Nose Aesthetics - Rhinoplasty

The medical name of nose aesthetics is rhinoplasty and it is a surgery to correct the external appearance of the nose. With rhinoplasty, bone and cartilage curvatures that cause nasal congestion can be corrected. The tip of the nose can be lifted and thinned, and bone protrusions, pits and other deformed parts on the nose can be corrected. If there are deviations to the right and left, it can be drawn to the midline. Rhinoplasty can be performed from the age of 18 onwards, if bone development is sufficient, it can also be performed at earlier ages with parental approval. There is no upper age limit, it can be performed as long as the person's health allows.

The person who will have rhinoplasty must be fully prepared psychologically for this surgery. It is appropriate for there to be full agreement between the doctor and the patient regarding the nose shape and a joint decision. The inside and outside of the nose must be examined endoscopically by an ENT specialist before surgery. Bone, cartilage (septum) and turbinate problems that may be detected in the meantime can be corrected with rhinoplasty. If there is an infection in the nose before the surgery, surgery should be planned after treatment with medication. When planning the ideal nose, other areas that should be proportional to the nose, such as the lips, forehead and chin, are evaluated and, if necessary, intervention can be made in these areas. Rhinoplasty can be performed with two techniques. In the closed technique, it is performed without any skin incision inside the nose. In the open technique, an incision of approximately 0.5 cm is made in the skin in the middle section separating the two nostrils. There will be a small scar in this incision area that is not visible from the opposite view. The two techniques have advantages and disadvantages relative to each other. In general, edema and pain are less in the closed technique. However, the field of view is limited in terms of surgical technique. Open technique, on the other hand, provides a wider field of view and the chance of intervention. In both techniques, surgery is performed by shaping the bone, cartilage and soft tissues in the nose.

Surgery duration can vary between 1 and 3 hours. Approximately 10% of patients may have mild pain complaints after the surgery, but these complaints disappear in a very short time with painkillers. Ice placed during this time is important to prevent bruising and swelling. Ice also has pain relieving properties. Generally, patients are discharged on the same day after a 5-6 hour follow-up. In the first two days, pink colored serum fluid may come out of the nose, this is a normal process. If there is no intervention inside the nose, a tampon may not be placed. A plastic plaster is placed on the nose to preserve its shape. In cases where we put nasal tampons, the tampons are removed after 1-2 days. These tampons are silicone and cause minimal discomfort when removed. The plastic cast is removed on the 7th day, and then small tapes are attached to the nose and these tapes are removed on the 14th day. Patients can return to their daily lives within 2-3 days as long as they do not do any heavy work. Most of the swelling and bruises in the nose disappear within a week or two, but it takes 6 months for the nose to take its full shape. Long-term results appear in 1 to 2 years. During the first weeks of the recovery period, it is recommended that the patient be protected from the sun and should not sleep on his or her side, but should lie on his back. The patient should protect his nose from impacts, stay away from sports for 3 months, and not wear glasses.