Aesthetic nose surgery (rhinoplasty) or nose reshaping surgery is the most commonly applied plastic surgery.
In aesthetic nose surgery, the nose can be reduced or enlarged, the shape of the tip of the nose can be changed, the arch can be removed, the nostrils can be narrowed or the angle between the nose and the upper lip can be changed. Nasal bone curvature and traumatic deformities can be corrected or breathing problems can be resolved.
If you are interested in rhinoplasty, this page may not answer all your questions. If there is anything you do not understand, please consult your doctor.
Who Are The Most Suitable Candidates For Aesthetic Nose Surgery?
Aesthetic nose surgery can beautify your appearance and increase your self-confidence.
It can also be applied to those who have functional problems. However, this does not mean that surgery will necessarily change your image to match your imagined facial appearance, and that other people will treat you differently after surgery. Before deciding on surgery, ask yourself why you want to have surgery and what you expect from this surgery, think carefully and discuss these with your surgeon. The most suitable patients for aesthetic nose surgery; They are not those who seek perfection, but those who expect improvement in their external appearance, improvement in nasal health and a development towards the better.
Is There a Certain Age Limit for Surgery?
It is preferred that the surgery be postponed until the end of adolecence. The appropriate age is around 16-17 years for young girls and a little older for boys. It is important to It is preferred that the surgery be postponed until the end of adolecence. The appropriate age is around 16-17 years for young girls and a little older for boys. It is important to consider the social and spiritual adjustment of young people to ensure that the decision for surgery is one that they want to implement, not the family.
Are There Risks to the Surgery?
If rhinoplasty is performed by an experienced otolaryngologist, complications (undesirable results) are rare and usually minor. However, there is always the possibility of complications. These are; infection, nosebleed, or a reaction to anesthesia. After surgery, cracked small capillaries may appear as very fine red dots on the surface of the skin. In aesthetic nose surgery, there is no visible surgical scar. However, if wide nostrils need to be narrowed, very small and thin scars on the base of the nose are usually too insignificant to be seen. A second surgery may be required in approximately one out of every 10 cases. It is impossible to predict such situations. This can happen even to patients who are operated on by the most skilled and experienced surgeons. The second corrective surgery is usually a shorter and simpler surgery.
How Is Surgery Planning Made?
Good communication between you and your doctor is essential and very important. First meeting, the surgeon will ask you how you want your nose to look like, examine the structure of your nose and face, and explain the possibilities for you. The structure of your nasal bones and cartilages, the shape of your face, the thickness of your skin, your age and your expectations are the main topics of discussion. Your surgeon will explain the anesthesia and surgical technique he will use, the hospital where the surgery will be performed, the risks, the cost, and other options, if any.
Even if it was many years ago, you should be sure to tell your surgeon about any previous nose surgery or nose treatment. If you have allergies or breathing difficulties, if you use medications and if you smoke, you should tell your surgeon. After this information, an extra examination (endoscopy) can be performed if necessary. Do not hesitate to ask your surgeon any questions that come to your mind, especially about your expectations about the surgery and the results of the surgery.
What is Anesthesia Type?
Aesthetic nose surgery is performed under general anesthesia.
What is the operation like?
Aesthetic nose surgery usually takes 4-6 hours. During the surgery, the skin of the nose will be separated from the bone and cartilage roof. The process of reshaping the nose will vary depending on the problem in the nose and the technique used by the surgeon. Finally, the skin will be adapted over the roof created. Most ENT Specialists prefer the open technique approach. In the open technique, a small incision is made on the vertical tissue band (columella) that separates the nostrils from each other. When the surgery is completed, a plaster splint will be applied on the nose to help the nose maintain its new shape. Silicone pads are placed inside the nose to fix the septum, which is the partition that separates the two airways in the nose.
What is done after the operation?
Your face will feel swollen for the first 24 hours after your surgery. You may have a sore nose or a mild headache. You can control any discomfort with pain relievers prescribed by your surgeon. For the first day, plan to lie in bed with your head elevated, except for going to the toilet. Applying a cold compress will reduce this swelling and make you feel a little better. Most of the swelling and bruises, if any, will disappear within the first week or longer. It may take up to 6 months – 1 year for some swellings to go away completely, which no one other than you and your surgeon can notice. During the first few days after surgery, there is usually a very slight leakage from the nostrils. You may feel a slight congestion in your nose for a few weeks. Your surgeon will ask you not to blow your nose for 3-4 weeks during the healing period of the tissues. During this period, you should clean your nose with nasal washes that you can buy from the pharmacy. If there is a tampon in the nose, it will be removed 4-5 days after the operation and you will feel much more comfortable. By the end of the first or sometimes the second week, all dressings and the plaster splint on your nose will be removed.
