Rhinoplasty
What is Nose Aesthetics (Rhinoplasty)? To Whom Can It Be Done?
Nose aesthetics, or rhinoplasty, is the name given to surgical operations performed to change the shape of the nose.
Reasons for having rhinoplasty include repairing deformities in an injury, changing the physical appearance of the nose to correct a birth defect, or improving breathing difficulties by improving some breathing difficulties.
In some cases, both breathing difficulties and physical appearance may be among the reasons behind choosing the rhinoplasty option.
What is Nose Structure?
The upper part of the nose consists of bone and the lower part of cartilage, covered with skin. It has an important place in the respiratory system.
What is the Cost of Nose Aesthetics?
The most important factor affecting the price of rhinoplasty is how experienced the doctor is. Pricing also includes items such as hospital selection, materials used and team expenses.
How is Nose Aesthetics Performed?
Rhinoplasty can change the bone, cartilage tissue, skin layer or all three, as deemed necessary. When planning rhinoplasty, the rhinoplasty surgeon will consider other features of the individual's face, the skin in the nose, and what the individual wants to change. He will develop a personalized plan for the candidates who are considered suitable for nose surgery.
As with all major surgeries, rhinoplasty carries various risks. Risks of infection, bleeding, and an adverse reaction to anesthesia are always present in major surgeries.
There are also separate risks specific to rhinoplasty. These include difficulty in breathing through the nose, permanent numbness in and around the nose, uneven nose, pain, discoloration or permanent swelling, scarring, septum perforation, and the need for additional surgical intervention.
Detailed information about these risks is conveyed by the rhinoplasty surgeon to individuals considering the rhinoplasty phase. Before proceeding to the planning stage of rhinoplasty, an interview is held between the doctor and the individual considering the rhinoplasty stage to determine whether the surgical operation will be effective.
In this interview, the medical history of the individual is revealed. The most important question the doctor will ask is about the individual's motivation and goals for the surgery. At this stage, the most important detail for the final results to be as desired is expressing the wishes and goals in a completely honest way.
The surgeon will clearly explain to the rhinoplasty candidate what rhinoplasty can and cannot gain. After that, he will collect information about nasal congestion, past surgeries and medications used. Individuals with a bleeding disorder such as hemophilia may not be candidates for rhinoplasty.
During this process, the doctor will perform a complete physical exam, including laboratory tests such as blood tests. He will also examine the facial features of the rhinoplasty candidate and the inside and outside of his nose.
In this way, it is possible to determine what changes need to be made and how physical characteristics such as skin thickness or cartilage strength at the tip of the nose can affect the results. Physical examination is also important to determine the effect of rhinoplasty on breathing.
Photographs of the nose can be taken and images can be manipulated by the surgeon with computer aid to show what results are possible. The rhinoplasty surgeon will also use these photos for before and after evaluations, during surgery and for long-term reviews with reference.
If an individual has a small chin, the surgeon may also talk to the rhinoplasty candidate about having surgery to enlarge the chin. Because a small chin will create the illusion of a larger nose. In these cases, chin surgery is not necessary, but a better balance can be achieved in the facial profile.
Rhinoplasty surgeries are performed under general anesthesia. It takes about 2-3 hours.
In addition to closed or open surgery methods, methods in which the two are combined can also be used.
Since the nose and cartilage structures are intervened separately in rhinoplasty, that is, rhinoplasty surgeries, the desired result is decided together with the patient before the surgery. And after the operation, a result close to what the patient wants is obtained.
These surgeries have functional as well as aesthetic features.
If the patient has breathing problems, the problems can be resolved by the plastic surgeon without the need for any surgeon.
Curvature and deformities can be corrected by interventions to the nasal septum bone.
A tampon is placed in the surgical area, which will remain for about 2 days. These tampons are special silicone tampons that do not prevent breathing. While these are removed, they do not hurt the patient or cause serious pain.
A plaster cast is placed on the nose for about 1 week. This plaster not only protects the nose from external impacts, but also helps shape the nose.
It is recommended that patients who have had rhinoplasty surgery should not wear glasses for 2 weeks. The nose should be protected from blows and traumas as much as possible. A blow or trauma can cause deformity before the nose is fully healed.
It is usually possible to leave the hospital on the same day after nose surgery. It is important to have someone available to assist you to return home, especially if the surgery will be performed on an outpatient basis.
During the first few days after anesthesia, memory loss, slow reaction time, and difficulty making decisions may occur. Therefore, it may be beneficial for a friend or family member to stay with the patient for a night or two to assist with post-surgery assistance.
