, patients are taught special nasal sprays and cleaning techniques.