What Is Nose (Rhinoplasty) Surgery?
Nose surgery, referred to as” rhinoplasty”, is a surgical procedure performed to heal deformities in the nose. In general, rhinoplasty procedures are performed under general anesthesia.
It can also be applied together with septoplasty, lower concha surgery and sinusitis surgery (endoscopic sinus surgery) to produce a solution to nasal congestion.
There is no harm in applying the rhinoplasty procedure to people over 18 years of age with good general health. The underage limit may vary depending on the facial development in girls and boys.
After examining the nose of people, their requests are learned, and together with the help of computer analysis, the appropriate shape of the nose is determined on the person’s face.
Contrary to what is known, there is no serious pain after the nose aesthetic operation. Liquid foods can be started after 3 hours. A small amount of swelling and bruising occurs under the eyes and tends to increase slightly for 3 days and after 4 days they begin to regress.
Our patient can return to work on the 7th day after the plaster cast on the nose is removed. Stitches are also removed on the same day. There are no stitch marks left. The second check is done on the 14th day.
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How Is Rhinoplasty Performed?
Rhinoplasty surgery, which is one of the most common surgeries in the field of plastic surgery, is an application that improves the patient’s breathing and corrects the shape of the nose.
The aim of nose surgery is to make a nose that is natural and not obvious to the profile of the face.
Nose is one of the most important organs located in the middle of the face and providing air passage functionally. In nose operations, it is very important to pay attention to this factor during surgery.
If there are structures in the nose that cannot perform their function, they should be improved, and the patient’s breathing quality should be improved. In addition, the success rates of the operation also vary depending on the patient’s skin characteristics.
If the skin is thick or thin, the specialist should determine his methods according to these skin characteristics. In addition, the thinness and shape of the cartilage, old injuries that develop in the cartilage and bone can also be improved with this operation.
It is an operation to reshape bone and cartilage structures by separating bone and cartilage tissues from the skin and mucosa. Incisions are made inside the patient’s nostrils. No incision marks remain on the patient’s skin.
Who is Suitable for Rhinoplasty?
If the patient is over 18, if bone development is completed and there is no health problem that may prevent surgery, he is a suitable candidate for rhinoplasty surgery.
The most important factor determining the success rate for rhinoplasty surgery is the correct patient selection before surgery.
The patient should know why he wants to have nose surgery, know that he should keep his expectations of surgery realistic and be able to communicate with his doctor in a healthy way.
Before surgery, the patient is told in detail in stages what can be done about his nose. After rhinoplasty, what the patient expects and the shape of the nose after surgery are shown in a computer environment. Then surgery preparation begins.
At this stage, the surgery can be performed under general or, in some cases, local anesthesia, depending on the condition of the patient and the nose. This operation takes approximately 3 hours.
After rhinoplasty surgery, a tampon is placed in the nostrils and a splint is applied on the nose.
A small amount of swelling and bruising may occur around the eyes. This situation is normal and expected. The bruises start to disappear after two days. The patient can return to his life in a short time. Swelling starts to regress within a month.
However, this regression lasts between 1 year to 1.5 years depending on the structure of the nose and the condition of the patient. The shape of the nose sits exactly after this period. During this period, the patient is frequently called for a check-up.
Rhinoplasty must be performed by experienced, visionary, and professional people in this field.
Aesthetic operations performed by plastic surgeons who know high-level techniques will not have any problems. Otherwise, the patient may need a second operation.
After rhinoplasty surgery, it is natural to have a small amount of swelling and bruising under the eyes and at the root of the nose. Now, thanks to the correct application of special anesthesia techniques and local anesthetics during the operation, we encounter very little swelling and bruising when exiting the operation.
Swelling and bruising in these areas tend to increase 2-3 days after surgery and are not very uncomfortable, from the 4thday they begin to decrease and, on the 7th-10th day the bruises and swelling disappear on the 10th-14th day.
