Rhinoplasty

One of the most common procedures of plastic surgery especially in our country is aesthetic nose surgery.

The first issue to be emphasized nose operations is the importance of nose as a respiratory organ. Therefore, all patients presenting with nasal surgeries should also evaluate the problems related to nasal breathing and participate in the treatment plan.

The most common problems;

  • The nose is disproportionately long with the face,
  • Belt on the nose,
  • The nose is too wide,
  • Low nose tip,
  • The nose tip is thick and wide,

Preoperative evaluation

The fact that a organ that forms the most central part of the facial anatomy, such as the nose, is different in every person, causes needs that are specific to that patient. Preoperative evaluation includes the examination of the nose from a functional point of view.

In this context, nose curvatures, septum deviation, turbinate hypertrophy, intranasal valve mechanism may be evaluated. Once these problems are detected, the nasal aesthetic problems will be handled.

Generally, patients who apply for nose surgery can identify their nose problems with their own expressions. The evaluation of the surgeon is aimed at the extent to which the problems mentioned are within the general proportions of the face, the extent to which it is possible to correct them, and the new appearance that these changes will constitute in the general expression of the face. In a sense, both the patient and the plastic surgeon need to reach consensus about the shape of the new nose.

Today, computer programs allow us to see the evaluation of changes on the pictures taken before surgery. Therefore, it is possible to comment on the facial anatomy of the patient, not the patients who have been operated on before, or the pictures of the magazines.

Surgical Technique

Nose plastic surgery can be performed with open or closed technique. Both methods have advantages and disadvantages. In the closed technique, it is possible to reach cartilage and bone with a small incision made inside the nostrils.

In the open technique, the nasal anatomy is reached directly by using a transverse incision in the middle of the structure separating the nostrils. The operation lasts for 2-3 hours on average, associated with problems in the nose, and the patient wakes up with a plaster placed on the nose. Patients usually leave the hospital the next morning after spending the night of the operation in hospital.

Postoperative care

After nose surgery, it takes about 1 week for the patient to return to social life. During this time, a plaster cast is placed on the nose and the patient must stay away from any physical contact with the surgical site. Patients are usually able to do their daily work after the first 2 days. At the end of the first week, the plaster is removed and the nose is closed again with special bands. The duration of this dressing is determined by the thickness of the skin and the possibility of swelling and is about 7-10 days.

Aesthetic nose surgery is not a painful operation. Although some pain is mentioned on the day of surgery, it can be easily controlled with painkillers during the hospital stay. The most common problem of the patients is their inability to breathe through the nose and swelling. This problem has also been partially mitigated by the newly applied perforated silicone splint. Longer cloth buffers used for nasal bumps have now been replaced by small silicones. It is therefore unnecessary for patients to worry about tampering.

A few important notes on nose surgery:

The nose is an organ that can be interpreted very easily by almost everyone due to its location in the center of the face. However, this does not mean that nose plastic surgery is easy. The nose is also of central importance for the face. Considering the disillusionment of patients with inadequate operations, the importance of performing these operations by surgeons with adequate knowledge and experience is revealed. In this sense, it is very important to determine how much of the patient’s expectations can be met with such an operation. Differences in skin quality, in particular, do not allow for the expected results in each nose. Sometimes, contrary to the expectations of patients, a small nose is worse than a larger but more accurate nose that is more compatible with the facial lines. Unlike previous applications, the most successful nose surgery today is the most natural, most compatible and operated.

The nose is evaluated with the forehead, cheeks and jaw as a part of the facial anatomy. In this context, the region that affects the anatomical appearance of the nose is perhaps the jaw. A jaw structure with a particularly small and backward placement causes problems in the nose to become more pronounced. Although the targeted corrections are technically done, the nose may not provide the expected fit with facial features of the nose without correcting the problems in the jaws. In the preoperative evaluation, it is necessary to explain the contribution of the chin to the aesthetic appearance of the nose to such patients.

Even in the best hands, nose surgery always carries a risk of uncertainty. This is mainly due to changes in skin structure. Nasal surgeries are technically an operation for cartilage and bone structure. In this sense, the skin is expected to passively adapt to the changes created under it. However, each skin structure and each patient does not improve in the same way. Therefore, some patients may need revision surgery. In cases where such a procedure is required, a minimum period of 6 months is required after the operation.

Finally, it should be known that the targeted changes in plastic nose operations will take longer than the patients with light skin, thin and dry skin especially in dark skinned, thick and oily skin patients. Although this period is at least 6 months, it is assumed that the healing process lasts about one year.



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