Rhinoplasty at Group Florence Nightingale Hospitals

What is Rhinoplasty? 

Rhinoplasty is one of the most preferred aesthetic operations in our country. In order to have a better appearance, people from many countries of the world visit our country for rhinoplasty. Apart from aesthetic concerns, rhinoplasty, which is also applied for health problems, is one of the aesthetic operations that require the most attention. Since the face is the most prominent organ, changes in the shape of the nose greatly change the face and expression.

Rhinoplasty is surgical operations performed to eliminate the deformities of the nose and to eliminate existing health problems. Health problems such as bone curvatures, deformities, and nasal concha in the nose can cause many problems such as breathing difficulties, sleep apnea, bad breath. The size of the nose and nostrils rhinoplasty surgery, and shape can be changed can be corrected with the angle between the lips and the nose angle between the forehead and nose root.

Who Can Have Nose Aesthetics?

Rhinoplasty, not satisfied with the shape of the nose is a process that can be applied to everyone conducive to the overall health of the operation. In order for this operation to take place, bone development must be completed. Therefore, men under the age of 18 and women under the age of 16 are not considered suitable for the operation.

Rhinoplasty operation cannot be performed during pregnancy. For the operation, at least 6 months must have passed after birth. The main reason for this is to prevent the transfer of drugs used during and after the operation to the baby through breast milk and breastfeeding. Another reason is the necessity of performing the operation after the disappearance of swelling and edema on the face after pregnancy.

In Which Situations are Rhinoplasty Preferred?

Most of the men and women who apply for rhinoplasty want this operation to have a better appearance. The deformities present in the nose change the entire facial expression and this can lead to self-confidence problems. Studies have shown that people are more active and successful in their social and business lives after rhinoplasty operations.

Common nasal deformities:
 

• The nose is larger or smaller than it should be

• Having a belt on the back of the nose

• The front view of the nose is larger than it should be

• Low nose tip

• Wide view of the tip of the nose

• Nostrils larger or smaller than they should be

• S-shaped nostrils

• The nasal root is higher or flattened than it should be

• Deformities due to previous unsuccessful rhinoplasty operations

Loss or deformities in the nasal tissue as a result of injuries due to trauma and accidents are eliminated as much as possible with rhinoplasty and the nose can be brought to its proper form.

Rhinoplasty surgeries are not only preferred for a better appearance. There is excessive curvature in the nose, nasal flesh, and cartilage failure in cases where the presence of narrowing of the nasal cavity reasons such as difficulty breathing rhinoplasty for patients who are recommended. Septoplasty, valve repair, turbinate treatments, etc. Nasal deformities that cause breathing difficulties can be eliminated by using techniques.

How Should the Doctor Selection for Rhinoplasty?

Rhinoplasty is one of the most sensitive and experience-requiring aesthetic operations. In order to obtain a result that looks natural, is compatible with your face, and will not cause any health problems, you must choose a knowledgeable, experienced, and specialist doctor.

The way to find out how knowledgeable your doctor is is to check his or her background. His academic career, scientific publications, congresses he attended and gave speeches will allow you to have an idea about your doctor's knowledge and experience. The way to understand how meticulously your doctor works in choosing a doctor is to contact his previous patients. You can decide whether you have made the right choice by having information about the results and treatment process of the aesthetic operations performed by the same doctor before. A good plastic surgeon should not make the same noses all the time, because every face shape is different, the appropriate and natural-looking nose is different for every face.

When choosing a doctor for rhinoplasty, patients can also have an idea according to the pricing offered by the surgeon. However, the techniques used by doctors who charge too low are also more likely to fail. It should be known that correcting an unsuccessful rhinoplasty is much more expensive and requires advanced techniques.

What are the Types of Rhinoplasty?

Types of rhinoplasty; We can say that there are 3 types as nose augmentation operations, noise reduction operations, and operations where both techniques are applied together. In nose augmentation operations, rib cartilages, ear cartilages, the membrane is taken from the scalp, and abdominal muscle membrane can be used. These operations are mostly preferred for patients who have previously had rhinoplasty in another clinic and have failed. In nose reduction operations, the removed tissue pieces are used to reshape the nose.

What are the Techniques Used in Rhinoplasty?

There are many techniques used for rhinoplasty. A good plastic surgeon should be able to apply the technique with expertise, which should be used according to the patient's complaint and the intended result, instead of applying the same techniques to all patients. Depending on the deformity of the nose and the skin structure, the rhinoplasty technique used also varies.

Open Nose Aesthetics

It is the most commonly used rhinoplasty technique today. In this technique, a small incision is made in the column between the two nostrils and the nasal bones and cartilages are shaped. With this advantageous technique, it is ensured that the nose easily takes the desired form and the tip of the nose remains more robust thanks to the stitches.

This technique can be preferred for all deformities in the nose and it is possible to plan the shape to be given to the nose in 3D before the operation. High-tech ultrasonic bone shaping devices can be used in the operation. After the operation, an inconspicuous scar may form in the area where the incision was made, but this scar is erased in a period of 1 year.

