Nose aesthetics or rhinoplasty operations are a very common operation especially in the Middle East and Anatolia. Our noses do not comply with today’s aesthetic norms because genetically our nose is arched, the tip of the nose is low, and the wings are wide. Rhinoplasty is also applied to improve the breathing difficulties along with making the nose shape suitable for the face. During the surgery, the areas that need to be corrected in the nose are determined and procedures are performed for them. Since the nose is located in the center of the face, it is the most striking structure of the face when viewed from the front. Since the definition of a good nose differs from person to person, the patient’s wishes should be examined and the result should be explained to the patient in detail. The important thing is to get a suitable look for the face that will make the person feel good. Rhinoplasty can be applied because of the desire to make changes in the appearance of people and the desire to make changes to improve their health. Beatings, traffic accidents, etc. There may be a need for aesthetics in the nose for reasons.
INFORMATION ABOUT THE SURGERY
Rhinoplasty operation takes about three hours on average and is performed under general anesthesia. After rhinoplasty due to the need for recovery after general anesthesia, the patient must stay in the hospital for 1 night. Rhinoplasty can be applied open or closed. The type of surgery is chosen according to the patient’s wishes and the surgeon’s experience. In a closed rhinoplasty operation, the surgeon makes an invisible incision in each of the nostrils and performs the operation in this way. The main advantage of this technique is less swelling and no visible scarring after surgery. The disadvantage is that it requires experience and limited nasal tip changes. In open rhinoplasty, in addition to the incisions in the closed rhinoplasty procedure, an incision is made from the skin area in the middle of the nostrils. When the operation is completed, stitches are applied to close the incisions and a tampon is placed in both nostrils, then a plaster / splint is applied by sticking tape on the back of the nose.
SUITABLE CANDIDATES
Rhinoplasty can be performed on any person, male or female, over the age of 18 who notices inadequacy in the shape and function of the nose. In this process, it should be revealed during the physical examination that the patient does not have any psychiatric disorders. Patients with exaggerated requests are not suitable candidates for this procedure. The patient’s age, comorbidities and medications should be questioned before the operation and the patient should be informed.
POST-SURGERY INFORMATION
Since rhinoplasty surgery is performed under general anesthesia, there will be a recovery period for a while. There may be numbness in the nose because operations are performed on the cartilage and bone tissue under the nose skin. This situation regresses within 1-2 months. After the surgery, patients cannot breathe through the nose for 2 days because there is a tampon in the nose. After the operation, the tampons are removed within 2 days and the plaster / splint is removed 1 week later. It is important not to interrupt the controls for a healthy recovery process after the surgery. After rhinoplasty, patients may experience some pain, swelling and bruising around the nose and eyes. After the surgery, keeping the head up, not lying to the right or left and applying cold will reduce these complaints. It is recommended that patients take a leave of absence for approximately two weeks before returning to work after rhinoplasty.
Patients should wash the inside of the nose with saline for at least 4 weeks, should not blow their nose, and apply antibiotic ointment on the suture line. After rhinoplasty, it takes 12 months for the nose to take its final shape, so be patient, post-operative swelling and small asymmetries should be ignored.
RISKS
Before deciding on rhinoplasty, it is important to explain the risks and complications of the operation in a way that the patient can understand. It is quite common to develop minor bleeding after rhinoplasty. These bleedings regress on the first day after surgery. There is a small risk of developing infection after rhinoplasty. It is normal to experience difficulty in breathing through the nose due to edema in the first 2 weeks following the operation. Damage to the nasal pole (septum) is also a rare complication. In such a case, medical and/or surgical options are available to correct this. The scar resulting from rhinoplasty is not normally visible, especially in closed operations, no scars are encountered. In open surgery and in patients with narrowed nose wings, scarring may be permanent. There may be asymmetry in the nasal pole, cartilages in the lower parts, and nostrils.
