Rhinoplasty surgery; It is a rhinoplasty surgery in which the external appearance of the nose is changed. Nose ; It is a very important organ in terms of appearance and respiration, located in the middle of the face. Interventions for the nose should be planned very well in all aspects and carried out delicately. With aesthetic nose surgery, the size of the nose can be reduced, the shape of the tip of the nose can be changed, the nostrils can be narrowed and widened, and the angle between the upper lip and the nose can be changed. This surgery; It can help correct congenital defects, nasal injuries, and some respiratory problems. If the rhinoplasty candidate has functional problems such as breathing and smell, functional nose surgeries can be performed in addition to rhinoplasty. Functional nose surgeries; It includes septoplasty (nasal middle curvature surgery), concha (nasal meatus) and adenoid surgeries, nasal valve surgery and endoscopic sinus surgeries. Neglecting functional problems in rhinoplasty may cause negative results in terms of patient satisfaction. In particular, as a result of ignoring nasal valve (the area between the nose wings and the middle part of the nose) pathologies, although the patient does not have nasal concha or bony curvature, nasal congestion may be experienced after aesthetic surgery and revision. surgeries (surgeries performed after the first surgery) may be needed. The aim of rhinoplasty surgery should be to achieve a natural appearance as well as to achieve an aesthetically satisfactory result for both the doctor and the rhinoplasty candidate.
After what age should rhinoplasty be done? In general, it can be performed after the age of 17 for girls and after the age of 18 for boys. However, this surgery can be performed at an earlier age due to severe disorders and traumas. Preoperative evaluation The rhinoplasty surgeon should take a detailed history to obtain a successful result, evaluate the patient’s problems and
understand their wishes well. It should be detailed what features he does not like about his nose and what he wants to happen as a result of the surgery. The presence of anxiety disorder and depression is not a definite obstacle for rhinoplasty. However, it would be appropriate to treat it before surgery. Since dysmorphic personality disorder (the state of being dissatisfied with one’s own body) will cause unhappiness for both the patient and the surgeon, these people are not suitable for surgery. It should not be forgotten that a perfect nose can never be committed before rhinoplasty. After analyzing the physical characteristics of the patient, the best possible result is tried to be achieved. The physical examination begins with the observation of the outside of the nose and the detection of existing external problems by touching it by hand. The solution should be explained to the patient by showing the defects detected in front of the mirror. Then intranasal
cavities are examined in detail, including endoscopic evaluation. Imaging methods are not necessary except in cases where anatomical abnormalities are observed in the nose. After the examination, photos should be taken from 6-7 angles classically. In a correct photo pose, the hairline, chin, ears should be in the frame of the shot. Photographs must be from the front, from the bottom, from the top, from both sides, at an angle from both sides. In addition, poses can be added from above when laughing and especially on crooked noses.
What should be considered in the preparation process for the surgery?
It is important for the rhinoplasty candidate to share all the medications he uses regularly with his doctor. If it is under control with medication, high blood pressure or diabetes is not an obstacle to surgery. If there is use of blood thinners, it should be discontinued or changed in consultation with the following doctor. Smoking is a negative factor for both the surgery and the postoperative recovery process. It is the doctor’s choice not to operate on a regular smoker. It should be waited for one week in upper respiratory tract inflammations such as cold and flu. If herpes or aphthae in the mouth are gone, wait until it goes away. Because these situations are an indication of low resistance. Fasting for 6-8 hours before surgery is sufficient. You can take a shower the evening before the surgery, and there should be no make-up on your face while coming to the operating room.
What is the type of anesthesia and the duration of the operation?
Rhinoplasty surgery is performed under general anesthesia and takes 1-5 hours (average 2-3 hours).
What should be considered in the postoperative period?
After the operation, there is a hard support plate (plaster-splint) made of different materials on the nose, and often silicone or sponge-like tampons in the nose for support and bleeding control. With these, precautions are taken against swelling and blood collection under the skin.
While it is usually taken between 2-7 days, the splint-plaster on the back of the nose is removed 7-10 days later. Edema and bruises that may develop in and around the nose regress spontaneously within the first 7-10 days. Care should be taken not to touch the patient’s nose during the awakening phase. When the patient is taken from the recovery room to his own room, the head should be raised thirty degrees, he should be laid on his back, and ice application should be started on the face. Today, gels in the form of masks for cold application to the face are also an alternative. Cold application does not have any effect after 48 hours. Antibiotic use for 5-7 days after surgery is generally preferred. It is normal to have pain in the first days and it responds to painkillers. On the first day of the surgery, watery foods and soup should be preferred, and foods that require chewing should be avoided. It should not be forgotten that alcohol and cigarette use in the postoperative period will have negative effects on recovery and increase the risk of complications.
The skin of the back of the nose remains closed for a long time due to bandaging and plastering, and there are changes related to this. After the bandage is opened, the skin should be cleaned with moisturizing solution, sunscreen lotion and creams until it regains its normal appearance. You should not lie on your stomach for three weeks after the surgery, do not carry heavy loads for a month, do heavy sports.
should not be done. Those who do sports can start fitness-style exercises in the 3rd week after surgery. After the 6th week, it is possible to return to the normal working program with more resistance and high weights. However, five or seven days after the operation, a plane trip can be made by consulting the doctor. All kinds of glasses should not be used for eight to twelve weeks, numbered lenses should be preferred. You should avoid blowing your nose. For the first two weeks, use special ocean water liquids that your doctor will recommend.
and ointments, you can clean it without blowing your nose. This will both relieve your nasal congestion and moisturize your nose by cleaning it. It is necessary not to enter the sea, pool and sauna for 4-5 weeks. Although tissue healing after surgery varies from person to person, it takes between six and one year.
Functional evaluation should be done at the third month and aesthetic evaluation at the sixth month. Photographs should be taken at the controls, if possible, and evaluated by comparing them with the pre-operative photographs. General controls 1. ,3. ,6. and 12. months, then annual control should be started.