Closed Nose Aesthetics

One of the first techniques used for the aesthetics of the nose closed rhinoplasty is. Although this technique is preferred in patients who do not need nasal tip shaping, it is rarely used today.

In the closed rhinoplasty technique, the incisions are made through the nostrils and no dominance is achieved over the tip of the nose. It is mostly preferred for minor revisions and deformities on the back of the nose. However, opening the incisions through the nostrils also eliminates the risk of any scar formation.

Rhinoplasty with Delivery Technique

In the delivery technique, which is one of the advantageous techniques, two parallel incisions are made through the nose and the nasal cartilages are shaped. With this technique, as in open rhinoplasty, the nose tip is dominated, while the risk of scar formation is eliminated by not making an incision in the column between the two nostrils.

It is a very sensitive and expert operation, as the mechanisms that create support for the nose are intervened. This technique is preferred in cases where the nostrils are not narrow, there is no severe nasal curvature and the tissues on both sides of the nose are not asymmetrical.

Nose Aesthetics with Modified Delivery Technique

While this technique allows dominance of the tip of the nose, just like in the delivery technique, it does not pose a risk of scarring, since no incision is made in the column between the two nostrils. The most obvious difference from the delivery technique is that there is no possibility of damage to the nasal support mechanisms, since there is no need for a second incision in the nose.

This method, which is preferred in patients who have not undergone rhinoplasty before, is not preferred in patients with curved and flat noses and in cases where the tissues on both sides of the nose are asymmetrical.

How is the Examination Performed for Nose Aesthetics?

In the examination for rhinoplasty, interviews are conducted about the reason for the patients' request for the operation, their expectations and their health status. The questions asked by the patient are answered and ideas are shared about the realization of their expectations.

Many patients do research before coming to the examination and show the photos of the noses they want. However, the shape and structure of the nose of the patients may not always be suitable for achieving the desired result. In this direction, I recommend patients to present photographs of the noses they want, as well as photographs that reflect the nose shapes they do not want. This allows the pleasure of the patient to be understood and ensures that the result is closest to the patient's expectations.

Is Nose Aesthetic Surgery Possible with Local Anesthesia?

It is not possible to perform rhinoplasty with local anesthesia. The main reason for this is that local anesthesia is not sufficient to keep the blood pressure constant during the operation. This may lead to more bleeding than normal during the operation.

Apart from this, performing the operation under general anesthesia is more comfortable for the surgeon and the patient. Since rhinoplasty is a very sensitive and careful operation, it is performed under general anesthesia in order to prevent possible bleeding and problems.

Is Non-Surgical Rhinoplasty Possible?

Surgery is not always the only way for rhinoplasty. There are many techniques used for non-surgical rhinoplasty, but these techniques do not provide long-term permanence and need to be repeated.

In order to eliminate the deformities of the nose, the most frequently preferred non-surgical rhinoplasty method for patients who are afraid of surgery is filling applications. Various filling materials containing Hyaluronic Acid are used for this technique. With this technique, which is performed with local anesthesia, mild deformities in the nose can be removed painlessly and within minutes. Filling applications with the permanence of 1 year are not recommended for patients who want to have rhinoplasty in the future. The main reason for this is that it causes the nose to undergo a procedure, albeit mildly.

Another technique used in non-surgical rhinoplasty is nasal botox applications. With this method, which is carried out using botulinum toxin, the nose falling down is alleviated, but shape change cannot be made.

The rope suspension method is also one of the preferred methods in non-surgical rhinoplasty. However, this method is also not permanent, and in the long run, the nose may fall out with the loosening of the thread, or it may result in results such as cutting the tissue. The most healthy and permanent method to eliminate the deformities of the nose and achieve the dreamed nose shape is rhinoplasty.

Healing Process After Nose Aesthetic Surgery

After the rhinoplasty operation, the nose is supported with a special plastic material in order to preserve the new shape of your nose. This material remains in your nose for 7-10 days after the operation. In this process, ice compresses are recommended to the patient in order to prevent swelling and pain.

After the removal of the plastic material, the coarse swellings in the nose heal, and the slight swellings that cannot be noticed by people who do not know you remain for a while. Thanks to the advanced technology devices used in this operation, bruising does not occur in most patients, and in cases where it occurs very little, it heals within a few days.

It takes about 1 year for the nose to fully heal and settle after rhinoplasty. At the end of this period, patients have the nose they dream of for life and do not experience any negativity. During the recovery period, patients are called for regular check-ups in the first week, the first month, 3rd month, 6th month, 1st year, and once a year. Patients can return to social life on the 3rd day after the operation.

Things to Consider Before Nose Aesthetic Surgery

• Before rhinoplasty, you need to make sure that you do not have any health problems that may hinder the operation. It is important to be in good physical health in order to prevent the risks that may occur during the surgery and to accelerate your recovery process. You should inform your doctor about your diseases and the medications you use during the 3-week period before the surgery.