FREQUENTLY ASKED QUESTIONS
Rhinoplasty is an operation to change the external shape of the nose. During this operation, the cartilage and bones of the nose can be formed, and the nose can be given its final state.
In addition, bone, cartilage, and meat growths that prevent us from breathing in the nose at the same time or lead to some diseases can also be handled during the same operation.
Contrary to common belief, rhinoplasty is not a painful procedure. I can explain this as follows; When we asked our operated patients whether they had postoperative pain, 98 out of 100 patients did not complain of any pain.
However, what is often mistaken for pain is facial swelling and tightness. These should not be confused with pain. This may feel tight, but never causes serious pain. This problem can be easily overcome with simple painkillers to be taken after the operation.
Finding the right surgeon is the most important duty of the patient in the preparation process of rhinoplasty. The patient should find a physician who can ask any questions that he feels comfortable with and get good explanations for the questions he asks.
Communication is the head of everything, the patient should share with the doctor what they want, their concerns and fears about their nose. Then, the patient should go through a preparation process with the surgeon, and during this preparation process, the patient should inform the physician very well about the nose shapes he likes and dislikes.
This is an operation, and the patient should give very accurate information to his doctor about the diseases, surgeries, medications, and allergies he has undergone up to that day. Considering this information, it is planned whether he is suitable for surgery or measures that should be taken earlier.
After surgery is planned, the patient should not use blood thinners (aspirin is the first of them) some heavy incisors about 10 days in advance. Apart from that, he should not use vitamins containing substances such as some linkoblogs and insents that we do not like.
Again, patient should not consume foods such as ginger, which is often used in recent years. The question we are get most before surgery is “Should I quit smoking?” Of course, smoking is always a substance that has the opposite effect on our health but smoking influences two very important issues for operations. It worsens wound healing and causes the anesthesia you will receive to become riskier.
Therefore, we recommend that you should quit smoking about one week before the operation. Also, you should stop drinking alcohol three days before surgery. We recommend our patients to take a bath the night before the operation.
If the operation is to take place the next morning, we advise him not to eat or drink anything after midnight and to come to the hospital hungry. If our patient pays attention to these issues, he will undergo a healthy surgical process.
In the process after the operation, our patient should pay attention to the application of ice. An ice application of 15-20 minutes per hour should be applied all night long.
Our patient needs to be fed liquid nutrients on the first day. When we discharge our patient to home the next day, they should be careful to continue applying ice at home. Apart from this, there are no bathroom restrictions, but he can bathe his hair and body separately, without wetting the plaster above his nose.
We see that our most common patient feels more psychologically ill by constantly lying down. We do not want this; we want him to continue his daily activities at home during the day. We want our medicines to be used properly and correctly. They can start taking a bath one week after the operation.
Patients can switch to their normal diet the day after surgery. On the other hand, we recommend not to do heavy work and exercise for up to three weeks after the operation. Smoking should not be resumed immediately, however, the patient should not consume alcohol for three weeks.
And we do not want our patients to get sunshine for two or three months on swelling and bruising under their eyes. Hats or sunscreens can be used for this.
Bone curvatures in the nose are divided into two parts. Bone curves inside the nose and nasal curvatures outside the nose. The curvature of the nose that prevents us from breathing inside the nose cannot be corrected without surgery.
If you are having trouble breathing and this is due to the curvature of the nose, you should have surgery. But the bone curvature outside the nose, if it is too light, can be easily camouflaged and made less visible by filling methods.
However, if the bone curvature outside the nose is very severe, you should again choose surgery.
