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Aesthetic Nose Surgery (RHINOPLASTY, SEPTORINOPLASTY)

The nose is an aesthetic and functional organ that affects the facial appearance. Aesthetic nose surgery, also known as rhinoplasty, is the reshaping of the nose shape with a surgical attempt. Aesthetic nose surgery is one of the most performed aesthetic surgeries in the world and in our country.

Aesthetic nose surgery is applied to reduce the size of the nose, to reshape the tip of the nose, to eliminate the bone protrusions in the nose or to correct many deformities in order to increase the narrow angle in the middle of the nose and upper lip.

In addition to these, complaints such as curvature of the inner middle part of the nose (septum deviation) or difficulty in breathing caused by deformation or weakness in the cartilage can be corrected by nasal aesthetics, i.e. septorhinoplasty, i.e. functional aesthetic nose surgery. The trouble of breathing through the nose, that is, nasal congestion, can be solved together with this surgery.

Septoplasty, that is, the curvature of the nose, burning the concha, can be performed together with nasal aesthetic surgery. Considering the wishes of the person in rhinoplasty surgeries, a natural, understated and most valuable result that suits the face should be aimed. Especially in nose surgery, aesthetics and function are an inseparable whole.

Successful rhinoplasty is attempts that are compatible with the patient’s face, natural results are obtained, and functionally, breathing problems are solved.

» Am I a suitable candidate for rhinoplasty surgery?

• If you think your face is disproportionate and large

• If there is a belt on the back of the nose when viewed from the side,

• If the angle between the tip of the nose and the middle of the upper lip is narrow and the tip of the nose appears drooping,

• If your nose looks wide and big when viewed from the front,

• If the tip of the nose is wide and flat

• If you think that your nose structure is making your facial expression hard.

• If there is a curvature in the nose

• If you have breathing problems

• If the nose wings are wide and flat

• If the nostrils are large and wide

You are a suitable candidate for aesthetic nose surgery. If you are physically healthy, mentally stable and have realistic expectations, you are the best candidate for aesthetic nose surgery.

Rhinoplasty operation can be applied to men and women of all ages. Generally, it is not recommended to have rhinoplasty surgery until the development of the face and nose is completed, in other words, before the age of 17. However, aesthetic nose surgery can be performed at the age of 16 for boys and 15 for girls, who obviously have nasal deformities and have completed their emotional development.

» Nose Aesthetics Pre-operative interview…

Before having rhinoplasty, the first step is to apply to an experienced plastic surgeon. During this interview, your doctor will examine you and give you information about the operation.

It will also check your emotional and physical health. It will be questioned whether you have a known disease, the treatments you have received, the medications you use, if any, and whether you have any allergies that make it difficult for you to breathe.

During the physical evaluation, your doctor examines the shape and size of the nose, the proportional connection with your face, the condition and structure of the bones and cartilages. In addition, whether the nostrils are symmetrical, the size and width of the holes are also examined. With intranasal examination, it is evaluated whether there is septum curvature and turbinate enlargement (nasal meatus) that makes breathing in the nose difficult.

By comparing these examination findings and evaluations with your expectations, your doctor will advise you on the most appropriate treatment option and will realistically explain to you specific details about what to expect from this surgery. Again, in this meeting, your doctor will inform you about the surgical technique, anesthesia, where the surgery will be performed and the preparations for the surgery. It will enlighten you about the possible risks and complications of the surgery. Before deciding on rhinoplasty, ask all the questions in your mind about this issue and get the answer. Ask them again whether you listen to them carefully or not. In this meeting, you can get information about the cost of the surgery. After this meeting, you will make your own evaluation and decide on the surgery.

When you decide to have surgery, you will be asked to have tests to prepare for the surgery. If the results of these tests are within the normal limits, you will be evaluated as suitable for the surgery and the day and time of the surgery will be decided. Aesthetic nose surgeries should be performed under hospital conditions.

» Nose Aesthetic Surgery Attempt Day…

After your hospitalization, you will be taken to your room. Your doctor will visit you in your room and plan the surgery. Afterwards, the anesthesiologist will give you information about anesthesia and ask you questions about anesthesia. You will be given a sedative injection before going down to the operating room. This will reduce your excitement and the tension and tension that may occur due to the surgery, calm you and encourage you.

Anesthesia will be administered after landing in the operating room. Although nose surgery can be performed under local anesthesia where the nose area is numbed, it is often performed under general anesthesia. Many surgeons consider general anesthesia more reliable and comfortable. If general anesthesia will be applied, you will sleep during the entire operation. Your doctor will offer the most suitable option for you.

» Nose Aesthetics How to do nose surgery…

Nasal aesthetic surgery is applied to reduce the size of the entire nose, to reshape the tip of the nose, to eliminate the bony prominences in the nose or to correct many mood disorders in order to increase the narrow angle in the middle of the nose and upper lip. In some patients, it may be necessary to add tissue to fit the nose lines. One or all of these changes can be made during a single operation. The size of the process to be done depends on what the desired changes are and what your surgeon deems appropriate for you. This can be an attempt for the tip of the nose, or it can be septorhinoplasty, which is a complete aesthetic and functional attempt in which the ridge of the nose is removed, the septum is corrected.