• During the examination before the rhinoplasty surgery, controls are carried out on whether the patients have a chronic or acute disease, the drugs they regularly use, and the factors that may cause an allergic reaction. One week before the operation, analyzes are performed to test the suitability of the patient for general anesthesia.

• Aspirin-like blood thinners, flu medications and pain relievers containing Ibuprofen should not be used for 1 week before the surgery. Apart from this, since different treatment protocols are applied for some drugs that are used regularly, the patient is informed about this issue.

• Substances such as green tea, herbal teas, ginseng, flaxseed, garlic, vitamin E, cherries, cinnamon, cherries and resveratrol can cause watering in the blood. The consumption of these substances should be stopped at least 1 week before the surgery.

• Patients using birth control pills should have stopped using the drug at least 1 month before the operation.

• Nose aesthetic surgery cannot be performed for patients on Roaccutane treatment. The drug must be discontinued at least 6 months before the operation.

• It is known that smoking increases the risks of general anesthesia during surgery. For this reason, smoking should be stopped at least 1 month before rhinoplasty.

• For patients with thick skin, some treatment methods are applied before rhinoplasty. Again, before the surgery, skin preparation care systems are also recommended for the banded healing process.

• The use of 500 mg of vitamin C 1 week before the rhinoplasty surgery is recommended to patients as it accelerates the healing process of the wounds.

• In order to prevent possible complications, patients are advised to cut their nose hairs and shave their mustaches, if any, before the surgery.

• Since general anesthesia will be applied during the rhinoplasty surgery, no food should be eaten for 8 hours and no water should be drunk for 4 hours before the operation.

Things to Consider After Nose Aesthetic Surgery

• You should not eat or drink water for the first 4 hours after rhinoplasty. You can start drinking water after 4 hours and start consuming soft foods at 6 hours. In the first month after the operation, you should not open your mouth so much that it is difficult, other than that, movements such as chewing and swallowing do not harm your nose.

• Walking with the help of a companion as soon as possible after the surgery is important for improving your blood circulation. Keeping your arms and legs in motion while you lie in bed will be beneficial for your circulation and will allow the effects of anesthesia to pass faster.

• If you have not defecated within the first 24 hours after rhinoplasty and if no gas has been released from the anus, you must inform the nurses.

• It is recommended to apply ice compresses to your eyes at intervals of 2 hours for 24 hours after the surgery. For this purpose, cold gel packs can be used, as well as applying ice in latex gloves. The main purpose of this application is to minimize post-operative bruising and swelling.

• There may be mild nasal discharge after the surgery and this is not a cause for concern. Gauze is placed on the tip of the nose to absorb this leakage. There is no harm in removing this gland on the 2nd day after the operation.

• You must stay under the supervision of a doctor for 1 day after rhinoplasty. You will be discharged from the hospital the day after your surgery, after your check-ups are performed.

• You may have tears in your eyes for 3 days after the surgery. This is nothing to worry about and is temporary. The reason for this discharge is the discharge of tears that normally flow into the nose due to swelling.

• Thanks to the new techniques developed for rhinoplasty, since silicone splints are used instead of conventional sticking tampons in the surgery, pain or pain is not felt when these splints are removed after the surgery. These splints allow the patient to breathe comfortably after surgery. The patient is prescribed a special liquid to squeeze into each nostril until the splints are removed.

• After the surgery, contact with the nose should be avoided as much as possible, and in cases where contact is necessary, the hands should be disinfected.

• After taking your first bath after rhinoplasty, you can start applying make-up. You should not remove the middle of your eyebrows for 2 weeks after the operation.

• In some rhinoplasty surgeries, it may be necessary to make a small incision inside the upper lip. If such an incision was used in your operation, it is recommended that you consume liquid foods on the first day after the operation and gradually switch to soft foods after the second day. It is recommended that you take extra care of your oral hygiene and rinse your mouth with water after meals. You should start external brushing on the 2nd day after the operations where an incision was made through the lip.

• After open nose surgeries, patients are prescribed terramycin ointment to be applied to the sutures once a day.

• 7-11 days after surgery. After removing the splints between days, using products containing sea water 3 times a day and applying ointments inside the nose will accelerate your healing process.

• After the splints are removed, a tape is applied on the nose. It is enough for this tape to stay for 5 days, and after 5 days, you can gently remove it yourself by wetting it with water at home.

• It is recommended to use special gels and sunscreen creams in order to heal the incision under the nose and not leave any scars after the open rhinoplasty operation. It is important for the healing process to apply sunscreen under the gel every time you go out in the sun for 6 months after the operation.

• You should not interfere with the stitches you see in your nose after surgery. These stitches will dissolve over time and disappear.

• You should not lie on your side and use glasses for 4 weeks after the surgery. Again, you should not do heavy sports during the 4-week period.

• While applying lipstick after the surgery, you should not press your lips together in order to feed the lipstick. This movement causes tension for your healing nose tip.

• In order to prevent the area from becoming infected after the rhinoplasty surgery, one should not enter the pool before 4 weeks and pay attention to the hygiene rules.