RHINOPLASTY

Rhinoplasty and also called as nose-job surgery; It is applied to patients who are not satisfied with their nose shape. In addition to deformity, a significant portion of these patients also have nasal breathing problems.

With an ideal rhinoplasty, both deformities are corrected and comfortable breathing is provided through the nose.

It is essential to fully reveal the deformities. Since the nose is in the center of the face, it is an important structure that determines the beauty. For this reason, it should be in harmony and proportion with other parts and structures of the face. Especially from the side profile, the tip of the chin and forehead, and from the front, the eyebrows, eyes and cheekbones should be evaluated together with the nose.

There is no disease, there are patients, the rule applies here as well. The patient’s expectations should be fully understood in the preoperative period. Sometimes a second meeting may be more beneficial for the health of the patient-surgeon relationship.

After the patient’s expectations from the surgery are understood by the surgeon, the applicability of these expectations should be discussed. Going into surgery with high or unmet expectations will be tiring for both the patient and the surgeon.

Although rhinoplasty is an aesthetic surgery, it also has a functional purpose. Due to the difficulty of breathing caused by the nose, deep sleep times become shorter and of poor quality. It may be necessary to drink water frequently due to dryness due to mouth breathing at night. This can lead to complaints such as morning fatigue, unhappiness, and irritability.

Rhinoplasty surgery is generally performed with open and closed techniques. Each technique has its own advantages and disadvantages. Applying the same technique to all noses would be to undertake unnecessary disadvantages. However, the open technique is more advantageous in cases where it is complicated and requires intervention on the tip of the nose.

Preoperative planning is important. For this, photos of the nose are taken from different sides and the possible appearance after the surgery is determined.

The surgery is performed under general anesthesia and takes 2-3 hours, depending on the technique applied. If you have had a nose surgery before, the need for cartilage may arise from the non-nasal regions. Possible regions that can meet this need are ear and costal cartilage.

After nose surgery, an intranasal silicone splint is applied and removed after 3 to 5 days. It is inevitable that there will be some swelling and bruising due to surgical trauma and the 3rd day is the time when it is the most. In the next process, it gradually decreases and the bruises disappear on the 10th day. Swelling is significantly reduced in the first 3 weeks, but it takes a year to completely go away. Especially in the first months, lying on a high pillow and massaging with two fingers on the nose towards the eyes are helpful maneuvers in reducing swelling in terms of accelerating the lymph flow. In the first weeks, intranasal obstructions due to the lying position of the head are temporary and this positional change decreases as the edema in the tissues decreases. The skin of the nose is hard and immobile in the first months, and soft and mobile after 6 months.

As a result, it is necessary to evaluate a successful nose surgery both functionally and aesthetically. A nose that is proportional in shape and pleasing to the eye is also compatible with other structures of the face. Functional success has eliminated the causes of narrowing the nasal passage, such as deviation of the septum, concha hypertrophy (nasal meatus), valve collapse, and normalized air turbulence.