The nose is located in the most prominent part of the face due to its position and is the main element that determines the visuality of the face area.
Thanks to the nose surgeries we call rhinoplasty, deformities, curvatures, irregularities in the nose are removed and the desired reduction, enlargement, sharpening of the tip, lifting the tip, and reduction of the holes can be achieved.
In addition to visual dissatisfaction in nose surgeries, another complaint of patients is functional inadequacies. Most patients suffer from obstructions during breathing, nasal concha formations, nasal wing depressions, sleeping with an open mouth and related tooth/gum problems. Thanks to some interventions to be applied during aesthetic nose surgery, these problems can be easily overcome without causing additional discomfort. With the application of “septoplasty”, cartilage curvatures in the nose can be removed, while nasal flesh complaints can be eliminated at the same stage by using radiofrequency techniques. This combination of “Aesthetic and Functional” interventions, which are an inseparable whole of nose surgeries, is called “Septorinoplasty” operation and the patient gets a nose that is both aesthetically beautiful and breathes comfortably in one step.
As in every aesthetic surgery, the patient’s wishes are the main determinant in nose surgeries, and it is the surgeon’s main goal to realize these wishes in the most exaggerated and natural way possible.
Successful nose surgeries; These are surgeries that include functionality that suits the patient’s face, allows natural, understated and unlimited breathing freedom.
Frequently Asked Questions about Nose Aesthetics
Nose surgery begins with the patient's decision to have surgery. The important point at this stage is that the patient's emotional picture is not variable. After this decision is made, the first interview with the patient is made. The first meeting is the first contact of the patient and the surgeon, and at this stage, the general health status of the patient is questioned in detail, apart from the nasal examination. A history of chronic disease, regularly used drugs, herbal treatments, smoking, vitamin supplements, and the possibility of pregnancy are important and should not be overlooked because they can cause changes in the operation phase. In the nasal examination, visual disorders of the nose, curvatures, constrictions that prevent breathing, nasal flesh formations are carefully examined and it is learned what the patient expects from this surgery and how he wants it to look. The patient's expectations are reviewed in line with the surgeon's experiences, and the realism of the expectations and whether the desired result is suitable for the facial appearance are shared with the patient. After the detailed information exchange to be made in this direction, the technical details of the operation are explained to the patient and the questions that arise in his mind about this application are answered. The first interview ends with taking pictures of the patient and determining the possible date of the operation.
The second pre-operative interview is preferably done a few days before the operation day. At this stage, it is questioned whether there is a new health problem or drug use that has occurred since the first interview, and the patient's new questions about the operation are answered. At the same time, the studies and images on the photographs taken in the first interview are presented to the patient and the image that the patient likes is determined. Detailed information is given on how the operation will be performed on this image, and analyzes are applied to evaluate the suitability for the operation. As a result of the analyzes applied, the operation is finalized for the patients who are not found to be inconvenient in receiving anesthesia.
Patients who are scheduled for surgery for the next day should not consume water and food after 24:00. Patients who apply to the hospital on an empty stomach in the morning are taken to their room and visited and the operation is planned. At the next stage, the patient is re-evaluated by the anesthesiologist, and detailed information about anesthesia is provided and a sedative injection is given. Thanks to this drug, the feelings of stress, tension and excitement that may occur are eliminated.
Rhinoplasty is an operation performed under operating room conditions. Although it can be performed under local anesthesia where only the nose area is anesthetized, the most commonly preferred method is the operation under general anesthesia. During general anesthesia, the patient is completely asleep. While this type of anesthesia is more comfortable for the patient, it is equally comfortable and safe for the surgeon.
Nose surgery can be performed in two ways, as it is commonly known, as open or closed. The main difference between these two methods is that in the open technique, in addition to the closed one, the connection between the nostrils called columella is cut. Today, while there are many different opinions about which technique is superior, there is no clear consensus. In this respect, the type of operation is determined by the surgeon, who takes into account the procedures to be performed, the size of the deformity and previous operation history. Both techniques are frequently used techniques and it is an important step for the patient to trust the surgeon's decision in determining the technique.
After the incisions made in the nose surgery, the cartilage and bone structures that make up the nasal skeleton are revealed. If the nose has an arched structure, the cartilage and bone structures that make it up are removed, while if there is a collapsed nasal ridge, additions are made to this area. In case of need, the bony structures on the sides of the nose are released with the help of special tools, and the back of the nose is closed to form a narrow roof. At the same time, the width and narrowing of the tip of the nose, sagging and cartilage tissue are brought to the desired level by means of interventions. If the patient has a curvature of the nose and breathing problems, these problems are eliminated by septoplasty, and if there is nasal flesh, radiofrequency ablation is applied. At the end of the operation, if asymmetry formation and width in the nostrils are detected, these areas are intervened and the optimum result is tried to be achieved. The nose surgery ends with the application of silicone support pads with channels that do not prevent air passage and the application of a splint on the back of the nose. At this stage, contrary to the old approaches and general fears, there is no obstruction in the breathing of the patients after the surgery and sometimes the patient wakes up breathing more comfortably than before the operation.
After waking up from anesthesia, the patient is taken to the room when his general condition normalizes. In the meantime, pain is kept under control with the help of various painkillers and cold compresses are applied to these areas to prevent bruises around the eyes. A few hours after the operation, the patient can start to move and eat under the supervision of the doctor. In order to reduce the risk of possible infection, antibiotic treatment is started, and the patient is discharged 1 day after the operation. After the operation, the control is planned on the day recommended by the surgeon and the silicone pads in the nose are removed at the first control. At this stage, the patient does not feel any pain. While the bruises around the eyes begin to disappear on the 3rd day, they disappear to a large extent in the 1st week. It is an important detail that the patient stays away from intense exercise movements, stress, bending his head forward, and activities such as sports, as they increase blood pressure values and create a risk of bleeding in this first week. There is no medical problem in most patients starting work this weekend.
At the end of the first week, the surgeon calls the patient for the second control, and at this stage, the splint on the back of the nose is removed and you will see the first image of your nose. In the meantime, the most important point to remember is that the nose looks much more swollen and larger than it will be in the future due to edema. If the doctor deems it necessary, it can be fixed with the help of a new splint or bands this week.
The final image of the nose can take up to 1 year in parallel with the healing potential of the patients. For this reason, you should not be worried about swelling in the early period, and if necessary, the massage recommended by the doctor should be applied.
It is quite natural to have relatives who say that after some rhinoplasty operations, it is not much different from the old image. If this is not a failure, on the contrary, it looks better and natural, not being noticed is the success of the surgery. As a result, the aesthetic nose is not the one that draws all the attention, but the complement of the general features of the face.