Revision rhinoplasty is a surgical operation performed for people who have previously undergone rhinoplasty but cannot achieve the desired results or who have problems in breathing or nasal shape because of faulty procedures. With revision rhinoplasty, the negative results of rhinoplasty operations that failed unsuccessfully are corrected and visual integrity is achieved. Not only visually, but also functional problems are corrected. Apart from surgical intervention applications, non-surgical intervention methods can also be used. Some examinations are required to determine these methods. At this stage, the plastic surgeon; will examine the medical history of the patient and share all the necessary details with the patient. Revision rhinoplasty operation is a procedure that succeeds in breaking the prejudices of the patients to the rhinoplasty operation and has a very high success rate. It ensures that patients who cannot achieve the desired appearance because of the operation get another chance and get the opportunity to use this chance flawlessly with the revision.
Men and women who do not have health problems that may be an obstacle to revision rhinoplasty surgery, and who have previously undergone surgery, but have not achieved the desired result from this operation, are suitable candidates for this operation.
In addition to removing the bone or cartilage present in the bridge of the nose, a wide range of studies can be performed, up to complex revision. This operation can be completed without any problems for the noses that have received too much tissue and deformed. The success of the operation may vary depending on the tissue container and scar. It is very important at this stage to express that the success rate will be much higher if performed by an expert surgeon. Revision rhinoplasty has a rescuing identity and most of the patients with rhinoplasty are going to doctors for this operation as a second intervention.
With the application of general anesthesia, the patient does not feel any pain or ache during and after the operation. Mild pain that may occur after the operation; It is taken under control in a short time with painkillers. However, it is not possible to give clear information about the operation time. Since each nose and each patient’s condition is unique, the operation time varies. However, although it may vary for each patient, the operation is generally completed in 1.5 to 3 hours. Again, as before the rhinoplasty operation, there are some points that should be considered before this operation. Contrary to common belief, revision rhinoplasty is not a difficult operation and as we have just mentioned, it is supported by anesthesia, so there is no pain or feeling of ache. After a successful application, it will be possible to have a healthier nose structure and a higher quality of life by correcting the problems in the nasal structure. Before this operation, some examinations are performed. Every problem in the nose is clearly revealed at this stage, and intervention alternatives for revision are determined and the most appropriate operation method for the patient is decided.
It is very important to protect the nose area after revision rhinoplasty. Apart from this, you will need a 6-hour waiting period for fluid consumption, as in rhinoplasty operation. It is also necessary to be sensitive about hot and cold contact after the operation because the nose becomes structurally weaker and it must be kept away from many factors and protected during the healing process. If your doctor does not advise, you should not use any medication. Smoking and alcohol consumption will have to quit after the revision as well as after the rhinoplasty operation.
Piezo rhinoplasty, one of the most popular applications today among bone cutting and forming techniques, was discovered in the 1980s and started to be applied by surgeons. The main goal in this method of intervention is to be able to interfere with the bones using 3-D sound vibrations. At this stage, it is also necessary not to miss that it is an operation that best fulfills its purpose. Many patients who are afraid of nose surgeries and do not want to suffer are primarily in demand for this method. It is also much easier to apply and with many advantages for patients suitable for other rhinoplasty operations. A successful operation can be achieved with Piezo rhinoplasty in a very easy and practical way, and a healthy nose structure can be achieved with the selection of a successful surgeon.
As we have just stated, this application has many advantages. Some of the advantages of piezo rhinoplasty:
- Bruising and swelling are less than other types of operation and the bruises and swelling disappear spontaneously in a shorter time.
- Incision operations can be made more easily on the desired line and thus shaping the nose becomes simpler.
- The healing process is much faster and the risks and side effects that may occur during this period are less than other operations.
- One of the biggest concerns of patients about rhinoplasty surgery is undoubtedly the bruises under and around the eyes and swelling. It is quite normal for such problems to occur due to the pressure applied to the nose area and the operation performed. However, with the piezo rhinoplasty operation, this situation disappears a little. As we have just stated, bruises and swelling appear after the operation in a non-obvious condition.
Along with soft tissue, the veins are also not damaged in any way in this operation. This detail is an element that allows you to avoid the formation of bruises and swelling a little. A small amount of bruising will not visually disturb the patient, and it is one of the biggest advantages of the operation. The pressure applied and long-term work in the relevant area will normally lead to light bruising, but this does not reach a size that will pose a problem.
