Rhinoplasty, or nose surgery, is sometimes referred to as “nose reshaping” or a “nose job.
Nose cosmetic surgery improves the appearance and proportion of your nose, enhancing facial harmony and self confidence. Nose surgery may also correct impaired breathing caused by structural abnormalities in the nose.
While the shape of your nose is usually the result of heredity, the appearance may have been altered in an injury or during prior surgery.
Nose surgery is a good option for you if:
Nose cosmetic surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image.
Step 1 – Anesthesia
Medications are administered for your comfort during rhinoplasty surgery. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
Surgery of the nose is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils.
Through these incisions, the soft tissues that cover the nose are gently raised, allowing access to reshape the structure of the nose.
Step 3 – Reshaping the nose structure
Surgery of the nose can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body.
Most commonly, pieces of cartilage from the septum, the partition in the middle of the nose, is used for this purpose.
Occasionally a piece of cartilage from the ear and rarely a section of rib cartilage can be used.
Step 4 – Correcting a deviated septum
If the septum is deviated, it is now straightened and the projections inside the nose are reduced to improve breathing.
Step 5 – Closing the incision
Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.
Step 6 – See the results
Splints and internal tubes will likely support the nose as it begins to heal for approximately one week.
While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine.
During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome. Swelling may come and go and worsen in the morning during the first year following your nose surgery.
A nose surgery procedure to improve an obstructed airway requires careful evaluation of the nasal structure as it relates to airflow and breathing. Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to produce better alignm
After your procedure is completed, a splint, internal tubes or packing will likely be placed inside your nose and a splint or bandages placed on the outside to support and protect the new structures during initial healing.
You will be given specific instructions to follow during your recovery from rhinoplasty: How to care for the surgical site, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your plastic surgeon. Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.
• You may be up and about in 2 days, but it will be several weeks before you are entirely up to speed.
• Feeling depressed is normal.
• After surgery, particularly during the first 24 hours, your face will feel puffy.
• A small amount of bleeding is common during the first few days.
• A splint is applied immediately after surgery for 7 days. Nasal packs may also be used.
• Minimal postoperative pain.
• Your nose may ache and you may have a dull headache.
• Temporary swelling and bruising around eyes and nose will increase at first and peak after 2 or 3 days. Most swelling and bruising should disappear within 2 weeks. Some subtle swelling (noticeable only to you) will remain for several months.
• Healing is a slow and gradual process.
• Some numbness may be present around the operative areas.
• Black eyes and swollen nose and eyelids for 7-14 days.
• You may experience some discomfort with breathing.
• Swollen nasal tissues may cause nose to seem "stuffed up" for several weeks.
The occurrence of swelling and bruising after the nose surgery are normal. Hilotherapy is a new method and taking place of the classic ice method. The formation of swelling and bruising can be prevented by attaching the hilotherapy face mask to the nose after surgery.
Rinoplasty is performed frequently with splint. Nowadays, depending on the patient's condition, rhinoplasty can be performed without splint. At the end of the surgery, different types of splints can be used. These splints can cause fear, because of the discomfort in the nose and pain, bleeding, hypotension during their removal.
According to other types of nasal packing silicone splint is preferred İt facilitates breathing its removal is painless and easy.
If the patient still; have fear, nose surgery without splintcan be performed with sutures or staples. Suture applications for patients has the advantage for patients because it recovers from discomfort caused by the splint.
Snoring and sleep apnea are common disorders especially for mens . After finding the cause of snoring by sleep test and sleep endoscopy, surgery can be performed by finding the cause of snoring.
Septoplasty, nasal radiofrequency meat, such as Uvulopalatafaringoplas operations can be performed.
What is Septum Deviation?
The septum is a wall that divides the nose into two equal parts from the inside. It consists of cartilage at the front and a thin piece of bone at the back and is covered with a covering called the skin-like mucosa. On both sides of the nasal cavity, there are turbinates, which provide nasal secretions and are necessary for the continuation of nasal physiology. These organs are 6 pieces, three on each side. Some people may have more. The normal nasal septum is in the midline and the turbinates are of normal size. In the presence of septum deviation, the air passage narrows and turbinates grow.
What else does septum deviation lead to?
