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Rhinoplasty

 

The nose is in the middle of the face and is the first that you notice on the face. For this reason, rhinoplasty surgery has become one of the most used cosmetic surgeries. During this procedure, cartilage, or bone curvatures, can be corrected so the patient can have a healthy and aesthetic nose.

What is Rhinoplasty?

Rhinoplasty is an operation that aims to improve one’s nose appearance. During this procedure, deviated bone and cartilage that prevent the patient from breathing are also corrected.

If a person does not like one or more of the following problems about the shape of his nose, he may consider surgery:

  • Arched nose
  • Curved nose
  • Drooping nose tip
  • Long nose tip
  • Wide and large nose tip
  • Narrow nose
  • Flattened nose tip

How is rhinoplasty performed?

Types of rhinoplasties

  • Open Rhinoplasty

In open rhinoplasty surgery, the incision is applied to the area which is accepted as the middle pole of the nose. The nasal skin and then cartilage tissue are lifted from this incision site. Necessary procedures are performed depending on the nasal functions of the nose structure; cartilage tissue and skin are replaced back on the nasal middle pole again and the operation is completed by closing the incision. Open rhinoplasty is the preferred method of surgery because it provides a clear view of all structures and the best result during surgery.

  • Closed Rhinoplasty

In closed rhinoplasty, various incisions are applied depending on the process to be made on the nose, but the incisions are applied through the nostril and are not visible from the outside. The swelling developing after the operation resolves more rapidly.

When the two techniques are compared, in open rhinoplasty, the surgeon has more control over the interior of the nose and therefore can perform a clearer reshaping, but the healing process may be slightly longer. In closed rhinoplasty, the surgeon’s experience is very important. In this technique, the healing process is both more comfortable and shorter for the patient. In addition, since it’s performed through the nostrils, it does not leave any scar.

 

How long does rhinoplasty take?

This procedure is performed under general anesthesia, and it takes depending on the case, about 2-3 hours on average.

Is rhinoplasty a painful procedure?

Most patients say that they did not have as much pain as they expected after rhinoplasty. The medications applied to the nose during the surgery prevent pain after surgery.

Who can have rhinoplasty?

Female patients older than 16 years of age and male patients older than 18 years of age are eligible to undergo rhinoplasty. In aesthetic operations, physical characteristics, age, expectations, anatomical structure, and existing health problems of the patient should be carefully evaluated and the appropriate method should be selected for the patient.

Before the operation, the patient should inform the surgeon and anesthesiologist who will perform the aesthetic surgery about all details about his existing medications and general health status. Before the operation, he must notify the surgeon of upper respiratory tract infections, fever, cough, sore throat, abdominal pain, flu, cold, cold sores s/he might have. Stop taking blood thinner medications, herbal teas, fish oil and avoid any special herbal cure applications 1 week before surgery. You’re advised to limit smoking to 2-3 weeks before surgery since smoking will have a negative impact on the recovery process.

What do you need to consider after a rhinoplasty?

  • Supporting the head with a pillow during the first two nights after rhinoplasty and sleeping in a vertical position as much as possible will minimize your risk of developing swelling.
  • Eating regularly and sleeping regularly helps to speed up the healing process.
  • Avoid activities requiring bending for at least three weeks.
  • Do not wear glasses for the first 4-6 weeks.
  • Avoid exposure of nasal region to direct sunlight for at least 3 months. You’re advised to wear a high-factor sunscreen or a protective hat for this purpose.
  • Avoid swimming in the sea, pool, or bathing in sauna for the first 4-5 weeks.
  • Avoid drinking alcohol and smoking as they will have a negative impact on recovery of sutures and prevent regeneration of tissues.
  • Avoid blowing your nose in the first weeks.

What is the price of rhinoplasty?

The price of a rhinoplasty varies by the procedures performed. The operative time is prolonged in line with the nature of the procedure to be performed.

There is a difference between the pricing applied to a patient who will only have a correction of nasal tip and the pricing applied to a patient who will have both rhinoplasty and correction of breathing functions.

Various procedures including visible humps on the bridge, a previous rhinoplasty, making a new nose using a bone from the ribcage are subject to different prices.

What are the risks of rhinoplasty?

There is no surgery without any risk, but it is important to be operated on by a surgeon who knows these risks well and can take precautions against them.

Is it possible to correct septum deviation by plastic surgery?

Septum is a part of the nose covered with mucosa, which divides the nasal cavity into two parts from the middle and consists of cartilage in the front and bone at the back. Septum deviation is a physical disorder of the nose where this cartilage or bone part in nose midline leans to one side, is one of the causes of respiratory distress. This leaning may occur in the front or at the back. Passage on the side where this leaning occurs is narrowed, causing difficulty in breathing.

Concha and septum deviations can be operated on by plastic surgeons concomitantly with rhinoplasty.

Can sinusitis patients have nasal surgery?

Sinusitis patients do not have any contraindication to have a rhinoplasty.

Will there be any scar left after rhinoplasty?

In the open technique used in rhinoplasty, a small incision is made between the nostrils to perform the procedure, so it is likely that a very mild scar is left in this part of the nose. Since wound healing varies from person to person, this scar does not appear to be the same in all patients. In open rhinoplasties performed by cutting at the right site, there will almost be no scar.

How long does the swelling and bruise take to heal after the surgery?

It is true that rhinoplasty operations performed in the past caused very intense swelling and bruising. But nowadays, by the courtesy of techniques and technological developments utilized, they are much less common. Precautions taken during surgery, operations performed without the use of tampons, post-operative cooling masks are very effective methods for preventing or minimizing swelling and bruising. The swelling and bruises that may occur despite all precautions taken and treatments performed depending on the tissue structure of the person and whether they are allergic or not completely resolve after a week or in ten days.

Does rhinoplasty cause loss of sense of smell?

Any aesthetic and functional interventions made during the operation are far from the part where the nose performs its smell function. In other words, no interventions, including incisions, etc., are made in that area so this operation does not affect the function of smell.

Only shortly after surgery, there will be a slight nasal congestion due to edema in the nose, which will affect the sense of smell to some extent until swelling subsides.