Nose is a functional and aesthetic organ located at the center of the face , affecting the facial expression of the person. With rhinoplasty surgery, it is aimed to change the shape of the nose and make the face image more beautiful.
With aesthetic nose surgery, the size of the nose can be reduced, the shape of the tip of the nose can be changed, the nostrils can be narrowed and widened, and the angle between the upper lip and the nose can be changed. This surgery can also help correct congenital defects, nasal injuries, and some respiratory problems. Surgical interventions to the nose include septorhinoplasty operations for functional purposes and breathing, for aesthetic purposes to change the shape of the nose, or for both purposes .
The goal in rhinoplasty is to shape the nose and surrounding tissues and make them suitable and proportional to the person’s face. Each patient’s nose is unique, so the procedures to be performed may differ from each other.
Information About the Surgery
Rhinoplasty surgery is an operation performed from the age of 18. Since the facial and nasal bones continue to grow until the age of 18, aesthetic nose surgeries are not performed before 18.
Nasal aesthetic surgery can be performed with open or closed technique, which technique will be used in the patient is decided after the examination. The average operation time varies between 2-4 hours. General anesthesia is applied during the surgery.
Before the operation, the patient’s expectations are analyzed very well by the physician. Visual simulations are prepared according to the desired nose shape and planning is done with the patient. Although the prepared visual simulations do not guarantee the outcome of the surgery, the aim is to make the patient-physician communication clearer and clearer.
Patients should talk to their physician about the problems they see in their own nose, the points they are uncomfortable with and the procedures they want to be done. The feasibility of the desired nose shape, its effect on nasal functions, and its visual compatibility with the patient’s face are evaluated in detail by the physician before the operation. Information is given about the surgical technique to be applied. Before rhinoplasty , photographs of the patient’s face are taken from different angles and pathologies in the outer part of the nose are revealed. Digital imaging techniques are applied on the photographs of the patient, and visual information is provided about the possible different results of the surgery. This makes it easier for the patient to decide on the shape of the nose profile, the tip of the nose and the nostrils, at the same time it ensures that the expectations are more realistic and helps the doctor to understand the patient better.
TECHNIQUES USED DURING THE SURGERY
Tipplasty (Nose Tip Surgery)
Tipplasty is a more limited procedure than classical rhinoplasty surgery. By intervening only on the cartilage of the nasal tip, the shape of the tip of the nose can be changed, and reduction and narrowing operations can be performed. In this technique, no intervention is made to the nasal bones and nasal cartilages. For this reason, swelling and bruising do not occur under the eyes after the operation and the recovery period is very short.
Open Technique Rhinoplasty
In the open technique, incisions are made both on the inside and outside of the nose. Surgery is performed by lifting the nasal skin backwards, in this technique the physician’s field of view is better. It is easier to correct pathologies in the nose with the open technique. Postoperative swelling is relatively higher compared to the closed technique and the healing process is slower. In open technique surgeries, when the incision made at the tip of the nose is closed with appropriate techniques and materials, it heals completely in about 1 and a half to 2 months, usually inconspicuously.
Closed Technique Rhinoplasty
In closed technique surgery, incisions are made only on the inside of the nose. There is no visible incision scar. Closed technique surgeries have faster recovery times. This technique is applied in selected patients.
Piezo Ultrasonic Rhinoplasty
The piezo technique is used during procedures for bones in rhinoplasty surgery. While the operation is completed by creating controlled fractures in the nasal bones in classical surgeries, In the piezo rhinoplasty technique, the nasal bones are shaped by piezo device without fractures. In this technique, soft tissue damage does not occur and postoperative swelling and bruising are minimal.
Dorsal Preservation Rhinoplasty ( Push Down – Let down Rhinoplasty )
Dorsum preservation surgery is a surgical technique developed in recent years and can be applied in a limited number of patients and in selected cases. Preservation rhinoplasty is a concept that has recently become popular in the world of facial plastic surgery. It involves less invasive techniques that preserve the structure of the nose when this is possible. Therefore, in order to use this technique, the patient’s nasal dorsum must be extremely smooth.
THINGS TO CONSIDER AFTER RHINOPLASTY
After the surgery;
- The hospital stay is 1 day.
- There is usually mild or moderate pain and these pains are relieved with painkillers given.
- In the first days, it is recommended to sleep on a high pillow and heavy physical activities should be avoided.
- Swollen nose appearance is normal after plaster or nasal splints have been removed. This edematous appearance will disappear over time and the nose will take its final shape on average between 3-6 months.
- Sprays, creams and other drugs given for nasal cleaning and post-operative care should be used regularly.
- Bruising and swelling may occur around the eyes. These will decrease and disappear spontaneously in the following days (on average, on the 10th day).
- Plaster or nasal splints (silicon bumpers) placed to keep the reshaped nasal bones stable are removed after 1 week.
- Depending on the surgical technique, stitches placed on the nasal columella skin are usually removed after 5 -7 days.
- Sneezing and itching may occur until the nasal splints are removed. These complaints go away with the removal of bumpers. If sneezing is very uncomfortable, sneezing medication can be applied. The nasal splints inside the nose are removed in the first week of the operation.
- It is beneficial to consume plenty of liquid food after the surgery.
- After discharge, bath and shower can be taken whenever desired, but warm water should be preferred, hot water should not be used, and the bath should be kept short. The nose should not come into contact with water so that the plaster or splints (bumpers) do not fall. For the same reason, a steamy environment should be avoided and care should be taken while bathing.
After the surgery;
- Very harsh nasal cleaning should be avoided in the first weeks.
- Tobacco and alcohol products should not be consumed. Smoking should not be smoked for the first 6 months, otherwise the nose will not reach its final state. During the first 3 months, alcohol should not be consumed so that the healing is not adversely affected.
- The process of returning to social life, working life or school is related to the patient’s well-being. When you feel good, you can return to your normal life. However, a week’s rest is usually recommended.
- Swimming in the pool an the sea carries a risk for infection in the first month.
- Glasses should not be used for at least three months, and then, if possible, light and thin-framed glasses should be used.
- It is necessary to be protected the nose skin from scorching sunlight for 3 months. Direct contact of the skin with the sun can make the bruises under the eyes permanent.
- Thin skins fully fit the skeletal structure in 3 months and thick skins fully fit the skeletal structures in 6 months. It is not recommended to do heavy sports that require contact with defense and combat sports for 6 months.
- A nostril equalizing apparatus called nostril retainer may be recommended to you after the surgery. Nostril Retainer is used continuously for the first 14 days, and only at night for the first 6 months after the 14th day.
- For the first 6 months, we do not advise to you to take a photo from the front camera of your phone and evaluate your nose. For a more accurate assessment, you can take a photo using the rear camera.
- It is not recommended to constantly examine your nose in front of the mirror after the surgery.