What is Rhinoplasty (Cosmetic Nose Surgery) ?
Cosmetic Nose Surgery (Rhinoplasty), or surgery intended for reshaping the nose, is one of the most commonly performed plastic surgery procedures. With rhinoplasty, it is possible to make your nose smaller or larger, change the shape of the tip or hump of your nose, narrow your nostrils, or change the angle between your nose and upper lip. In addition, it is possible to correct congenital deformities or deformities caused by injuries, or some breathing problems can be solved.
Are you a suitable candidate for rhinoplasty?
Your face-to-face meeting with your surgeon is of great importance in terms of being able to answer this question in the healthiest way possible. However, if you have one or more of the following structural problems, you may be a suitable candidate for rhinoplasty.
* Droopy nasal tip
*Wide nasal tip
*Wide nasal wings
*Excessive protrusion of the nasal tip
*Nasal tip asymmetries
*High transition point between the forehead and nose (nose with indistinct starting point)
*Inadequate angle between the nasal base and the upper lip
*Retracted or droopy columella, the central fleshy portion between the two nostrils
We would like to emphasize that, besides the presence of the above-mentioned structural deformities; the age of the patient who will have rhinoplasty should be at least 17 years old if she is a woman or 18 years old if he is a man.
What is closed and open technique in rhinoplasty?
Rhinoplasty is performed using one of the two techniques: open and closed techniques. The main distinction between these techniques is shaped depending on how the nasal cartilage and skeleton can be accessed.
*Closed rhinoplasty technique is a technique that has been used since very old times and can still be preferred today. With this technique, the nasal skin is lifted after making incisions under both nasal wings inside the nose, with intent to access the nasal bone and cartilage skeleton. The greatest advantage of closed rhinoplasty technique is that the postoperative edema around the nose disappears in a shorter time and the nose takes its final shape earlier, compared to such recoveries observed after operations performed using the open rhinoplasty technique.
In *Open rhinoplasty technique, the skin is lifted after making a small incision of approximately half a cm on the columella in such a way as to completely expose the nasal bone and cartilage skeleton, and then the operation is performed in this setting. This technique allows for easier access to the area that will be corrected, and makes it easier to perform any desired surgical technique. Its biggest disadvantage is that postoperative edema observed after its use heals later than edemas observed after the use of the closed technique. The incision scar disappears within 6 months on average.
Both techniques have their advantages and disadvantages; so it would be appropriate for the surgeon and patient to decide together on which technique would be healthier, based on the result of their face-to-face meeting.
What is Let Down Rhinoplasty?
In the Let Down Rhinoplasty technique, curvatures and arched structure are eliminated without damaging the nasal ridge, in a way to maintain the patients’ natural nasal appearance. This technique that has become more widespread recently has many advantages.
In the let down rhinoplasty technique, the nasal ridge is kept undamaged and the natural appearance is maintained. In this technique, the procedure is performed without removing part from the nasal ridge consisting of cartilage or bone and with no need for nasal rasping. Excess tissues under the nasal ridge are removed to eliminate the arched appearance. At this time, a natural curved appearance is given to the nasal ridge.
The let down technique is not an alternative to closed or open rhinoplasty. It can be used in combination with both techniques, and the field where it is used more frequently is the procedures performed with closed the rhinoplasty technique.
What is Preservation Rhinoplasty?
In this technique, which means protective rhinoplasty (with no breaking), the bones, cartilage ligaments and membranes on the nasal tip and nasal ridge are preserved, and aesthetic corrections are made by removing cartilage and bone structures under the nasal ridge. Since it is a technique whose suitability may vary depending on the patient’s structure, it cannot be used in the treatment of all patients. Using this technique makes healing easier and faster.
What is Revision Rhinoplasty with Rib Grafts?
Corrective or complementary surgical procedures performed on patients, who have previously had rhinoplasty, are called revision rhinoplasty. The most important problem in these surgeries is the lack of cartilage for the repair of the nose, because the nasal septal cartilages of patients have been used in primary surgeries. If the need for cartilage cannot be met using the septal cartilage available in the nose, it is met by using the auricular (ear) cartilage or costal (rib) cartilage. In cases where the need for cartilage is too high, costal (rib) cartilage is used. Cartilage tissue is taken from the tip of the rib by making an incision of 2-3 cm, and then it is used for the reconstruct the nose.
Points to take into consideration before surgery
In rhinoplasty surgery, as with other surgeries, it is necessary to stop taking aspirin and smoking at least 3 weeks before the date of surgery. In the last week, it is necessary to avoid using blood thinning drugs and other similar substances.
Drugs that should not be used:
Painkillers such as Apranax, Voltaren, Vermidon (Minoset and Novalgin can be used when painkiller is needed).
Multivitamin pills containing substances such as Ginseng, Ginkgo Biloba, CO-enzyme Q,
Consumption of herbal products such as green tea, flax seeds, cherry stalk, tomato seeds and all types of products intended for weight loss should be stopped 7 days before the date of surgery.
How long does a rhinoplasty operation take?
Rhinoplasty surgery takes about 2 to 3 hours. It is a surgical procedure that should be performed with extreme care, patience and concentration during this period of time.
How does the postoperative process work?
After the surgery, patients can usually go home the same day or after a 1-night hospital stay at the latest. In the first two postoperative days, there may be swelling, bruising and blood leakage. In order to reduce such conditions, ice should be applied in the early postoperative period. In the first days, patients may have difficulty in breathing. Patients can watch TV, read a book, and go out after 2 days.
On the sixth postoperative day, the plaster and sutures are removed. The patient may return to work after the removal of the plaster cast. If the bruises persist, they can be concealed with the help of concealer makeup. After about 3 weeks, the swelling substantially goes down, and the patient’s appearance revealing that he/she has just had surgery disappears. At the end of three months, the swelling goes down at the rate of 80%. For 3 weeks after the surgery, patients should avoid doing sports that carry the risk of getting hit in the face; and for 3 months, they should avoid direct sunlight.
Is the result of rhinoplasty permanent?
Although rhinoplasty operations give permanent results, micro changes may last up to 5 years. Changes in the nose that occur with increasing age may continue to occur after rhinoplasty. However, the nose never returns back to its previous state.
The price of rhinoplasty operations vary depending on the experience of the surgeon who will perform the procedure, the clinical environment where the operation will be done, and the quality of the materials that will be used in the operation. You can call our clinic to get detailed information and make an appointment.