Piezo nasal aesthetics, which is one of the most compared operation models with rhinoplasty, is preferred more by both patients and surgeons due to the advantages it offers. One of the most important reasons for this is that the nose can be shaped more easily. It is much more difficult to intervene later in the slightest mistake in rhinoplasty. However, in the piezo application, the intervention process becomes much easier. Before the operation, you will be presented with the help of a computer how you will have a nose shape after surgery. It is useful to share the question marks in your mind with the surgeon because mental preparation is of great importance along with physical preparation in such operations.
Nasal congestion can cause difficulties in daily life and irregularity in sleep. The curvature of the middle part of the nose, which we call septum deviation, consisting of cartilage in the front and bone in the back, is the most important cause of nasal obstruction. Septum deviation can also lead to sinusitis, nosebleeds and sometimes headaches. This situation can be corrected by septoplasty – nasal curvature surgery.
Septoplasty is a surgical procedure performed to eliminate the congenital or subsequent curvature of the cartilage in the nose. Not all nasal curvature may require surgical intervention. However, if the curvature of the nose causes breathing difficulties, it increases the quality of life by contributing to respiration with its correction. The septum, which has a structure like a curtain that divides the inside of the nose into two separate sections, has a complex anatomy consisting of cartilage and bone. It is divided into 5 different regions in terms of technical aspects. Curvatures in the anterior regions cause more respiratory problems. Respiratory difficulties occur with septum curvatures, mostly due to swelling in the nasal cavities. In this case, treatments should be planned by addressing all problems.
Septoplasty is an operation performed to correct these curvatures. Unless the operation is very compulsory, it is usually performed after the age of 17-18. It is easily applied with general or local anesthesia. We prefer to place silicone sheets in the nose after the surgery and pull them out effortlessly after 2-3 days. However, if desired, only stitches can be made, and no material can be used. After this procedure, no swelling or bruising occurs around the nose and eyes. Patients do not need bed rest and do not feel any pain other than sensitivity at the tip of the nose and on the lip.
Septoplasty is a treatment that can be applied under local or general anesthesia. The main goal during the septoplasty procedure; is to ensure that the curtain in the nose is smooth and does not prevent air passage. During this application, it is possible to use some cartilage parts taken from the septum in the nose aesthetic procedure. In this way, it is possible to get a more uniform aesthetic result in the nose. During the removal of cartilage from the nose, some parts of the septum are preserved and there is no loss of resistance.
Septum deformity is one of the most common causes of nasal congestion. The septum shape should be thin and straight. However, the septum may be bent for various reasons and its shape may be distorted. Because of this, breathing may become impossible. Septoplasty surgery is important in cases where the shape of the septum is deformed enough to cause nasal congestion.
Before the surgery, inform your doctor about all the medications you use continuously or recently used before the surgery. If you have a chronic disease, report this problem to your doctor at this stage. Tobacco products are a serious problem that delays recovery and increases the risk for infection. Therefore, it is recommended to quit smoking and tobacco products before surgery.
Septoplasty is the surgical correction of the deformity of the septum. With anesthesia, an incision is made on one side of the septum through the nose. Surgeon corrects the obstructed part of the septum from the incision he made. The operation can be applied in many ways. In some application methods, the obstructed part can be removed. In some methods, the obstructed part is corrected and placed again. No matter how the operation is applied, the external appearance of the nose does not change.
After surgery, the patient should be fed liquid and soft foods. Feeding can begin three hours after the operation. From the day after the operation, you can return to normal eating habits. After surgery, there may be mild pain. At this stage, the pain is controlled by the help of painkillers given under the control of the doctor. Severe pain is not seen. Nasal tampons placed during septoplasty surgery are special sponge tampons. It usually does not cause problems such as pain or bleeding when removing, such as cloth and rope tampons used in the past. For the first 1-2 weeks after surgery, nasal wounds may experience nasal congestion due to crusts and accumulated discharge. During recovery, this blockage will decrease and breathing will become easier over time.