When to return to normal life?
Most patients with rhinoplasty can get up and walk around within two days and can return to school or work life that is not too strenuous one week after the surgery. However, several weeks will pass before you can fully return to your daily routine. Your surgeon will give more detailed explanations about returning to your normal life.
What Should Be Considered After the Surgery?
Generally, you will be told to avoid high-impact activities (running, swimming, gymnastics, sex, any movement that will raise your blood pressure) for two to three weeks, and to protect your nose from blows or bumps for 6 months. Be gentle and careful when washing your face and hair or applying make-up.
You can wear your contact lenses when needed, but the situation is different for glasses. After removing the splint on your nose, the feet of the glasses should not sit on the back of the nose until your nose is completely healed, that is, for 3 months.
Your doctor will call you for a check-up at regular intervals during one year after the surgery to check the improvement in your recovery. Do not hesitate to call your doctor if you have any unusual complaints or any problems about what to do or what not to do between these control examinations.
When Will You Get Your New Look?
The actual result of aesthetic nose surgery occurs between 6 months and 2 years, depending on the thickness of the skin, sometimes it may take 2 years for very thick skin.
What to do after Aesthetic Nose Surgery
The recovery process after your nose surgery takes time and patience. Your active participation in post-operative care is as important as surgery.
Please follow the suggestions listed below. Do not hesitate to ask your doctor about the issues you do not understand.
- At the end of the surgery, you may not be able to breathe through your nose because of the tampons inside your nose. During this period, you must breathe through your mouth. Your doctor will determine how long the tampons stay in your nose.
- It is important to drink enough fluids. Sip sips of fruit juice, water and light drinks will help alleviate the dry mouth caused by mouth breathing. Eat soft, easily chewed foods. Use gels or lip balms to keep your lips moist.
- Use only the drugs prescribed by your doctor. Do not use aspirin or drugs containing aspirin or drugs that prevent blood clotting.
- If the dressings on your nose remain, keep your head elevated while sleeping or resting with at least two pillows. As much as possible, try to keep your head upright throughout the day. This will maintain normal blood circulation and help reduce post-operative swelling.
- Some leakage from your nose is to be expected. It will be pink/light red in color. But if you have persistent red blood, you should inform your doctor.
- When you come out of surgery, you will have a splint on your nose. These are as important to shape your nose as it is to protect your nose. Do not touch or damage these dressings. The splint will be removed by your doctor at the end of the first week.
- The small pad under your nose can be changed as needed (or removed if there is no bleeding).
- Do not rub your nostrils. Be careful not to bump your nose.
- Avoid straining, bending over, lifting heavy things (especially your small children), effortful exercises and sports for two weeks after your surgery.
- Avoid exposure to direct sunlight until the bruises are gone.
- You will notice some swelling and discoloration in the surrounding tissues when the dressings on the outside of your nose are removed. Your nose may appear swollen and tipped upwards. This will correct itself over time.
- You may feel numbness on the tip of your nose and sometimes on your upper lip. This will disappear in a few weeks.
- After the tampons are removed, you can gently clean your nose with a cotton swab 2-3 times a day.
- Even after tampons are removed, your nose will be stuffy. This is the normal response of tissues to surgery. Do not attempt to blow your nose for a week. When you have to sneeze or blow your nose, do it gently with both nostrils open. Do not use nasal sprays or drops. If you have to sneeze, sneeze with your mouth open.
- After the dressings are removed, you can return to your normal work life (depending on the type of work you do). You can apply makeup to help hide bruises.
- Make sure you go to all your post-operative appointments. Postoperative follow-up appointments are usually 1 week after surgery, 12-15. day, 1st month, 3rd month and 6th month.
- Do not wear glasses for 3 months unless it is mandatory at the end of the operation.
It is the surgery applied to patients who did not get the desired result after the previous aesthetic nose surgery or who have undesirable deformities in the nose after various complications. It is much more difficult than a normal surgery, as the tissues in the previously performed surgery area heal with very adherent tissues, which we call scar tissue, and normal anatomical structures are lost in these tissues. In addition, cartilage and bone tissue loss is observed in some patients. For this reason, tissue transfer from other regions (rib cartilage) is required. In terms of operation time, it takes 1.5-2 times longer than normal cases. The experience of the surgeon is the most important factor in the success of these surgeries.