FREQUENTLY ASKED QUESTIONS
inoplasty is one of the most common of all plastic surgery procedures to reshape and reconstruct the nose to improve its function and appearance.
Rhinoplasty is used to correct a crooked nose, reduce or enlarge the size of the nose, change the shape of the tip or bridge of the nose, narrow the width of the nostrils or change the angle of the nose with the upper lip. In addition, for some patients with problems such as deviated septum (curvatures in the midline of the nose that usually cause unilateral or bilateral nasal obstruction), it may also be preferred in cases where the nasal airway needs to be reshaped to improve breathing.
Rhinoplasty; In general, it is performed to treat health problems caused by your nose or to correct deformities that you do not like. With this;
Do meticulous research about your surgeon before having rhinoplasty surgery. Take time to find out about your surgeon's experience, the number of rhinoplasty procedures he's had before, and how often he's done it. In addition, talking to the patients he has operated on before or looking at the photos of the patients before and after the procedure will also help you get an idea and decide for your surgeon.
Before surgery, discussing the differences between the result you imagine from this procedure and the possible outcomes is essential. The right person for this is the surgeon who will perform the procedure. Before your appointment, write down what you want from your surgery and any questions you may have.
Before the Rhinoplasty surgery, the patient's demands and needs are determined, a unique design is made for each patient, and an treatment plan is prepared. First, a physical examination is performed, and the patient's nose anatomy is evaluated for surgery.
With this, Be sure to inform your surgeon whether the patient has a genetic disease from his family, the drugs he uses, and whether he has had a previous surgical intervention.
Your surgeon will ask questions about your age, medical history, chronic conditions, and current physical and emotional health at the initial examination to decide whether you are suitable for a nose-shaping operation. Making two consultation appointments, at least one or two weeks apart, before you choose to have surgery will help you make the right decision.
In the first examination, clearly express to your surgeon the points that bother you about your nose and the issues you are satisfied with. Describe in full detail how you want it to look after the surgery. Then you can decide whether rhinoplasty surgery will help you with the information and recommendations of your surgeon.
If it is decided that there is no obstacle to the surgery, the surgical process can be started.
Rhinoplasty surgery (Rhinoplasty) will be performed by Plastic, Reconstructive, and Aesthetic Surgery Specialist Yahya BALTU.
Before your surgery, your surgeon will examine your nose and measure the shape and size of your nose. It can create images of how your nose may change after surgery with advanced technology to give you an idea. However, the results may not always be exactly the same as computer-generated images because it is not always easy to simulate the results of plastic surgery.
Your surgeon will provide detailed information on how to prepare for your nose-shaping surgery. It is best to postpone your surgery if you have a cough, cold, upper respiratory tract infection, or sore throat.
Nose shaping surgery is usually performed under general anesthesia, so you will not feel any pain during the operation. Your hospital will tell you how many hours before you should stop eating and drinking. You will usually need to stop eating about six hours before the surgery. You should also stop drinking fluids at least two hours before.
In rhinoplasty surgery, two surgical techniques are generally used: open surgical technique or closed surgical technique. Depending on the method, rhinoplasty can take two to three hours. In addition, the duration of complicated surgical procedures, such as reconstructing the nasal bone from the rib bones, can take up to 6-7 hours.
In closed rhinoplasty, the surgeon usually cuts your nostrils to reach the bone and cartilage. Closed rhinoplasty (closed rhinoplasty) is a procedure that must be performed by physicians with many years of experience and manual dexterity for the results of the surgery to be at the desired level. With closed rhinoplasty, the tip of the nose can be lifted, the nose can be reduced, the bridge of the nose can be intervened, or the asymmetries of the nostrils can be changed.
It usually leaves no visible scars after surgery, takes less time than open rhinoplasty, and causes less swelling. After this procedure, the structure of the nasal bones remains unchanged.
In this method, the skin is removed with an incision in the columella of approximately half a cm from the lower end of the nose, and the bone and cartilage skeleton is completely exposed. It may be necessary to use extra bone or cartilage to form your nose; This process is called grafting. Bone and cartilage can be taken from your nose, ribs, or ear.
This process has several advantages. Access to the area to be corrected in the nose is much easier, and any desired surgical technique can be easily applied. The most significant disadvantage of this procedure is that the edema after the process disappears later than in closed nose surgery. The incision scar becomes unnoticeable in about six months.
Your surgeon will usually close the incisions in your nose using dissolvable stitches, so you don't need to have them removed. If you have stitches other than dissolving stitches, they will be removed by your surgeon or nurse about a week after surgery.
You may feel some discomfort when the effects of general anesthesia wear off. Your nose will be stuffy, like you have a cold, and you will be breathing through your mouth for the first few weeks. If needed, your doctor will give you painkillers for your pain.
After rhinoplasty surgery, you may need splints inside your nostrils and nose for about a week to keep the nasal bones stable.
After the controls, you can go home on the same day, depending on your health status. Your doctor will advise you about caring for your nose when you go home. You must strictly follow these instructions.
After the surgery, your nose may be a little tight and sore; there may be bruising around the eyes and congestion in your nose.
Always follow the instructions given to you by your surgeon and anesthesiologist and notify your surgeon immediately in case of adverse events.
Here are some suggestions you can make to speed up your recovery:
Your splint can usually be removed a week after surgery. Everyone's recovery time varies depending on the person and other factors. Within ten days, your bruises and swellings will come to a level where you feel comfortable.
It may take several months for your nose to fit into its new shape and for nasal breathing to become normal. Be prepared for this situation psychologically.
Benefits of Nose Aesthetics;
Since the operations performed with the Open Nose surgery technique are performed with a small incision, there is a slight possibility of leaving a scar between the nostrils after rhinoplasty. The healing process of wounds resulting from nose surgery varies from person to person. In operations performed with the Closed Nose surgery technique, there is no visible scar from the outside.
A temporary loss of smell may occur after nose surgery. Damage to the olfactory mucosa after the nose surgical procedure may cause smelling problems. However, this is temporary.
For rhinoplasty surgery, patients are required to have adequately developed their musculoskeletal system. In this context, the age limit is not considered for rhinoplasty surgeries, but whether the patients have completed the development of their bone and cartilage structure. Children are expected to complete their bone and muscle development for this surgery. In general, we recommend plastic surgery after 16-17 years of age for women and 17-18 years for men. Although there is no exact upper limit for periods in Plastic, Reconstructive, and Aesthetic Surgery, it should be considered that anesthesia and postoperative complications may increase in advancing ages.
Problems that cause nasal congestion, such as nasal concha and septum curvature, can be corrected simultaneously with nasal surgery.
Depending on the preference of the Plastic, Reconstructive, and Aesthetic Surgeon, other operations, such as prominent ear and different facial aesthetics and breast aesthetics, can be performed simultaneously with nose surgery.
Non-surgical rhinoplasty is possible. Although it may seem advantageous for people who do not want to have surgery, the effects of non-surgical rhinoplasty are not permanent. The most commonly used methods in non-surgical rhinoplasty are; nasal filling and nasal tip botox are methods.
Assoc. Prof. Dr. Yahya BALTU Plastic Reconstructive and Aesthetic Surgery Clinic