Septoplasty surgery, if performed in specialist hands, improves the quality of life and eliminates serious problems such as ear congestion, chronic fatigue, and the need for long-term sleep caused by inability to breathe.
Rhinoplasty is one of the most common aesthetic operations today. Nose surgery can be performed by many different methods today with the development of technological possibilities. The advantage of applying rhinoplasty operations with different methods provides the advantage of using the most appropriate technique specifically for the patient’s nose structure and needs. In addition, patients who are afraid of tampon use may be psychologically more prepared thanks to options such as tampon-free rhinoplasty.
The biggest fear of those thinking about rhinoplasty or nose surgery and the question they ask most is tampons. In the past, cloth tampons placed in the nose prevented breathing until they were pulled, making it difficult to sleep and eat. The pain and sometimes bleeding experienced when removing these tampons used was quite difficult for patients. Currently, the need to use tampons regularly disappears after this operation. Now, thin leaves made of silicone with breathing channels are used. These usually remain in place for 2 days and do not prevent breathing, sleep and eating. Pain and bleeding are not encountered when removing after two days. According to the patient’s preference, these silicone leaves may also not be used at all using special techniques. However, there is no difference in terms of nasal congestion between using silicone sheets and not using any tampons when postoperative nasal swelling, and discharge occurs.
Rhinoplasty, also called nose surgery, is an application aimed at reshaping the nose and improving its function. At this stage of operation, the nasal deformities are corrected, but also the functions of the nose are improved. It is one of the most widely applied aesthetic operations today.
Although it is generally believed that nose surgeries are performed only with aesthetic concern, deformities are mostly symptoms that indicate disorders in the structure of the inner nose. In general, patients may have breathing problems due to injuries, falls or blows to the nose, genetic causes, or subsequent causes. Breathing problems, on the other hand, invite serious problems. At the beginning of these, chronic fatigue, insomnia occurs because the body does not receive enough oxygen. Many serious health problems occur, such as blockage in the ears, a decrease in sleep quality, rapid fatigue, snoring, sleep apnea. All these problems can be corrected with successful rhinoplasty. In correcting these problems, of course, a nose shape is also designed in which the patient will be satisfied aesthetically. In general, nasal deformities that patients want to correct can be considered as a nasal arch, collapsed nasal cartilage, nasal tip deformity, a fall of the tip of the nose, an expansion of the wings of the nose. All these problems can be treated with unbuffered rhinoplasty surgery. Especially today, thanks to technological advances and the ‘laser rhinoplasty’ method operations without tampons can be performed.
In the traditionally applied rhinoplasty surgery, i.e., nose job surgery, structural shape changes and changes in the nasal cartilages are also applied with the surgical cut applied to the nasal bone. In rhinoplasty performed with laser, that is, nose job surgeries, thicker nasal skin can be thinned with “CO2 laser”. Thanks to this method, the superficial thick layer of the skin is peeled off and the damage to the nose is kept to a minimum. In this way, there is a faster recovery period. In this method, which is especially suitable for thick skin, a healthier skin layer emerges from the bottom. As the recovery period continues, the damaged skin layer is also peeled off and the healthy skin layer comes out from below.
Unbuffered rhinoplasty can be applied to anyone who is over the age of 18, does not have health problems that may interfere with the surgery, and the doctor deems appropriate. However, unbuffered rhinoplasty is not a suitable surgery for patients with uncontrolled diabetes or bleeding and coagulation problems.
The primary advantage of this method is of course that it is applied without using tampons. There is a shorter recovery period thanks to the lack of tampon. The shape and functions of the nose can be improved without a major operation. Although the hospital stay is short, the complication rate is low. It is a quick recovery process in patients with thick skin tissue.