The air required for the lungs must pass through the nose. During this transition, air is heated, humidified and cleaned to suit the lungs. The air passage through the nose decreases as a result of the deviated septum. Untreated air from the mouth may cause problems in the upper respiratory tract and lungs. Impairment of air passage due to deviations and hypertrophies also disrupts the movement of normal nasal secretions, making them darker. The patient perceives this as a nasal discharge. As these secretions become darker and lose their properties, the discomfort is further increased and diseases such as sinusitis and polyps become easier. Another problem is the reduction of odor as a result of the odor molecules not being able to reach this region due to the blockage of the olfactory zone in the nose.
Nasal septal surgery (Septoplasti).
The only treatment is to correct this curvature with an operation. In this surgical technique called septoplasty, the curved septum regions are corrected by preserving the cartilage support without damaging the mucosa. In some techniques applied by surgeons, septum cartilage is completely removed as a result of nose falls and deformities are seen. In this method, all operations are performed through the nose and no cuts are seen outside. Anesthesia may be local or general. The risk of general anesthesia applied in equipped operating theaters is quite low with our current facilities. Nasal tampons placed on the nose postoperatively are usually kept for 1-2 days. The tampons used today are soft to absorb the accumulated blood and do not damage the nose. Application and removal do not cause pain.
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The ear is an organ that has aesthetic and functional significance, affecting the external appearance of the human being. There are many different deformities in the ear, including no congenital development. The most common is the deformity among the people called scoop ear. Scoop ear is the biggest nightmare of school age children. Because they make fun of their friends at school and this affects their school success and social relations negatively. They have adaptation problems in school. Scoop ear is a congenital and familial deformity.
Since the ears complete 85-90% of their development at the age of 4-5 years, ear aesthetics can be performed at any age from the age of 5 onwards. Depending on personal circumstances and the preference of the family, surgery can be performed in later years, but preschool surgery should be preferred because it eliminates the possibility of the child being mocked by friends. Childhood people can be operated in a full-fledged hospital under general anesthesia and adults can be operated under both general and local anesthesia. The operation takes about 1 to 1.5 hours. The operation is performed from the back side of the auricle, the folds of the ear cartilage should be weakened and shaped by permanent internal sutures, and the auricle is hung backwards. The skin on the back of the ear is covered with concealed stitches, no stitching on the skin surface.
The most important rule when doing this process is to keep the natural appearance of the ear. You can go home on the day you have surgery. The ear remains bandaged for 2-3 days. Shower can be taken after the bandage is removed. Edema (swelling) and bruising of the ear may occur after surgery, which returns to normal within 1-2 weeks. For 2-3 weeks, soft bandage may be used which resembles an athlete's head. Children can return to school after a week. Most adults can return to work after 3-4 days. Aesthetic surgery on the ear not only results in deformities in the ear but also a dramatic improvement in the psychological state of the person. You will no longer have to cover your ears with your hair.
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During the aging process, sagging of the eyelids occurs due to sagging of the tissues. The eyelid makes weight, the skin and fat tissue narrows the visual field. To keep the eyelid open, the muscles of the forehead contract and buckle on the forehead and headaches.
Eyelid surgery in the upper eyelid sagging excess skin and bloating eye bag is taken. With this, eyes looks younger, vision improves. Upper eyelid operation is shorter, it takes about 15-20 minutes. It may take 1-1.5 hours with lower eyelid surgery. There may be swelling and bruising in the first 2-3 days. In general, a normal appearance in 1 week. This surgery can be done with local or general anesthesia.
Revision rhinoplasty (nasal esthetics) is the aesthetic nasal surgery applied to patients who have had one or more rhinoplasty operations before and the result has not been achieved. Revision rhinoplasty surgery is more difficult than the first surgery. The doctor should be more experienced.
Additional cartilage use may be required more than the initial surgery. For revision rhinoplasty surgery, it is more appropriate to wait 1 year after the previous surgery, in some cases it can be done at 6 months.
Sinusitis is an inflammation of the sinus tissues. It is mostly medicated. If the person frequently complains of chronic sinusitis, sinus surgery can be performed if there is an anatomic disorder that causes sinusitis. The most common sinus surgery is functional endoscopic sinus surgery (FESS). It can be done with local or general anesthesia.
Balloon synoplasty surgery is a new technique. Blocked sinus openings can be opened with this technique. Sinus aeration is provided. It does not damage the tissues and is not suitable for all sinusitis patients. The patient may return to daily life after the operation. The technique may be applied in combination with other treatments.
