Nose Surgery

Nose Surgery

Rhinoplasty, also known as plastic surgery of the nose, is one of the most requested procedures within plastic surgery. Rhinoplasty allows you to change the shape and size of the nose by improving the symmetry of the face without causing any change in its overall shape.

More precisely, rhinoplasty allows you to increase or decrease the size of the nose (too small, too large or too wide), change the shape of the dorsal region of the nose (sunny or convex), change the shape of the nose (too wide, too narrow or too long), width (Diameter) the nostrils. It allows you to change the angle between the forehead and the nose or between the nose and the upper lip. Nose surgery can be performed on all different shapes of the nose.

With this type of intervention dating back to 2000 BC it is also possible to correct post-traumatic stress or congenital defects and respiratory problems. If the deviation of the nasal septum causes breathing difficulties, it is necessary to consider a “septal augmentation” to correct the deviation and change its location.



Primary and secondary rhinoplasty

According to the past of the surgical procedure and the techniques used, rhinoplasty is called primary or secondary, closed or open. Rhinoplasty is defined as primary when it is first performed to correct congenital or acquired defects. Secondary rhinoplasty aims to eliminate defects that cannot be corrected with the first surgery or caused by a previous rhinoplasty. Sometimes, some patients require further interventions (triple, quadruple rhinoplasty, etc.) due to the severity of the trauma they have experienced or the severity of the deformity (cleft lip, cleft palate, etc.).







Open and closed rhinoplasty

We are talking about “closed” or “open” rhinoplasty, depending on the technique the surgeon uses.

Closed rhinoplasty is especially indicated for noses with minor defects in the tip or without significant deviations in the pyramidal region of the nose. With this technique, it is possible to correct defects that do not lead to a significant imbalance in the appearance of the nose. In closed rhinoplasty, all incisions are made from inside the nose only. The surgeon operates with a frontal light, and all adjustments are made to the pyramidal region of the nose by passing it through the nostrils. This technique is very difficult and only highly experienced surgeons use it.

Open rhinoplasty, asymmetry, convex nose, “pinocchio” nose, “stuck (blocked) nose”, curved or retracted tip etc. It is used to correct large nasal defects, to correct the consequences of cleft lip and cleft palate, or as a secondary treatment also after primary nose operations. This technique includes an incision in the area supporting the nose (ie at the base of the nasal pyramid) in addition to the incisions made in closed rhinoplasty. Even this technique, when done correctly does not leave any surgical marks visible to the naked eye. “Open” rhinoplasty is easier to perform as it allows the surgeon to directly see defects in the skeletal cartilage structures to correct them.

If the patient’s nostrils are excessively wide, other surgical methods can be introduced with closed or open rhinoplasty, which reduces the size and shape of the nostrils by making longitudinal or transverse incisions at the base of the nose. Since there is no single technique that works for all types of surgery, a good surgeon must be experienced enough and be able to apply both methods depending on the problem to be corrected. In addition, nasal surgery (rhinoplasty) can be performed alone or in combination with functional nasal surgery (septoplasty, nasal polyp surgery, and turbinate surgery).



Are there age limits for rhinoplasty?

There is no age limit for this type of surgery but it is preferable to wait for the growth of bone and cartilage structures to finish, which usually occurs around the age of 16-17. Rhinoplasty can be performed especially for young women from the age of 15, and because the maturity of the skeletons in men comes 12 months later than women, they can be performed at a minimum of plastic surgery at the age of 16.



What other interventions can be done with rhinoplasty?

Rhinoplasty can be performed alone or in combination with other surgical techniques such as blepharoplasty, face-lift, rhinoplasty, or any other cosmetic or functional surgery (septoplasty).



What are the risks and complications of nose surgery?

Nose reshaping surgery is one of the most difficult and complex plastic surgery procedures. When this type of surgery is performed by a plastic surgeon in facilities that are experienced and licensed in shaping the nose, the results are usually very good. However, it is a real surgical procedure where complications (such as bleeding or infection) are rare and can be easily overcome if the surgery is performed in strictly surgical facilities authorized by a professional plastic surgeon. To reduce the risk of complications, it is important to follow the advice and instructions that your surgeon will give you before and after the surgery.

 

How does the inspection work before nose surgery?

Nose surgery (rhinoplasty) is an intervention that varies greatly from one person to another and therefore requires a visit to a very specialized and professional doctor. During the first visit, the surgeon will need to assess the shape and size of the nose. He will then check for any aesthetic and/or functional defects and show you the potential changes to the look, feel and aesthetics of your nose after surgery. These changes can be viewed by computer processing of digital images of your face. The surgeon will also need to evaluate your health to rule out any complications (such as high blood pressure, clotting problems or scarring) that could affect the final outcome of the surgery. At the end of the visit, the surgeon will agree with you and choose the most suitable nose shape and facial aesthetic for you. Prior to the surgery, you will receive strict instructions about pre- and post-operative nutrition, drugs, alcohol, and cigarettes.







What type of anesthesia is used in nose surgery?

Rhinoplasty is usually performed under general anesthesia. In very complicated cases, it may be necessary to sleep in the hospital for one or two nights. Sometimes a simple rhinoplasty can be done under local anesthesia only (meaning you will be awake but relaxed and numb).



Are surgical wounds visible after nose surgery?

Since the incisions are hidden within the nasal cavities they are completely invisible.



How long does the Rhinoplasty take?

Rhinoplasty takes about an hour and is completely painless and ends with placing a small splint attached with an adhesive tape on the back of the nose without the use of tampons.

What should be done after rhinoplasty surgery?

Within 48 hours after rhinoplasty, you will need to rest with your head held high. You will be able to return to normal life after the third day by avoiding strenuous activities, saunas and baths, sun, very hot foods and drinks, and limiting the use of glasses as much as possible. Swelling and bruising may appear around the eyes in the first two days. Rarely, bleeding that requires the use of tampons occurs. Seven days after the surgery, the surgeon will remove the splint and will initially take your swollen nose; The agreed-upon preoperative shape is staggered.



What result can be obtained after nose surgery?

Rhinoplasty offers highly satisfactory results for both the patient and the plastic surgeon. The result is usually very good and noticeable after the first two weeks, and you will definitely see a big change about a year after the surgery.





Can rhinoplasty solve respiratory problems as well?

Yes, a rhinoplasty can be linked to a rhinoplasty when needed in order to correct a deviated septum and thus correct other respiratory problems.

How long can I continue sports activities after rhinoplasty?

It is recommended that you do not expose yourself to the risk of trauma after rhinoplasty for at least a full month, which is the time taken for the development of the nasal bone.

In how many days can I return to my normal daily life after rhinoplasty?

The answer varies and is unique to each person. While some people have no problem getting out of the house with a splint on their nose (which will be removed 7 days after surgery), some people prefer to wait for the swelling and bruising that usually appears right after surgery and can last for about a while. As it disappears swellings and bruises completely within 7-10. However, most patients become fine soon after the cast is removed.

When can I wear my glasses after rhinoplasty?

It is not recommended to use glasses for at least a month. If contact lenses cannot be used, you will need to hold the frame of the glasses in your hand and avoid touching the frame on the back of the nose.

Will my nose take its final shape after the splint is removed or will it still be needed?

After the splint is removed, the nose, especially at the tip of the nose, will appear swollen and swollen much more than what was agreed upon before the surgery. The final aesthetic result that you will notice two weeks after the surgery; She will be completely gone a full year after the surgery.



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