» Should the closed technique or open technique be applied in rhinoplasty?

Rhinoplasty can be done in two ways, open and closed techniques. In closed nose surgery, incisions are made from the inside of the nose to reach the cartilage and bones that form the nose. In the open technique, an incision is made from the part called columella in the middle of the nostrils, extending to the inner part of the nose wing, and the cartilage and bones that form the nose are reached. Thus, nasal tip aesthetics is completed.

Which technique is better is always a matter of discussion among the doctors who perform this surgery, and no decision has been made on this issue. With the 3-dimensional shaping and reduction technique, the desired reduction can be achieved in the length of the nose tip, proportional to the nose back. It is possible to reduce the large nostrils by using this formula and other techniques. Both techniques have advantages and disadvantages compared to each other. Your physician, who successfully applies both techniques, will decide which technique will give you more adequate results. Therefore, consult your doctor again in this matter and do not trust him. After open or closed technical incisions, the cartilage and bone that will shape and change the external appearance of the nose are reached.

After the bone protrusion on the nose is removed, the bones are cut and the roof is closed and the bones are shaped again.

The bone and cartilage forming the arch on the nose are corrected using special tools. Then, the nasal bones are brought to a middle to form a narrower roof. The cartilage is removed, the cartilage is shaped, the size of the tip of the nose is reduced, it is erected and a more adequate nose appearance is provided. To correct the angle between the lower part of the nose and the middle of the upper lip, the tip of the nose is lifted. The nose can be shortened if it is long or lengthened if it is short, this process is achieved by shortening the septum (cartilage separating both nostrils). If the nose wings are wide and wide, the base of the nose can be narrowed by removing wedge-shaped tissue from the inside of the nose wings to correct this.

» Nasal Aesthetics Narrowing the wide nasal base

If the need is felt after the surgery is completed, a tampon (vaseline-impregnated tampons or special perforated silicone splints (Doyle) may be preferred depending on the processes performed in the surgery) are placed in the nose. The surgery is terminated by applying a plastic or plaster splint to the back of the nose. Surgery usually takes 1.5-2 hours. Depending on the degree of deformity and the attempt, this period may be extended.

» How is the beautification after rhinoplasty surgery?

You can spend the first day after rhinoplasty by resting. Usually there is no pain, but if it does, the pain is relieved by using easy painkillers. It is valuable to keep your head slightly elevated and to apply ice to your eyes to reduce bruising and swelling after the operation. You will be explained how to do these. The health worker will assist you during these processes during your stay in the hospital. Limitation of activities may be required on the first day. In case of slight leakage from the nose on the first day, bleeding may occur, this is natural. You are allowed to take liquid foods 3-4 hours after the surgery, and then you can gradually switch to normal nutrition. It is not recommended to drink very hot drinks on the first days. More warm liquid drinks are recommended. You can then start normal eating and drinking.

Swelling usually starts to appear hours after the surgery and reaches its highest level on the 2nd day. This is a natural process and then the swellings start to go down gradually. If the bruise around the eyes has developed, it starts to fade within a few days and usually disappears within the next week. If a tampon is placed, the tampons are removed a few days after the operation. This is by no means a painful process. At the end of the first week, the plaster splint or splint is removed and if stitches are placed, they are removed. If necessary, fixation with a small plaster splint or tape can be applied. This splint is intended to protect your nose from bumps. This splint can stay 3-5 days. You will notice the positive change in your nose at this step. Now you can fully return to your daily life.

The swelling in your nose will have gone down more than once. But there will still be a measure of edema. This will disappear in time and you will see that it is getting smoother every day. You will notice the positive change in your nose. It is valuable to avoid activities that require a lot of effort (jogging, swimming, bending, sexual relations-any activity that increases your blood pressure) for 2-3 weeks. Striking or rubbing the nose and sunburn should be avoided for 2 months. It is beneficial not to use glasses during this period. As soon as the patient feels well and during the period when the edema starts to regress (5-7 days), he can use contact lenses. However, it will take at least 3-6 months for the nose to take its final form. The results of rhinoplasty performed in beautiful hands are permanent.

» Rhinoplasty in men:

Nose surgery is one of the most common plastic surgeries performed by men. Deformity in the nose and difficulty in breathing are the most common causes of surgery. Almost half of the patients I have had rhinoplasty surgery are men.

Rhinoplasty surgery for men also differs from women. Smaller, slightly curved and slightly upturned noses are preferred for women. Curved noses do not suit men. It is desirable that the back of the nose be flatter or very, very slightly curved. The angle that the tip of the nose makes with the upper lip, that is, the elevation of the tip of the nose is expected to be 90 degrees. The increase in this angle and the curve can give men a feminine look. At this point, the request of the person to be operated should be taken into account. For this reason, a pre-operative interview, adequate understanding of the patient’s expectations and a realistic approach accordingly are very valuable.

The most important thing I notice about men’s noses is the correction of existing deformities (curvature, arch, nasal tip drooping, size) and preserving the masculine appearance without making any major changes in the man’s facial expression. One of the most valuable points in male rhinoplasty is that the nose is in harmony with the face and not far from its natural appearance.

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