Rhinoplasty
What is Rhinoplasty?
Rhinoplasty, also known as nose aesthetics or in medical terms, rhinoplasty, is a surgical procedure performed by a nose aesthetics specialist for individuals seeking visual and health-related improvements. The goal of rhinoplasty is to correct deviations in the nasal bone, whether congenital or resulting from an impact, and to achieve an aesthetically pleasing appearance. Concerns such as a humped or elongated nose, a drooping nasal tip, large nostrils, or asymmetry may lead individuals to decide on rhinoplasty for corrective and aesthetic purposes. Rhinoplasty procedures encompass nasal lifting and correction processes
Who is Suitable for Rhinoplasty Surgery?
Rhinoplasty is generally performed for two main purposes: functional issues and aesthetics. If there is a functional problem, it can be performed during childhood before the completion of bone development. For aesthetic purposes, it can be performed starting at the age of 18, after the completion of bone development, and when the individual is mentally and psychologically ready. The primary goal in nasal aesthetics is to achieve a functional, naturally looking, and sturdy nose, enhancing self-confidence.
At What Ages Can Rhinoplasty Be Performed?
In recent years, aesthetic surgeries have become increasingly common, performed by expert physicians. There are various aesthetic surgeries within this scope, such as eyelid aesthetics, prominent ear aesthetics, and rhinoplasty. Those considering rhinoplasty often inquire about the cost of aesthetic nose surgery and whether there is an age limit for rhinoplasty. The suitability for nose surgery is more dependent on the formation of bones than age. Performing rhinoplasty before the structure of muscles and bones settles is not advisable. Typically, individuals' bone structures, which may differ between males and females, complete their development between the ages of 14 and 16
How is Rhinoplasty Performed on Individuals with Thick Skin?
In individuals with thick skin, the tendency for the skin to retain more swelling post-surgery, leading to increased weight and a longer recovery period, unfortunately has a negative impact on achieving the desired nasal contours. Certainly, this challenge has been partially overcome with new techniques and treatment methods. However, it should be noted that compared to those with normal skin, the results may take a bit longer to manifest, and achieving the ideal appearance may be somewhat more challenging.
What to Pay Attention to After Rhinoplasty?
During the first week following rhinoplasty surgery, leakage and blood oozing may occur. Patients should stack two pillows and sleep with their heads elevated as prescribed by the doctor. It is crucial to use medications regularly, including creams, sprays, antibiotics, and pain relievers prescribed by the doctor. Attention should be paid to eating and drinking, avoiding foods that require excessive chewing, and minimizing facial expressions. Nasal irrigation is of great importance during this period; mouth breathing may occur in the first few days due to swelling inside the nose, whether there is packing or not. Therefore, washing the inside of the nose 6-7 times a day with saline solution or seawater and applying creams to the nostrils are essential. There may be bruising and swelling on the face in the first 4 days after surgery, and the use of recommended medications helps to make the recovery process more comfortable.
Is There a Difference Between Female and Male Rhinoplasty?
There are aesthetic differences in the nasal structure between men and women. For example, the angle between the nose and the upper lip is approximately 90 degrees in men, while in women, this angle should be slightly greater, resulting in the female nose appearing slightly more elevated compared to the male nose. In terms of surgical procedures, there is no fundamental difference; only the measurements and angles may vary. Additionally, in men, the tip and width of the nose may be more pronounced, and the nasal contours tend to be sharper. Due to thicker bone structures, male rhinoplasties are generally considered more challenging than those for women.
How is Rhinoplasty Performed?
Rhinoplasty can be performed through two surgical approaches: open and closed.
Open Rhinoplasty
The procedures applied to cartilage and bones are almost the same as those in closed rhinoplasty. In open rhinoplasty, a small incision is made between the nostrils to enhance the surgical field of view. This method is particularly preferred for individuals with advanced deformities or those who have undergone aesthetic operations previously referred to as secondary surgeries. The advantage is a broader field of view, while the disadvantage is a slightly longer recovery period.
Closed Rhinoplasty
In this method, incisions are made inside the nostrils. Although the procedures applied to the bones are the same as in open rhinoplasty, the field of view is somewhat reduced. However, it may be preferred due to the stitch mark being inside the nose and a somewhat faster recovery process.
Can Non-Surgical Rhinoplasty Be Performed?
There are certain methods for partially enhancing the aesthetics of the nose without undergoing surgery. These include nose tip Botox, nose fillers, and non-surgical nose lift with threads. The disadvantage of non-surgical aesthetic procedures is often their temporary effects and limitations in suitability for various nose shapes. It is generally not considered appropriate for individuals planning to undergo rhinoplasty, as it can pose challenges for the surgical process.
Is Nasal Packing Used in Surgery?
**"Is Nasal Packing Used in Surgery?
Generally, a thin silicone tampon is used inside the nose during rhinoplasty; however, we also perform rhinoplasty without using nasal packing. When we opt not to use nasal packing, we achieve tamponade by stitching the inside of the nose with absorbable threads. The advantage of this approach is the avoidance of the need to remove nasal packing. Silicone tampons are typically used in revision surgeries, i.e., second-time procedures.
What is Revision Rhinoplasty?
Revision rhinoplasty is a procedure performed when a person has previously undergone nasal surgery but requires a repeat operation due to issues related to either the shape, functionality, or both. This situation may arise from the initial surgery not yielding the desired results or trauma occurring postoperatively. Revision surgeries are more challenging, both for the patient and the surgeon. The nasal skin, bone, and cartilage structure have changed over time, and, often, there is a deficiency in the required cartilage.
Depending on the extent of the revision, rib or ear cartilage is used. Rib cartilage is typically harvested from the right side of the chest through a 1-2 cm incision. Revision surgeries require more cartilage compared to standard primary procedures, making rib cartilage the preferred choice. The structure of the skin is a crucial aspect of revision rhinoplasties, determining the boundaries of the nose shape. While the subcutaneous skeletal structure can be well-formed with cartilage, the final decision rests on the skin.
Healing times are somewhat longer, depending on the skin structure. The primary goal of revision rhinoplasty is to achieve a more satisfying shape and functional nose compared to the previous state. Revision rhinoplasties demand a significant level of experience and precision due to their intricate nature.
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