Preparations Before Nose Aesthetics
It is necessary to avoid drugs two weeks before the operation. These types of drugs can increase bleeding. Only drugs approved or prescribed by the nasal surgeon should be used.
Also, herbal remedies, natural remedies, and supplements should be avoided. It is necessary to stop or take a break from smoking. Smoking slows the healing process after surgery and increases the chance of getting an infection.
What Happened During Nose Surgery
Rhinoplasty does not have a sequential sequence of stages. Each operation is personalized for the individual's unique anatomy and goals. Depending on how complex the surgery is, the surgery may require either local anesthesia with sedation or general anesthesia. This decision will be made before the operation.
Local anesthesia with sedation is usually used in the outpatient setting. Its effect is limited to a certain area of the body. The healthcare team injects a pain reliever into the nasal tissues and soothes it with drugs that are injected into a vein through an intravenous (IV) line. This does not make the person sleepy, but makes him sleepy.
During general anesthesia, the drug, that is, the anesthetic, is taken by breathing or through an IV line placed in a vein in the chest. General anesthesia affects the whole body and ensures that the individual remains unconscious during the operation. A breathing tube is also required for general anesthesia.
Surgery during rhinoplasty is through a small external incision made inside the nose or between the nostrils just below the nose. The bone and cartilage under the skin will be readjusted by the nose surgeon according to the targeted results.
The shape of the nasal bones or cartilage can be changed in various ways by the surgeon, depending on how much of the nasal tissue should be removed or how additions should be made, the structure of the nose and the available material.
If the wall between the two nostrils of the nose, namely the septum, is crooked or twisted, this can be corrected by the surgeon to improve breathing. However, this operation is different from rhinoplasty and is called septoplasty.
For minor changes, the surgeon may use cartilage from the deeper points of the nose or ear. Larger changes may use cartilage from implants, ribs, or other parts of your body. Once these changes are complete, the surgeon puts back the nasal skin and tissue and sutures the cuts.
The recovery of the individual after the surgery is monitored by the health personnel. It is possible to leave on the same day under normal circumstances, but if there are other health complications, it is possible to stay in the hospital overnight.
After Nose Surgery
Usually, internal dressings stay in place for one to seven days after surgery. The surgeon may also tape a splint to the nose for protection and support.
This usually stays in place for about a week. To reduce bleeding and swelling after rhinoplasty, it is necessary to rest in bed with the head higher than the chest. The nose may become blocked due to swelling or the splints placed during surgery.
It is common for a few days after surgery or until after removing the dressing to continue to flow with mucus and accumulated blood, along with light bleeding. To absorb this drainage, a small piece of gauze can be taped under the nose to act as an absorbent. This pad should not be tight.
The surgeon will want various precautions to be taken up to a few weeks after surgery to minimize the possibility of bleeding and swelling.
These include avoiding strenuous activities such as aerobics and jogging, taking a bath instead of a shower where water flows from above with a bandage on the nose, blowing the nose, turning to fibrous foods such as fruits and vegetables to avoid constipation due to the risk of applying pressure to the surgery site while having difficulty, avoiding excessive facial expressions such as smiling or laughing. brushing the teeth softly and wearing front-opening clothes such as shirts to move the upper lip less.
In addition, glasses or sunglasses should not rest on the nose for at least four weeks after surgery. It is possible to tape the glasses to the forehead until the nose heals. Sunscreen with factor 30 should be used outside, especially on the nose. Too much sun during this period can cause permanent discoloration of the nasal skin.
A temporary swelling or black-blue discoloration of the eyelids may occur for two to three weeks after rhinoplasty. It may take even longer for the nasal swelling to subside.
Staying away from sodium during feeding will help the swelling go down faster. Objects such as ice or ice packs should not be placed in the nose after surgery. It would be best to take a week off from work, school or similar obligations for the post-operative period.
Nose Aesthetics Results
Rhinoplasty is not a simple but a difficult operation. There are many reasons for this. First of all, the nose is a three-dimensional and complex shape located in the middle of the face.
Although the changes made during rhinoplasty are very small, these changes can make a big difference in the appearance and functioning of the nose. Since these changes are small, the margin of error is also high. It should not be forgotten after the surgery that the nose changes throughout life, as in the rest of the body. It is difficult to say when the final desired result will be achieved.
However, most of the swelling will disappear within a year. For this reason, it is recommended to wait at least one year even when a second operation is required.
