R I N O S T E T I C A

YÜKLENİYOR

OP. DR. ALİ KAHRAMAN

RHINOPLASTY

Contents

RHINOPLASTY

Operation Time

1.5 - 2.5 (HOURS)

Type Of Anesthesia

GENERAL ANESTHESIA

Nose Aesthetics

 

Nose aesthetic surgery  is the most frequently performed plastic surgery today, and its positive results are extremely pleasing.

It is very important to carefully protect your nasal functions during plastic surgery in order for your surgery to be successful in terms of aesthetics as well as functional aspects, that is, in order for you to be able to breathe comfortably through the nose after the operation.

 

If you have problems such as curvature (deviation), enlargement of the nasal concha (lower turbinate hypertrophy) or sinusitis that prevent you from breathing in the nose before the surgery, these should be resolved with appropriate techniques during the same surgery.

 

Surgical techniques and technologies used in aesthetic and functional surgeries of the nose, which is the most prominent and important anatomical and aesthetic structure in the middle part of the face, are constantly evolving to provide better visual and functional results, as well as to provide a faster and more comfortable recovery period after surgery.

 

In order to obtain aesthetic and functional results that will be considered successful according to today’s criteria in your nose surgery, your doctor who will perform your surgery should be highly experienced in the field of nose surgery, as well as be able to closely follow and apply current information, surgical techniques and technologies such as piezoelectric (ultrasonic) surgery. The most important criterion of success in rhinoplasty is patient happiness. This can be possible with the desired appearance of the nose and comfortable breathing at the end of the surgery.

 

In order to achieve the visual results you desire in your surgery, it is very important that your expectations from the surgery are fully understood by your doctor before the surgery. Three-dimensional digital imaging systems, which have been used in recent years, allow you to fully express your expectations from the surgery by applying the possible results of the surgery on digital images, while  the rhinoplasty doctor  who will perform your surgery helps you plan interventions that will meet these expectations.

Who is Nose Aesthetics Performed?

 

 There is virtually no patient group that cannot undergo rhinoplasty . Liver etc. Apart from organ failure such as organ failure, psychological problems and serious bleeding disorder, there seems to be no health condition that will prevent rhinoplasty surgery.

 

Patients who are dissatisfied with the shape of their nose or those with damaged nasal structure as a result of trauma constitute our main patient group.

 

These surgeries can be performed from the ages of 15-16 in girls and 16-17 in boys.

 

What are the types of rhinoplasty operations?

 

Rhinoplasty  operations can be grouped under two main headings according to the type of operation.

 

Open rhinoplasty and closed rhinoplasty

 

The only difference between the two operations is that an incision of 3-4 mm is made in the area called the columella between both nostrils of the patient in the open operation, and this incision is not made in the closed technique. Apart from this, names appear in the virtual world as if there are many rhinoplasty techniques today. Most of these names are non-scientific terms produced for marketing purposes. Important rhinoplasty techniques in the literature:

  • Conservation rhinoplasty :  It is the technique of reducing the hump on the back of the nose by removing bone and cartilage pieces from the nose without shaving the nose with a rasp, chisel or other tools. Its advantage is that the patient recovers faster and osteotomy complications are less common. It is not a technique that can be applied to every patient. In inexperienced hands it can result in significant problems. Push down and Let down techniques are under this title.
  • Piezo rhinoplasty :  It is the making of bone incisions made during rhinoplasty with ultrasonic tools. The advantage is that in operations performed in this way, bone incisions are known to cause less problems while healing. The disadvantage is that in this operation technique, it is not sufficient to lift only the upper part of the nose skin, it is necessary to open the skin up to the jaw bones. As it is claimed, it is not true that there is no swelling and edema in this operation. In cases where piezo was applied, edema-swelling-bruise may occur around the 72nd hour.
  • Soft Rhinoplasty  (Suture Rhinoplasty): It  is the surgery of lifting the tip of the nose with permanent sutures. No incision or breaking is made while the tip of the nose is raised with stitches by entering from the tip of the nose. It is a short, easy, but sometimes not permanent method.
  • Nose shaping with Botox and Filling :  These are the methods that are not preferred very much. Because it gives a beautiful appearance to the patient for a temporary time and the shape quickly returns to its former state. They are simple techniques that can have long-lasting complications in inexperienced hands.

FAQ

When the nasal splint is first removed after rhinoplasty operations, the patient sees his nose slightly edematous and more upturned. It quickly takes the shape of the nose within days. After 15 days, it will not be obvious that the operation was performed outside. Permanent shape usually occurs in the first year of the operation, sometimes it can take 2-3 years for thick skin.

Rhinoplasty They are day surgeons whose operations do not require hospitalization except in special cases. It is necessary to intervene in the nose in approximately 90% of the patients. Silicone splints with channels in which the patients can breathe are placed in the nose of the patients who have undergone intranasal intervention to reduce nasal congestion. Tampons that completely block the nose are no longer used in the nose. These silicones are easily removed in office conditions, on the 2nd day after the operation, without the patient feeling any pain. It is not recommended for patients to eat and drink very hot things after the operation, stay in hot environments, strain and lift heavy, as they will increase the risk of bleeding. Splints placed outside the nose to protect the outside of the nose are removed on the 7th day of the surgery. It is recommended that patients protect their nose from water contact for about 10 days. Full healing of planned bone fractures made during bone corrections takes up to 8-12 weeks. During this period, it is important that the patient protects his nose from trauma and does not wear glasses, including sunglasses. 

The duration of the operation varies according to the type of aesthetic disorder of the patient and the number of additional intranasal interventions. These are operations that last between 1 hour and 3 hours on average. In revision (  nasal aesthetics performed for the second time ) procedures, this period may take up to 1-2 hours. Sometimes minor revision processes can take 5-10 minutes.

Along with rhinoplasty  , reduction of the concha, nasal chamber curvature (deviation) operations, polyp operations and sinusitis operations can also be performed when necessary.

Almost all rhinoplasty  surgeries are aimed at making the nose smaller and correcting its lines. Therefore, in patients who do not have  nasal obstruction, nasal obstruction may occur after rhinoplasty  if the nasal cavity is ignored. Ideal  rhinoplasty Evaluation of the inside of the nose with endoscopic cameras before the operation, and if there are pathologies (deviation and concha size) that may cause possible nasal obstruction, these are also treated during the operation. In cases with nasal obstruction even before the operation, if necessary, it may be necessary to determine all points that may cause obstruction with a CT and add them to the operation plan. Because the nose is not just an aesthetic organ. After the interventions on the nose, there should be no nasal congestion problem, the smell should not decrease, or even better. For this reason, it is unacceptable to only interfere with the outside of the nose and neglect the inside.

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